Abundant Acres Care and Rehab
13277 State Route D · Savannah, MO · 64485 · 8163245991
88 certified beds Non profit - Other
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $14,498 in fines in the last 24 months.
- 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.
Red flags
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Total nurse staffing below 3.0 hours per resident-day
2.62 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: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.62 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 2.22 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $14,498 |
Inspection citations (60 in the current record)
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Potential for harm · E August 21, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected October 7, 2025 · Resident Rights
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Potential for harm · E August 21, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected October 7, 2025 · Resident Rights
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Potential for harm · E August 21, 2025
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected October 7, 2025 · Resident Rights
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Potential for harm · D August 21, 2025
The resident has the right to receive notices in a format and a language he or she understands.
Corrected October 7, 2025 · Resident Rights
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Potential for harm · D August 21, 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 October 7, 2025 · Resident Rights
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Potential for harm · E August 21, 2025
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 October 7, 2025 · Resident Rights
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Potential for harm · D August 21, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected October 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 21, 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 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 21, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 7, 2025 · Quality of Life and Care
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Potential for harm · D August 21, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 7, 2025 · Quality of Life and Care
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Potential for harm · D August 21, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected October 7, 2025 · Pharmacy Service
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Potential for harm · D August 21, 2025
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 7, 2025 · Pharmacy Service
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Potential for harm · E August 21, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · F August 21, 2025
Provide and implement an infection prevention and control program.
Corrected October 7, 2025 · Infection Control
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Potential for harm · E June 16, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected July 11, 2025 · Quality of Life and Care
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Potential for harm · D January 27, 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 January 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 3, 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 December 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 2, 2024 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected January 15, 2025 · Resident Rights
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Potential for harm · E June 26, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected August 9, 2024 · Resident Rights
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Potential for harm · E June 26, 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 August 9, 2024 · Resident Rights
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Potential for harm · E June 26, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 26, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · E June 26, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 9, 2024 · Quality of Life and Care
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Potential for harm · E June 26, 2024
Provide activities to meet all resident's needs.
Corrected August 9, 2024 · Quality of Life and Care
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Potential for harm · E June 26, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 9, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 21, 2025 | Fine | $14,498 |
| August 21, 2025 | Payment Denial | 3 days |
| April 3, 2024 | Payment Denial | 13 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 265846 · certified since June 18, 2013. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.