Estates of Perryville, LLC, the
430 North West Street · Perryville, MO · 63775 · 5735471011
156 certified beds For profit - Limited Liability company
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $303,141 in fines in the last 24 months.
Red flags
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.
3 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.
4 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$303,141 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.13 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.84 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.13 | 0.55–0.75 |
| Weekend hours / resident-day | 3.57 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 3 · $303,141 |
Inspection citations (45 in the current record)
-
Potential for harm · D March 11, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 17, 2026 · Resident Rights
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Potential for harm · D March 11, 2026
Ensure each resident receives an accurate assessment.
Corrected April 17, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 11, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 17, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 11, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 17, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 11, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected April 17, 2026 · Pharmacy Service
-
Potential for harm · D March 11, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 17, 2026 · Nutrition and Dietary
-
Potential for harm · D November 6, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 24, 2025 · Resident Rights
-
Immediate jeopardy · J September 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
-
Immediate jeopardy · J September 4, 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 October 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G July 9, 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 October 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J June 10, 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 October 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 10, 2025 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected October 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 10, 2025 · found via complaint
Provide care or services that was trauma informed and/or culturally competent.
Corrected October 19, 2025 · Quality of Life and Care
-
Potential for harm · D June 10, 2025 · found via complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected October 19, 2025 · Quality of Life and Care
-
Potential for harm · D June 10, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected October 19, 2025 · Quality of Life and Care
-
Immediate jeopardy · J March 11, 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 April 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J March 11, 2025 · found via complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected April 18, 2025 · Quality of Life and Care
-
Potential for harm · D December 6, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 19, 2025 · Resident Rights
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Potential for harm · D December 6, 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 January 19, 2025 · Resident Rights
-
Potential for harm · D December 6, 2024
Assess the resident when there is a significant change in condition
Corrected January 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 6, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 6, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 19, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 6, 2024
Provide activities to meet all resident's needs.
Corrected January 19, 2025 · Quality of Life and Care
-
Potential for harm · D December 6, 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 January 19, 2025 · Pharmacy Service
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Potential for harm · D December 6, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected January 19, 2025 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 10, 2025 | Fine | $17,627 |
| June 10, 2025 | Fine | $152,319 |
| June 10, 2025 | Payment Denial | 57 days |
| March 11, 2025 | Fine | $133,195 |
| March 11, 2025 | Payment Denial | 6 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 265704 · certified since March 14, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.