Nick's Health Care Center, LLC
253 East Highway 116 · Plattsburg, MO · 64477 · 8165392376
70 certified beds For profit - Limited Liability company Chain: Reliant Care Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Staffing levels are well below research benchmarks for safe care.
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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.
2 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.
RN staffing in the bottom 10% nationally
0.22 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
1.73 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: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 1.73 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 1.51 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 2 · $21,538 |
Inspection citations (30 in the current record)
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Actual harm · G November 17, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 3, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected November 12, 2025 · Resident Rights
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Potential for harm · E October 3, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected November 12, 2025 · Resident Rights
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Potential for harm · E October 3, 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 November 12, 2025 · Resident Rights
-
Potential for harm · F October 3, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 12, 2025 · Nutrition and Dietary
-
Potential for harm · F October 3, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected November 12, 2025 · Environmental
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Actual harm · G February 14, 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 March 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 24, 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 March 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D October 11, 2024
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 November 25, 2024 · Resident Rights
-
Potential for harm · D October 11, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 11, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 11, 2024
Post nurse staffing information every day.
Corrected November 25, 2024 · Nursing and Physician Services
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Potential for harm · F October 11, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 25, 2024 · Nutrition and Dietary
-
Potential for harm · E October 11, 2024 · found via complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected November 25, 2024 · Resident Rights
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Potential for harm · E October 11, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 25, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F October 11, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 25, 2024 · Nutrition and Dietary
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Potential for harm · F October 11, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected November 25, 2024 · Environmental
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Potential for harm · E March 30, 2023
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 30, 2023 · Resident Rights
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Potential for harm · E March 30, 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 May 30, 2023 · Resident Rights
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Potential for harm · E March 30, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 30, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 30, 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 May 30, 2023 · Resident Assessment and Care Planning
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Potential for harm · E March 30, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 30, 2023 · Quality of Life and Care
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Potential for harm · E March 30, 2023
Observe each nurse aide's job performance and give regular training.
Corrected May 30, 2023 · Nursing and Physician Services
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Potential for harm · E March 30, 2023
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected May 30, 2023 · Quality of Life and Care
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Potential for harm · E March 30, 2023
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 May 30, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 3, 2025 | Fine | $10,348 |
| October 3, 2025 | Fine | $11,190 |
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 265698 · certified since February 24, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.