Nursing homes across Chariton County, Missouri, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Pioneer Skilled Nursing Center runs 96 certified beds in Marceline under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.57 hours per resident day, roughly 7% under the national average, and weekend coverage drops about 18% below what the home staffs on weekdays. Annual turnover of 62.7% is well above the national 45.8%, which matters for how well staff know residents and how consistently care gets delivered.
On the inspection side, the home carries 20 deficiencies, including one at the harm or jeopardy level and two tied to abuse. Its last inspection was March 20, 2025, so the record is recent. State surveyors rated health inspections 3 out of 5 and quality measures 4 out of 5, while staffing earned 2 out of 5, the weakest mark of the three.
Brunswick Health Care Center runs 60 beds under for-profit LLC ownership, and the numbers that stand out most are on the staffing side. Nurse coverage sits at 3.77 hours per resident day, a bit under the national average, and it dips roughly 7% further on weekends, but the bigger signal is a 75% annual turnover rate, well above the 45.8% national figure. That kind of churn means residents see a rotating cast of caregivers. The inspection record is heavy: 53 deficiencies, four at harm or jeopardy level and four abuse-related, with a $15,143 fine and a 1-out-of-5 health inspection rating. Quality measures score well, but consistent staffing and a clean inspection history are what keep people safe day to day.
Chariton Park runs on 1.83 nursing hours per resident day, less than half the national average of 3.86, and staffing drops further on weekends. That thin coverage helps explain the 65 deficiencies on its current record, including 8 at the harm or jeopardy level and 10 tied to abuse. The health inspection rating sits at 1 out of 5, and five fines total $126,302. Annual turnover of 53.3% beats the national 45.8%, meaning more than half the staff leaves each year. For-profit ownership through a limited liability company. The most recent inspection was March 2024. The quality measure score of 3 out of 5 stands out against everything else, worth asking what's behind it.