PlainNursing
CMS Nursing Home Compare · March 2026

Ratliff Care Center

717 North Sprigg, Cape Girardeau, MO 63701 · All homes in Cape Girardeau

Ratliff Care Center, a 46-bed for profit - individual nursing facility in Cape Girardeau, MO, holds a 3-star CMS overall rating - right around the 3.0-star national average, with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 5733355810

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3 / 5
Average · CMS overall · nat'l 3.0
3.29
Well below average · nurse hrs/day · nat'l 3.89
22
Inspection findings
$0
Federal penalties (0)

Health Inspection

4/5

Staffing

1/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
265747
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
Beds
46
Residents
41
In Hospital
No
County
Cape Girardeau
Last Inspection
May 30, 2025

Staffing Data

How the 3.29 total nursing hours per resident-day are staffed:

RN Hours
0.39 (nat'l avg: 0.68)
LPN Hours
0.67
CNA Hours
2.23
Total Nursing Hours
3.29 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
72.2%

What the CMS Record Reveals About Ratliff Care Center

Ratliff Care Center operates 46 certified beds in Cape Girardeau, MO with approximately 41 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (1★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 22 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues, if any, did not rise to the enforcement threshold. Staffing is reported at 3.29 total nursing hours per resident day (national average 3.89), with RN coverage at 0.39 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Individual" ownership and operating as a "Medicare and Medicaid" provider, Ratliff Care Center falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 72.2%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (22 most recent)

D - Isolated - Minimal harm May 30, 2025 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 11, 2025

D - Isolated - Minimal harm May 30, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 11, 2025

D - Isolated - Minimal harm May 30, 2025 Tag: 0729

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 11, 2025

D - Isolated - Minimal harm May 30, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 11, 2025

D - Isolated - Minimal harm May 30, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 11, 2025

D - Isolated - Minimal harm May 30, 2025 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 11, 2025

D - Isolated - Minimal harm May 30, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 11, 2025

E - Pattern - Minimal harm May 30, 2025 Tag: 0570

Assure the security of all personal funds of residents deposited with the facility.

Category: Resident Rights Deficiencies

Corrected: Jul 11, 2025

D - Isolated - Minimal harm May 16, 2024 Tag: 0909

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Category: Environmental Deficiencies

Corrected: Jun 28, 2024

F - Widespread - Minimal harm May 16, 2024 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Jun 28, 2024

D - Isolated - Minimal harm May 16, 2024 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 28, 2024

D - Isolated - Minimal harm May 16, 2024 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Jun 28, 2024

D - Isolated - Minimal harm May 16, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Jun 28, 2024

D - Isolated - Minimal harm May 24, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 7, 2023

D - Isolated - Minimal harm May 24, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 7, 2023

D - Isolated - Minimal harm Mar 23, 2023 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: May 5, 2023

F - Widespread - Minimal harm Mar 23, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: May 5, 2023

D - Isolated - Minimal harm Mar 23, 2023 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: May 5, 2023

D - Isolated - Minimal harm Mar 23, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 5, 2023

D - Isolated - Minimal harm Mar 23, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 5, 2023

D - Isolated - Minimal harm Mar 23, 2023 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 5, 2023

C - Widespread - No harm Mar 23, 2023 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: May 5, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 20.0% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.4% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 6.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 21.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 7.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 20.6% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.0% No
Percentage of long-stay residents who have depressive symptoms Long Stay 1.5% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 87.7% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 26.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 20.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 54.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Ratliff Care Center?
Ratliff Care Center has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (4★), staffing levels (1★), and quality measures (3★).
What are the staffing levels at Ratliff Care Center?
Ratliff Care Center reports 3.29 total nursing hours per resident day (national average: 3.89). RN hours are 0.39 per resident day (national average: 0.68). Nursing staff turnover is 72.2%.
How many beds does Ratliff Care Center have?
Ratliff Care Center has 46 certified beds with approximately 41 residents. The facility is located at 717 North Sprigg, Cape Girardeau, MO 63701.
Does Ratliff Care Center have any deficiencies on record?
Yes, Ratliff Care Center has 22 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Ratliff Care Center received any fines or penalties?
No, Ratliff Care Center has no fines or penalties on record.
Who owns Ratliff Care Center?
Ratliff Care Center is classified as "For profit - Individual" ownership. The facility type is "Medicare and Medicaid".
When was Ratliff Care Center last inspected?
The most recent health inspection for Ratliff Care Center was on May 30, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Ratliff Care Center?
Ratliff Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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