Union Nursing
1080 Marie Lane · Union, MO · 63084 · 6362068585
60 certified beds For profit - Corporation Chain: Community Care Centers
Why this verdict
- 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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.27 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 2.88 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (14 in the current record)
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Potential for harm · D November 19, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected November 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 19, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 28, 2025
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected October 11, 2025 · Resident Rights
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Potential for harm · E August 28, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 28, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected October 11, 2025 · Nutrition and Dietary
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Potential for harm · F August 28, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected October 11, 2025 · Nutrition and Dietary
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Potential for harm · E August 28, 2025
Provide and implement an infection prevention and control program.
Corrected October 11, 2025 · Infection Control
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Potential for harm · D June 20, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 2, 2024 · Quality of Life and Care
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Potential for harm · E June 20, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected August 2, 2024 · Pharmacy Service
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Potential for harm · F June 20, 2024
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 August 2, 2024 · Nutrition and Dietary
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Potential for harm · E April 7, 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 19, 2023 · Resident Rights
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Potential for harm · E April 7, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 19, 2023 · Quality of Life and Care
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Potential for harm · E April 7, 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 19, 2023 · Pharmacy Service
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Potential for harm · F April 7, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 19, 2023 · Nutrition and Dietary
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265873 · certified since December 21, 2018. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.