How to file a complaint about care →
No fines or payment denials in the published 3-year window.
Gasconade Manor Nursing Home
1910 Nursing Home Road,, Owensville, MO 65066 (opens Google Maps) · Gasconade County · (573) 437-4101· 79 certified beds · avg 59 residents/day · certified since Oct 1, 1993 · 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 →
4/5
Health inspection rating (on-site)
inspected Jul 31, 2025
0
Serious findings on record
$0
Fines, last 3 years
—
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: ★★★★☆4/5 · CMS overall rating: 4/5 · 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 21 inspection findings. Open the full record below to read every finding.
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. F-0880
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. F-0607
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
View all 21 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 |
|---|---|---|
| Jul 31, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Jul 31, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0607 |
| Jul 31, 2025 | 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 |
| Jul 31, 2025 | D · Potential for more than minimal harm, isolated | 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). · F-0628 |
| Jul 31, 2025 | D · Potential for more than minimal harm, isolated | 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 |
| May 31, 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 |
| May 31, 2024 | 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 |
| May 31, 2024 | 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 |
| May 31, 2024 | C · Potential for minimal harm, widespread | 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. · F-0732 |
| Feb 24, 2023 | 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 |
| Feb 24, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0607 |
| Feb 24, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0677 |
| Feb 24, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Feb 24, 2023 | E · Potential for more than minimal harm, pattern | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882 |
| Feb 24, 2023 | E · Potential for more than minimal harm, pattern | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Feb 24, 2023 | C · Potential for minimal harm, widespread | 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. · F-0575 |
| Feb 24, 2023 | C · Potential for minimal harm, widespread | 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. · F-0577 |
| Feb 24, 2023 | C · Potential for minimal harm, widespread | 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. · F-0585 |
| Feb 24, 2023 | C · Potential for minimal harm, widespread | 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. · F-0881 |
| Feb 24, 2023 | C · Potential for minimal harm, widespread | The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time. · F-0888 |
| Feb 24, 2023 | B · Potential for minimal harm, pattern | 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. · F-0568 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).
All citationsSerious citations (G–L)
2023
All citations: 12
Serious citations (G–L): 0
2024
All citations: 4
Serious citations (G–L): 0
2025
All citations: 5
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 |
|---|---|---|---|
| 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)
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: Not reported
Missouri average: 3.66
U.S. average: 3.95
Registered Nurse hours
This facility: Not reported
Missouri average: 0.49
U.S. average: 0.69
Weekend total nurse staffing
This facility: Not reported
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) | — | 3.66 | 3.95 | — |
| Registered Nurse hours | — | 0.49 | 0.69 | — |
| Weekend total nurse staffing | — | 3.22 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | — | 0.33 | 0.48 | — |
| Total nursing staff turnover (%) | — | 56.0 | 45.8 | — |
| RN turnover (%) | — | 47.8 | 42.9 | — |
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 —, RN —, weekend —.Comparing with Medicare Care Compare? Care Compare shows the raw figure (— here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
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: 5/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Gasconade Manor Nursing Home. 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 →
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 |
All 18 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.
- "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?"
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?"
- "The ownership record on file lists 18 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 |
|---|---|---|---|---|---|
| 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 →
Other facilities in the same county
CMS records place this facility in Gasconade, MO — 3 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Stonebridge Hermann — Hermann, MO · overall 5/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 265546.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).