Independence Care Center of Perry County

800 South Kingshighway · Perryville, MO · 63775 · 5735476546

133 certified beds Non profit - Other Part of a CCRC

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

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

1.46 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Weekends run noticeably short-staffed

Weekend staffing is 41% of the overall level. Visit on a Saturday or Sunday before deciding.

Score breakdown

Inspection record 30% of score 68
Serious harm & abuse 20% 100
Staffing 20% 15
Federal penalties 15% 100
Trend 10% 60
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day1.463.48 min · 4.1 strong
RN hours / resident-day0.250.55–0.75
Weekend hours / resident-day0.60≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (16 in the current record)

  • Potential for harm · D January 9, 2026

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected February 22, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E January 9, 2026

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected February 22, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 9, 2026

    Ensure each resident receives an accurate assessment.

    Corrected February 22, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 9, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 22, 2026 · Nutrition and Dietary

  • Potential for harm · D January 9, 2026

    Provide and implement an infection prevention and control program.

    Corrected February 22, 2026 · Infection Control

  • Potential for harm · D January 9, 2026

    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 February 22, 2026 · Environmental

  • Potential for harm · D August 22, 2024

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected October 4, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 22, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected October 4, 2024 · Resident Rights

  • Potential for harm · D August 22, 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 October 4, 2024 · Resident Rights

  • Potential for harm · D August 22, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 4, 2024 · Quality of Life and Care

  • Potential for harm · D August 22, 2024

    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.

    Corrected October 4, 2024 · Quality of Life and Care

  • Potential for harm · D August 22, 2024

    Provide and implement an infection prevention and control program.

    Corrected October 4, 2024 · Infection Control

  • Potential for harm · D August 22, 2024

    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 October 4, 2024 · Environmental

  • Potential for harm · D May 19, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 27, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D May 19, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected June 26, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D May 19, 2023

    Provide and implement an infection prevention and control program.

    Corrected June 23, 2023 · Infection Control

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 265829 · certified since April 24, 2009. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.