Sarcoxie Health Care Center
1505 Miner, Sarcoxie, MO 64862 · Jasper County · 40 certified beds · avg 37 residents/day · certified since Jun 1, 1996
Part of chain: RELIANT CARE MANAGEMENT (34 facilities, chain avg rating 1.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
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 28, 2025 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
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: May 9, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 28, 2025 · 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: May 9, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (24)
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 |
|---|---|---|
| Nov 14, 2025 | F · Potential for harm, facility-wide | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Nov 14, 2025 | 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. · from a complaint |
| Nov 14, 2025 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Nov 14, 2025 | 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. · from a complaint |
| Aug 27, 2025 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint |
| Aug 27, 2025 | 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 |
| Mar 28, 2025 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Mar 28, 2025 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Mar 28, 2025 | F · Potential for harm, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Mar 28, 2025 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. |
| Aug 27, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to manage their own money and financial affairs. · from a complaint |
| Aug 24, 2023 | F · Potential for harm, facility-wide | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Aug 24, 2023 | E · Potential for harm, repeated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Aug 24, 2023 | 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. |
| Aug 24, 2023 | 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. |
| Aug 9, 2023 | D · Potential for 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 |
| Aug 9, 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 |
| Aug 9, 2023 | 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. · from a complaint |
| Mar 13, 2020 | 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. |
| Mar 13, 2020 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Mar 13, 2020 | 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. |
| Mar 13, 2020 | 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. |
| Mar 13, 2020 | D · Potential for 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. |
| Mar 13, 2020 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 6 | 0 | E |
| 2023 | 7 | 0 | F |
| 2024 | 1 | 0 | E |
| 2025 | 10 | 2 | 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)
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) | 1.19 | 3.66 | 3.95 | bottom 1% in Missouri; bottom 1% in the U.S. |
| Registered Nurse hours | 0.37 | 0.49 | 0.69 | bottom 41% in Missouri; bottom 18% in the U.S. |
| Weekend total nurse staffing | 0.88 | 3.22 | 3.50 | bottom 1% in Missouri; bottom 1% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.39 | 0.33 | 0.48 | top 21% in Missouri; top 49% in the U.S. |
| Total nursing staff turnover (%) | 84.0 | 56.0 | 45.8 | bottom 2% in Missouri; bottom 2% 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 1.49, RN 0.47, weekend 1.11. 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: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Destefane, Richard | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/25/2025 |
| RCG INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/25/2025 |
| Reliant Care Group LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 01/25/2025 |
| Richard J. Destefane Revocable Living Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/25/2025 |
| Arshad, Abdullah | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/25/2025 |
| Arshad, Abdullah | Individual | ADP of the SNF | NOT APPLICABLE | 01/25/2025 |
| Destefane, Richard | Individual | Corporate Officer | NOT APPLICABLE | 01/25/2025 |
| Destefane, Richard | Individual | ADP of the SNF | NOT APPLICABLE | 01/25/2025 |
| Greathouse, Johnna | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/25/2025 |
| Greathouse, Johnna | Individual | ADP of the SNF | NOT APPLICABLE | 01/25/2025 |
| Reliant Care Management Company LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/25/2025 |
| Reliant Care Management Company LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/03/2025 |
| Richard J. Destefane Revocable Living Trust | Organization | ADP of the SNF | NOT APPLICABLE | 01/25/2025 |
| Sarcoxie Associates LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/25/2025 |
| TLG II LLP | Organization | ADP of the SNF | NOT APPLICABLE | 01/25/2025 |
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 do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "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 |
|---|---|---|---|---|---|
| Aspire Senior Living Carthage | 10.9 mi | Carthage, MO | ★★★☆☆ | 3/5 | |
| St Luke's Nursing and Rehabilitation | 11.0 mi | Carthage, MO | ★★★☆☆ | 4/5 | |
| Granby House | 12.7 mi | Granby, MO | ★★☆☆☆ | 3/5 | |
| Lacoba Homes INC | 14.6 mi | Monett, MO | ★★★★★ | 5/5 | |
| Lawrence County Manor | 16.6 mi | Mount Vernon, MO | ★☆☆☆☆ | 1/5 | |
| Mt Vernon Nursing | 16.8 mi | Mount Vernon, MO | ★★★★☆ | 4/5 | |
| Aspire Senior Living Webb City | 19.7 mi | Webb City, MO | ★☆☆☆☆ | 2/5 | |
| NHC Healthcare, Joplin | 19.8 mi | Joplin, MO | ★★☆☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 265649.