Deficiency Index

Pearl's II Eden for Elders

Princeton, Missouri · CCN 265796

22 surveys since 2011, 3 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
140
Surveys
22
Harm or worse
3
Immediate jeopardy
1
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file19/22

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

The facility

Certified beds
60
Ownership
For profit - Limited Liability company
Chain
Independent
County
Mercer · rural
Medicare-certified since
2005

CMS ratings

Overall
4
Health inspection
4
Staffing
4
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 82 for-profit facilities with fewer than 66 beds in Missouri.

Last survey on record

Aug 7, 2025

459 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 day3.643.20
Registered-nurse hours per resident day0.51—
Annual nurse turnover41.5%57.5%

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

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

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 harmG—H—I—
No harm, potential for more than minimalD923.7%E2771.1%F25.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 38 of the 140 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F6892×

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

  • F7272×

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

In the surveyor’s words

From the most serious findings on record at Pearl's II Eden for Elders, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Aug 7, 2025

    Based on observation, interview, and record review, the facility failed to maintain the kitchen in a sanitary manner. This had the potential to affect all residents residing in the facility. The facility census was 34. Review of the facility's policy titled, Food Storage, dated 2020, showed:-Food shall be stored in a clean, dry area free of contaminants;-Food shall be stored using appropriate methods to ensure the highest level of food safety;-Defrost freezer regularly to improve efficiency.Review of the facility's policy titled, Cleaning and Repair of the Kitchen, dated, 08/06/2025 showed:-General cleaning of the kitchen is done by dietary staff;-General cleaning includes, cleaning all surfaces, equipment and floors;-Deep cleaning is done as needed;-Deep cleaning includes defrosting the… […]

  • No harm, potential for more than minimal, widespreadF727Aug 1, 2024

    Based on observation and interviews, the facility failed to designate a registered nurse to serve as the Director of Nursing (DON) on a full time basis for the past two years. The facility census was 40. The facility did not provide a DON policy. Observation for the duration of the survey showed the facility did not have a DON. During an interview on 7/30/24 at 10:00 A.M. The Administrator said: - They have not had a DON for the past two years; - They have advertised the open position in the local paper several times and placing posters. During an interview on 7/31/24 at 3:00 P.M. […]

  • No harm, potential for more than minimal, widespreadF727Sep 10, 2021

    Based on interview and record review, the facility failed to provide the services of a Registered Nurse (RN), other than the Director of Nursing (DON), for eight consecutive hours per day, seven days a week. This deficient practice had the potential to affect all residents. The facility census was 30. The facility did not provide a policy for RN coverage. Review of the facility's daily assignment sheets, dated 8/1/21 through 8/31/21 showed nine days where the facility did not have an RN working. Review of the facility's daily assignment sheets, dated 9/1/21 through 9/9/21 showed two days where the facility did not have an RN working. […]

  • No harm, potential for more than minimal, widespreadF812Sep 10, 2021

    Based on observation, record review and interview, the facility failed to prepare and serve food in accordance with professional standards for food service safety when staff failed to label seasonings when it was opened, label repackaged foods, failed to keep the ice maker clean and ensure the ice makers drained through an air gap, and failed to maintain the air vents in the kitchen in clean condition. The facility also failed to maintain the kitchen ceiling in a sanitary condition. The facility census was 30. […]

  • No harm, potential for more than minimal, patternF565Aug 1, 2024

    Based on interviews and record review, the facility failed to consider the views of the resident council and act promptly upon grievances and recommendations made by the group concerning issues of resident care and life in the facility when the facility failed to demonstrate their response and rationale for such responses. Additionally, the facility failed to maintain documentation of the facility's attempt to resolve concerns, or address the facility's communication with the council on the follow up actions. This affected all the residents serving on the resident counsel and potentially other residents of the facility. […]

Read 23 findings in full →The most serious and the most recent: 23 of 140 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 7, 2025Standard1 finding
  • Aug 1, 2024Standard20 findings
  • Jun 14, 2023Standard17 findings
  • Apr 14, 2023Complaint1 finding
  • Sep 10, 2021Standard23 findings
  • Dec 15, 2020Infection control2 findings
  • Mar 23, 2020Complaint2 findings
  • Dec 4, 2019Complaint1 finding
Show the 14 earlier surveys
  • Aug 9, 2019Complaint1 finding
  • Jan 16, 2019Standard7 findings · 1 harm
  • Apr 20, 2018Standard9 findings
  • Mar 16, 2017Standard8 findings
  • Jun 4, 2015Standard4 findings
  • Mar 3, 2015Complaint1 finding
  • Dec 23, 2014Complaint5 findings · 1 harm
  • Sep 5, 2014Complaint1 finding
  • Aug 5, 2014Complaint1 finding
  • Apr 10, 2014Standard4 findings
  • Feb 13, 2013—8 findings
  • May 17, 2012—9 findings
  • Jun 16, 2011—14 findings
  • Jan 10, 2011—1 finding · 1 harm

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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