Portageville Health Care Center

Name: Portageville Health Care Center
Address: 290 WEST STATE HWY 162, Portageville, MO, 63873, US
Telephone: 5733792017

290 West State Hwy 162, Portageville, MO 63873 · New Madrid County · 60 certified beds · avg 58 residents/day · certified since Nov 1, 1993

Part of chain: RELIANT CARE MANAGEMENT (34 facilities, chain avg rating 1.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

$240,603

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: 3/5

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 (25)

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
May 1, 2025	E · Potential for harm, repeated	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).
May 1, 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.
May 1, 2025	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.
May 1, 2025	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.
May 1, 2025	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.
May 1, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
May 1, 2025	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.
May 1, 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.
May 1, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jun 5, 2024	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. · from a complaint
Jun 5, 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.
Jun 5, 2024	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.
Jun 5, 2024	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.
Jun 5, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jun 5, 2024	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.
Jun 5, 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. · from a complaint
Jan 12, 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.
Jan 12, 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.
Jan 12, 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.
Jan 12, 2023	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.
Jan 12, 2023	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.
Jan 12, 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.
Jan 12, 2023	D · Potential for harm, one-off	The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving.
Jan 12, 2023	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Jan 12, 2023	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 9).

Year	Citations	Worst severity that year
2023	9	F
2024	7	E
2025	9	E

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 $240,603, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Jun 5, 2024	Fine	$240,603
Jun 5, 2024	Payment Denial	33 days from Jul 19, 2024

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 (%)	61.5	56.0	45.8	bottom 37% in Missouri; bottom 14% in the U.S.
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: 3/5 · long-stay residents: 4/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Destefane, Richard	Individual	Indirect Ownership Interest	NOT APPLICABLE	03/01/2018
RCG INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/01/2016
Reliant Care Group LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	12/01/2016
Richard J. Destefane Revocable Living Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	03/01/2018
Arshad, Abdullah	Individual	Operational/Managerial Control	NOT APPLICABLE	09/15/2024
Arshad, Abdullah	Individual	ADP of the SNF	NOT APPLICABLE	09/15/2024
Destefane, Richard	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2016
Destefane, Richard	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	05/11/2026
Destefane, Richard	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2018
Portageville Associates, L.L.C.	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2016
RC Tier Associates, L.L.C.	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2016
Reliant Care Management Company LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2016
Reliant Care Management Company LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/19/2025
Rice, Jean	Individual	Operational/Managerial Control	NOT APPLICABLE	05/08/2017
Rice, Jean	Individual	ADP of the SNF	NOT APPLICABLE	05/08/2017
Richard J. Destefane Revocable Living Trust	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2018
TLG II LLP	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2016

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How do you learn about each resident's background and history, and how does that shape their care?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
Gideon Care Center	12.7 mi	Gideon, MO	★★★★☆	5/5
Reelfoot Manor Health and Rehab	13.3 mi	Tiptonville, TN	★☆☆☆☆	2/5
New Madrid Living Center	14.1 mi	New Madrid, MO	★★★★★	5/5
Signature Healthcare of Ridgely Rehab&wellness Ctr	16.8 mi	Ridgely, TN	★★★☆☆	2/5
Southgate Living Center	16.9 mi	Caruthersville, MO	★★★★☆	5/5
Aspire Senior Living Malden	18.1 mi	Malden, MO	★★★☆☆	4/5

Compare this facility with the 3 closest →

All facilities in Portageville →

Facility data as of CMS processing date 2026-08-01. CCN 265549.

The Care File

Visit checklist — Portageville Health Care Center

290 West State Hwy 162, Portageville, MO 63873 · 5733792017

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $240,603

Questions for the administrator:

☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How do you learn about each resident's background and history, and how does that shape their care?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265549 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)