Chariton Park Health Care Center
902 Manor Drive, Salisbury, MO 65281Map
Medicare/Medicaid certified120 certified beds~115 residents/dayFor profit - Limited Liability company
What the abuse icon means moreless
CMS flags a facility with its abuse icon when inspectors cited it for abuse that harmed a resident within the past year, or for abuse that could have harmed a resident in each of the last two years. CMS shows this same icon on its own Care Compare site, and caps the facility's ratings while it's flagged. The icon is removed when newer inspections come back clean. The deficiency list below will contain the underlying citations — read them.
What to do with this: read the abuse-related citations below, and ask the facility directly what happened and what changed. Verify the current status at medicare.gov/care-compare.
Last standard health inspection: March 8, 2024 (more than 2 years ago — ratings may not reflect current conditions)
This home's last health inspection was more than 2 years ago — ratings may not reflect current conditions. moreless
Inspections are supposed to happen roughly yearly, but surveyor shortages have left some homes uninspected for much longer. CMS flags facilities whose most recent standard health inspection is more than two years old. For these homes, the health-inspection star is based on old information — things may have improved or declined since.
What to do with this: weigh recent staffing data more heavily than the inspection star, and ask the facility when their last survey was and when they expect the next.
Chariton Park Health Care Center is a 120-bed for-profit, LLC-owned nursing home in Salisbury, Chariton County, Missouri, serving an average of 115 residents per day. As of CMS data processed June 1, 2026, its overall rating is 1 of 5 stars.
CMS star ratings
CMS scores every nursing home 1–5 stars overall, built from three sub-ratings. moreless
Medicare inspects and measures every certified nursing home, then rolls the results into a 1–5 star overall rating. It combines three parts: health inspections, staffing, and quality measures. Five stars means much better than average — it does not mean perfect. One star means much worse than average — it does not mean every shift is bad. Stars are a screening tool, not a verdict. They can lag reality by months, and they can't see things like how kind the aides are or how the building smells at 7am.
What to do with this: use stars to build a shortlist, then visit in person. Nothing on this site replaces walking the halls.
Health-inspection stars are graded on a curve within each state — never compare stars across state lines. moreless
CMS sets health-inspection star cutoffs separately for each state: roughly the top 10% of homes in a state get 5 stars, the bottom 20% get 1 star, no matter how the state compares to others. That means a 4-star home in one state and a 4-star home in another state may have very different inspection records. The stars tell you how a home compares to its neighbors, not to the whole country. That's why this site shows your state's median next to each star rating — and never a national star comparison.
What to do with this: compare stars only between homes in the same state. To compare across states, use staffing hours — those are real numbers, not curves.
Not all three sub-ratings are equally hard to game: inspections are the most objective, quality measures the least. moreless
The three sub-ratings come from different sources. Health inspections are done on-site by trained state surveyors who show up mostly unannounced — the most objective signal. Staffing comes from payroll records that facilities must submit and CMS audits — quite reliable. Quality measures are partly self-reported by the facility from its own resident assessments — useful, but the facility grades some of its own homework.
What to do with this: when sub-ratings disagree, weigh the inspection star most and the quality-measure star least.
Staffing
Reported hours per resident per day, from payroll records. Hours, unlike stars, can be compared across states.
Hours per resident per day: total staff hours worked, divided by the number of residents. moreless
If a home reports 3.5 total nursing hours per resident per day, that's all nursing staff time across 24 hours — roughly one caregiver-hour every 7 hours per resident, spread across day, evening, and night shifts. On a real floor it decides whether call lights get answered in 5 minutes or 25, whether someone has time to help with dinner, and whether night shift is one aide for a hall or two. Unlike star ratings, hours are actual numbers, so they CAN be compared across state lines.
What to do with this: compare a home's hours to the state and national medians shown, and ask the facility how the hours split across day, evening, and night shifts.
