Adair Village
1801 North Gaines Drive · Clinton, MO · 64735 · 6608858196
120 certified beds For profit - Individual Chain: Circle B Enterprises
Why this verdict
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.56 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 2.96 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | 1 · $9,110 |
Inspection citations (34 in the current record)
-
Actual harm · G January 23, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected March 8, 2026 · Quality of Life and Care
-
Potential for harm · E January 23, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 8, 2026 · Resident Rights
-
Potential for harm · E January 23, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected March 8, 2026 · Resident Rights
-
Potential for harm · D January 23, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 8, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 23, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 8, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 23, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected March 8, 2026 · Quality of Life and Care
-
Potential for harm · E January 23, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected March 8, 2026 · Pharmacy Service
-
Potential for harm · E January 23, 2026
Ensure that residents are free from significant medication errors.
Corrected March 8, 2026 · Pharmacy Service
-
Potential for harm · D January 23, 2026
Provide and implement an infection prevention and control program.
Corrected March 8, 2026 · Infection Control
-
Actual harm · G February 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 5, 2025 · Quality of Life and Care
-
Potential for harm · D February 21, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 5, 2025 · Quality of Life and Care
-
Potential for harm · D February 21, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected April 5, 2025 · Quality of Life and Care
-
Potential for harm · D February 21, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 5, 2025 · Quality of Life and Care
-
Potential for harm · E February 21, 2025 · found via complaint
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 April 5, 2025 · Nursing and Physician Services
-
Actual harm · G August 28, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected October 11, 2024 · Quality of Life and Care
-
Potential for harm · D August 28, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 11, 2024 · Quality of Life and Care
-
Potential for harm · D August 28, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 11, 2024 · Quality of Life and Care
-
Potential for harm · D March 14, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 22, 2024 · Resident Rights
-
Potential for harm · D March 14, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 22, 2024 · Resident Rights
-
Potential for harm · D March 14, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 22, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D March 14, 2024
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, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E March 14, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 22, 2024 · Quality of Life and Care
-
Potential for harm · D March 14, 2024
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 April 22, 2024 · Quality of Life and Care
-
Potential for harm · D March 14, 2024
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 April 22, 2024 · Pharmacy Service
-
Potential for harm · F March 14, 2024
Provide and implement an infection prevention and control program.
Corrected April 22, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 21, 2025 | Fine | $9,110 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265347 · certified since January 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.