Ratliff Care Center

Name: Ratliff Care Center
Address: 717 NORTH SPRIGG, Cape Girardeau, MO, 63701, US
Telephone: 5733355810

717 North Sprigg, Cape Girardeau, MO 63701 · Cape Girardeau County · 46 certified beds · avg 41 residents/day · certified since Oct 25, 2002

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.45

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 (20)

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 30, 2025	E · Potential for harm, repeated	The facility did not properly protect the personal money residents deposited with it for safekeeping.
May 30, 2025	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
May 30, 2025	D · Potential for harm, one-off	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.
May 30, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
May 30, 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.
May 30, 2025	D · Potential for harm, one-off	The facility did not verify that its nurse aides had completed their required training, or did not retrain aides who had been out of nurse aide work for 2 years.
May 30, 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 30, 2025	D · Potential for harm, one-off	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
May 16, 2024	F · Potential for harm, facility-wide	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
May 16, 2024	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.
May 16, 2024	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.
May 16, 2024	D · Potential for harm, one-off	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.
May 16, 2024	D · Potential for harm, one-off	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.
Mar 23, 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.
Mar 23, 2023	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.
Mar 23, 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.
Mar 23, 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.
Mar 23, 2023	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Mar 23, 2023	D · Potential for harm, one-off	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Mar 23, 2023	C · Minimal risk, facility-wide	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 8).

Year	Citations	Worst severity that year
2023	7	F
2024	5	F
2025	8	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)

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)	3.45	3.66	3.95	bottom 44% in Missouri; bottom 34% in the U.S.
Registered Nurse hours	0.36	0.49	0.69	bottom 39% in Missouri; bottom 17% in the U.S.
Weekend total nurse staffing	3.26	3.22	3.50	top 44% in Missouri; bottom 45% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.26	0.33	0.48	bottom 48% in Missouri; bottom 25% in the U.S.
Total nursing staff turnover (%)	72.1	56.0	45.8	bottom 13% in Missouri; bottom 5% in the U.S.
RN turnover (%)	50.0	47.8	42.9	top 46% in Missouri; bottom 39% 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 3.24, RN 0.34, weekend 3.06. 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: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
Ratliff Enterprises LLC	Organization	5% or Greater Direct Ownership Interest	—	12/31/1999
Ratliff Revocable Trust	Organization	5% or Greater Direct Ownership Interest	—	02/13/2019
Ratliff, Emmagene	Individual	5% or Greater Indirect Ownership Interest	100%	02/13/2019
Choice Rehabilitation LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/24/2025
Choice Rehabilitation LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/24/2025
Forvis Mazars LLP	Organization	Operational/Managerial Control	NOT APPLICABLE	01/14/2025
Palen, James	Individual	ADP of the SNF	NOT APPLICABLE	01/14/2025
Ratliff Enterprises LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/14/2025
Ratliff Revocable Trust	Organization	Operational/Managerial Control	NOT APPLICABLE	01/14/2025
Ratliff Revocable Trust	Organization	ADP of the SNF	NOT APPLICABLE	02/13/2019
Ratliff, Emmagene	Individual	Trustee of the SNF	NOT APPLICABLE	02/13/2019
Ratliff, Emmagene	Individual	ADP of the SNF	NOT APPLICABLE	03/19/2024
Ratliff, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	01/14/2025
Ratliff, Michael	Individual	ADP of the SNF	NOT APPLICABLE	01/14/2025
Strickland, Cheryl	Individual	Corporate Officer	NOT APPLICABLE	02/24/2025
Strickland, Cheryl	Individual	Operational/Managerial Control	NOT APPLICABLE	02/24/2025
Strickland, Cheryl	Individual	ADP of the SNF	NOT APPLICABLE	02/24/2025
Swindle, Aftan	Individual	ADP of the SNF	NOT APPLICABLE	01/14/2025

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 is residents' personal money protected and tracked, and how can families review the account statements?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you confirm each aide's training and certification before they start caring for residents?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
"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
Life Care Center of Cape Girardeau	1.9 mi	Cape Girardeau, MO	★☆☆☆☆	2/5
Chateau Girardeau	2.4 mi	Cape Girardeau, MO	★★★☆☆	4/5
Lutheran Home, the	2.5 mi	Cape Girardeau, MO	★★★★★	5/5
Fountainbleau Lodge	3.4 mi	Cape Girardeau, MO	★★★★★	4/5
Heartland Care and Rehabilitation Center	3.4 mi	Cape Girardeau, MO	★★★★☆	5/5
Hubble Creek	7.5 mi	Jackson, MO	★★★☆☆	4/5
Jackson Manor	10.5 mi	Jackson, MO	★★★★☆	5/5
Chaffee Nursing Center	11.7 mi	Chaffee, MO	★★★★★	5/5
Stonebridge Marble Hill	17.6 mi	Marble Hill, MO	★★★★☆	4/5
Integrity HC of Anna	18.6 mi	Anna, IL	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Cape Girardeau →

Facility data as of CMS processing date 2026-08-01. CCN 265747.

The Care File

Visit checklist — Ratliff Care Center

717 North Sprigg, Cape Girardeau, MO 63701 · 5733355810

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "How is residents' personal money protected and tracked, and how can families review the account statements?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you confirm each aide's training and certification before they start caring for residents?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
☐ "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 265747 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)