The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 919 — 42 CFR §483.90 — S/S: F
Nursing home report
PACIFIC CARE CENTER
PACIFIC, MO · Medicare-certified · 118 beds
Needs attention
For-profitChain member
1 of 5 overall
PACIFIC CARE CENTER (PACIFIC, MO) has an overall rating of 1 out of 5 stars, with 1-star staffing and quality measures and a 3-star health inspection rating. It has the lowest overall rating flag, reported nurse staffing of 3.00 hours per resident per day versus the 4.1 federal benchmark, and no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.9995 hrs/resident/day
Quality measures
Last inspection: February 12, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9995.
Staffing detail
- Registered nurses
- 0.20
- Licensed practical nurses
- 0.76
- Nurse aides
- 2.04
- Weekend nursing
- 2.64
Hours per resident per day.
Total staff turnover: 65%
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
34.6%35.7%Worsening
Residents with a fall causing major injury
4%4.3%No change
Residents with pressure ulcers (bedsores)
9.2%4.1%Improving
Residents with a urinary tract infection
8.2%10.6%Worsening
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
53.1%20.6%Improving
Residents whose ability to walk got worse
—10.1%—
Long-stay residents on antianxiety or sleep medication
18.6%14.3%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
1.8%10%Worsening
Residents with new or worsening incontinence
38.7%14.9%Improving
Residents with depressive symptoms
5%4.8%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
—92.5%—
Long-stay residents given the pneumonia vaccine
90%87.2%Worsening
Short-stay residents given the seasonal flu vaccine
—37.5%—
Short-stay residents given the pneumonia vaccine
51.4%61.8%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 623 — 42 CFR §483.15 — S/S: E
The home failed to tell residents or their representatives in writing how long their bed would be held after a hospital transfer or therapeutic leave. Cited July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 625 — 42 CFR §483.15 — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
Recent history
- 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 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of JAMES & JUDY LINCOLN · 56 homes · 2.4 stars avg
- Occupancy
- 51.3 residents on an average day (43% of 118 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 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.