Deficiency Index

Adair Village

Clinton, Missouri · CCN 265347

17 surveys since 2011, 6 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
91
Surveys
17
Harm or worse
6
Immediate jeopardy
1
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file10/17

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
120
Ownership
For profit - Individual
Chain
CIRCLE B ENTERPRISES
County
Henry · rural
Medicare-certified since
1989

CMS ratings

Overall
3
Health inspection
3
Staffing
2
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 118 for-profit facilities of 100–127 beds in Missouri.

Last survey on record

Jan 23, 2026

290 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.013.32
Registered-nurse hours per resident day0.24—
Annual nurse turnover61.5%57.7%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$50,606 across 2 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG38.8%H—I—
No harm, potential for more than minimalD1852.9%E1029.4%F38.8%
No harm, potential for minimalA—B—C—
CMS’s current file: 34 of the 91 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6843×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F6893×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F6922×

    Provide enough food/fluids to maintain a resident's health.

  • F6952×

    Provide safe and appropriate respiratory care for a resident when needed.

  • F8802×

    Provide and implement an infection prevention and control program.

In the surveyor’s words

From the most serious findings on record at Adair Village, in the surveyor’s own words.

  • Actual harm, isolatedF692Jan 23, 2026

    Based on observation, interview and record review the facility failed to implement interventions to promote optimal food intake for one resident who the facility identified at risk for weight loss (Resident #2). The resident experienced a severe weight loss of 21.7 pounds or 15.78 % body weight in three months. The facility failed to follow their policy to fully inform the physician, involve the Dietary Manager (DM), and notify the consultant Registered Dietitian (RD) for an assessment related to the weight loss, failed to assess or identify reasons for the weight loss or develop and implement interventions to prevent further weight loss including the provision of assistance and encouragement during meals. […]

  • Actual harm, isolatedF689Feb 21, 2025

    Based on interviews and record review, the facility failed to keep residents free from accident hazards when staff failed to provide care with two staff as trained and care planned for one resident (Resident #1) resulting in a fall and fracture. The facility census was 43. Review of the facility policy titled, Safe Lifting and Movement of Residents, revised July 2017, showed the following: -In order to protect the safety and well-being of staff and residents, and to promote quality care, this facility uses appropriate techniques and devices to lift and move residents; -Resident safety, dignity, comfort, and medical condition will be incorporated into goals and decisions regarding the safe lifting and moving of residents; -Manual lifting of residents shall be eliminated when… […]

  • Actual harm, isolatedF697Aug 28, 2024

    Based on observation, interview, and record review the facility failed to provide effective pain management consistent with professional standards of practice when staff failed to administer requested pain medication timely, failed to assess the resident's pain level, failed document the administration of pain medication, and failed to follow-up with the resident regarding the effectiveness of the pain mediation for one resident (Resident #1) who displayed physical verbal signs of pain. The facility census was 34. Review of the facility's policy titled Medication and Treatment Orders. […]

  • No harm, potential for more than minimal, widespreadF880Mar 14, 2024

    Based on observations, interviews, and record review, the facility failed to maintain appropriate infection control practices to prevent the risk of contamination and spread of infection while transporting clean laundry uncovered throughout the facility. This had the potential to affect 26 of 27 residents in the facility. Review of the facility's policy titled, Policy and Procedure Regarding Laundry and Bedding Soiled, issued 09/22 and reviewed 03/14/24, showed clean linen is protected from dust and soiling during transport and storage to ensure cleanliness. 1. During an observation and interview on 03/12/24, at 2:55 P.M., Laundry Aide (LA) 2 was observed pushing a clothes cart down the hallway. LA2 said that he/she delivered the clothes to the residents. […]

  • No harm, potential for more than minimal, widespreadF812Apr 7, 2022

    Based on interview, observation, and record review, the facility failed to keep food safe from potential contamination when food contact surfaces had a buildup of grease, lint, and hair and staff did not date or label stored food after opening. The facility census was 17. Record review of the 2013 Missouri Food Code showed the following information: -Physical facilities shall be cleaned as often as necessary to keep them in sanitary condition; -Clean and sanitize work surfaces, including cutting boards and food-contact equipment, between uses and consistent with applicable code. Record review of the Food and Drug Administration (FDA) 2013 Food Code showed the following information: -Food contact surfaces and utensils shall be clean to the sight and touch. […]

Read 23 findings in full →The most serious and the most recent: 23 of 91 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 23, 2026Standard9 findings · 1 harm
  • Feb 21, 2025Complaint5 findings · 1 harm
  • Aug 28, 2024Complaint3 findings · 1 harm
  • Mar 14, 2024Standard and complaint10 findings
  • Oct 25, 2023Complaint1 finding
  • Sep 28, 2023Complaint1 finding
  • Apr 7, 2022Standard5 findings
  • Aug 2, 2019Standard4 findings
Show the 9 earlier surveys
  • Jul 16, 2018Standard9 findings
  • Sep 1, 2017Standard4 findings
  • Sep 23, 2016Standard6 findings
  • Jul 24, 2015Standard and complaint5 findings
  • Aug 22, 2014Standard4 findings · 1 harm
  • May 29, 2014Complaint7 findings · 2 harm
  • Nov 22, 2013—7 findings
  • Oct 2, 2012—3 findings
  • Dec 9, 2011—8 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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