Ratliff Care Center
Cape Girardeau, Missouri · CCN 265747
14 surveys since 2011, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 70
- Surveys
- 14
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 46
- Ownership
- For profit - Individual
- Chain
- Independent
- County
- Cape Girardeau
- Medicare-certified since
- 2002
CMS ratings
- Overall
- 3
- Health inspection
- 4
- Staffing
- 1
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer 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
May 30, 2025
528 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.24 | 3.20 |
| Registered-nurse hours per resident day | 0.34 | — |
| Annual nurse turnover | 72.1% | 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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1680.0% | E15.0% | F210.0% |
| No harm, potential for minimal | A— | B— | C15.0% |
Most frequently cited here
In CMS’s current monthly file.
- F9472×
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- F5651×
Honor the resident's right to organize and participate in resident/family groups in the facility.
- F5701×
Assure the security of all personal funds of residents deposited with the facility.
- F6051×
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- F6071×
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
In the surveyor’s words
From the most serious findings on record at Ratliff Care Center, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF851May 16, 2024
Based on interview and record review, the facility failed to electronically submit to The Center of Medicare and Medicaid Services (CMS) complete and accurate direct care staffing information no less frequently than quarterly, for the quarter immediately preceding the annual survey. The census was 40. The facility did not provide a policy for direct care staffing information. Review of the facility's Payroll Based Journal (PBJ) staffing Data Report, for fiscal year quarter 1, 2024 (October 1 through December 31), showed the facility triggered for failing to submit data for the quarter. During an interview on 05/14/24 at 10:30 A.M.,, the Administrator said that he had not been submitting the PBJ information and he knew it should be submitted quarterly.
- No harm, potential for more than minimal, widespreadF812Mar 23, 2023
Based on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. These deficient practices had the potential to affect all residents. The facility census was 43. Record review of the facility's Kitchen Cleaning policy, revised 11/30/20, showed: - All workers are expected to use good hygiene practices at all times and to follow all established sanitation procedures; - It is the responsibility to ensure they are providing a clean/safe environment for their residents; - The cleaning program may be shared responsibilities between different workers of the cleaning team to provide the cleaning program. […]
- No harm, potential for more than minimal, patternF570May 30, 2025
Based on interview and record review, the facility failed to maintain the surety bond (a purchased bond for security of resident's personal funds) for at least one and one half times the average monthly balance of the resident's personal funds for the last 12 consecutive months from May 2024 through April 2025. The facility census was 35. The facility did not provide a policy regarding surety bonds. Review of the Residents' Personal Funds Account for the last 12 consecutive months from May 2024 through April 2025 showed: - The facility's approved bond amount equaled $35,000.00; - The average monthly balance of the residents' personal funds equaled $31,517.90; - An average monthly balance of $31,517.90 rounded to the nearest thousand equaled $32,000.00, at one and one half times will equal… […]
- No harm, potential for more than minimal, isolatedF605May 30, 2025
Based on interview and record review, the facility failed to monitor the drug regimen for unnecessary medications by not ensuring the as needed (PRN) psychotropic (medications that affect a persons mental state) medication orders were limited to 14 days unless specific duration and clinical rationale were provided for one resident (Resident #17) out of five sampled residents. The facility census was 35. Review of the facility's policy titled, PRN Medications, undated, showed: - Ensure PRN orders are evaluated for diagnosis, continuing need, and relevant documentation; - To provide guidelines to ensure proper diagnosis and documented need and effectiveness of PRN medications; - When receiving an order for a PRN medication, make sure the appropriate diagnosis is received. […]
- No harm, potential for more than minimal, isolatedF607May 30, 2025
Based on interview and record review, the facility failed to follow per the facility policy to complete criminal background checks (CBC) for two employees (Employee A and Employee B) of 10 sampled employees prior to hire. The facility census was 35. Review of the facility's policy titled, Employee Disqualification List (EDL) Procedures, dated July 1, 2019, showed: - As a licensed facility, we are required to use the EDL Automated System and investigate criminal background on all new hires; - Prior to working, the facility will check criminal background through the Missouri Highway Patrol or the Family Safety Registry on all new employees prior to contact with any resident. 1. […]
Read 20 findings in full →The most serious and the most recent: 20 of 70 on record.
Every survey on record
FindingsAt actual harm or above
- May 30, 2025Standard8 findings
- May 16, 2024Standard5 findings
- May 24, 2023Complaint2 findings
- Mar 23, 2023Standard7 findings
- Nov 5, 2020Standard5 findings
- Jun 20, 2019Standard11 findings
- May 11, 2018Standard2 findings
- Jun 9, 2017Standard2 findings
Show the 6 earlier surveys
- May 19, 2016Standard7 findings
- Jun 19, 2015Standard2 findings
- Apr 10, 2014Standard3 findings
- Mar 29, 2013—4 findings
- May 24, 2012—7 findings
- Mar 11, 2011—5 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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