Cassville Health Care Center
1300 County Farm Road · Cassville, MO · 65625 · 4178473386
60 certified beds For profit - Limited Liability company Chain: Reliant Care Management
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $123,925 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
$123,925 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.25 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
2.92 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: 1 of 5
| Total nurse hours / resident-day | 2.92 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.25 | 0.55–0.75 |
| Weekend hours / resident-day | 2.71 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $123,925 |
Inspection citations (82 in the current record)
-
Potential for harm · E February 2, 2026 · found via complaint
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 February 23, 2026 · Resident Rights
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Potential for harm · E February 2, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 23, 2026 · Nutrition and Dietary
-
Potential for harm · D November 25, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 9, 2026 · Pharmacy Service
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Potential for harm · D November 25, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 9, 2026 · Pharmacy Service
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Potential for harm · F November 25, 2025 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected January 9, 2026 · Environmental
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Potential for harm · E November 25, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected January 9, 2026 · Environmental
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Potential for harm · E September 24, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected October 24, 2025 · Resident Rights
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Potential for harm · D September 24, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 24, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 9, 2026 · Quality of Life and Care
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Potential for harm · F September 24, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 24, 2025 · Nutrition and Dietary
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Potential for harm · F September 24, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected January 9, 2026 · Environmental
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Immediate jeopardy · J September 10, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K September 10, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected October 21, 2025 · Administration
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Actual harm · G September 10, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected October 21, 2025 · Quality of Life and Care
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Actual harm · G September 10, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 21, 2025 · Nursing and Physician Services
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Potential for harm · E September 10, 2025 · found via complaint
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 February 23, 2026 · Resident Rights
-
Potential for harm · E September 10, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected October 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F September 10, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 10, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 10, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 9, 2026 · Quality of Life and Care
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Potential for harm · F September 10, 2025 · found via complaint
Post nurse staffing information every day.
Corrected October 21, 2025 · Nursing and Physician Services
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Potential for harm · D September 10, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 9, 2026 · Pharmacy Service
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Potential for harm · E September 10, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 23, 2026 · Pharmacy Service
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Potential for harm · E September 10, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 9, 2026 · Pharmacy Service
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Potential for harm · E September 10, 2025 · found via complaint
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected February 23, 2026 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 10, 2025 | Fine | $123,925 |
| September 10, 2025 | Payment Denial | 122 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 265460 · certified since August 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.