Nick's Health Care Center, LLC

253 East Highway 116 · Plattsburg, MO · 64477 · 8165392376

70 certified beds For profit - Limited Liability company Chain: Reliant Care Management

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Staffing levels are well below research benchmarks for safe care.

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.

2 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.

RN staffing in the bottom 10% nationally

0.22 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

1.73 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 46
Serious harm & abuse 20% 48
Staffing 20% 30
Federal penalties 15% 60
Trend 10% 72
Context 5% 75

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-day1.733.48 min · 4.1 strong
RN hours / resident-day0.220.55–0.75
Weekend hours / resident-day1.51≈ weekday level
Nursing turnover / year54%median 45%
Fines (3-yr window)2 · $21,538

Inspection citations (30 in the current record)

  • Actual harm · G November 17, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 3, 2025

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected November 12, 2025 · Resident Rights

  • Potential for harm · E October 3, 2025

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected November 12, 2025 · Resident Rights

  • Potential for harm · E October 3, 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 November 12, 2025 · Resident Rights

  • Potential for harm · F October 3, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 12, 2025 · Nutrition and Dietary

  • Potential for harm · F October 3, 2025

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected November 12, 2025 · Environmental

  • Actual harm · G February 14, 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 March 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 24, 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 March 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 11, 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 November 25, 2024 · Resident Rights

  • Potential for harm · D October 11, 2024

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected November 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E October 11, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected November 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E October 11, 2024

    Post nurse staffing information every day.

    Corrected November 25, 2024 · Nursing and Physician Services

  • Potential for harm · F October 11, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 25, 2024 · Nutrition and Dietary

  • Potential for harm · E October 11, 2024 · found via complaint

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected November 25, 2024 · Resident Rights

  • Potential for harm · E October 11, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected November 25, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F October 11, 2024 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected November 25, 2024 · Nutrition and Dietary

  • Potential for harm · F October 11, 2024 · found via complaint

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected November 25, 2024 · Environmental

  • Potential for harm · E March 30, 2023

    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 May 30, 2023 · Resident Rights

  • Potential for harm · E March 30, 2023

    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 May 30, 2023 · Resident Rights

  • Potential for harm · E March 30, 2023

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected May 30, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E March 30, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected May 30, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E March 30, 2023

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 30, 2023 · Quality of Life and Care

  • Potential for harm · E March 30, 2023

    Observe each nurse aide's job performance and give regular training.

    Corrected May 30, 2023 · Nursing and Physician Services

  • Potential for harm · E March 30, 2023

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Corrected May 30, 2023 · Quality of Life and Care

  • Potential for harm · E March 30, 2023

    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 May 30, 2023 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 3, 2025Fine$10,348
October 3, 2025Fine$11,190

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 265698 · certified since February 24, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.