Osage Beach Rehabilitation and Health Care Center
844 Passover Road, Osage Beach, MO 65065 · Camden County · 94 certified beds · avg 79 residents/day · certified since Jul 1, 1982
Abuse citation flag (CMS)
Part of chain: NATIONAL HEALTHCARE CORPORATION (69 facilities, chain avg rating 4.0★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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)
▲ Immediate jeopardy, repeated · Oct 3, 2023 · F-0880 · triggered by a complaint
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.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Oct 31, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Sep 23, 2022 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Nov 4, 2022 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 22, 2026 · F-0600 · triggered by a complaint
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
▲ Actual harm, one-off · Jun 17, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Jul 9, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · May 6, 2024 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
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 23, 2024 (Past Non-Compliance)
All citations in the current public record (32)
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 |
|---|---|---|
| Jun 22, 2026 | ▲ G · Actual harm, one-off | 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 |
| Jun 17, 2025 | ▲ G · Actual harm, one-off | 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 |
| Jun 17, 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 |
| Feb 27, 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. |
| Feb 27, 2025 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Feb 27, 2025 | E · Potential for harm, repeated | 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. |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Feb 27, 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. |
| Feb 27, 2025 | 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 27, 2025 | B · Minimal risk, 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. |
| May 6, 2024 | ▲ G · Actual harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| May 6, 2024 | D · Potential for harm, one-off | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · from a complaint |
| Dec 14, 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. |
| Dec 14, 2023 | E · Potential for harm, repeated | 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. |
| Dec 14, 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. |
| Dec 14, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Dec 14, 2023 | 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. |
| Oct 3, 2023 | ▲ K · Immediate jeopardy, 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. · from a complaint |
| Sep 23, 2022 | ▲ K · Immediate jeopardy, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| 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 | 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. |
| Sep 23, 2022 | E · Potential for harm, repeated | 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. |
| Sep 23, 2022 | E · Potential for harm, repeated | 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 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Sep 23, 2022 | 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. |
| Sep 23, 2022 | E · Potential for harm, repeated | 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. |
| Sep 23, 2022 | 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. |
| Sep 23, 2022 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Sep 23, 2022 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| 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's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Sep 23, 2022 | C · Minimal risk, facility-wide | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 14 | 1 | K ▲ |
| 2023 | 6 | 1 | K ▲ |
| 2024 | 2 | 1 | G ▲ |
| 2025 | 9 | 1 | G ▲ |
| 2026 | 1 | 1 | G ▲ |
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)
1 fine totaling $107,324.
| Date | Type | Amount / length |
|---|---|---|
| Oct 3, 2023 | Fine | $107,324 |
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) | 4.43 | 3.66 | 3.95 | top 21% in Missouri; top 25% in the U.S. |
| Registered Nurse hours | 0.73 | 0.49 | 0.69 | top 11% in Missouri; top 33% in the U.S. |
| Weekend total nurse staffing | 3.71 | 3.22 | 3.50 | top 26% in Missouri; top 33% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.33 | 0.48 | top 15% in Missouri; top 42% in the U.S. |
| Total nursing staff turnover (%) | 38.7 | 56.0 | 45.8 | top 11% in Missouri; top 33% in the U.S. |
| RN turnover (%) | 25.0 | 47.8 | 42.9 | top 19% in Missouri; top 20% 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 3.83, RN 0.63, weekend 3.21. 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: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Morgan Stanley Institutional Advisors LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/08/2024 |
| Nhc/Delaware INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 12/01/2010 |
| Bentzinger, Reed | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/08/2023 |
| Bentzinger, Reed | Individual | ADP of the SNF | NOT APPLICABLE | 09/26/2025 |
| Blackrock INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/20/2019 |
| Dimensional Fund Advisors LP | Organization | ADP of the SNF | NOT APPLICABLE | 03/07/2023 |
| 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 |
| Livek, Christine | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/16/2023 |
| Livek, Christine | Individual | ADP of the SNF | NOT APPLICABLE | 09/26/2025 |
| McKim, Anne | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/09/2022 |
| Morgan Stanley | Organization | ADP of the SNF | NOT APPLICABLE | 11/08/2024 |
| National Health Corporation | Organization | ADP of the SNF | NOT APPLICABLE | 12/10/2010 |
| National Healthcare Corporation | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2010 |
| National Healthcare Corporation | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2010 |
| Nhc-Op LP | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2010 |
| Rector, Melvin | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/01/2010 |
| Rector, Melvin | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2010 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "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 |
|---|---|---|---|---|---|
| Arrowhead Senior Living Community | 2.2 mi | Osage Beach, MO | ★★★★★ | 5/5 | |
| Stonebridge Lake Ozark | 2.4 mi | Osage Beach, MO | ★★★★★ | 5/5 | |
| Lake Regional Health Systems | 3.1 mi | Osage Beach, MO | ★★★★★ | 5/5 | |
| Ozark Rehabilitation & Health Care Center | 3.2 mi | Osage Beach, MO | ★☆☆☆☆ | 2/5 | |
| Laurie Care Center | 11.2 mi | Gravois Mills, MO | ★★★★☆ | 4/5 | |
| Miller County Care and Rehabilitation Center | 11.9 mi | Tuscumbia, MO | ★★★☆☆ | 4/5 | |
| Eldon Nursing & Rehab | 15.3 mi | Eldon, MO | ★★☆☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 265171.