The home failed to provide the appropriate treatment and services for a resident with dementia. Cited July 2025 — isolated incident, actual harm.
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F-Tag 744 — 42 CFR §483.40(b)(3) — S/S: G
Nursing home report
ELSBERRY MISSOURI HEALTH CARE CENTER
ELSBERRY, MO · Medicare-certified · 56 beds
Needs attention
Non-profit
3 of 5 overall
Overall rating: 3 out of 5 stars. Staffing is low at 1 out of 5 stars, health inspection is 3 out of 5 stars, quality measures are 5 out of 5 stars, and the home has had $28,704 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: July 31, 2025Penalties, last 24 months: $28,704recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Staffing detail
Total staff turnover: 26%
Registered nurse turnover: 20%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5.4%Worsening
Residents with a fall causing major injury
7.2%Improving
Residents with pressure ulcers (bedsores)
0.7%Steady
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
1.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.1%Worsening
Residents whose ability to walk got worse
14.5%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
7%Worsening
Residents with a long-term catheter
0.4%Worsening
Residents with new or worsening incontinence
2.3%Improving
Residents with depressive symptoms
1.5%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
81.8%Steady
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2025 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2025 — widespread issue, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited October 2023 — widespread issue, potential for harm.
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F-Tag 801 — 42 CFR §483.60 — S/S: F
Recent history
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $28,704 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $28,704 in total fines · 1 payment denial.
- 4 days
Medicare/Medicaid payment denial
Jul 31, 2025
- $28,704
Federal fine
Jul 31, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 53.6 residents on an average day (96% of 56 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 17 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.