Union Nursing
1080 Marie Lane, Union, MO 63084 · Franklin County · 60 certified beds · avg 57 residents/day · certified since Dec 21, 2018
Part of chain: COMMUNITY CARE CENTERS (8 facilities, chain avg rating 2.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 (14)
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 19, 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. · from a complaint |
| Nov 19, 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 |
| Aug 28, 2025 | F · Potential for harm, facility-wide | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Aug 28, 2025 | E · Potential for harm, repeated | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Aug 28, 2025 | 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. |
| Aug 28, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Aug 28, 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. |
| Jun 20, 2024 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Jun 20, 2024 | E · Potential for harm, repeated | 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. |
| Jun 20, 2024 | 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 7, 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. |
| Apr 7, 2023 | 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. |
| Apr 7, 2023 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Apr 7, 2023 | E · Potential for harm, repeated | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | F |
| 2024 | 3 | 0 | F |
| 2025 | 7 | 0 | F |
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) | 3.12 | 3.66 | 3.95 | bottom 27% in Missouri; bottom 18% in the U.S. |
| Registered Nurse hours | 0.49 | 0.49 | 0.69 | top 38% in Missouri; bottom 36% in the U.S. |
| Weekend total nurse staffing | 2.85 | 3.22 | 3.50 | bottom 35% in Missouri; bottom 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.33 | 0.48 | bottom 46% in Missouri; bottom 22% in the U.S. |
| Total nursing staff turnover (%) | 54.5 | 56.0 | 45.8 | top 43% in Missouri; bottom 26% 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 2.95, RN 0.46, weekend 2.69. 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: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Weiner, Craig | Individual | 5% or Greater Direct Ownership Interest | 50% | 06/01/2024 |
| Weiner, Gina | Individual | 5% or Greater Direct Ownership Interest | 50% | 06/01/2024 |
| Country Life Acres GMW GST Non-Exempt Trust | Organization | General Partnership Interest | NOT APPLICABLE | 06/01/2024 |
| First Mid Bank & Trust Na | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/01/2024 |
| GC Asset Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Hill, Laura | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Hill, Laura | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Jackson, Thomas | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Reed, Tracy | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Reed, Tracy | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Weiner, Craig | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Weiner, Craig | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Weiner, Gina | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Weiner, Gina | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
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 specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
- "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "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 |
|---|---|---|---|---|---|
| Sunset Health Care Center | 3.5 mi | Union, MO | ★★☆☆☆ | 2/5 | |
| St Clair Nursing Center | 5.5 mi | Saint Clair, MO | ★★★★★ | 5/5 | |
| Grandview Healthcare Center | 10.1 mi | Washington, MO | ★★☆☆☆ | 3/5 | |
| Pacific Care Center | 11.5 mi | Pacific, MO | ★☆☆☆☆ | 3/5 | |
| Arbor View Nursing and Rehabilitation | 17.4 mi | Cedar Hill, MO | ★☆☆☆☆ | 2/5 | |
| St Andrew's at Francis Place | 17.5 mi | Eureka, MO | ★★☆☆☆ | 2/5 | |
| Marymount Manor | 18.7 mi | Eureka, MO | ★☆☆☆☆ | 2/5 | |
| New Haven Care Center | 18.9 mi | New Haven, MO | ★★★★☆ | 5/5 | |
| Life Care Center of Sullivan | 20.0 mi | Sullivan, MO | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 265873.