Shady Oaks Healthcare Center
Thayer, Missouri · CCN 265246
14 surveys since 2010, 1 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
- 60
- Surveys
- 14
- Harm or worse
- 1
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
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 - Corporation
- Chain
- CIRCLE B ENTERPRISES
- County
- Oregon · rural
- Medicare-certified since
- 1984
CMS ratings
- Overall
- 5
- Health inspection
- 5
- Staffing
- 2
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=13, floor 20).
Last survey on record
Dec 5, 2025
339 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 | 3.18 | 3.32 |
| Registered-nurse hours per resident day | 0.42 | — |
| Annual nurse turnover | 54.0% | 57.7% |
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 | D1292.3% | E17.7% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F5842×
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- F7612×
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- F8802×
Provide and implement an infection prevention and control program.
- F6411×
Ensure each resident receives an accurate assessment.
- F6951×
Provide safe and appropriate respiratory care for a resident when needed.
In the surveyor’s words
From the most serious findings on record at Shady Oaks Healthcare Center, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF584Jan 24, 2023
Based on observation, interview, and record review, the facility failed to provide a safe, clean, and comfortable homelike environment. This deficient practice had the potential to affect all residents in the facility. The facility census was 54. Record review of the facility's Maintenance Service policy, revised December 2009, showed: - Maintenance service shall be provided to all areas of the building, grounds, and equipment; - The Maintenance Department shall be responsible for maintaining the buildings, grounds, and equipment in a safe and operable manner at all times; - Maintenance personnel will maintain the building in compliance with current federal, state, and local laws, regulations, and guidelines; - Maintenance personnel will maintain the building in good repair and free from… […]
- No harm, potential for more than minimal, isolatedF759Dec 5, 2025
Based on observation, interview, and record review, the facility failed to maintain an error rate of less than five percent (%) during medication administration. There were 32 opportunities with two errors made, for an error rate of 6.25%, which affected two residents (Residents #41 and #53) out of 11 sampled residents. The facility census was 65. The facility did not provide a policy regarding insulin administration.Review of the Humalog/insulin lispro (a fast-acting insulin) Pen's Manufacturer Guidelines for Priming Before Each Injection and Administration, revised 02/2023, showed:- Turn the dose selector to select two units;- Hold the pen with the needle pointing up;- Tap the cartridge gently with your finger a few times to make any air bubbles collect at the top of the cartridge;- Keep… […]
- No harm, potential for more than minimal, isolatedF761Dec 5, 2025
Based on observation, interview, and record review, the facility failed to ensure drugs and biologicals were labeled in accordance with currently accepted practices. This had the potential to affect all residents. The facility's census was 65.Review of the facility policy titled, Medication Labeling and Storage, revised February 2023, showed:- The nursing staff is responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner;- If the facility has discontinued, outdated, or deteriorated medications or biologicals, the dispensing pharmacy is contacted for instructions regarding returning or destroying these items;- Labeling of medications and biologicals dispensed by the pharmacy is consistent with applicable federal and state requirements and… […]
- No harm, potential for more than minimal, isolatedF880Dec 5, 2025
Based on observation, interview, and record review, the facility failed to provide enhanced barrier precautions (EBP) when staff failed to implement EBP for one resident (Resident #56) and failed to wear a gown during wound care for one resident (Resident #71) with a chronic wound out of five sampled residents. The facility census was 65.Review of the facility policy titled, Enhanced Barrier Precautions, dated 2024, showed:- All staff receive training on EBP upon hire and at least annually and are expected to comply with all designated precautions;- All staff receive training in high-risk activities and common organisms that require EBP;- The facility will have the discretion on how to communicate to staff which residents require the use of EBP, as long as staff are aware of which… […]
- No harm, potential for more than minimal, isolatedF584Aug 1, 2024
Based on observation, interview, and record review, the facility failed to provide a safe, clean and comfortable homelike environment. This deficient practice had the potential to affect all residents in the facility. The facility census was 64. Review of the facility's policy titled, Homelike Environment, revised February 2021, showed: - Residents are provided with a safe, clean, comfortable and homelike environment and encouraged to use their personal belongings to the extent possible; - Staff provides person-centered care that emphasizes the residents' comfort, independence and personal needs and preferences; - The facility staff and management maximizes, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting which includes a clean,… […]
Read 21 findings in full →The most serious and the most recent: 21 of 60 on record.
Every survey on record
FindingsAt actual harm or above
- Dec 5, 2025Standard3 findings
- Aug 1, 2024Standard6 findings
- Jan 24, 2023Standard4 findings
- Feb 21, 2020Standard7 findings
- Mar 22, 2019Standard1 finding
- May 30, 2018Complaint1 finding
- Nov 18, 2016Standard4 findings
- Dec 31, 2015Standard8 findings
Show the 6 earlier surveys
- Feb 27, 2015Standard4 findings
- Dec 19, 2013—5 findings
- Jan 25, 2013—2 findings
- Feb 16, 2012—10 findings
- May 6, 2011—3 findings
- Dec 23, 2010—2 findings · 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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