Truman Healthcare & Rehabilitation Center
206 West First Street · Lamar, MO · 64759 · 4176825718
109 certified beds For profit - Corporation Chain: Circle B Enterprises
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
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.
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.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
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: 3 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.49 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.54 | 0.55–0.75 |
| Weekend hours / resident-day | 2.96 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (46 in the current record)
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Potential for harm · D April 17, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 17, 2026 · found via complaint
Respond appropriately to all alleged violations.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 17, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · D April 17, 2026 · 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.
Deficient, Provider has no plan of correction · Nutrition and Dietary
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Potential for harm · E December 19, 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 January 25, 2026 · Nutrition and Dietary
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Potential for harm · D June 5, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected July 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 5, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 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 July 10, 2025 · Pharmacy Service
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Potential for harm · D April 15, 2025
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected May 30, 2025 · Resident Rights
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Potential for harm · D April 15, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected May 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 15, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 15, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 15, 2025
Provide activities to meet all resident's needs.
Corrected May 30, 2025 · Quality of Life and Care
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Potential for harm · D April 15, 2025
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 July 10, 2025 · Quality of Life and Care
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Potential for harm · D April 15, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 30, 2025 · Quality of Life and Care
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Potential for harm · D April 15, 2025
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 May 30, 2025 · Quality of Life and Care
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Potential for harm · D April 15, 2025
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, 2025 · Pharmacy Service
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Potential for harm · D April 15, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected May 30, 2025 · Pharmacy Service
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Potential for harm · D April 15, 2025
Ensure that residents are free from significant medication errors.
Corrected May 30, 2025 · Pharmacy Service
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Potential for harm · F April 15, 2025
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected May 30, 2025 · Nutrition and Dietary
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Potential for harm · E April 15, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 30, 2025 · Nutrition and Dietary
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Potential for harm · F April 15, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 30, 2025 · Nutrition and Dietary
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Potential for harm · E April 15, 2025
Provide and implement an infection prevention and control program.
Corrected May 30, 2025 · Infection Control
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Potential for harm · D April 15, 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 May 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 265253 · certified since August 12, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.