ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

RELIANT CARE MANAGEMENT

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

34

States

2

Beds

3,422

Avg score

53

Avg turnover

64%

Federal fines

$5,301,434

Flags across this group

13 of the group's homes carry a CMS abuse icon. 9 homes are in or a candidate for the Special Focus Facility programme.

All 34 homes

C

68/100

Stonecrest Healthcare

Viburnum, MO · Iron County

CMS 2/560 bedsFor-profitMedicaid
Nurse hours
2.57 /day
Staff turnover
50%
Serious cites
0

Stonecrest Healthcare runs 60 certified beds in Viburnum under corporate for-profit ownership, and the numbers that stand out most are the staffing ones. At 2.57 nurse hours per resident per day, it sits roughly a third below the national average of 3.86, and weekends drop about 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Half the staff turns over annually, above the 45.8% national figure, which matters because consistent caregivers know residents' routines. The record shows 21 deficiencies, none rising to harm or jeopardy, though one is abuse-related, and the last inspection was July 31, 2025. Inspection and quality measures each scored 3 of 5; staffing scored 1.

C

65.5/100

Odessa Health Care Center

Odessa, MO · Lafayette County

CMS 1/560 bedsFor-profitMedicaid
Nurse hours
1.40 /day
Staff turnover
n/a
Serious cites
0

Odessa Health Care Center runs on 1.40 nurse staffing hours per resident day, roughly 64% under the national average of 3.86, and weekends drop about 5% further below its own weekday level, so the thinnest coverage happens when families tend to visit. Its record shows 74 deficiencies, including three tied to abuse, with a health inspection rating of 1 out of 5 and staffing at 1 out of 5; quality measures score 3. The last inspection was February 2026, so the findings are recent. None of the 74 deficiencies rose to harm or jeopardy level, which matters. This is a for-profit limited liability company with 60 certified beds.

C

62/100

St Elizabeth Care Center

Saint Elizabeth, MO · Miller County

CMS 2/563 bedsFor-profitMedicaid
Nurse hours
1.70 /day
Staff turnover
51%
Serious cites
0

St Elizabeth Care Center runs on 1.70 nurse staffing hours per resident day, which is less than half the national average of 3.86, and weekends drop about 11% below its own weekday level, so the thinnest coverage happens when families tend to visit. Staff turnover sits at 51.2%, higher than the 45.8% national figure, and the home carries 42 deficiencies on its current record, including one at the harm or jeopardy level and three tied to abuse. A single fine of $37,733 is on file. The last inspection was February 2025, so the record is recent rather than stale. Corporate ownership and a 1-out-of-5 staffing rating round out a picture worth weighing carefully.

C

61/100

Greenville Health Care Center

Greenville, MO · Wayne County

CMS 3/560 bedsFor-profitMedicaid
Nurse hours
1.93 /day
Staff turnover
64%
Serious cites
0

Greenville Health Care Center runs 60 certified beds as a for-profit limited liability company, and its state inspection history is genuinely decent: four out of five stars for health inspections, with the most recent visit in March 2025 and no deficiencies at the harm or jeopardy level. The staffing picture is the opposite story. One star out of five, with annual turnover at 64.1 percent against a national average of 45.8 percent, roughly two-thirds of the direct-care workforce cycling out in a year. Eighteen deficiencies sit on the current record, one tied to abuse. Quality measures land at three stars. Good inspections can't paper over thin, constantly changing staff.

C

60/100

Nick's Health Care Center

Plattsburg, MO · Clinton County

CMS 1/570 bedsFor-profitMedicaid
Nurse hours
2.55 /day
Staff turnover
64%
Serious cites
0

Abuse icon on record

Nick's Health Care Center runs on 2.55 nurse hours per resident day, roughly a third below the national average of 3.86, and weekend coverage drops further below its own weekday level. That thin margin shows up in the numbers: 64.4% annual staff turnover against a national 45.8%, and a one-out-of-five CMS staffing rating. The inspection record carries 30 deficiencies, including two at the harm or jeopardy level and five tied to abuse, with $21,922 in fines across two penalties. The most recent inspection was in October 2025, so the picture is current, not stale. A 70-bed for-profit limited liability company in Plattsburg, it's worth asking direct questions about direct-care staffing on weekends before you decide.

