Ratliff Care Center

717 North Sprigg · Cape Girardeau, MO · 63701 · 5733355810

46 certified beds For profit - Individual

  • No federal fines or payment denials in CMS’s 3-year window.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

70% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 63
Serious harm & abuse 20% 100
Staffing 20% 52
Federal penalties 15% 100
Trend 10% 56
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.353.48 min · 4.1 strong
RN hours / resident-day0.350.55–0.75
Weekend hours / resident-day3.15≈ weekday level
Nursing turnover / year70%median 45%
Fines (3-yr window)none

Inspection citations (20 in the current record)

  • Potential for harm · E May 30, 2025

    Assure the security of all personal funds of residents deposited with the facility.

    Corrected July 11, 2025 · Resident Rights

  • Potential for harm · D May 30, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected July 11, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 30, 2025

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

    Corrected July 11, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 30, 2025

    Respond appropriately to all alleged violations.

    Corrected July 11, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 30, 2025

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

    Corrected July 11, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 30, 2025

    Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

    Corrected July 11, 2025 · Nursing and Physician Services

  • Potential for harm · D May 30, 2025

    Provide and implement an infection prevention and control program.

    Corrected July 11, 2025 · Infection Control

  • Potential for harm · D May 30, 2025

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected July 11, 2025 · Nursing and Physician Services

  • Potential for harm · D May 16, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected June 28, 2024 · Resident Rights

  • Potential for harm · D May 16, 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 June 28, 2024 · Resident Rights

  • Potential for harm · D May 16, 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 June 28, 2024 · Quality of Life and Care

  • Potential for harm · F May 16, 2024

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected June 28, 2024 · Administration

  • Potential for harm · D May 16, 2024

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    Corrected June 28, 2024 · Environmental

  • Potential for harm · D March 23, 2023

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected May 5, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D March 23, 2023

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

    Corrected May 5, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D March 23, 2023

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected May 5, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D March 23, 2023

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

    Corrected May 5, 2023 · Nursing and Physician Services

  • Potential for harm · F March 23, 2023

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

    Corrected May 5, 2023 · Nutrition and Dietary

  • Potential for harm · D March 23, 2023

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected May 5, 2023 · Nursing and Physician Services

  • No harm found · C March 23, 2023

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected May 5, 2023 · Resident Rights

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 265747 · certified since October 25, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.