RN (registered nurse) hours
LPN (licensed practical nurse) hours
Nurse aide hours
Total nursing hours
CMS also adjusts these numbers for how sick each home’s residents are — a home with sicker residents needs more staff for the same star. This home’s case-mix-adjusted total: 1.38 (US median, adjusted: 3.78).
CMS also adjusts staffing numbers for how sick each home's residents are. moreless
A home full of short-term rehab patients needs different staffing than a home caring for people with advanced dementia or ventilators. Case-mix adjustment estimates how many hours a home's particular residents need, then scales the reported hours so homes can be compared fairly. A home with sicker residents needs more staff for the same star. This page shows reported (raw payroll) numbers and compares them only to other reported numbers — like with like.
What to do with this: if a home's reported hours look low, check whether its residents may simply need less care — and ask the facility directly.
Staff turnover
Total nursing staff turnover: 52.6% · MO median: 56.1%
The share of nursing staff who left within the year. Lower is steadier. moreless
Total nursing staff turnover is the percentage of the home's nurses and aides who stopped working there during the year. Around half of nursing-home staff leaving annually is sadly common in this industry. High turnover means residents are cared for by people who don't know them — which matters enormously for dementia care, pain management, and noticing the small changes that catch problems early. Low turnover usually means staff are treated well enough to stay.
What to do with this: when you visit, ask aides how long they've worked there. Long-tenured aides are the best sign a building has.
Inspections & deficiencies
The last 3 inspection cycles, from CMS’s federal health-survey file. State-only citations and fire-safety surveys are not included — an empty list means nothing federal is in this file, not that nothing ever happened.
Each deficiency gets a letter A–L: how severe it was × how widespread it was. moreless
Surveyors grade every deficiency on a grid. Severity runs from 'potential for minimal harm' up to 'immediate jeopardy to resident health or safety.' Scope runs from isolated (one or a few residents) to pattern to widespread. A and B are paperwork-level; D–F caused no actual harm but had the potential; G–I caused actual harm; J, K, and L mean immediate jeopardy — the most serious finding a surveyor can make. Most citations nationally are D–E.
What to do with this: scan for G or higher. One J/K/L tells you more than ten D's.
Standard surveys are routine; complaint surveys happen because someone reported a problem. moreless
A standard survey is the routine top-to-bottom inspection every home gets on a recurring cycle. A complaint survey happens because a resident, family member, or staff member reported something to the state — surveyors come specifically to investigate it. Infection-control surveys focus on practices like hand hygiene and isolation procedures. A deficiency found during a complaint survey means someone cared enough to report it and a surveyor confirmed enough to cite it.
What to do with this: note which deficiencies came from complaints — they show you what residents and families actually experienced.
The F-number on each deficiency is CMS's code for which federal requirement was violated. moreless
Every federal nursing-home requirement has a tag number. F0686, for example, is the pressure-ulcer requirement; F0600 is freedom from abuse. The tag tells you exactly which rule was broken, and the description next to it is CMS's own plain-language summary of that rule. The same tag appearing across multiple inspections is a pattern worth noticing.
What to do with this: if the same tag repeats across surveys, ask the facility what changed since the last citation.
This data shows federal health surveys only — state-only citations and fire-safety surveys aren't included. moreless
CMS's public deficiency file contains federal health-survey citations. It does not include citations issued under state-only rules, fire-safety (Life Safety Code) surveys, or anything older than three inspection cycles. A facility with no rows here may still have state citations or fire-safety findings. 'No deficiencies in this file' never means 'no violations ever.'
What to do with this: for the full picture, check your state health department's site and medicare.gov/care-compare, which shows fire-safety results separately.
