Southbrook Nursing Center
1101 Hazel Lane, Farmington, MO 63640 · St. Francois County · 104 certified beds · avg 95 residents/day · certified since Sep 6, 1989
Part of chain: AMERICARE SENIOR LIVING (23 facilities, chain avg rating 3.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 (17)
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 10, 2026 | 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. |
| Apr 10, 2026 | 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. |
| Apr 10, 2026 | 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. |
| Nov 22, 2024 | 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. |
| Nov 22, 2024 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Nov 22, 2024 | 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. |
| Nov 22, 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. |
| Nov 22, 2024 | 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. |
| Nov 22, 2024 | 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. |
| Nov 22, 2024 | D · Potential for harm, one-off | 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. |
| Nov 22, 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. |
| Nov 22, 2024 | C · Minimal risk, facility-wide | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. |
| Nov 22, 2024 | C · Minimal risk, facility-wide | The facility did not properly protect the personal money residents deposited with it for safekeeping. |
| Nov 3, 2023 | E · Potential for harm, repeated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Nov 3, 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. |
| Nov 3, 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. |
| Nov 3, 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2024 | 10 | 0 | D |
| 2026 | 3 | 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) | 3.45 | 3.66 | 3.95 | bottom 43% in Missouri; bottom 34% in the U.S. |
| Registered Nurse hours | 0.43 | 0.49 | 0.69 | top 47% in Missouri; bottom 27% in the U.S. |
| Weekend total nurse staffing | 3.09 | 3.22 | 3.50 | bottom 47% in Missouri; bottom 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.46 | 0.33 | 0.48 | top 12% in Missouri; top 38% in the U.S. |
| Total nursing staff turnover (%) | 45.4 | 56.0 | 45.8 | top 24% in Missouri; bottom 49% in the U.S. |
| RN turnover (%) | 27.3 | 47.8 | 42.9 | top 21% in Missouri; top 24% 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 3.66, RN 0.45, weekend 3.28. Staffing rating: 2/5.
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: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ford, Julianna | Individual | 5% or Greater Indirect Ownership Interest | — | 12/05/2022 |
| Grand Plains Skilled Nursing LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/05/2022 |
| HWJ LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/05/2022 |
| Montgomery, Henley | Individual | 5% or Greater Indirect Ownership Interest | — | 12/05/2022 |
| Montgomery, William | Individual | 5% or Greater Indirect Ownership Interest | — | 12/05/2022 |
| Americare Systems, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/05/2022 |
| Grand Plains Skilled Nursing LLC | Organization | Limited Partnership Interest | NOT APPLICABLE | 12/05/2022 |
| Hammond, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/05/2022 |
| Schade, Kyle | Individual | Contracted Managing Employee | NOT APPLICABLE | 12/05/2022 |
| Schade, Kyle | Individual | Corporate Officer | NOT APPLICABLE | 12/05/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
- "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 |
|---|---|---|---|---|---|
| Farmington Presbyterian Manor | 0.7 mi | Farmington, MO | ★★★★★ | 5/5 | |
| Community Manor | 0.8 mi | Farmington, MO | ★★★☆☆ | 4/5 | |
| Camelot Nursing and Rehabilitation Center | 0.8 mi | Farmington, MO | ★★★★★ | 5/5 | |
| St Francois Manor | 2.6 mi | Farmington, MO | ★★★★☆ | 4/5 | |
| Country Meadows | 6.5 mi | Park Hills, MO | ★★★★★ | 5/5 | |
| NHC Healthcare, Desloge | 7.3 mi | Desloge, MO | ★★★★☆ | 4/5 | |
| St Joe Manor | 11.1 mi | Bonne Terre, MO | ★☆☆☆☆ | 3/5 | |
| Baptist Homes of Arcadia Valley | 16.5 mi | Ironton, MO | —/5 | ||
| Madison Medical Center | 17.2 mi | Fredericktown, MO | ★★★★★ | 4/5 | |
| Claru Deville Nursing Center | 17.5 mi | Fredericktown, MO | ★★★☆☆ | 2/5 | |
| Belleview Valley Nursing Home | 18.6 mi | Belleview, MO | —/5 | SFF |
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Facility data as of CMS processing date 2026-08-01. CCN 265389.