The home failed to provide the appropriate treatment and services for a resident with dementia. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 744 — 42 CFR §483.40(b)(3) — S/S: G
Nursing home report
Elsberry Health Care Center
Registered name: ELSBERRY MISSOURI HEALTH CARE CENTER
ELSBERRY, MO · Medicare-certified · 56 beds
Needs attention
Non-profit
Data as of July 1, 2026
4 of 5 overall
Elsberry Health Care Center has a 4-star overall rating, with solid quality measures (5/5) but average health inspection and staffing scores (3/5 each). It reports 3.05 nurse staffing hours per resident per day, below the 4.1 federal benchmark, and has had $28,704 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.0467 hrs/resident/day
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 3.0467.
Staffing detail
- Registered nurses
- 0.32
- Licensed practical nurses
- 0.58
- Nurse aides
- 2.15
- Weekend nursing
- 2.56
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 43%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
2.8%5%Worsening
Residents with a fall causing major injury
8%1.9%Improving
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.2%6.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7%14.6%Worsening
Residents whose ability to walk got worse
11.4%13%Worsening
Long-stay residents on antianxiety or sleep medication
4.4%12%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
1.8%5.2%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—73.9%—
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.
View the original federal record
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.
View the original federal record
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.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- 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
- 53.5 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.