Crowley Ridge Care Center

Name: Crowley Ridge Care Center
Address: 1204 NORTH OUTER ROAD, Dexter, MO, 63841, US
Telephone: 5736245557

1204 North Outer Road, Dexter, MO 63841 · Stoddard County · 90 certified beds · avg 48 residents/day · certified since Oct 21, 1993

Part of chain: JAMES & JUDY LINCOLN (56 facilities, chain avg rating 2.4★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.96

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5

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 self-reported quality measures.

All citations in the current public record (11)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 10, 2025	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Mar 20, 2025	D · Potential for harm, one-off	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.
Mar 20, 2025	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Mar 20, 2025	D · Potential for harm, one-off	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.
Feb 10, 2025	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Apr 5, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 5, 2024	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Apr 5, 2024	D · Potential for harm, one-off	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.
Apr 5, 2024	D · Potential for harm, one-off	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.
Nov 4, 2022	F · Potential for harm, facility-wide	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
Nov 4, 2022	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).

Year	Citations	Worst severity that year
2022	2	F
2024	4	F
2025	5	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)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Missouri avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.96	3.66	3.95	top 35% in Missouri; top 41% in the U.S.
Registered Nurse hours	0.19	0.49	0.69	bottom 8% in Missouri; bottom 2% in the U.S.
Weekend total nurse staffing	3.66	3.22	3.50	top 28% in Missouri; top 35% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.15	0.33	0.48	bottom 15% in Missouri; bottom 5% in the U.S.
Total nursing staff turnover (%)	52.6	56.0	45.8	top 39% in Missouri; bottom 30% in the U.S.
RN turnover (%)	66.7	47.8	42.9	bottom 26% in Missouri; bottom 15% in the U.S.

Hours are per resident per day, 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 3.59, RN 0.17, weekend 3.32. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
Lincoln, James	Individual	5% or Greater Direct Ownership Interest	50%	01/01/1999
Lincoln, Judy	Individual	5% or Greater Direct Ownership Interest	50%	01/01/1999
N & R of Dexter INC	Organization	5% or Greater Direct Ownership Interest	—	01/01/1999
Bysor, Brandon	Individual	Corporate Director	NOT APPLICABLE	04/25/2022
Drake, Timothy	Individual	Corporate Officer	NOT APPLICABLE	01/01/1999
Hensley, Kristi	Individual	W-2 Managing Employee	NOT APPLICABLE	04/25/2022
Stutts, Charlotte	Individual	Corporate Officer	NOT APPLICABLE	01/01/1999

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"How do you learn about each resident's background and history, and how does that shape their care?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Cypress Point-Skilled Nursing by Americare	1.2 mi	Dexter, MO	★★★★☆	4/5
Memory Lane of Dexter	1.6 mi	Dexter, MO	★★★★☆	5/5
Prairie View Skilled Nursing	5.3 mi	Bloomfield, MO	★★☆☆☆	4/5
Winchester Nursing Center, INC	10.0 mi	Bernie, MO	★★★★★	5/5
Puxico Nursing and Rehabilitation Center	14.7 mi	Puxico, MO	★★★★☆	4/5
Aspire Senior Living Malden	16.4 mi	Malden, MO	★★★☆☆	4/5

Compare this facility with the 3 closest →

All facilities in Dexter →

Facility data as of CMS processing date 2026-08-01. CCN 265552.

The Care File

Visit checklist — Crowley Ridge Care Center

1204 North Outer Road, Dexter, MO 63841 · 5736245557

Health inspection rating 5/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "How do you learn about each resident's background and history, and how does that shape their care?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265552 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)