The Estates of Perryville in Perryville, MO has a 1-out-of-5 overall rating, with 1-star health inspection, staffing, and quality ratings. It reports nurse staffing of 2.10 hours per resident per day versus the 4.1 federal benchmark, $303,763 in fines over the last 24 months, and a recent abuse citation.
Last inspection: March 11, 2026Penalties, last 24 months: $303,763recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.0988.
Staffing detail
Registered nurses
0.10
Licensed practical nurses
0.44
Nurse aides
1.56
Weekend nursing
1.73
Hours per resident per day.
Total staff turnover: 61%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
55.2%54.2%Improving
Residents with a fall causing major injury
3.6%6.5%Worsening
Residents with pressure ulcers (bedsores)
6.2%4.4%Improving
Residents with a urinary tract infection
0.9%0%Improving
Residents who lost too much weight
2.8%5.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.4%10.2%Worsening
Residents whose ability to walk got worse
19.2%12.8%Improving
Long-stay residents on antianxiety or sleep medication
43%65.2%Worsening
Residents with a long-term catheter
0.9%1%No change
Residents with new or worsening incontinence
3.2%8.9%Worsening
Residents with depressive symptoms
24.2%73.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—93.5%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—64%—
Short-stay residents given the pneumonia vaccine
90%100%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to have enough qualified staff to meet residents’ behavioral health needs. Cited March 2025 — isolated incident, immediate jeopardy to residents.
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F-Tag 741 — 42 CFR §483.40 — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2024 — 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 September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $152,319 was recorded.
PENALTY
A federal fine of $17,627 was recorded.
PENALTY
A federal fine of $133,817 was recorded.
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $133,195 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $303,763 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Jun 10, 2025
57 days
Federal fine
Jun 10, 2025
$152,319
Federal fine
Jun 10, 2025
$17,627
Medicare/Medicaid payment denial
Mar 11, 2025
6 days
Federal fine
Mar 11, 2025
$133,817
Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
95.2 residents on an average day (61% of 156 beds)
Resident voice
Resident council
Medicare history
Certified for 26 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.