Superior Manor of Festus, LLC

12827 State Rd Highway Tt · Festus, MO · 63028 · 3146245575

55 certified beds For profit - Limited Liability company

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

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.

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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.

Total nurse staffing below 3.0 hours per resident-day

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

Score breakdown

Inspection record 30% of score 29
Serious harm & abuse 20% 100
Staffing 20% 60
Federal penalties 15% 0
Trend 10% 92
Context 5% 100

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

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day2.813.48 min · 4.1 strong
RN hours / resident-day0.820.55–0.75
Weekend hours / resident-day2.65≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)11 · $67,750

Inspection citations (61 in the current record)

  • Potential for harm · D May 16, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected June 30, 2025 · Resident Rights

  • Potential for harm · D May 16, 2025

    Assure the security of all personal funds of residents deposited with the facility.

    Corrected June 30, 2025 · Resident Rights

  • Potential for harm · D May 16, 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 June 30, 2025 · Resident Rights

  • Potential for harm · D May 16, 2025

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected June 30, 2025 · Quality of Life and Care

  • Potential for harm · D May 16, 2025

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

    Corrected June 30, 2025 · Quality of Life and Care

  • Potential for harm · D May 16, 2025

    Observe each nurse aide's job performance and give regular training.

    Corrected June 30, 2025 · Nursing and Physician Services

  • Potential for harm · D May 16, 2025

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

    Corrected June 30, 2025 · Nutrition and Dietary

  • Potential for harm · D May 16, 2025

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected June 30, 2025 · Administration

  • Potential for harm · D May 16, 2025

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

    Corrected June 30, 2025 · Administration

  • Potential for harm · D May 16, 2025

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected June 30, 2025 · Environmental

  • Potential for harm · D May 16, 2025

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

    Corrected June 30, 2025 · Environmental

  • Potential for harm · D May 16, 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 June 30, 2025 · Nursing and Physician Services

  • Potential for harm · D September 18, 2024 · found via complaint

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

    Corrected October 16, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 18, 2024 · found via complaint

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

    Corrected October 16, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E April 19, 2024

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

    Corrected June 3, 2024 · Resident Rights

  • Potential for harm · E April 19, 2024

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Corrected July 19, 2024 · Resident Rights

  • Potential for harm · E April 19, 2024

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Corrected June 3, 2024 · Resident Rights

  • Potential for harm · E April 19, 2024

    Assure the security of all personal funds of residents deposited with the facility.

    Corrected June 3, 2024 · Resident Rights

  • Potential for harm · D April 19, 2024

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

    Corrected June 3, 2024 · Resident Rights

  • Potential for harm · F April 19, 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 June 3, 2024 · Resident Rights

  • Potential for harm · D April 19, 2024

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

    Corrected June 3, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 19, 2024

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

    Corrected June 3, 2024 · Resident Rights

  • Potential for harm · D April 19, 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 June 3, 2024 · Resident Rights

  • Potential for harm · E April 19, 2024

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected June 3, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E April 19, 2024

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

    Corrected June 3, 2024 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
November 13, 2023Fine$4,587
October 23, 2023Fine$13,762
September 11, 2023Fine$4,587
September 5, 2023Fine$4,587
August 28, 2023Fine$4,587
August 21, 2023Fine$4,587
August 14, 2023Fine$4,587
August 7, 2023Fine$4,587
July 17, 2023Fine$13,762
June 26, 2023Fine$4,235
June 20, 2023Fine$3,882

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 265884 · certified since September 28, 2022. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.