How to file a complaint about care →

4 fines totaling $206,328.

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 2.82, RN 0.32, weekend 2.55.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.82 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

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 - Limited Liability company

All 15 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 Reliant Care Management — 34 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.

• Bernard Care Center — Saint Louis, MO · overall 1/5
• Bridgewood Health Care Center — Kansas City, MO · overall 1/5abuseSFF
• Brookfield Health Care Center — Brookfield, MO · overall 1/5
• Brunswick Health Care Center — Brunswick, MO · overall 1/5
• Carrie Elligson Gietner Health Care Center — Saint Louis, MO · overall 1/5
• Cassville Health Care Center — Cassville, MO · overall 1/5SFF
• Chariton Park Health Care Center — Salisbury, MO · overall 1/5abuseSFF
• Crestwood Health Care Center — Florissant, MO · overall 1/5abuse

Listed by state, then facility name — not a ranking. Showing 8 of the 33 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.

• "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
• "How do you learn about each resident's background and history, and how does that shape their care?"
• "What mental health services do you offer on-site, and how do you care for residents with depression, anxiety, or a history of trauma?"
• "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
• "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
• "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
• "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
• "How often do you evaluate your nurse aides and what ongoing training do they receive?"

Also worth asking anywhere

• "Your weekend nurse staffing is reported below the Kansas 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?"
• "The ownership record on file lists 15 owning or managing parties — who makes the decisions about staffing levels?"
• "CMS lists this facility under its Special Focus program — what is being done differently, and by when?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 1 closest →

All facilities in Holton →