Sarcoxie Health Care Center

1505 Miner · Sarcoxie, MO · 64862 · 4175483434

40 certified beds For profit - Corporation Chain: Reliant Care Management

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

Total nurse staffing below 3.0 hours per resident-day

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

79% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 41
Serious harm & abuse 20% 88
Staffing 20% 36
Federal penalties 15% 100
Trend 10% 29
Context 5% 75

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: 1 of 5

Total nurse hours / resident-day2.553.48 min · 4.1 strong
RN hours / resident-day0.410.55–0.75
Weekend hours / resident-day1.96≈ weekday level
Nursing turnover / year79%median 45%
Fines (3-yr window)none

Inspection citations (24 in the current record)

  • Potential for harm · E November 14, 2025 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected January 2, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E November 14, 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 17, 2025 · Nursing and Physician Services

  • Potential for harm · E November 14, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected October 17, 2025 · Infection Control

  • Potential for harm · F November 14, 2025 · found via complaint

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected January 2, 2026 · Environmental

  • Potential for harm · D August 27, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected October 24, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F August 27, 2025 · found via complaint

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected September 23, 2025 · Nursing and Physician Services

  • Actual harm · G March 28, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected May 9, 2025 · Quality of Life and Care

  • Actual harm · G March 28, 2025

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected May 9, 2025 · Quality of Life and Care

  • Potential for harm · D March 28, 2025

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected May 9, 2025 · Quality of Life and Care

  • Potential for harm · F March 28, 2025

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected April 25, 2025 · Administration

  • Potential for harm · E August 27, 2024 · found via complaint

    Honor the resident's right to manage his or her financial affairs.

    Corrected October 9, 2024 · Resident Rights

  • Potential for harm · D August 24, 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 October 5, 2023 · Pharmacy Service

  • Potential for harm · D August 24, 2023

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected October 5, 2023 · Pharmacy Service

  • Potential for harm · E August 24, 2023

    Implement a program that monitors antibiotic use.

    Corrected October 5, 2023 · Infection Control

  • Potential for harm · F August 24, 2023

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected September 1, 2023 · Environmental

  • Potential for harm · D August 9, 2023 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected August 14, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 9, 2023 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected August 14, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 9, 2023 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected August 14, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 13, 2020

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected March 16, 2020 · Resident Rights

  • Potential for harm · D March 13, 2020

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

    Corrected March 31, 2020 · Resident Rights

  • Potential for harm · D March 13, 2020

    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 March 31, 2020 · Resident Rights

  • Potential for harm · D March 13, 2020

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

    Corrected March 20, 2020 · Quality of Life and Care

  • Potential for harm · D March 13, 2020

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected March 20, 2020 · Quality of Life and Care

  • Potential for harm · E March 13, 2020

    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 March 30, 2020 · Quality of Life and Care

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265649 · certified since June 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.