Estates of Perryville, LLC, the
430 North West Street · Perryville, MO · 63775 · 5735471011
156 certified beds For profit - Limited Liability company
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $303,141 in fines in the last 24 months.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
3 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.
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.
$303,141 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.13 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.84 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.13 | 0.55–0.75 |
| Weekend hours / resident-day | 3.57 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 3 · $303,141 |
Inspection citations (45 in the current record)
-
Potential for harm · D March 11, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 17, 2026 · Resident Rights
-
Potential for harm · D March 11, 2026
Ensure each resident receives an accurate assessment.
Corrected April 17, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 11, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 17, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 11, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 17, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 11, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected April 17, 2026 · Pharmacy Service
-
Potential for harm · D March 11, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 17, 2026 · Nutrition and Dietary
-
Potential for harm · D November 6, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 24, 2025 · Resident Rights
-
Immediate jeopardy · J September 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
-
Immediate jeopardy · J September 4, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G July 9, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J June 10, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 10, 2025 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected October 19, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D June 10, 2025 · found via complaint
Provide care or services that was trauma informed and/or culturally competent.
Corrected October 19, 2025 · Quality of Life and Care
-
Potential for harm · D June 10, 2025 · found via complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected October 19, 2025 · Quality of Life and Care
-
Potential for harm · D June 10, 2025 · found via complaint
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.
Corrected October 19, 2025 · Quality of Life and Care
-
Immediate jeopardy · J March 11, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J March 11, 2025 · found via complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected April 18, 2025 · Quality of Life and Care
-
Potential for harm · D December 6, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 19, 2025 · Resident Rights
-
Potential for harm · D December 6, 2024
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.
Corrected January 19, 2025 · Resident Rights
-
Potential for harm · D December 6, 2024
Assess the resident when there is a significant change in condition
Corrected January 19, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 6, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 19, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 6, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 19, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 6, 2024
Provide activities to meet all resident's needs.
Corrected January 19, 2025 · Quality of Life and Care
-
Potential for harm · D December 6, 2024
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.
Corrected January 19, 2025 · Pharmacy Service
-
Potential for harm · D December 6, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected January 19, 2025 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 10, 2025 | Fine | $17,627 |
| June 10, 2025 | Fine | $152,319 |
| June 10, 2025 | Payment Denial | 57 days |
| March 11, 2025 | Fine | $133,195 |
| March 11, 2025 | Payment Denial | 6 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265704 · certified since March 14, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.