ElderGrade
D

52/100

Below average

Nick's Health Care Center

253 East Highway 116, Plattsburg, MO 64477

CMS 1/5 stars #4 of 4 in Clinton County (816) 539-2376
Certified beds
70
Occupancy
95%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $21,922 in federal fines

    CMS has fined this facility across 2 penalty action(s).

  • Nursing staff turnover of 64%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

22/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -8 for 2 actual-harm citation(s) in the last 3 years

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 2.29 total nurse hours per resident per day (national median 3.77)
  • 0.29 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 64% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $21,922 in federal fines across 2 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.55 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.29 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.34 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 64.40%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 30 citations

Last standard health inspection: October 3, 2025 (10 months ago).

G Nov 17, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm to a resident

F Oct 3, 2025 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

F Oct 3, 2025 F0925

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

No actual harm, potential for more than minimal harm

E Oct 3, 2025 F0582

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

No actual harm, potential for more than minimal harm

E Oct 3, 2025 F0584

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Oct 3, 2025 F0561

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

No actual harm, potential for more than minimal harm

G Feb 14, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm to a resident

D Jan 24, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of RELIANT CARE MANAGEMENT, which operates 33 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BERRY, RODERIC Individual W-2 MANAGING EMPLOYEE
HARRUP, JONATHAN Individual W-2 MANAGING EMPLOYEE
KIMARI, CHIQUITA Individual W-2 MANAGING EMPLOYEE
KOENIG, CHRISTIAN Individual W-2 MANAGING EMPLOYEE
LEWIS, DOROTHY Individual W-2 MANAGING EMPLOYEE
MILLER, REBECCA Individual W-2 MANAGING EMPLOYEE
SOONDRUM, JESSE Individual W-2 MANAGING EMPLOYEE
WILSON, JAMES Individual W-2 MANAGING EMPLOYEE
DESTEFANE, RICHARD Individual CORPORATE OFFICER
RELIANT CARE MANAGEMENT COMPANY LLC Organization OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Nick's Health Care Center

What is the ElderGrade for Nick's Health Care Center? +

Nick's Health Care Center holds an ElderGrade of D (52 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Nick's Health Care Center? +

Residents receive an average of 2.55 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Nick's Health Care Center been cited for harming residents? +

Yes. 2 of the 30 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Nick's Health Care Center accept Medicaid? +

Yes, Nick's Health Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.