65 deficiencies across the last 3 inspection cycles, in CMS’s federal health-survey file:
- Resident Rights: 22
- Quality of Life and Care: 12
- Freedom from Abuse, Neglect, and Exploitation: 10
- Nutrition and Dietary: 7
- Pharmacy Service: 5
- Resident Assessment and Care Planning: 3
- Infection Control: 2
- Environmental: 2
- Nursing and Physician Services: 1
- Administration: 1
March 12, 2026Complaint surveyTag F0689J — immediate jeopardy to resident health or safety, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · corrected February 28, 2026
March 12, 2026Complaint surveyTag F0742G — actual harm, isolated
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Deficient, Provider has date of correction · corrected March 15, 2026
December 31, 2025Complaint surveyTag F0627D — no actual harm, potential for more than minimal harm, isolated
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Deficient, Provider has date of correction · corrected January 20, 2026
November 24, 2025Complaint surveyTag F0557E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Deficient, Provider has date of correction · corrected December 8, 2025
November 24, 2025Complaint surveyTag F0600G — actual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected December 8, 2025
November 24, 2025Complaint surveyTag F0605D — no actual harm, potential for more than minimal harm, isolated
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Deficient, Provider has date of correction · corrected December 8, 2025
November 24, 2025Complaint surveyTag F0689E — no actual harm, potential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected December 8, 2025
June 5, 2025Complaint surveyTag F0580D — no actual harm, potential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Deficient, Provider has date of correction · corrected June 20, 2025
April 2, 2025Complaint surveyTag F0658E — no actual harm, potential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Deficient, Provider has date of correction · corrected April 10, 2025
September 12, 2024Complaint surveyTag F0689D — no actual harm, potential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected September 25, 2024
Show 55 more deficiencies
September 4, 2024Complaint surveyTag F0600G — actual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected September 25, 2024
September 4, 2024Complaint surveyTag F0609D — no actual harm, potential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has date of correction · corrected September 25, 2024
September 4, 2024Complaint surveyTag F0610D — no actual harm, potential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Deficient, Provider has date of correction · corrected September 25, 2024
August 7, 2024Complaint surveyTag F0600D — no actual harm, potential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · corrected August 3, 2024
April 25, 2024Complaint surveyTag F0600G — actual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected June 13, 2024
March 8, 2024Standard + Complaint surveyTag F0550E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0557E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0558E — no actual harm, potential for more than minimal harm, pattern
Reasonably accommodate the needs and preferences of each resident.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0565E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to organize and participate in resident/family groups in the facility.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0577C — no actual harm, potential for minimal harm, widespread
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0580D — no actual harm, potential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0584E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0585E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0600G — actual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected June 13, 2024
March 8, 2024Standard + Complaint surveyTag F0602D — no actual harm, potential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Past Non-Compliance · corrected March 2, 2024
March 8, 2024Standard surveyTag F0607E — no actual harm, potential for more than minimal harm, pattern
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0658E — no actual harm, potential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0679E — no actual harm, potential for more than minimal harm, pattern
Provide activities to meet all resident's needs.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0688D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard + Complaint surveyTag F0689E — no actual harm, potential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0692E — no actual harm, potential for more than minimal harm, pattern
Provide enough food/fluids to maintain a resident's health.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0700D — no actual harm, potential for more than minimal harm, isolated
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0728E — no actual harm, potential for more than minimal harm, pattern
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0758E — no actual harm, potential for more than minimal harm, pattern
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0760D — no actual harm, potential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0761E — no actual harm, potential for more than minimal harm, pattern
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0790D — no actual harm, potential for more than minimal harm, isolated
Provide routine and 24-hour emergency dental care for each resident.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0803E — no actual harm, potential for more than minimal harm, pattern
