The home failed to make sure residents got food that met their allergies, intolerances, and preferences. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 806 — 42 CFR §483.60 — S/S: F
Nursing home report
UNION NURSING
UNION, MO · Medicare-certified · 60 beds
In good standing
For-profitChain member
4 of 5 overall
UNION NURSING (Union, MO) has an overall rating of 4 out of 5 stars, with 4-star health inspections and quality measures but 3-star staffing; reported staffing is 3.27 hours per resident per day versus the 4.1 federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2664 hrs/resident/day
Quality measures
Last inspection: November 19, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2664.
Staffing detail
- Registered nurses
- 0.50
- Licensed practical nurses
- 0.42
- Nurse aides
- 2.34
- Weekend nursing
- 2.88
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 33%
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
22.2%14.8%Improving
Residents with a fall causing major injury
8.3%4.5%Improving
Residents with pressure ulcers (bedsores)
1.5%2%No change
Residents with a urinary tract infection
0%2.3%Worsening
Residents who lost too much weight
0%2.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.2%16.2%Worsening
Residents whose ability to walk got worse
—16.3%—
Long-stay residents on antianxiety or sleep medication
26.5%18.4%Improving
Short-stay residents newly given an antipsychotic
6.9%0%Improving
Residents with a long-term catheter
0%1.9%Worsening
Residents with new or worsening incontinence
17.2%14.3%Improving
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 seasonal flu vaccine
—89.3%—
Short-stay residents given the pneumonia vaccine
100%78.8%Worsening
What the inspectors found
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited June 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 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 residents about certain money balances and to return resident funds when someone was discharged, evicted, or died. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 569 — 42 CFR §483.10 — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — 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 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of COMMUNITY CARE CENTERS · 8 homes · 2.8 stars avg
- Occupancy
- 57 residents on an average day (95% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 7 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.