How to file a complaint about care →

1 fine totaling $73,743.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

What these staffing numbers mean →

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 3.83, RN 0.70, weekend 3.07.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.83 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

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 →

For profit - Corporation

All 9 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Americare Senior Living — 23 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

• Heritage Hall Nursing Center — Centralia, MO · overall 4/5
• Heritage Nursing Center - Skilled Nursing by Ameri — Kennett, MO · overall 4/5
• Neighborhoods at Quail Creek, the — Springfield, MO · overall 3/5
• Neighborhoods Rehabilitation and Skilled Nursing B — Columbia, MO · overall 2/5
• Pioneer Skilled Nursing Center — Marceline, MO · overall 3/5
• Southbrook Nursing Center — Farmington, MO · overall 5/5
• St Clair Nursing Center — Saint Clair, MO · overall 5/5
• Eureka Nursing Center — Eureka, KS · overall 2/5

Listed by state, then facility name — not a ranking. Showing 8 of the 22 others, continuing from this facility's own place in that list.

Full visit checklist →

Print visit checklist

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?"

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 50% total nursing staff turnover here — who on the care team has been with you longest?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Stoddard, MO — 7 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

• Aspire Senior Living Advance — Advance, MO · overall 4/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Dexter →