Cypress Point-Skilled Nursing by Americare
801 Baliff Drive, Dexter, MO 63841 · Stoddard County · 79 certified beds · avg 66 residents/day · certified since May 19, 1989
Part of chain: AMERICARE SENIOR LIVING (23 facilities, chain avg rating 3.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Mar 5, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 3, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (16)
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 |
|---|---|---|
| Sep 18, 2025 | 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. |
| Sep 18, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Sep 18, 2025 | D · Potential for harm, one-off | 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. |
| Sep 18, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Sep 18, 2025 | 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. |
| Sep 18, 2025 | D · Potential for harm, one-off | 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. |
| Mar 5, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Sep 27, 2024 | D · Potential for harm, one-off | 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. |
| Sep 27, 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. |
| Sep 27, 2024 | C · Minimal risk, facility-wide | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jun 29, 2023 | D · Potential for harm, one-off | 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. |
| Jun 29, 2023 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Jun 29, 2023 | 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. |
| Jun 29, 2023 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | D |
| 2024 | 5 | 0 | D |
| 2025 | 7 | 1 | J ▲ |
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)
1 fine totaling $73,743.
| Date | Type | Amount / length |
|---|---|---|
| Mar 5, 2025 | Fine | $73,743 |
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) | 4.11 | 3.66 | 3.95 | top 29% in Missouri; top 35% in the U.S. |
| Registered Nurse hours | 0.75 | 0.49 | 0.69 | top 9% in Missouri; top 31% in the U.S. |
| Weekend total nurse staffing | 3.30 | 3.22 | 3.50 | top 43% in Missouri; bottom 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.32 | 0.33 | 0.48 | top 38% in Missouri; bottom 35% in the U.S. |
| Total nursing staff turnover (%) | 50.0 | 56.0 | 45.8 | top 32% in Missouri; bottom 38% in the U.S. |
| RN turnover (%) | 10.0 | 47.8 | 42.9 | top 4% in Missouri; top 4% 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 3.83, RN 0.70, weekend 3.07. Staffing rating: 4/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ford, Julianna | Individual | 5% or Greater Indirect Ownership Interest | 33% | 01/01/2012 |
| HWJ LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2012 |
| Montgomery, Henley | Individual | 5% or Greater Indirect Ownership Interest | 33% | 01/01/2012 |
| Montgomery, William | Individual | 5% or Greater Indirect Ownership Interest | 33% | 01/01/2012 |
| Americare Systems, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2012 |
| Crosson, Clay | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/29/2001 |
| Langley, John | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2012 |
| Reiker, James | Individual | Corporate Officer | NOT APPLICABLE | 05/31/2011 |
| Schade, Kyle | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2021 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How often are beds and bed rails inspected, and who does those checks?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 | Flags |
|---|---|---|---|---|---|
| Memory Lane of Dexter | 0.4 mi | Dexter, MO | ★★★★☆ | 5/5 | |
| Crowley Ridge Care Center | 1.2 mi | Dexter, MO | ★★★★☆ | 5/5 | |
| Prairie View Skilled Nursing | 6.4 mi | Bloomfield, MO | ★★☆☆☆ | 4/5 | |
| Winchester Nursing Center, INC | 8.9 mi | Bernie, MO | ★★★★★ | 5/5 | |
| Aspire Senior Living Malden | 15.3 mi | Malden, MO | ★★★☆☆ | 4/5 | |
| Puxico Nursing and Rehabilitation Center | 15.5 mi | Puxico, MO | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 265367.