SCHUYLER COUNTY NURSING HOME DISTRICT Inspection Report, Violations & Safety Grade (QUEEN CITY, Missouri)

1306 US HIGHWAY 63, QUEEN CITY, Missouri 63561

Phone: 6607662291

CMS Overall:2/5

Overview & Bed Count

Certified Beds

Avg Residents/Day

43.1

Ownership

Government - County

Provider Type

Medicare and Medicaid

County

Schuyler

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall2/5

Health2/5

Staffing5/5

Quality1/5

Nurse Staffing Check

Metric	This Facility	Missouri Avg	Difference
RN Hours per Resident per Day	0.50	0.46	+0.04
Total Nurse Hours per Resident per Day	4.26	3.40	+0.86
CMS Staffing Rating	5/5	2.2/5	-
Nursing Staff Turnover	45.3%	56.9%	-

Health Citation History

42 health citations on record

Date	Category	Description	Severity
2025-09-10	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2025-09-10	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F – Moderate Harm Potential
2025-09-10	Nursing and Physician Services Deficiencies	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	F – Moderate Harm Potential
2025-09-10	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E – Moderate Harm Potential
2025-09-10	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	E – Moderate Harm Potential
2025-09-10	Quality of Life and Care Deficiencies	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.	E – Moderate Harm Potential
2025-09-10	Nursing and Physician Services Deficiencies	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.	E – Moderate Harm Potential
2025-09-10	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	D – Moderate Harm Potential
2025-09-10	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	D – Moderate Harm Potential
2025-09-10	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2025-09-10	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D – Moderate Harm Potential
2025-09-10	Quality of Life and Care Deficiencies	Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.	D – Moderate Harm Potential
2025-09-10	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D – Moderate Harm Potential
2025-09-10	Nutrition and Dietary Deficiencies	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.	D – Moderate Harm Potential
2025-09-10	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	B – Minimal Harm Potential
2025-09-10	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	B – Minimal Harm Potential
2025-09-10	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	B – Minimal Harm Potential
2023-12-13	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2023-12-13	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F – Moderate Harm Potential
2023-12-13	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	F – Moderate Harm Potential
2023-12-13	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E – Moderate Harm Potential
2023-12-13	Nursing and Physician Services Deficiencies	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.	E – Moderate Harm Potential
2023-12-13	Pharmacy Service Deficiencies	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.	E – Moderate Harm Potential
2023-12-13	Pharmacy Service Deficiencies	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.	E – Moderate Harm Potential
2023-12-13	Nutrition and Dietary Deficiencies	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.	E – Moderate Harm Potential
2023-12-13	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D – Moderate Harm Potential
2023-12-13	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2023-12-13	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D – Moderate Harm Potential
2023-12-13	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D – Moderate Harm Potential
2023-12-13	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C – Minimal Harm Potential
2021-01-05	Nutrition and Dietary Deficiencies	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.	F – Moderate Harm Potential
2021-01-05	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	E – Moderate Harm Potential
2021-01-05	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	E – Moderate Harm Potential
2021-01-05	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	E – Moderate Harm Potential
2021-01-05	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E – Moderate Harm Potential
2021-01-05	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	E – Moderate Harm Potential
2021-01-05	Quality of Life and Care Deficiencies	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.	E – Moderate Harm Potential
2021-01-05	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	E – Moderate Harm Potential
2021-01-05	Pharmacy Service Deficiencies	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.	E – Moderate Harm Potential
2021-01-05	Pharmacy Service Deficiencies	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.	E – Moderate Harm Potential
2021-01-05	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2021-01-05	Environmental Deficiencies	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.	E – Moderate Harm Potential

Fire Safety Citation History

36 fire safety citations on record

Date	Category	Description	Severity
2025-09-10	Emergency Preparedness Deficiencies	Establish policies and procedures for volunteers.	F – Moderate Harm Potential
2025-09-10	Emergency Preparedness Deficiencies	Establish roles under a Waiver declared by secretary.	F – Moderate Harm Potential
2025-09-10	Emergency Preparedness Deficiencies	Establish staff and initial training requirements.	F – Moderate Harm Potential
2025-09-10	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	F – Moderate Harm Potential
2025-09-10	Egress Deficiencies	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	E – Moderate Harm Potential
2025-09-10	Smoke Deficiencies	Have an enclosure around a vertical opening shaft.	E – Moderate Harm Potential
2025-09-10	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	E – Moderate Harm Potential
2025-09-10	Smoke Deficiencies	Provide properly protected cooking facilities.	E – Moderate Harm Potential
2025-09-10	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2025-09-10	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2025-09-10	Smoke Deficiencies	Install smoke barrier doors that can resist smoke for at least 20 minutes.	E – Moderate Harm Potential
2025-09-10	Emergency Preparedness Deficiencies	Establish policies and procedures including evacuation.	D – Moderate Harm Potential
2025-09-10	Miscellaneous Deficiencies	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	D – Moderate Harm Potential
2023-12-13	Emergency Preparedness Deficiencies	Establish roles under a Waiver declared by secretary.	F – Moderate Harm Potential
2023-12-13	Emergency Preparedness Deficiencies	Establish emergency prep training and testing.	F – Moderate Harm Potential
2023-12-13	Emergency Preparedness Deficiencies	Conduct testing and exercise requirements.	F – Moderate Harm Potential
2023-12-13	Construction Deficiencies	Use approved construction type or materials.	F – Moderate Harm Potential
2023-12-13	Egress Deficiencies	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	F – Moderate Harm Potential
2023-12-13	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	F – Moderate Harm Potential
2023-12-13	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	F – Moderate Harm Potential
2023-12-13	Smoke Deficiencies	Install smoke barrier doors that can resist smoke for at least 20 minutes.	F – Moderate Harm Potential
2023-12-13	Smoke Deficiencies	Have an enclosure around a vertical opening shaft.	E – Moderate Harm Potential
2023-12-13	Smoke Deficiencies	Provide properly protected cooking facilities.	E – Moderate Harm Potential
2023-12-13	Gas, Vacuum, and Electrical Systems Deficiencies	Meet requirements for the use of electrical equipment.	E – Moderate Harm Potential
2023-12-13	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	E – Moderate Harm Potential
2021-01-05	Emergency Preparedness Deficiencies	Address subsistence needs for staff and patients.	F – Moderate Harm Potential
2021-01-05	Emergency Preparedness Deficiencies	Establish methods for sharing information.	F – Moderate Harm Potential
2021-01-05	Construction Deficiencies	Use approved construction type or materials.	F – Moderate Harm Potential
2021-01-05	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2021-01-05	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	F – Moderate Harm Potential
2021-01-05	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	F – Moderate Harm Potential
2021-01-05	Smoke Deficiencies	Meet other general requirements.	F – Moderate Harm Potential
2021-01-05	Egress Deficiencies	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	E – Moderate Harm Potential
2021-01-05	Smoke Deficiencies	Install smoke barrier doors that can resist smoke for at least 20 minutes.	E – Moderate Harm Potential
2021-01-05	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	E – Moderate Harm Potential
2021-01-05	Emergency Preparedness Deficiencies	Provide primary/alternate means for communication.	C – Minimal Harm Potential

Total Penalties & Fines

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2023-12-13	Payment Denial	-	14 days starting 2024-02-15

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Need Help Finding Safe Care?

Our family advisors can help you find vetted, top-rated facilities in the QUEEN CITY area at no cost.

Find Safe, Vetted Facilities Near QUEEN CITY
(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)

Advisor service is free for families. We may receive referral compensation.