South County Health Care Center
1101 West Outer 21 Road · Arnold, MO · 63010 · 6362965455
153 certified beds For profit - Limited Liability company 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.
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
0.16 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
1.61 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: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 1.61 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.16 | 0.55–0.75 |
| Weekend hours / resident-day | 1.36 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (28 in the current record)
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Potential for harm · E August 7, 2025
Assure the security of all personal funds of residents deposited with the facility.
Corrected September 17, 2025 · Resident Rights
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Potential for harm · D August 7, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected September 17, 2025 · Resident Rights
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Potential for harm · E August 7, 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 September 17, 2025 · Resident Rights
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Potential for harm · E August 7, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 7, 2025
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected September 17, 2025 · Resident Rights
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Potential for harm · D August 7, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 17, 2025 · Resident Rights
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Potential for harm · D August 7, 2025
Ensure each resident receives an accurate assessment.
Corrected September 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 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 September 17, 2025 · Quality of Life and Care
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Potential for harm · D August 7, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 17, 2025 · Quality of Life and Care
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Potential for harm · D August 7, 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 September 17, 2025 · Quality of Life and Care
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Potential for harm · D August 7, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected September 17, 2025 · Pharmacy Service
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Potential for harm · D August 7, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 17, 2025 · Nutrition and Dietary
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Potential for harm · F August 7, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 17, 2025 · Nutrition and Dietary
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Potential for harm · D August 7, 2025
Provide and implement an infection prevention and control program.
Corrected September 17, 2025 · Infection Control
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Potential for harm · D August 7, 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 September 17, 2025 · Environmental
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Potential for harm · D August 7, 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 September 17, 2025 · Nursing and Physician Services
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No harm found · C August 7, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected September 17, 2025 · Resident Rights
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No harm found · C August 7, 2025
Post nurse staffing information every day.
Corrected September 17, 2025 · Nursing and Physician Services
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Potential for harm · D May 29, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 16, 2025 · Quality of Life and Care
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Potential for harm · D August 22, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 30, 2024 · Resident Rights
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Potential for harm · F August 22, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 4, 2024 · Nutrition and Dietary
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Potential for harm · D August 22, 2024
Provide and implement an infection prevention and control program.
Corrected August 30, 2024 · Infection Control
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Potential for harm · D March 24, 2023
Ensure each resident receives an accurate assessment.
Corrected April 12, 2023 · Resident Assessment and Care Planning
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Potential for harm · D March 24, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 22, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 265509 · certified since October 12, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.