All 3 Medicare-certified nursing homes in Boonville,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Woodmont Health Campus runs on county government ownership and about 3.11 nurse hours per resident day, roughly 20% under the national average of 3.86. That gap shows up most on weekends, when staffing drops another 12% below the home's own weekday level, and in a 49% annual turnover rate that edges past the national 45.8%. Twenty-eight deficiencies sit on the current record, though none at the harm level and none abuse-related, and the last inspection was September 2025. Quality measures score well at 4 of 5 stars, but inspections and staffing both land at 2, which is where the tension in this home's record lives.
Transcendent Healthcare of Boonville runs 3.19 nurse hours per resident day, roughly 17% under the national average, and weekend staffing holds about even with weekdays rather than dropping. Staff turnover sits at 36.6%, better than the 45.8% national figure, which suggests some consistency in who's showing up. The trouble is the inspection record: 62 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus two fines totaling $52,854. Quality measures score well, but a 1-out-of-5 inspection rating with a recent March 2026 survey tells you the care process problems are current, not historical.
The numbers here are hard to get around. Forty-two deficiencies on the current record, five of them serious enough to put residents at actual harm, plus $253,955 in fines across four separate penalties, that's a lot of enforcement for a 56-bed building. Staffing sits well below where you'd want it, and the low inspection rating reflects problems that keep showing up rather than getting fixed, which is why CMS put this home in its Special Focus Facility program. That designation means closer federal monitoring and a deadline to improve or lose Medicare funding.
The one piece of good news is that none of the deficiencies are abuse-related. But recent inspections and persistent shortfalls in care and staffing are the real story. If you're considering this home, ask what's changed since February 2026 and get specifics.