C

59/100

Portageville Health Care Center

Portageville, MO · New Madrid County

CMS 3/560 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
62%
Serious cites
0

Portageville Health Care Center has kept its health inspection record clean enough to earn four stars there, and its most recent survey was in May 2025. But the staffing picture is where things get shaky, CMS gives it one star, and annual turnover runs at 61.5%, well above the 45.8% national average. That churn matters more than any single inspection when you're thinking about who's actually at the bedside day to day. The facility also carries 25 deficiencies, one of them abuse-related, and a single fine of $240,603 on record. Nothing in the file points to immediate jeopardy, but the combination of thin staffing and high turnover is the real story here.

C

58/100

Brunswick Health Care Center

Brunswick, MO · Chariton County

CMS 1/560 bedsFor-profitMedicaid
Nurse hours
3.77 /day
Staff turnover
75%
Serious cites
0

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.

C

57.5/100

Bernard Care Center

Saint Louis, MO · St. Louis City County

CMS 1/5141 bedsFor-profitMedicaid
Nurse hours
1.99 /day
Staff turnover
45%
Serious cites
0

Bernard Care Center runs on 1.99 nurse hours per resident day, roughly half the national average of 3.86, and weekends dip about 8% below its own weekday staffing. That thin coverage shows up in its CMS staffing rating of 1 out of 5, and the health inspection and quality measure ratings sit at 2 out of 5 each. State inspectors have cited 68 deficiencies, none rising to harm or jeopardy and none abuse-related, with one fine of $37,388 on record. Turnover is 45.3%, basically in line with the national figure. The last inspection was December 2025. Ownership is a for-profit limited liability company.

C

57.5/100

Fair View Health Care Center

Sedalia, MO · Pettis County

CMS 1/575 bedsFor-profitMedicaid
Nurse hours
3.64 /day
Staff turnover
n/a
Serious cites
0

Fair View Health Care Center runs about 3.64 nurse hours per resident day, roughly 6% under the national average, and weekends dip another 11% below its own weekday staffing. That thin coverage lines up with the federal staffing and quality ratings both sitting at 1 out of 5, while the inspection rating reached 3, the surveyors found problems, but nothing at the harm or jeopardy level. Thirty-five deficiencies sit on the current record, including one abuse-related finding, from an inspection dated August 2024. The corporate for-profit owner keeps 75 beds certified here, and families weighing this Sedalia home should ask directly how the weekend shift is covered.

C

57/100

Milan Health Care Center

Milan, MO · Sullivan County

CMS 1/5100 bedsFor-profitMedicaid
Nurse hours
2.01 /day
Staff turnover
59%
Serious cites
0

Abuse icon on record

Milan Health Care Center runs on 2.01 nurse staffing hours per resident day, roughly half the national figure of 3.86, and weekends drop about 11% below its own weekday level. That thin coverage shows up in the numbers: a one-star CMS staffing rating, a one-star inspection rating, and 45 deficiencies on the current record, including two at the harm or jeopardy level and eight tied to abuse. Staff turnover sits at 58.8% against a national 45.8%, so the people providing that care keep changing. Inspectors were last in on March 5, 2025, and one fine of $49,897 stands against the home. Corporate-owned, 100 beds, quality measures rated mid-pack, the staffing and inspection picture is where the concern lives.

C

57/100

Westview Nursing Home

Center, MO · Ralls County

CMS 1/560 bedsFor-profitMedicaid
Nurse hours
2.32 /day
Staff turnover
63%
Serious cites
0

Westview Nursing Home runs on 2.32 nurse hours per resident day, roughly 40% under the national average of 3.86, and weekend coverage drops about 10% below its own weekday level. Staff turnover sits at 62.5% against a national 45.8%, so the aides and nurses who know your mother's routine may not be there in six months. Its inspection record is the harder problem: 49 deficiencies, six at harm or jeopardy level, two tied to abuse, and a $42,680 fine, with the last inspection in May 2025. The quality measure score looks decent, but that reflects charted care, not the staffing that delivers it.

C

57/100

Eastview Manor Care Center

Trenton, MO · Grundy County

CMS 1/590 bedsFor-profitMedicaid
Nurse hours
2.12 /day
Staff turnover
48%
Serious cites
0

Abuse icon on record

Eastview Manor runs on 2.12 nurse staffing hours per resident day, roughly 45% under the national average of 3.86, and weekend coverage drops another 13% below its own weekday level. That thin margin shows up in the inspection record: 106 deficiencies, eight serious enough to put residents in harm's or jeopardy's way, and 11 tied to abuse. The health inspection rating sits at 1 out of 5 stars, and two fines total $163,472 against a for-profit limited liability company. Turnover runs 48.1%, a bit above the national 45.8%. The quality measure score is 4 stars, but that's built from reporting, not from enough hands on the floor.

