Deficiency Index

Truman Healthcare & Rehabilitation Center

Lamar, Missouri · CCN 265253

27 surveys since 2011, 4 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
109
Surveys
27
Harm or worse
4
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 file19/27

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

The facility

Certified beds
109
Ownership
For profit - Corporation
Chain
CIRCLE B ENTERPRISES
County
Barton · rural
Medicare-certified since
1984

CMS ratings

Overall
1
Health inspection
1
Staffing
4
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more 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

May 6, 2026

187 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 day3.713.32
Registered-nurse hours per resident day0.58—
Annual nurse turnover47.1%57.7%

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

Enforcement

Abuse icon
Flagged by CMS on Care Compare

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 minimalD3472.3%E919.1%F48.5%
No harm, potential for minimalA—B—C—
CMS’s current file: 47 of the 109 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6093×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6843×

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

  • F8123×

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

  • F6022×

    Protect each resident from the wrongful use of the resident's belongings or money.

  • F6102×

    Respond appropriately to all alleged violations.

In the surveyor’s words

From the most serious findings on record at Truman Healthcare & Rehabilitation Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF684Apr 8, 2022

    Based on interview and record review, the facility failed to timely assess, monitor, document, and notify the physician and responsible party of the continued declining medical condition of one resident (Resident #1), when the resident's condition continued to decline after receiving ordered intravenous (IV - administer to a vein) fluids and the resident remained lethargic, demonstrated poor oral intake, and was unable to take ordered oral medications. Additionally, the facility staff failed to follow the physician's order for IV fluids per the physician's order and failed to document the resident's intake and output per facility policy. The resident was sent to the hospital and intubated. […]

  • No harm, potential for more than minimal, widespreadF801Apr 15, 2025

    Based on interview and record review, the facility staff failed to employ a qualified dietary manager for food and nutrition services with accredited education in food service management. The facility census was 104. Review of the facility's job description titled Director of Food Services, dated 2003, showed the following: -The primary purpose of the job position was to assist the dietician in planning organizing, developing and directing the overall operation of the Food Services Department in accordance with current federal, state and local standards, guidelines and regulations governing our facility, and as may be directed by the Administrator, to assure that quality nutritional services are provided on a daily basis and that the Food Services Department is maintained in a clean, safe,… […]

  • No harm, potential for more than minimal, widespreadF812Apr 15, 2025

    Based on observation, interview, and record review, the facility failed to ensure food was stored, prepared, distributed and served in a manner to protect against contamination and in accordance with standards of practice when staff failed to know the required temperature and sanitation levels and failed to regularly test the temperature and sanitation level and ensure the appropriate water temperature was reached on the dishwashing machine; staff failed maintain the stove, griddle, coffee pot, and the hand washing sink clean and free from debris; and when staff consumed food in the kitchen and dishwashing areas. The facility census was 104. 1. […]

  • No harm, potential for more than minimal, widespreadF801Jul 14, 2023

    Based on interview and record review, the facility failed to employ a qualified Director of Food and Nutrition services. Failure to employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, created the potential for the 93 residents to receive insufficient nutrition services. Review of the job description for the Dietary Manager position was not provided by the facility. 1. Interview during the initial tour of the facility kitchen on 07/11/23, at 10:17 AM, showed the dietary staff stated that they had been without a Dietary Manager for the past three months. […]

  • No harm, potential for more than minimal, widespreadF925Feb 24, 2021

    Based on observation, interview, and record review, the facility failed to maintain an effective pest control program to to ensure the facility remained free of roaches and rodents, including three residents' (Resident #1, #2, and #3) living areas. The census was 94. Record review of a facility's policy entitled Pest Control, revised May 2008, showed the following information: -The facility shall maintain an effective pest control program to ensure that the building is kept free of insects and rodents; -Pest control services are provided by a professional company; -Maintenance services assist, when appropriate and necessary, in providing pest control services. 1. […]

Read 24 findings in full →The most serious and the most recent: 24 of 109 on record.

Every survey on record

FindingsAt actual harm or above

  • May 6, 2026Complaint1 finding
  • Apr 17, 2026Complaint4 findings
  • Dec 19, 2025Complaint1 finding
  • Jun 5, 2025Complaint4 findings
  • Apr 15, 2025Standard and complaint22 findings
  • Aug 9, 2023Complaint1 finding
  • Jul 14, 2023Standard9 findings
  • Apr 18, 2023Complaint1 finding
Show the 19 earlier surveys
  • Apr 8, 2022Complaint3 findings · 1 harm
  • Mar 15, 2022Complaint1 finding
  • Nov 15, 2021Complaint2 findings
  • Jul 27, 2021Complaint1 finding
  • Feb 24, 2021Complaint1 finding
  • Dec 23, 2020Infection control1 finding
  • Jun 17, 2020Infection control1 finding
  • Nov 22, 2019Standard5 findings
  • Apr 23, 2019Complaint2 findings
  • Nov 29, 2018Standard3 findings
  • Dec 20, 2017Complaint1 finding
  • Oct 27, 2017Standard9 findings
  • Aug 4, 2016Complaint1 finding
  • Oct 26, 2015Standard5 findings
  • Jul 11, 2014Standard1 finding
  • Sep 27, 2013—3 findings
  • Oct 19, 2012—9 findings
  • Jun 12, 2012—1 finding
  • Nov 1, 2011—16 findings · 3 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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