Gasconade Manor Nursing Home
1910 Nursing Home Road, · Owensville, MO · 65066 · 5734374101
79 certified beds Non profit - Other
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
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
RN staffing in the bottom 10% nationally
0.30 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
2.73 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.73 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 2.10 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $6,293 |
Inspection citations (21 in the current record)
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Potential for harm · E July 31, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 31, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected August 13, 2025 · Resident Rights
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Potential for harm · D July 31, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · F July 31, 2025
Provide and implement an infection prevention and control program.
Corrected August 13, 2025 · Infection Control
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Potential for harm · E July 31, 2025
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.
Corrected August 13, 2025 · Environmental
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Potential for harm · E May 31, 2024
Provide activities to meet all resident's needs.
Corrected June 5, 2024 · Quality of Life and Care
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Potential for harm · E May 31, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected June 5, 2024 · Pharmacy Service
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Potential for harm · F May 31, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 4, 2024 · Nutrition and Dietary
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No harm found · C May 31, 2024
Post nurse staffing information every day.
Corrected June 25, 2024 · Nursing and Physician Services
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Potential for harm · E February 24, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 20, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 24, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 28, 2023 · Quality of Life and Care
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Potential for harm · F February 24, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 17, 2023 · Nutrition and Dietary
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Potential for harm · E February 24, 2023
Provide and implement an infection prevention and control program.
Corrected March 22, 2023 · Infection Control
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Potential for harm · E February 24, 2023
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected March 21, 2023 · Infection Control
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Potential for harm · E February 24, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 29, 2023 · Infection Control
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No harm found · B February 24, 2023
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected March 21, 2023 · Resident Rights
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No harm found · C February 24, 2023
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.
Corrected March 21, 2023 · Resident Rights
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No harm found · C February 24, 2023
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected March 28, 2023 · Resident Rights
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No harm found · C February 24, 2023
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.
Corrected March 28, 2023 · Resident Rights
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No harm found · C February 24, 2023
Implement a program that monitors antibiotic use.
Corrected March 21, 2023 · Infection Control
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No harm found · C February 24, 2023
Ensure staff are vaccinated for COVID-19
Corrected March 23, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 17, 2023 | Fine | $6,293 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265546 · certified since October 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.