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0804E — no actual harm, potential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0812F — no actual harm, potential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0880E — no actual harm, potential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0883D — no actual harm, potential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Deficient, Provider has date of correction · corrected April 19, 2024
March 8, 2024Standard surveyTag F0909D — no actual harm, potential for more than minimal harm, isolated
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Deficient, Provider has date of correction · corrected April 19, 2024
December 12, 2023Complaint surveyTag F0550E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has date of correction · corrected January 15, 2024
December 12, 2023Complaint surveyTag F0742G — actual harm, isolated
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Deficient, Provider has date of correction · corrected January 15, 2024
November 1, 2023Complaint surveyTag F0836E — no actual harm, potential for more than minimal harm, pattern
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Deficient, Provider has date of correction · corrected November 24, 2023
May 19, 2022Standard surveyTag F0550E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has date of correction · corrected July 11, 2022
May 19, 2022Standard surveyTag F0558D — no actual harm, potential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Deficient, Provider has date of correction · corrected July 11, 2022
May 19, 2022Standard surveyTag F0561E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Deficient, Provider has date of correction · corrected July 11, 2022
May 19, 2022Standard surveyTag F0577B — no actual harm, potential for minimal harm, pattern
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Deficient, Provider has date of correction · corrected July 11, 2022
May 19, 2022Standard surveyTag F0584E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Deficient, Provider has date of correction · corrected July 11, 2022
May 19, 2022Standard surveyTag F0623B — no actual harm, potential for minimal harm, pattern
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Deficient, Provider has date of correction · corrected July 11, 2022
May 19, 2022Standard surveyTag F0625B — no actual harm, potential for minimal harm, pattern
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Deficient, Provider has date of correction · corrected July 11, 2022
May 19, 2022Standard surveyTag F0637D — no actual harm, potential for more than minimal harm, isolated
Assess the resident when there is a significant change in condition
Deficient, Provider has date of correction · corrected July 11, 2022
May 19, 2022Standard surveyTag F0692G — actual harm, isolated
Provide enough food/fluids to maintain a resident's health.
Deficient, Provider has date of correction · corrected July 11, 2022
May 19, 2022Standard surveyTag F0758D — no actual harm, potential for more than minimal harm, isolated
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Deficient, Provider has date of correction · corrected July 11, 2022
May 19, 2022Standard surveyTag F0761E — no actual harm, potential for more than minimal harm, pattern
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Deficient, Provider has date of correction · corrected July 11, 2022
May 19, 2022Standard surveyTag F0803E — no actual harm, potential for more than minimal harm, pattern
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Deficient, Provider has date of correction · corrected July 11, 2022
May 19, 2022Standard surveyTag F0805D — no actual harm, potential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Deficient, Provider has date of correction · corrected July 11, 2022
May 19, 2022Standard surveyTag F0812F — no actual harm, potential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has date of correction · corrected July 11, 2022
November 6, 2019Standard surveyTag F0575C — no actual harm, potential for minimal harm, widespread
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Deficient, Provider has date of correction · corrected December 20, 2019
November 6, 2019Standard surveyTag F0577C — no actual harm, potential for minimal harm, widespread
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Deficient, Provider has date of correction · corrected December 20, 2019
November 6, 2019Standard surveyTag F0584E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Deficient, Provider has date of correction · corrected December 20, 2019
November 6, 2019Standard surveyTag F0812F — no actual harm, potential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has date of correction · corrected December 20, 2019
November 6, 2019Standard surveyTag F0925E — no actual harm, potential for more than minimal harm, pattern
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Deficient, Provider has date of correction · corrected December 20, 2019
Fines & penalties
CMS can fine a home or stop paying for new admissions. Shown per CMS's current data window (~3 years) — not all-time. moreless
When deficiencies are serious or aren't fixed, CMS can impose a fine (a civil money penalty) or a payment denial — refusing to pay for new Medicare/Medicaid admissions until the home fixes the problem. Payment denials hit harder than most fines because they stop revenue. CMS's public dataset covers a rolling window of roughly the last three years, so the totals here are recent history, not an all-time record. Many facilities have no penalties in the window — that's common, not remarkable.
What to do with this: a recent large fine deserves a direct question on your visit — what happened, and what changed?
