Beloved Health and Rehabilitation Center
328 Munger Lane · Hannibal, MO · 63401 · 5735772100
111 certified beds For profit - Individual
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $192,212 in fines in the last 24 months.
- 11 citations involved actual harm to residents.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$192,212 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
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.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.81 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 2.53 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 3 · $279,380 |
Inspection citations (133 in the current record)
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Immediate jeopardy · J April 4, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 28, 2025 · Quality of Life and Care
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Potential for harm · D February 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 17, 2025 · Quality of Life and Care
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Potential for harm · E February 5, 2025 · found via complaint
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected March 17, 2025 · Nutrition and Dietary
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Actual harm · G November 27, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 17, 2025 · Quality of Life and Care
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Actual harm · G November 27, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected January 13, 2025 · Quality of Life and Care
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Potential for harm · E November 27, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected January 13, 2025 · Resident Rights
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Potential for harm · F November 27, 2024
Assure the security of all personal funds of residents deposited with the facility.
Corrected January 13, 2025 · Resident Rights
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Potential for harm · F November 27, 2024
Give residents a notice of rights, rules, services and charges.
Corrected January 13, 2025 · Resident Rights
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Potential for harm · E November 27, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected January 13, 2025 · Resident Rights
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Potential for harm · E November 27, 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 January 13, 2025 · Resident Rights
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Potential for harm · F November 27, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 27, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected January 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 27, 2024
Assess the resident when there is a significant change in condition
Corrected January 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 27, 2024
Ensure each resident receives an accurate assessment.
Corrected January 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 27, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 27, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 27, 2024
Assist a resident in gaining access to vision and hearing services.
Corrected January 13, 2025 · Quality of Life and Care
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Potential for harm · E November 27, 2024
Provide appropriate foot care.
Corrected January 13, 2025 · Quality of Life and Care
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Potential for harm · E November 27, 2024
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 January 13, 2025 · Quality of Life and Care
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Potential for harm · E November 27, 2024
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 January 13, 2025 · Quality of Life and Care
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Potential for harm · E November 27, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 13, 2025 · Nursing and Physician Services
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Potential for harm · F November 27, 2024
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 13, 2025 · Nursing and Physician Services
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Potential for harm · E November 27, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected January 13, 2025 · Pharmacy Service
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Potential for harm · D November 27, 2024
Provide or obtain dental services for each resident.
Corrected January 13, 2025 · Quality of Life and Care
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Potential for harm · F November 27, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected January 13, 2025 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 4, 2025 | Fine | $17,011 |
| November 27, 2024 | Fine | $175,201 |
| November 27, 2024 | Payment Denial | 58 days |
| March 28, 2024 | Fine | $87,168 |
| March 28, 2024 | Payment Denial | 89 days |
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.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265462 · certified since August 2, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.