D

54.5/100

South County Health Care Center

Arnold, MO · Jefferson County

CMS 1/5153 bedsFor-profitMedicaid
Nurse hours
1.40 /day
Staff turnover
n/a
Serious cites
0

Abuse icon on record

South County Health Care Center runs 1.40 nurse hours per resident per day, which is roughly 64 percent below the national average of 3.86, a gap that shows up most on weekends, when staffing drops about 14 percent below its own weekday level. The current record lists 28 deficiencies, including one abuse-related citation, though none rose to the level of actual harm or jeopardy. A recent inspection in August 2025 means the picture is current, not stale. With 153 certified beds under for-profit limited liability ownership, the staffing number is the one worth pressing on: ask how many nurses are actually on the floor on a Saturday.

D

54/100

Cassville Health Care Center

Cassville, MO · Barry County

60 bedsFor-profitMedicaid
Nurse hours
2.79 /day
Staff turnover
n/a
Serious cites
0

Special Focus Facility

Cassville Health Care Center is a 60-bed for-profit home in Barry County, and the federal numbers there are hard to read past. Nurse staffing sits at 2.79 hours per resident day, roughly 28% under the national average of 3.86, and weekends drop about 4% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The inspection record shows 82 deficiencies, including 4 at harm or jeopardy level and 8 tied to abuse, with one fine of $123,925. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Its last inspection was October 1, 2024. All three CMS star ratings sit at one out of five.

D

54/100

Chariton Park Health Care Center

Salisbury, MO · Chariton County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
1.83 /day
Staff turnover
53%
Serious cites
0

Abuse icon on record

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.

D

52/100

Wellsville Health Care Center

Wellsville, MO · Montgomery County

CMS 1/5112 bedsFor-profitMedicaid
Nurse hours
2.12 /day
Staff turnover
62%
Serious cites
0

Wellsville Health Care Center runs about 2.12 nurse hours per resident day, roughly 45% under the national average of 3.86, and weekends drop another 13% below its own weekday staffing. That thin coverage shows up in the numbers: a 1-out-of-5 staffing rating, 62.2% annual turnover against a national 45.8%, and 47 deficiencies on the current record, including six tied to abuse and one at the harm or jeopardy level. Inspectors last visited in May 2025 and the state has fined the for-profit LLC operator $20,642. Families weighing this home should ask directly how many nurses are on the floor on a Saturday night.

D

52/100

Parkway Health Care Center

Kansas City, MO · Jackson County

CMS 1/597 bedsFor-profitMedicaid
Nurse hours
2.25 /day
Staff turnover
67%
Serious cites
0

Parkway Health Care Center runs on 2.25 nurse hours per resident per day, roughly 42% under the national average, and weekends drop about 10% below its own weekday level. That thin coverage sits behind a one-star staffing rating. The inspection record is heavier: 98 deficiencies, including 2 at harm or jeopardy level and 8 tied to abuse, drawing $30,821 in fines. Staff turnover hits 67.4% against a national 45.8%, so the people providing care keep changing. The most recent inspection was October 23, 2024. Corporate-owned, 97 beds.

D

52/100

Bridgewood Health Care Center

Kansas City, MO · Jackson County

CMS 1/5166 bedsFor-profitMedicaid
Nurse hours
2.45 /day
Staff turnover
58%
Serious cites
0

Abuse icon on record

Bridgewood runs on 2.45 nursing hours per resident per day, roughly a third below the national average, and weekend coverage drops another 9% below its own weekday level, so the thinnest shifts are the ones families visit. Staff turnover sits at 58.3% against a national 45.8%, meaning the people providing that care are frequently new. The inspection record is what stands out most: 125 deficiencies, 26 of them at harm or jeopardy level, 36 tied to abuse, and $973,967 in fines across 13 penalties. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. The most recent inspection was April 28, 2025.

