NHC Healthcare, Desloge
801 Brim Street, Desloge, MO 63601 · St. Francois County · 120 certified beds · avg 66 residents/day · certified since Feb 15, 1982
Part of chain: NATIONAL HEALTHCARE CORPORATION (69 facilities, chain avg rating 4.0★)
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Mar 29, 2024 · F-0697
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 22, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (29)
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 |
|---|---|---|
| Apr 24, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Apr 24, 2025 | D · Potential for harm, one-off | 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. |
| Apr 24, 2025 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Apr 24, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 24, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 24, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 24, 2025 | D · Potential for harm, one-off | 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 24, 2025 | D · Potential for harm, one-off | 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. |
| Mar 29, 2024 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Mar 29, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Mar 29, 2024 | D · Potential for harm, one-off | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Mar 29, 2024 | 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. |
| Mar 29, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Mar 29, 2024 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Mar 29, 2024 | 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. |
| Mar 29, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Mar 29, 2024 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Mar 29, 2024 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Mar 29, 2024 | D · Potential for harm, one-off | 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. |
| Sep 23, 2022 | 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. |
| Sep 23, 2022 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Sep 23, 2022 | 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. |
| Sep 23, 2022 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Sep 23, 2022 | D · Potential for harm, one-off | 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. |
| Sep 23, 2022 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Sep 23, 2022 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Sep 23, 2022 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 23, 2022 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| Sep 23, 2022 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 10 | 0 | F |
| 2024 | 11 | 1 | G ▲ |
| 2025 | 8 | 0 | D |
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) | 4.30 | 3.66 | 3.95 | top 23% in Missouri; top 29% in the U.S. |
| Registered Nurse hours | 0.96 | 0.49 | 0.69 | top 5% in Missouri; top 18% in the U.S. |
| Weekend total nurse staffing | 3.55 | 3.22 | 3.50 | top 31% in Missouri; top 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.54 | 0.33 | 0.48 | top 7% in Missouri; top 28% in the U.S. |
| Total nursing staff turnover (%) | 59.6 | 56.0 | 45.8 | bottom 42% in Missouri; bottom 17% in the U.S. |
| RN turnover (%) | 30.0 | 47.8 | 42.9 | top 24% in Missouri; top 29% 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 3.49, RN 0.78, weekend 2.88. Staffing rating: 4/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Nhc/Delaware INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 02/01/2000 |
| Blackrock INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/20/2010 |
| Burke, Edward | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/13/2018 |
| Burke, Edward | Individual | ADP of the SNF | NOT APPLICABLE | 11/13/2018 |
| Dodson, Vicki | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2019 |
| Dodson, Vicki | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2019 |
| Kidd, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Kidd, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2017 |
| National Health Corporation | Organization | ADP of the SNF | NOT APPLICABLE | 04/14/2025 |
| National Healthcare Corporation | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2000 |
| National Healthcare Corporation | Organization | ADP of the SNF | NOT APPLICABLE | 04/14/2025 |
| Nhc-Op LP | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2000 |
| Nixon, Becca | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/14/2024 |
| Rector, Melvin | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2000 |
| Rector, Melvin | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2000 |
| Rector, Melvin | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2000 |
| Riddle, Jordan | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/14/2021 |
| Riddle, Jordan | Individual | ADP of the SNF | NOT APPLICABLE | 04/14/2025 |
| Ussery, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Vanguard Group INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/30/2006 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Country Meadows | 1.5 mi | Park Hills, MO | ★★★★★ | 5/5 | |
| St Joe Manor | 4.0 mi | Bonne Terre, MO | ★☆☆☆☆ | 3/5 | |
| Community Manor | 6.9 mi | Farmington, MO | ★★★☆☆ | 4/5 | |
| Camelot Nursing and Rehabilitation Center | 7.2 mi | Farmington, MO | ★★★★★ | 5/5 | |
| Southbrook Nursing Center | 7.3 mi | Farmington, MO | ★★★★★ | 5/5 | |
| Farmington Presbyterian Manor | 7.8 mi | Farmington, MO | ★★★★★ | 5/5 | |
| St Francois Manor | 9.6 mi | Farmington, MO | ★★★★☆ | 4/5 | |
| Gardens Health and Rehab, the | 14.0 mi | Potosi, MO | ★☆☆☆☆ | 3/5 | |
| Potosi Manor | 14.1 mi | Potosi, MO | ★★★★☆ | 4/5 | |
| Baisch Nursing Center | 15.1 mi | De Soto, MO | ★★☆☆☆ | 3/5 | |
| Stonebridge Desoto | 15.9 mi | De Soto, MO | ★★★★☆ | 4/5 | |
| Belleview Valley Nursing Home | 16.8 mi | Belleview, MO | —/5 | SFF |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 265158.