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Daviess County Nursing and Rehabilitation
1337 West Grand, Gallatin, MO 64640 (opens Google Maps) · Daviess County · (660) 663-2197· 97 certified beds · avg 59 residents/day · certified since Jan 7, 2002 · 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 →
3/5
Health inspection rating (on-site)
inspected Apr 25, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.46
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: ★★★☆☆3/5 · 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 keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689
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
The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. F-0679
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 |
|---|---|---|
| Jun 25, 2026 | E · Potential for more than minimal harm, pattern | 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 · F-0689 |
| Apr 25, 2025 | E · Potential for more than minimal harm, pattern | 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 25, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Apr 25, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0680 |
| Apr 25, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0695 |
| Apr 25, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Apr 25, 2025 | E · Potential for more than minimal harm, pattern | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
| Apr 25, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0558 |
| Apr 25, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0686 |
| Jan 26, 2024 | F · Potential for more than minimal harm, widespread | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801 |
| Jan 26, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jan 26, 2024 | E · Potential for more than minimal harm, pattern | 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 |
| Jan 26, 2024 | 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 |
| Sep 25, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0600 |
| Feb 16, 2022 | E · Potential for more than minimal harm, pattern | 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 |
| Feb 16, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0656 |
| Feb 16, 2022 | E · Potential for more than minimal harm, pattern | 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 |
| Feb 16, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Feb 16, 2022 | 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 |
| Feb 16, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 8).
All citationsSerious citations (G–L)
2022
All citations: 6
Serious citations (G–L): 0
2023
All citations: 1
Serious citations (G–L): 0
2024
All citations: 4
Serious citations (G–L): 0
2025
All citations: 8
Serious citations (G–L): 0
2026
All citations: 1
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 |
|---|---|---|---|
| 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)
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: 3.46
Missouri average: 3.66
U.S. average: 3.95
Registered Nurse hours
This facility: 0.39
Missouri average: 0.49
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.07
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) | 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 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 3.11, RN 0.35, weekend 2.76.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.11 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
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: 4/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Daviess County Nursing and Rehabilitation. 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 →
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 |
All 19 owning or managing parties CMS has on file are shown — none excluded.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Missouri midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 52% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 19 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 |
|---|---|---|---|---|---|
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 265729.
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