PlainNursing
CMS Nursing Home Compare · August 2026

St Elizabeth Care Center

649 South Walnut, Saint Elizabeth, MO 65075

St Elizabeth Care Center, a 63-bed for profit - corporation nursing facility in Saint Elizabeth, MO, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #303 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy 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: 5734932215

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2 / 5
Below average · CMS overall · nat'l 3.0
#303 of 479
In-state rank among rated MO homes
1.70
Well below average · nurse hrs/day · nat'l 3.86
34
Inspection findings · 1 serious

The verdict

St Elizabeth Care Center, a 63-bed for profit - corporation nursing facility in Saint Elizabeth, MO, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #303 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#303 of 479
In-state rank among rated MO homes
1.70
Nurse hrs/resident-day · national 3.86
34
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 487 MO nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

3/5

Staffing

1/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
265676
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
63
Residents
59
In Hospital
No
County
Miller
Last Inspection
Feb 27, 2026

Staffing Data

How the 1.70 total nursing hours per resident-day are staffed:

RN Hours
0.29 (nat'l avg: 0.69)
LPN Hours
0.06
CNA Hours
1.36
Total Nursing Hours
1.70 (nat'l avg: 3.86)
PT Hours
0.02
Nursing Turnover
51.2%
RN Turnover
50.0%

What the CMS Record Reveals About St Elizabeth Care Center

According to CMS Nursing Home Compare, St Elizabeth Care Center ranks #303 of 479 rated nursing homes in MO on overall stars (tie-broken by health+staffing+quality, then fewer fines). St Elizabeth Care Center operates 63 certified beds in Saint Elizabeth, MO with approximately 59 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 3★ · staffing 1★ · quality 2★).

The inspection file contains 34 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Staffing is reported at 1.70 total nursing hours per resident day (national average 3.86), with RN coverage at 0.29 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, St Elizabeth Care Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 51.2% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.

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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (34 most recent)

E - Pattern - Minimal harm Feb 27, 2026 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 5, 2026

E - Pattern - Minimal harm Feb 27, 2026 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 5, 2026

E - Pattern - Minimal harm Feb 27, 2026 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: Apr 5, 2026

E - Pattern - Minimal harm Feb 27, 2026 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 5, 2026

F - Widespread - Minimal harm Feb 27, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 5, 2026

F - Widespread - Minimal harm Feb 27, 2026 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: Apr 5, 2026

F - Widespread - Minimal harm Feb 27, 2026 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 5, 2026

E - Pattern - Minimal harm Feb 6, 2025 Tag: 0887

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Category: Infection Control Deficiencies

Corrected: Mar 14, 2025

E - Pattern - Minimal harm Feb 6, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 14, 2025

E - Pattern - Minimal harm Feb 6, 2025 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: Mar 14, 2025

E - Pattern - Minimal harm Feb 6, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 14, 2025

E - Pattern - Minimal harm Feb 6, 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: Mar 14, 2025

E - Pattern - Minimal harm Feb 6, 2025 Tag: 0576

Ensure residents have reasonable access to and privacy in their use of communication methods.

Category: Resident Rights Deficiencies

Corrected: Mar 14, 2025

D - Isolated - Minimal harm Nov 7, 2024 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: Dec 1, 2024

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 1, 2024

C - Widespread - No harm Oct 20, 2023 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Dec 1, 2023

D - Isolated - Minimal harm Oct 20, 2023 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Dec 2, 2023

E - Pattern - Minimal harm Oct 20, 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: Dec 1, 2023

E - Pattern - Minimal harm Oct 20, 2023 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Dec 1, 2023

E - Pattern - Minimal harm Oct 20, 2023 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Dec 1, 2023

E - Pattern - Minimal harm Oct 20, 2023 Tag: 0728

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 2, 2023

E - Pattern - Minimal harm Oct 20, 2023 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 1, 2023

E - Pattern - Minimal harm Oct 20, 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: Dec 1, 2023

E - Pattern - Minimal harm Oct 20, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 1, 2023

E - Pattern - Minimal harm Oct 20, 2023 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: Dec 1, 2023

E - Pattern - Minimal harm Oct 20, 2023 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: Dec 1, 2023

E - Pattern - Minimal harm Oct 20, 2023 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Dec 1, 2023

E - Pattern - Minimal harm Oct 20, 2023 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Dec 1, 2023

E - Pattern - Minimal harm Oct 20, 2023 Tag: 0569

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Category: Resident Rights Deficiencies

Corrected: Dec 1, 2023

E - Pattern - Minimal harm Oct 20, 2023 Tag: 0568

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Category: Resident Rights Deficiencies

Corrected: Dec 1, 2023

F - Widespread - Minimal harm Oct 20, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 2, 2023

D - Isolated - Minimal harm Aug 10, 2023 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 20, 2023

D - Isolated - Minimal harm Aug 10, 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: Sep 20, 2023

G - Isolated - Actual harm Aug 10, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 20, 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 29.6% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 18.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 1.8% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 54.4% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 47.2% 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 61.1% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 57.8% 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 15.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 37.8% 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.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for St Elizabeth Care Center, both outside MO so the neighborhoods are not the same-state geography list below.

What the CMS records show for St Elizabeth Care Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The MO registry aggregates state averages and the highest-rated homes in this cohort. View MO registry
  • Peer homes near 63 beds show how CMS stars vary at a similar scale in MO. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for St Elizabeth Care Center?
St Elizabeth Care Center has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (3★), staffing levels (1★), and quality measures (2★).
Where does St Elizabeth Care Center rank among nursing homes in MO?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), St Elizabeth Care Center ranks 303rd among 479 rated nursing homes in MO (#303 of 479). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at St Elizabeth Care Center?
St Elizabeth Care Center reports 1.70 total nursing hours per resident day (national average: 3.86). RN hours are 0.29 per resident day (national average: 0.69). Nursing staff turnover is 51.2%.
How many beds does St Elizabeth Care Center have?
St Elizabeth Care Center has 63 certified beds with approximately 59 residents. The facility is located at 649 South Walnut, Saint Elizabeth, MO 65075.
Does St Elizabeth Care Center have any deficiencies on record?
Yes, St Elizabeth Care Center has 34 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has St Elizabeth Care Center received any fines or penalties?
No, St Elizabeth Care Center has no fines or penalties on record.
Who owns St Elizabeth Care Center?
St Elizabeth Care Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was St Elizabeth Care Center last inspected?
The most recent health inspection for St Elizabeth Care Center was on Feb 27, 2026. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for St Elizabeth Care Center?
St Elizabeth 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. Verify the same CCN on Medicare.gov Care Compare and 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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