Belleview Valley Nursing Home
23144 Highway 32 · Belleview, MO · 63623 · 5736975311
109 certified beds For profit - Limited Liability company
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
4 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$52,790 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.19 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.64 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 2.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.19 | 0.55–0.75 |
| Weekend hours / resident-day | 2.56 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 3 · $259,445 |
Inspection citations (73 in the current record)
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Potential for harm · E December 8, 2025
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.
Corrected January 19, 2026 · Resident Rights
-
Potential for harm · D December 8, 2025
Assess the resident when there is a significant change in condition
Corrected January 19, 2026 · Resident Assessment and Care Planning
-
Potential for harm · E December 8, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 19, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 8, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 19, 2026 · Quality of Life and Care
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Potential for harm · D December 8, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected January 19, 2026 · Quality of Life and Care
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Potential for harm · F December 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 19, 2026 · Nutrition and Dietary
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Potential for harm · E December 8, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected January 19, 2026 · Administration
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Potential for harm · E December 8, 2025
Provide and implement an infection prevention and control program.
Corrected January 19, 2026 · Infection Control
-
Immediate jeopardy · J October 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 11, 2025 · Quality of Life and Care
-
Potential for harm · D April 17, 2025
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected May 23, 2025 · Resident Rights
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Potential for harm · D April 17, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected May 23, 2025 · Resident Rights
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Potential for harm · E April 17, 2025
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.
Corrected May 23, 2025 · Resident Rights
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Potential for harm · E April 17, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 23, 2025 · Resident Rights
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Potential for harm · E April 17, 2025
Assess the resident when there is a significant change in condition
Corrected May 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 17, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 17, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 23, 2025 · Quality of Life and Care
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Potential for harm · D April 17, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 23, 2025 · Quality of Life and Care
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Potential for harm · D April 17, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected May 23, 2025 · Quality of Life and Care
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Potential for harm · D April 17, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected May 23, 2025 · Quality of Life and Care
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Potential for harm · E April 17, 2025
Provide and implement an infection prevention and control program.
Corrected May 23, 2025 · Infection Control
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Potential for harm · D April 17, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 23, 2025 · Infection Control
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Potential for harm · E April 17, 2025
Keep all essential equipment working safely.
Corrected May 23, 2025 · Environmental
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Potential for harm · E April 17, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected May 23, 2025 · Environmental
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Potential for harm · D April 17, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · F April 17, 2025 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected May 23, 2025 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 21, 2025 | Fine | $52,790 |
| April 17, 2025 | Payment Denial | 1 days |
| April 16, 2024 | Fine | $150,504 |
| April 16, 2024 | Payment Denial | 140 days |
| November 9, 2023 | Fine | $56,151 |
| November 9, 2023 | Payment Denial | 5 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265258 · certified since February 1, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.