Cassville Health Care Center
1300 County Farm Road · Cassville, MO · 65625 · 4178473386
60 certified beds For profit - Limited Liability company Chain: Reliant Care Management
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $123,925 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
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 candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
2 immediate-jeopardy citations 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.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$123,925 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
0.25 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
2.92 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: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 2.92 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.25 | 0.55–0.75 |
| Weekend hours / resident-day | 2.71 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $123,925 |
Inspection citations (82 in the current record)
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Potential for harm · E February 2, 2026 · found via complaint
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 February 23, 2026 · Resident Rights
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Potential for harm · E February 2, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 23, 2026 · Nutrition and Dietary
-
Potential for harm · D November 25, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 9, 2026 · Pharmacy Service
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Potential for harm · D November 25, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 9, 2026 · Pharmacy Service
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Potential for harm · F November 25, 2025 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected January 9, 2026 · Environmental
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Potential for harm · E November 25, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected January 9, 2026 · Environmental
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Potential for harm · E September 24, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected October 24, 2025 · Resident Rights
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Potential for harm · D September 24, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 24, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 9, 2026 · Quality of Life and Care
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Potential for harm · F September 24, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 24, 2025 · Nutrition and Dietary
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Potential for harm · F September 24, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected January 9, 2026 · Environmental
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Immediate jeopardy · J September 10, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K September 10, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected October 21, 2025 · Administration
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Actual harm · G September 10, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected October 21, 2025 · Quality of Life and Care
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Actual harm · G September 10, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 21, 2025 · Nursing and Physician Services
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Potential for harm · E September 10, 2025 · found via complaint
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 February 23, 2026 · Resident Rights
-
Potential for harm · E September 10, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected October 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F September 10, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 10, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 10, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 9, 2026 · Quality of Life and Care
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Potential for harm · F September 10, 2025 · found via complaint
Post nurse staffing information every day.
Corrected October 21, 2025 · Nursing and Physician Services
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Potential for harm · D September 10, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 9, 2026 · Pharmacy Service
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Potential for harm · E September 10, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 23, 2026 · Pharmacy Service
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Potential for harm · E September 10, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 9, 2026 · Pharmacy Service
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Potential for harm · E September 10, 2025 · found via complaint
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected February 23, 2026 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 10, 2025 | Fine | $123,925 |
| September 10, 2025 | Payment Denial | 122 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 265460 · certified since August 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.