PlainNursing
CMS Nursing Home Compare · August 2026

Steelville Senior Living

311 N Spring Street, Steelville, MO 65565

Steelville Senior Living, a 72-bed for profit - limited liability company nursing facility in Steelville, MO, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #449 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: 5732608850

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1 / 5
Much below average · CMS overall · nat'l 3.0
#449 of 479
In-state rank among rated MO homes
3.31
Below average · nurse hrs/day · nat'l 3.86
22
Inspection findings · 1 serious

The verdict

Steelville Senior Living, a 72-bed for profit - limited liability company nursing facility in Steelville, MO, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #449 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.

1 / 5
CMS overall · national 3.0
#449 of 479
In-state rank among rated MO homes
3.31
Nurse hrs/resident-day · national 3.86
22
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 - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

1/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
265866
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
72
Residents
49
In Hospital
No
County
Crawford
Last Inspection
Apr 23, 2026

Staffing Data

How the 3.31 total nursing hours per resident-day are staffed:

RN Hours
0.22 (nat'l avg: 0.69)
LPN Hours
0.54
CNA Hours
2.55
Total Nursing Hours
3.31 (nat'l avg: 3.86)
PT Hours
0.00
Nursing Turnover
68.4%

What the CMS Record Reveals About Steelville Senior Living

According to CMS Nursing Home Compare, Steelville Senior Living ranks #449 of 479 rated nursing homes in MO on overall stars (tie-broken by health+staffing+quality, then fewer fines). Steelville Senior Living operates 72 certified beds in Steelville, MO with approximately 49 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 2★ · staffing 1★ · quality 1★).

The inspection file contains 22 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $88K against this provider. Reported nurse staffing runs 3.31 total hours per resident day (national average 3.86); RN hours specifically are 0.22 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Steelville Senior Living falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 68.4% (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 (22 most recent)

C - Widespread - No harm Apr 23, 2026 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: May 27, 2026

D - Isolated - Minimal harm Apr 23, 2026 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 27, 2026

D - Isolated - Minimal harm Apr 23, 2026 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: May 27, 2026

D - Isolated - Minimal harm Apr 23, 2026 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: May 27, 2026

E - Pattern - Minimal harm Apr 23, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 27, 2026

E - Pattern - Minimal harm Apr 23, 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: May 27, 2026

E - Pattern - Minimal harm Apr 23, 2026 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: May 27, 2026

E - Pattern - Minimal harm Apr 23, 2026 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 27, 2026

F - Widespread - Minimal harm Apr 23, 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: May 27, 2026

F - Widespread - Minimal harm Apr 23, 2026 Tag: 0804

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

Category: Nutrition and Dietary Deficiencies

Corrected: May 27, 2026

F - Widespread - Minimal harm Apr 23, 2026 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: May 27, 2026

E - Pattern - Minimal harm May 19, 2025 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: Jun 9, 2025

C - Widespread - No harm Aug 16, 2024 Tag: 0567

Honor the resident's right to manage his or her financial affairs.

Category: Resident Rights Deficiencies

Corrected: Sep 12, 2024

D - Isolated - Minimal harm Aug 16, 2024 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: Sep 12, 2024

E - Pattern - Minimal harm Aug 16, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 12, 2024

F - Widespread - Minimal harm Aug 16, 2024 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: Sep 12, 2024

F - Widespread - Minimal harm Aug 16, 2024 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: Sep 12, 2024

F - Widespread - Minimal harm Aug 16, 2024 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 12, 2024

L - Widespread - Jeopardy Mar 14, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 19, 2024

E - Pattern - Minimal harm May 5, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 1, 2023

E - Pattern - Minimal harm May 5, 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: Jun 9, 2023

F - Widespread - Minimal harm May 5, 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: Jun 1, 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 32.8% 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 3.2% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 35.5% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 4.4% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 33.3% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 4.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.9% No
Percentage of long-stay residents who have depressive symptoms Long Stay 1.9% 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 93.4% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 33.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.7% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 20.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 60.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 36.0% No

Penalty History 1 penalties totaling $88K

Date Type Amount
Mar 14, 2024 Fine $88K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Steelville Senior Living, both outside MO so the neighborhoods are not the same-state geography list below.

What the CMS records show for Steelville Senior Living

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 72 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 Steelville Senior Living?
Steelville Senior Living has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (2★), staffing levels (1★), and quality measures (1★).
Where does Steelville Senior Living rank among nursing homes in MO?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Steelville Senior Living ranks 449th among 479 rated nursing homes in MO (#449 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 Steelville Senior Living?
Steelville Senior Living reports 3.31 total nursing hours per resident day (national average: 3.86). RN hours are 0.22 per resident day (national average: 0.69). Nursing staff turnover is 68.4%.
How many beds does Steelville Senior Living have?
Steelville Senior Living has 72 certified beds with approximately 49 residents. The facility is located at 311 N Spring Street, Steelville, MO 65565.
Does Steelville Senior Living have any deficiencies on record?
Yes, Steelville Senior Living has 22 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Steelville Senior Living received any fines or penalties?
Yes, Steelville Senior Living has received 1 penalties totaling $88K.
Who owns Steelville Senior Living?
Steelville Senior Living is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Steelville Senior Living last inspected?
The most recent health inspection for Steelville Senior Living was on Apr 23, 2026. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Steelville Senior Living?
Steelville Senior Living 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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