Fines: 4 totaling $109,828 · Payment denials: 1 — per CMS data (rolling ~3-year window).
| Date | Type | Amount / length |
|---|---|---|
| November 24, 2025 | Fine | $31,031 |
| September 4, 2024 | Fine | $24,668 |
| March 8, 2024 | Fine | $28,925 |
| March 8, 2024 | Payment Denial | 12 days, from June 1, 2024 |
| November 1, 2023 | Fine | $25,204 |
Ownership & chain
Who actually owns and controls the facility — individuals, companies, and their stakes. moreless
Nursing homes are often owned through layers: an operating company, a property company, management companies, and individual investors with percentage stakes. CMS publishes who holds 5%-or-greater interests and who has operational control. Ownership matters because it sets the budget: research has linked some ownership structures, especially certain chains and investment vehicles, to lower staffing. That's a pattern across the industry, not a verdict on any one building.
What to do with this: know who owns the home before you sign anything, and ask the administrator who actually sets the staffing budget.
Part of Reliant Care Management (32 facilities). Chain average overall rating: 1.2★ — this facility: 1★.
Most US nursing homes belong to a chain. The chain's average rating is context for this home's rating. moreless
A chain is a group of facilities sharing an owner or operator. Chains share budgets, policies, and management practices, so a chain's average rating tells you something about the company behind the building. A home rating well above its chain's average may have an unusually strong local team; one below it may be the chain's neglected building. Either way, the chain sets the constraints the local staff work within.
What to do with this: if the chain average is low, ask the administrator what this building does differently.
| Owner / manager | Role | Stake | Since |
|---|---|---|---|
| Arshad, Abdullah (Individual) | Adp of the snf | NOT APPLICABLE | 09/15/2024 |
| Mustapha, Sara (Individual) | Adp of the snf | NOT APPLICABLE | 10/10/2024 |
| Reliant Care Management Company LLC (Organization) | Adp of the snf | NOT APPLICABLE | 06/18/2025 |
| Destefane, Richard (Individual) | Corporate officer | NOT APPLICABLE | 12/12/1994 |
| Rc Tier Properties, L.L.C. (Organization) | Direct ownership interest | NOT APPLICABLE | 09/28/2018 |
| Destefane, Richard (Individual) | Indirect ownership interest | NOT APPLICABLE | 03/01/2018 |
| Rcg Inc (Organization) | Indirect ownership interest | NOT APPLICABLE | 12/12/1994 |
| Reliant Care Group LLC (Organization) | Indirect ownership interest | NOT APPLICABLE | 09/28/2018 |
| 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 |
| Destefane, Richard (Individual) | Operational/managerial control | NOT APPLICABLE | 12/12/1994 |
| Mustapha, Sara (Individual) | Operational/managerial control | NOT APPLICABLE | 10/10/2024 |
| Reliant Care Management Company LLC (Organization) | Operational/managerial control | NOT APPLICABLE | 12/12/1994 |
Nearby facilities in Chariton County
Most families compare 2–3 homes. Same county, sorted by overall rating:
Visiting? Go in with questions.
Built from this facility’s own CMS data — bring them on the tour.
- CMS has applied its abuse icon to this facility — ask what happened, what the corrective plan was, and how staff are trained now.
- Their reported RN hours (0.15/resident/day) are below the MO median (0.39) — ask how nights and weekends are staffed.
- CMS data shows 4 fines totaling $109,828 in its current data window — ask what the citations were for and what changed afterward.
- Their weekend total nurse staffing (1.57/resident/day) is lower than their overall figure (1.61) — ask who covers weekends and how shifts are filled when someone calls out.
- CMS flags that the most recent health inspection here was more than 2 years ago — ask when they expect the next survey and what has changed since the last one.
- Their last standard health inspection was March 8, 2024 — ask what's improved since then.
- CMS records that this facility has a resident council — ask to speak with a council member before deciding.
Data: Centers for Medicare & Medicaid Services (data.cms.gov), processing date June 1, 2026. This site is not affiliated with CMS or any government agency.