52.9/100
Below average
22371 State Highway 46, Maryville, MO 64468
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.
Nursing staff turnover of 73%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: August 7, 2025 (1 year ago).
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
No actual harm, potential for more than minimal harm
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
No actual harm, potential for more than minimal harm
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
Resident Rights Deficiencies
The resident has the right to receive notices in a format and a language he or she understands.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
No actual harm, potential for more than minimal harm
| Owner | Type | Role | Since |
|---|---|---|---|
| WYMORE, ADRIANE | Individual | W-2 MANAGING EMPLOYEE | — |
| BERGER, ELIOT | Individual | CORPORATE DIRECTOR | — |
| PERLOW, BERNARD | Individual | CORPORATE DIRECTOR | — |
| KLEINER, DAVID | Individual | GENERAL PARTNERSHIP INTEREST | — |
| BLUE SKY BASIN LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
| DKDP MISSOURI LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
| DKYH MISSOURI LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
| SLOANS LAKE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
| GATEWAY MO2 LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
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Nodaway Healthcare holds an ElderGrade of D (52.9 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.
Residents receive an average of 3.09 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
No. None of the 41 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Yes, Nodaway Healthcare 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.