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105 SPRUCE STREET, FREDERICKTOWN, MO, 63645
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This Medicare-certified nursing home has 90 certified beds and reports 3.4 total nursing hours per resident per day, in line with the state median of 3.4. Nursing staff turnover of 89% per year is above the state median of 56%. CMS records show 20 health citations in the last 3 years and 4 substantiated complaints; most recent inspection February 2025. Inspections in this period included an immediate jeopardy citation — CMS's most serious finding — and the facility was assessed $81,964 in fines in the last 3 years.
Summary generated from this facility's CMS inspection, staffing, and enforcement records. Every statement is derived directly from federal data — nothing is estimated or invented.
These rates come from clinical assessments (the federal Minimum Data Set) that nursing homes are required to submit for every resident, covering long-stay residents over the most recent reporting period. Lower rates are better for every measure shown here. Use them to ask pointed questions on a tour — for example, how the facility prevents falls or limits antipsychotic use.
Residents who experienced a fall with major injury
Residents with pressure ulcers (bed sores)
Residents who received an antipsychotic medication
Residents who were physically restrained
Residents who lost too much weight
Residents with a urinary tract infection
Residents with a catheter inserted and left in their bladder
Residents with new or worsened bowel or bladder incontinence
Residents who have symptoms of depression
Residents whose need for help with daily activities increased
Residents whose ability to walk independently worsened
Source: CMS quality measures, as of June 2026. Rates reflect resident populations that differ between facilities, so compare them alongside staffing and inspection results rather than in isolation.
Staffing levels are one of the strongest predictors of nursing home quality. These figures are reported by the facility to CMS through payroll records, as hours of care available per resident per day.
Weekend nursing coverage drops about 13% versus a typical weekday at this facility.
Very Low staffing reliability (16/100)
CMS Payroll-Based Journal, CY2025 Q4
State inspectors survey every nursing home roughly once a year and after complaints. Citations and fines below come from federal inspection records for the last three years.
Health citations, last 3 years
20
Most recent inspection
February 28, 2025
Federal fines, last 3 years
$81,964
Medicare payment denial in the last 3 years
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe and appropriate respiratory care for a resident when needed.
Ensure medication error rates are not 5 percent or greater.
Have a plan that describes the process for conducting QAPI and QAA activities.
PASARR screening for Mental disorders or Intellectual Disabilities
Citations are common — what matters is severity and pattern. Learn how to read inspection reports →
Talk to a senior-living advisor about costs, availability, and alternatives near you — free for families.
Always confirm current inspection status with your state regulatory agency. SunsetWell compiles public CMS and state data but encourages families to tour facilities and speak directly with administrators.