Transcendent Healthcare of Boonville - North has a 1-star overall rating, with 1-star health inspection and staffing ratings and a 2-star quality measures rating. It is listed as a Special Focus Facility candidate/attention flag, has $24,674 in fines in the last 24 months, and reported nurse staffing of 2.74 hours per resident per day versus the 4.1-hour federal benchmark.
Last inspection: February 17, 2026Penalties, last 24 months: $24,674special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7383.
Staffing detail
Registered nurses
0.29
Licensed practical nurses
0.63
Nurse aides
1.82
Weekend nursing
2.65
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 33%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
34.6%Improving
Residents with a fall causing major injury
3.2%Improving
Residents with pressure ulcers (bedsores)
2.4%Improving
Residents with a urinary tract infection
0.6%Improving
Residents who lost too much weight
4.1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
28.6%Improving
Residents whose ability to walk got worse
17.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
42.8%Worsening
Short-stay residents newly given an antipsychotic
13.6%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
21.8%Improving
Residents with depressive symptoms
36.5%Worsening
Long-stay residents given the seasonal flu vaccine
98.1%Steady
Long-stay residents given the pneumonia vaccine
99.5%Improving
Short-stay residents given the pneumonia vaccine
85.7%Steady
What the inspectors found
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 February 2026 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: K
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.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited November 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 868 — 42 CFR §483.75 — 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 11 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $24,674 was recorded.
Penalties & enforcement
On record with Medicare: 6 fines · $46,627 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Nov 14, 2024
1 days
Federal fine
Nov 14, 2024
$24,674
Medicare/Medicaid payment denial
Sep 25, 2023
30 days
Federal fine
Sep 25, 2023
$8,191
Federal fine
Jun 26, 2023
$3,176
Federal fine
Jun 20, 2023
$2,823
Federal fine
Jun 12, 2023
$2,470
Federal fine
May 23, 2023
$5,293
Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
49.8 residents on an average day (89% of 56 beds)
Resident voice
Resident council
Medicare history
Certified for 13 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.