Gasconade Manor Nursing Home
1910 Nursing Home Road,, Owensville, MO 65066 · Gasconade County · 79 certified beds · avg 59 residents/day · certified since Oct 1, 1993
4/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
0.00
Nurse hours/resident/day (adjusted)
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.
All citations in the current public record (21)
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 |
|---|---|---|
| Jul 31, 2025 | F · Potential for harm, facility-wide | 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. |
| Jul 31, 2025 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Jul 31, 2025 | 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. |
| Jul 31, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Jul 31, 2025 | 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. |
| May 31, 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. |
| May 31, 2024 | 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. |
| May 31, 2024 | 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. |
| May 31, 2024 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Feb 24, 2023 | 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. |
| Feb 24, 2023 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Feb 24, 2023 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Feb 24, 2023 | E · Potential for harm, repeated | 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. |
| Feb 24, 2023 | E · Potential for harm, repeated | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Feb 24, 2023 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Feb 24, 2023 | C · Minimal risk, facility-wide | The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency. |
| Feb 24, 2023 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Feb 24, 2023 | C · Minimal risk, facility-wide | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Feb 24, 2023 | C · Minimal risk, facility-wide | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Feb 24, 2023 | C · Minimal risk, facility-wide | The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time. |
| Feb 24, 2023 | B · Minimal risk, repeated | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 12 | 0 | F |
| 2024 | 4 | 0 | F |
| 2025 | 5 | 0 | F |
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) | 0.00 | 3.66 | 3.95 | — |
| Registered Nurse hours | 0.00 | 0.49 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 3.22 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 0.33 | 0.48 | — |
| Total nursing staff turnover (%) | 0.0 | 56.0 | 45.8 | — |
| RN turnover (%) | 0.0 | 47.8 | 42.9 | — |
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 0.00, RN 0.00, weekend 0.00. 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: 5/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Gasconade Manor Nursing Home District | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/01/1993 |
| Bossaller, Cynthia | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2025 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 11/23/2020 |
| Gasconade Manor Nursing Home District | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/1993 |
| Gasconade Manor Nursing Home District | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/1993 |
| Hesemann, Lynn | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2009 |
| Jett, Roger | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2016 |
| Kemper, Wayne | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Legends Bank | Organization | ADP of the SNF | NOT APPLICABLE | 08/27/2020 |
| Powerback Rehabilitation LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2014 |
| Powerback Rehabilitation LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/15/2025 |
| Ray, Crystal | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/19/1994 |
| Ray, Crystal | Individual | ADP of the SNF | NOT APPLICABLE | 07/19/1994 |
| Strothkamp, Alexus | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Strothkamp, Alexus | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Thorton, Margie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2022 |
| Warbritton, Dustin | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2009 |
| Warbritton, Dustin | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2009 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "How often are beds and bed rails inspected, and who does those checks?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "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 |
|---|---|---|---|---|---|
| Stonebridge Owensville | 2.7 mi | Owensville, MO | ★★★☆☆ | 3/5 | |
| Life Care Center of Sullivan | 19.5 mi | Sullivan, MO | ★★★★☆ | 4/5 |
Compare this facility with the 2 closest →
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Facility data as of CMS processing date 2026-08-01. CCN 265546.