D

51.5/100

Hidden Lake Health Care Center

Saint Louis, MO · St. Louis County

CMS 1/567 bedsFor-profitMedicaid
Nurse hours
2.52 /day
Staff turnover
n/a
Serious cites
0

Special Focus Facility

Hidden Lake runs on 2.52 nurse hours per resident day, roughly a third less than the national average of 3.86, and weekends drop another 4% below its own weekday level. The inspection record shows 83 deficiencies, seven of them serious enough to indicate harm or jeopardy, three tied to abuse, plus $123,610 in federal fines. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care, and ownership changed within the past year. The last inspection was August 2024.

D

51/100

Nathan Richard Health Care Center

Nevada, MO · Vernon County

CMS 1/568 bedsFor-profitMedicaid
Nurse hours
1.72 /day
Staff turnover
69%
Serious cites
0

Nathan Richard Health Care Center runs on 1.72 nurse hours per resident per day, less than half the national average of 3.86, and weekend staffing dips slightly further. That thin coverage shows in the numbers: a 68.6% annual turnover rate, well above the 45.8% national figure, and a 1-out-of-5 CMS staffing rating. Its inspection record carries 38 deficiencies, including three at the harm or jeopardy level and two tied to abuse, plus a $69,107 fine. State inspectors last visited in February 2025. For-profit corporate ownership, 68 certified beds, and a two-star inspection and quality history round out the picture.

D

51/100

Grand Manor Health Care Center

Saint Louis, MO · St. Louis City County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
2.00 /day
Staff turnover
n/a
Serious cites
0

Grand Manor runs on about 2.00 nurse staffing hours per resident day, roughly half the national average of 3.86, and weekends drop another 20% below its own weekday level. That thin coverage shows up in the record: 46 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, plus a $99,988 fine. Inspectors were last on site September 13, 2024, and the federal ratings sit at 2 for health inspections, 2 for quality measures, and 1 for staffing. The for-profit limited liability company that owns it has kept the building certified, but the numbers describe a home where residents get substantially less nursing time than most places in the country.

D

50.5/100

Holton Health Care Center

Holton, KS · Jackson County

CMS 1/545 bedsFor-profitMedicaid
Nurse hours
2.82 /day
Staff turnover
n/a
Serious cites
0

Special Focus Facility

Holton Health Care Center runs on 2.82 nursing hours per resident per day, well under the national figure of 3.86, and weekend coverage dips about 9% below what the home staffs on weekdays. Its inspection record shows 60 deficiencies, seven of them serious enough to involve harm or jeopardy, three tied to abuse, and four fines totaling $201,614, with a CMS inspection in August 2025 and a spot in the federal Special Focus Facility program, which flags homes with a persistent pattern of poor care. For-profit ownership under a limited liability company means the people who set the budget aren't the ones on the floor at 2 a.m.

D

50.5/100

Carrie Elligson Gietner Health Care Center

Saint Louis, MO · St. Louis City County

CMS 1/5130 bedsFor-profitMedicaid
Nurse hours
2.48 /day
Staff turnover
n/a
Serious cites
0

Carrie Elligson Gietner Health Care Center runs 130 certified beds in Saint Louis, and the numbers behind its record aren't reassuring. Nurse staffing sits at 2.48 hours per resident day, roughly 36% under the national average of 3.86, and weekends run about 13% thinner than weekdays, so coverage is lightest exactly when families tend to visit. The inspection history carries 55 deficiencies, seven of them at the harm or jeopardy level and five tied to abuse, along with two CMS fines totaling $92,561. The most recent inspection was in June 2024. Corporate for-profit ownership and a one-star inspection and staffing rating round out a picture worth weighing carefully against other options.

D

50/100

Edgewood Manor Health Care Center

Raytown, MO · Jackson County

CMS 1/591 bedsFor-profitMedicaid
Nurse hours
2.61 /day
Staff turnover
70%
Serious cites
0

Abuse icon on record

Edgewood Manor is a for-profit LLC home in Raytown with 91 certified beds, and the numbers that matter most here are the staffing ones. At 2.61 nurse hours per resident per day, it runs roughly a third below the national average of 3.86, weekends dip even further, and 70% of staff turned over in a year, well above the 45.8% norm. Its inspection record carries 72 deficiencies, including 6 at harm or jeopardy level and 10 tied to abuse, plus two fines totaling $84,557. The last inspection was October 2024. Quality measures score mid-range, but thin, churning staffing and that deficiency history are what families should weigh.

