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Chateau Girardeau
3120 Independence Street, Cape Girardeau, MO 63703 (opens Google Maps) · Cape Girardeau County · (573) 335-1281· 75 certified beds · avg 54 residents/day · certified since Jul 23, 1982 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
4/5
Health inspection rating (on-site)
inspected Apr 10, 2026
0
Serious findings on record
$0
Fines, last 3 years
4.05
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 20 inspection findings. Open the full record below to read every finding.
The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. F-0552
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. F-0578
The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. F-0582
View all 20 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552 |
| Apr 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| Apr 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582 |
| Apr 10, 2026 | D · Potential for more than minimal harm, isolated | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605 |
| Apr 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · F-0636 |
| Apr 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · F-0637 |
| Apr 10, 2026 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Apr 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Jan 23, 2025 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Jan 23, 2025 | D · Potential for more than minimal harm, isolated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| Jan 23, 2025 | D · Potential for more than minimal harm, isolated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625 |
| Jan 23, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · F-0727 |
| Jan 23, 2025 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| Jan 23, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Jan 23, 2025 | D · Potential for more than minimal harm, isolated | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · F-0947 |
| Nov 16, 2023 | E · Potential for more than minimal harm, pattern | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. · F-0909 |
| Nov 16, 2023 | D · Potential for more than minimal harm, isolated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| Nov 16, 2023 | D · Potential for more than minimal harm, isolated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625 |
| Nov 16, 2023 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Nov 16, 2023 | D · Potential for more than minimal harm, isolated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · F-0700 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 8).
All citationsSerious citations (G–L)
2023
All citations: 5
Serious citations (G–L): 0
2025
All citations: 7
Serious citations (G–L): 0
2026
All citations: 8
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | E |
| 2025 | 7 | 0 | D |
| 2026 | 8 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMissouri averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.05
Missouri average: 3.66
U.S. average: 3.95
Registered Nurse hours
This facility: 0.60
Missouri average: 0.49
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.36
Missouri average: 3.22
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.05 | 3.66 | 3.95 | top 31% in Missouri; top 37% in the U.S. |
| Registered Nurse hours | 0.60 | 0.49 | 0.69 | top 23% in Missouri; top 48% in the U.S. |
| Weekend total nurse staffing | 3.36 | 3.22 | 3.50 | top 40% in Missouri; top 50% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.29 | 0.33 | 0.48 | top 44% in Missouri; bottom 30% in the U.S. |
| Total nursing staff turnover (%) | 65.7 | 56.0 | 45.8 | bottom 25% in Missouri; bottom 9% in the U.S. |
| RN turnover (%) | 70.0 | 47.8 | 42.9 | bottom 19% in Missouri; bottom 12% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.26, RN 0.63, weekend 3.53.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.26 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Chateau Girardeau. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cape Retirement Community, INC. | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/20/2009 |
| Boeller, Keith | Individual | Contracted Managing Employee | NOT APPLICABLE | 01/01/2015 |
| Boeller, Keith | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2015 |
| Boeller, Keith | Individual | Corporate Director | NOT APPLICABLE | 01/01/2015 |
| Boeller, Keith | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2015 |
| Boeller, Keith | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2015 |
| Cape Retirement Community, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/20/2009 |
| Carins, Paul | Individual | Corporate Director | NOT APPLICABLE | 01/01/2017 |
| Edmonds, Chris | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2022 |
| Eudy, Debra | Individual | Corporate Director | NOT APPLICABLE | 01/01/2015 |
| Fadler, Jeannette | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2022 |
| Herbst, Charlie | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2022 |
| Kasten, Vernon | Individual | Corporate Officer | NOT APPLICABLE | 01/27/2015 |
| Kinder, Mark | Individual | Corporate Director | NOT APPLICABLE | 02/22/2016 |
| Klein, John | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Mattingly, Nancy | Individual | Corporate Director | NOT APPLICABLE | 01/01/2019 |
| Reeves, Dean | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Schade, Kevin | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2022 |
| Sides, Chris | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Tanner, Roger | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
Showing 20 of 21 parties CMS has on file for this facility; 1 are not displayed. The full list is in the CMS Ownership dataset.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you explain health changes and treatment options to residents and their families?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 66% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 21 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Life Care Center of Cape Girardeau | 0.9 mi | Cape Girardeau, MO | ★☆☆☆☆ | 2/5 | |
| Lutheran Home, the | 1.0 mi | Cape Girardeau, MO | ★★★★★ | 5/5 | |
| Fountainbleau Lodge | 2.1 mi | Cape Girardeau, MO | ★★★★★ | 4/5 | |
| Ratliff Care Center | 2.4 mi | Cape Girardeau, MO | ★★★☆☆ | 4/5 | |
| Heartland Care and Rehabilitation Center | 2.9 mi | Cape Girardeau, MO | ★★★★☆ | 5/5 | |
| Hubble Creek | 5.9 mi | Jackson, MO | ★★★☆☆ | 4/5 | |
| Jackson Manor | 8.9 mi | Jackson, MO | ★★★★☆ | 5/5 | |
| Chaffee Nursing Center | 9.9 mi | Chaffee, MO | ★★★★★ | 5/5 | |
| Stonebridge Marble Hill | 15.3 mi | Marble Hill, MO | ★★★★☆ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 265142.
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