Schuyler County Nursing Home District
1306 Us Highway 63 · Queen City, MO · 63561 · 6607662291
60 certified beds Government - County
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
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
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 4 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.88 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.49 | 0.55–0.75 |
| Weekend hours / resident-day | 3.26 | ≈ weekday level |
| Nursing turnover / year | 29% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (42 in the current record)
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Potential for harm · D September 10, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected October 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 10, 2025
Assess the resident when there is a significant change in condition
Corrected October 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 10, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 10, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 10, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 24, 2025 · Quality of Life and Care
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Potential for harm · D September 10, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 25, 2025 · Quality of Life and Care
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Potential for harm · D September 10, 2025
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected October 24, 2025 · Quality of Life and Care
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Potential for harm · D September 10, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected October 24, 2025 · Quality of Life and Care
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Potential for harm · E September 10, 2025
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 25, 2025 · Quality of Life and Care
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Potential for harm · E September 10, 2025
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected October 25, 2025 · Nursing and Physician Services
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Potential for harm · D September 10, 2025
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected October 25, 2025 · Nutrition and Dietary
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Potential for harm · F September 10, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 25, 2025 · Nutrition and Dietary
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Potential for harm · F September 10, 2025
Provide and implement an infection prevention and control program.
Corrected October 25, 2025 · Infection Control
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Potential for harm · F September 10, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected October 25, 2025 · Nursing and Physician Services
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No harm found · B September 10, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected October 24, 2025 · Resident Rights
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No harm found · B September 10, 2025
Ensure each resident receives an accurate assessment.
Corrected October 25, 2025 · Resident Assessment and Care Planning
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No harm found · B September 10, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected October 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 13, 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 January 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 13, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 13, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 26, 2024 · Quality of Life and Care
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Potential for harm · D December 13, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 26, 2024 · Quality of Life and Care
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Potential for harm · E December 13, 2023
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected January 26, 2024 · Nursing and Physician Services
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Potential for harm · E December 13, 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 January 26, 2024 · Pharmacy Service
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Potential for harm · D December 13, 2023
Ensure that residents are free from significant medication errors.
Corrected January 26, 2024 · Pharmacy Service
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Potential for harm · E December 13, 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 December 21, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 13, 2023 | Payment Denial | 14 days |
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 265816 · certified since July 16, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.