D

48.5/100

Heritage Care Center

Saint Louis, MO · St. Louis County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
1.85 /day
Staff turnover
75%
Serious cites
0

Abuse icon on record

Heritage Care Center runs on 1.85 nurse staffing hours per resident day, roughly half the national average, and weekends drop another 23% below its own weekday level. That thin coverage shows up in the record: 95 deficiencies, 15 of them involving harm or jeopardy to residents, 17 tied to abuse, and six fines totaling $424,748. Staff turnover sits at 75%, well above the 45.8% national figure, so the people caring for residents keep changing. CMS has placed this for-profit LLC home in its Special Focus Facility program, and its last inspection was September 9, 2025. The four-out-of-five quality measure rating rests on a staffing and inspection picture that is among the weakest CMS tracks.

D

48.5/100

Hillside Health Care Center

Saint Louis, MO · St. Louis City County

208 bedsFor-profitMedicaid
Nurse hours
2.46 /day
Staff turnover
60%
Serious cites
0

Abuse icon on record

Hillside Health Care Center runs on 2.46 nurse staffing hours per resident day, roughly a third less than the national average, and weekends drop about 15% below what it manages on weekdays. Annual turnover of 60.3% means most of the staff you'd meet are relatively new. The record shows 122 deficiencies, 17 of them at the harm or jeopardy level and 10 tied to abuse, plus $106,588 in federal fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The last inspection was July 2024. If you're considering this one, ask what specifically has changed since then.

D

48/100

Brookfield Health Care Center

Brookfield, MO · Linn County

CMS 1/560 bedsFor-profitMedicaid
Nurse hours
2.74 /day
Staff turnover
78%
Serious cites
0

Brookfield Health Care Center runs on 2.74 nurse hours per resident per day, roughly 29% below the national average, and weekend coverage slips about 5% below its own weekday level. Annual staff turnover sits at 78.4%, well above the national 45.8%, so the people caring for residents here change constantly. The current record shows 43 deficiencies, including four at the harm or jeopardy level and two tied to abuse. Its last inspection was June 12, 2025. Under a for-profit limited liability company, this 60-bed home carries CMS ratings of one star for health inspections, two for quality measures, and one for staffing.

D

47/100

Four Seasons Living Center

Sedalia, MO · Pettis County

CMS 1/5239 bedsFor-profitMedicaid
Nurse hours
1.57 /day
Staff turnover
71%
Serious cites
0

Four Seasons Living Center runs 239 certified beds in Sedalia under corporate for-profit ownership, and the staffing numbers tell the clearest story: 1.57 total nurse hours per resident day against a national average of 3.86. That's about 59% below what residents elsewhere typically receive, and weekends run roughly 9% thinner than the home's own weekdays. Staff turnover sits at 71.1%, well above the 45.8% national figure, meaning the people providing care are constantly changing. The inspection record shows 60 deficiencies, including 3 at harm or jeopardy level and 4 abuse-related, with two fines totaling $25,605 and the most recent inspection dated December 8, 2025.

D

47/100

Sarcoxie Health Care Center

Sarcoxie, MO · Jasper County

CMS 1/540 bedsFor-profitMedicaid
Nurse hours
1.49 /day
Staff turnover
84%
Serious cites
0

Sarcoxie Health Care Center runs on nurse staffing that lands at 1.49 hours per resident day, a little over a third of the national figure, and weekends drop roughly another quarter below its own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover sits at 84%. The current inspection record carries 24 deficiencies, including two at the harm or jeopardy level and five tied to abuse, and the most recent survey was in March 2025. With 40 beds and corporate for-profit ownership, the numbers point to a home where day-to-day care depends on a small, constantly changing staff.

D

46/100

Legendary Health Care Center

Marshall, MO · Saline County

CMS 1/592 bedsFor-profitMedicaid
Nurse hours
2.75 /day
Staff turnover
n/a
Serious cites
0

Legendary Health Care Center runs on 2.75 nurse hours per resident day, roughly 29% under the national average of 3.86, and weekend coverage drops about 16% below its own weekday level. Its current record carries 42 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus $93,208 in CMS fines across two penalties. All three CMS star ratings, health inspection, quality measures, and staffing, sit at 1 out of 5. The last inspection was May 20, 2025, so the record is recent. If you're considering this home, ask specifically how they cover weekends and what's changed since that May inspection.