Daviess County Nursing and Rehabilitation
1337 West Grand, Gallatin, MO 64640 · Daviess County · 97 certified beds · avg 59 residents/day · certified since Jan 7, 2002
3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.46
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 (20)
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 25, 2026 | E · Potential for harm, repeated | 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 |
| Apr 25, 2025 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 25, 2025 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Apr 25, 2025 | E · Potential for harm, repeated | The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. |
| Apr 25, 2025 | E · Potential for harm, repeated | 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. |
| Apr 25, 2025 | E · Potential for harm, repeated | 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 25, 2025 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jan 26, 2024 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Jan 26, 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. |
| Jan 26, 2024 | E · Potential for harm, repeated | 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. |
| Jan 26, 2024 | E · Potential for harm, repeated | 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. |
| Sep 25, 2023 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Feb 16, 2022 | E · Potential for harm, repeated | 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. |
| Feb 16, 2022 | E · Potential for harm, repeated | 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. |
| Feb 16, 2022 | E · Potential for harm, repeated | 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 16, 2022 | E · Potential for harm, repeated | 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. |
| Feb 16, 2022 | D · Potential for harm, one-off | 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. |
| Feb 16, 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 increased between the last two inspection cycles (4 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 6 | 0 | E |
| 2023 | 1 | 0 | D |
| 2024 | 4 | 0 | F |
| 2025 | 8 | 0 | E |
| 2026 | 1 | 0 | E |
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) | 3.46 | 3.66 | 3.95 | bottom 44% in Missouri; bottom 35% in the U.S. |
| Registered Nurse hours | 0.39 | 0.49 | 0.69 | bottom 46% in Missouri; bottom 21% in the U.S. |
| Weekend total nurse staffing | 3.07 | 3.22 | 3.50 | bottom 45% in Missouri; bottom 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.19 | 0.33 | 0.48 | bottom 26% in Missouri; bottom 11% in the U.S. |
| Total nursing staff turnover (%) | 52.1 | 56.0 | 45.8 | top 38% in Missouri; bottom 32% in the U.S. |
| RN turnover (%) | 20.0 | 47.8 | 42.9 | top 12% in Missouri; top 13% 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 3.11, RN 0.35, weekend 2.76. Staffing rating: 2/5.
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: 3/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| BCG Holdings INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Blue Stone Therapy INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/30/2023 |
| Bradley, Anneta | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/02/2016 |
| Brighton Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Cattail BCG LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| County of Daviess | Organization | ADP of the SNF | NOT APPLICABLE | 08/29/2025 |
| Dickinson, Larry | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/1977 |
| King, Charlotte | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/17/2013 |
| Lee, Zackery | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/16/2022 |
| Mowre, Kayla | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/06/2023 |
| Nutrition Analyst, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2020 |
| Osby Sertterh, Jacqueline | Individual | Corporate Officer | NOT APPLICABLE | 07/15/2014 |
| Osby, Charlene | Individual | Corporate Director | NOT APPLICABLE | 04/01/2009 |
| Osby, Edmund | Individual | Corporate Director | NOT APPLICABLE | 04/01/2009 |
| Osby, Jennifer | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2015 |
| Pankau, Jennie | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2019 |
| Sweeten, Candice | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/02/2025 |
| The Osby Corp | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2009 |
| Wipfli LLP | Organization | ADP of the SNF | NOT APPLICABLE | 08/18/2021 |
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?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "Who runs your activities program, what are their qualifications, and can I see this week's activity calendar?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "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 |
|---|---|---|---|---|---|
| Hill Crest Manor | 12.3 mi | Hamilton, MO | ★☆☆☆☆ | 3/5 | |
| Quail Run Health Care Center | 18.3 mi | Cameron, MO | ★★☆☆☆ | 2/5 | |
| Cameron Nursing Center | 18.7 mi | Cameron, MO | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 265729.