Deficiency Index

Schuyler County Nursing Home District

Queen City, Missouri · CCN 265816

20 surveys since 2011, 7 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
145
Surveys
20
Harm or worse
7
Immediate jeopardy
2
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file17/20

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

The facility

Certified beds
60
Ownership
Government - County
Chain
Independent
County
Schuyler · rural
Medicare-certified since
2007

CMS ratings

Overall
1
Health inspection
2
Staffing
4
Quality measures
1

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 113 facilities with fewer than 66 beds in Missouri.

Last survey on record

Sep 10, 2025

425 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 day4.083.62
Registered-nurse hours per resident day0.52—
Annual nurse turnover38.3%39.1%

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

Enforcement

Payment denials
1

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 harmG—H—I—
No harm, potential for more than minimalD1126.2%E2047.6%F716.7%
No harm, potential for minimalA—B37.1%C12.4%
CMS’s current file: 42 of the 145 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6372×

    Assess the resident when there is a significant change in condition

  • F6552×

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  • F6572×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F6582×

    Ensure services provided by the nursing facility meet professional standards of quality.

In the surveyor’s words

From the most serious findings on record at Schuyler County Nursing Home District, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Sep 10, 2025

    Based on observation and interview, the facility failed to ensure food service equipment/surfaces were appropriately cleaned under sanitary conditions in accordance with professional standards for food service safety, and failed to ensure trash cans were covered when not in use. The facility census was 41.Observations on 9/7/25 between 11:30 A.M. and 5:53 P.M., and on 9/8/25 between 9:27 A.M. and 9:42 A.M., in the kitchen showed the following:-The kitchen Heating Ventilation and Air-Conditioning System (HVAC) unit surfaces/supports above the upright refrigerator, two compartment food prep sink, and two spice/seasoning shelves, with a moderate to heavy buildup of dust and debris;-A two-bulb emergency light fixture above two spice/seasoning shelves, with a moderate buildup of dust and… […]

  • No harm, potential for more than minimal, widespreadF880Sep 10, 2025

    Based on observation, interview, and record review, the facility failed to develop policies to monitor the water system and implement the facility policy to monitor for Legionella (a bacterium that can cause a serious type of pneumonia called Legionnaires' Disease (a bacterial disease commonly associated with water-based aerosols) in persons at risk) control that included specific control parameters based on Center for Disease Control and Prevention (CDC) and American Society of Heating, Refrigerating and Air Conditioning Engineers (ASHRAE)) standards. […]

  • No harm, potential for more than minimal, widespreadF947Sep 10, 2025

    Based on interview and record review, the facility failed to ensure staff training needs, as identified in the facility assessment and the annual in-servicing calendar, were met for five nurse assistants (NA)'s/ certified nurse assistants (CNA)'s (NA O , NA J, CNA T, CNA K and CNA/Certified Medication Technician (CMT) S), in a sample of five NA's/CNA's reviewed, who had been employed over a year by the facility. Further review showed no documentation of the required 12 hours of training per year were completed, including dementia management and resident abuse prevention training. The facility census was 41. […]

  • No harm, potential for more than minimal, widespreadF812Dec 13, 2023

    Based on observation, interview, and record review, the facility failed to ensure sanitary practices in the kitchen. Staff did not perform proper handwashing technique during meal preparation, did not store food items and maintain and clean equipment under sanitary conditions, and did not maintain a clean and sanitary environment in the kitchen. The facility census was 37. Review of the facility policy, Preventing Foodborne Illness - Employee Hygiene and Sanitary Practices, revised [DATE], showed the following: -Employees must wash their hands: -After handling raw meat, poultry or fish and when switching between working with raw food and working with ready-to-eat food; -After handling soiled equipment or utensils; -During food preparation, as often as necessary to remove soil and… […]

  • No harm, potential for more than minimal, widespreadF880Dec 13, 2023

    Based on observation, interview and record review, the facility failed to ensure nursing staff washed their hands and changed soiled gloves after each direct resident contact and when indicated by professional standards of practice during care for two residents (Resident #9 and Resident #12), in a review of 14 sampled residents. The facility failed to ensure proper infection control was utilized for respiratory care supplies for five residents (Resident #4, #7, #18, #30 and #289). […]

Read 27 findings in full →The most serious and the most recent: 27 of 145 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 10, 2025Standard17 findings
  • Dec 13, 2023Standard and complaint13 findings
  • Feb 4, 2021Infection control1 finding
  • Jan 5, 2021Standard12 findings
  • Apr 12, 2019Standard10 findings · 2 harm
  • May 3, 2018Standard5 findings
  • May 18, 2017Standard14 findings · 1 harm
  • Apr 4, 2017Complaint2 findings
Show the 12 earlier surveys
  • Sep 19, 2016Complaint1 finding
  • Aug 1, 2016Complaint1 finding
  • Feb 17, 2016Standard9 findings
  • Aug 19, 2015Complaint1 finding
  • Apr 15, 2015Standard11 findings
  • Jun 18, 2014Standard4 findings
  • Jun 28, 2013—1 finding · 1 harm
  • May 9, 2013—9 findings
  • Jun 18, 2012Standard18 findings · 1 harm
  • Aug 17, 2011—1 finding · 1 harm
  • Apr 13, 2011—14 findings
  • Feb 15, 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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