Abundant Acres Care and RehabCMS ratings, inspections and fines
- Address
- 13277 State Route D, Savannah, MO 64485
- CCN
- 265846
- Ownership type
- Non-profit, other
- Certified beds
- 88
- Chain
- None in the CMS record
- Residents per day
- 49
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Abundant Acres Care and Rehab an overall rating of 2 of 5 stars. The last standard survey was on 21 Aug 2025. The latest survey cycle has 14 health citations. The median for nursing homes in Missouri is 9. CMS lists 1 fine of $14,498 for this home in its penalties file. CMS also lists 2 payment denials.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Andrew County median | Missouri median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 2.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 2.0 | 2.9 |
| Quality measure rating | 3 | 5.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 2 homes in the county, 487 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Missouri median |
|---|---|---|---|
| Cycle 1 (latest) | 21 Aug 2025 | 14 | 9 |
| Cycle 2 | 26 Jun 2024 | 20 | 10 |
| Cycle 3 | No date | 26 | 9 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 14 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 21 Aug 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard survey | 7 Oct 2025 |
| 21 Aug 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 7 Oct 2025 |
| 21 Aug 2025 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Standard survey | 7 Oct 2025 |
| 21 Aug 2025 | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | D | Standard survey | 7 Oct 2025 |
| 21 Aug 2025 | F0584 | 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. | D | Standard survey | 7 Oct 2025 |
| 21 Aug 2025 | F0585 | 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. | E | Standard survey | 7 Oct 2025 |
| 21 Aug 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 7 Oct 2025 |
| 21 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 7 Oct 2025 |
| 21 Aug 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 7 Oct 2025 |
| 21 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 7 Oct 2025 |
| 21 Aug 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 7 Oct 2025 |
| 21 Aug 2025 | F0761 | 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. | D | Standard survey | 7 Oct 2025 |
| 21 Aug 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 7 Oct 2025 |
| 21 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 7 Oct 2025 |
Survey cycle 2: 20 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Jun 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Complaint investigation | 11 Jul 2025 |
| 27 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 7 Jan 2025 |
| 3 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 28 Dec 2024 |
| 2 Dec 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 15 Jan 2025 |
| 26 Jun 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 9 Aug 2024 |
| 26 Jun 2024 | F0584 | 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. | E | Standard survey | 9 Aug 2024 |
| 26 Jun 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 9 Aug 2024 |
| 26 Jun 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 9 Aug 2024 |
| 26 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 9 Aug 2024 |
| 26 Jun 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 9 Aug 2024 |
| 26 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 9 Aug 2024 |
| 26 Jun 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 9 Aug 2024 |
| 26 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 9 Aug 2024 |
| 26 Jun 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 9 Aug 2024 |
| 26 Jun 2024 | F0801 | 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. | E | Standard survey | 9 Aug 2024 |
| 26 Jun 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 9 Aug 2024 |
| 26 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 9 Aug 2024 |
| 26 Jun 2024 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 9 Aug 2024 |
| 26 Jun 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 9 Aug 2024 |
| 26 Jun 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 9 Aug 2024 |
Survey cycle 3: 26 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 May 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | Complaint investigation | 19 May 2024 |
| 14 May 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Complaint investigation | 19 May 2024 |
| 14 May 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint investigation | 19 May 2024 |
| 14 May 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 19 May 2024 |
| 29 Apr 2024 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Complaint investigation | 13 Jun 2024 |
| 29 Apr 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint investigation | 17 May 2024 |
| 3 Apr 2024 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Complaint investigation | 13 Jun 2024 |
| 3 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 3 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 3 Apr 2024 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | Complaint investigation | Deficient, Provider has no plan of correction |
| 3 Apr 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint investigation | 17 May 2024 |
| 18 Jan 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 15 Mar 2024 |
| 18 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 15 Mar 2024 |
| 18 Jan 2024 | F0761 | 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. | E | Complaint investigation | 15 Mar 2024 |
| 19 Jan 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 23 Feb 2023 |
| 19 Jan 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 23 Feb 2023 |
| 19 Jan 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 23 Feb 2023 |
| 19 Jan 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 23 Feb 2023 |
| 19 Jan 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 23 Feb 2023 |
| 19 Jan 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 23 Feb 2023 |
| 19 Jan 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 23 Feb 2023 |
| 19 Jan 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 23 Feb 2023 |
| 19 Jan 2023 | F0761 | 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. | D | Standard survey | 23 Feb 2023 |
| 19 Jan 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 23 Feb 2023 |
| 19 Jan 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 27 Mar 2023 |
| 19 Jan 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | Standard survey | 27 Mar 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 21 Aug 2025 | Fine | $14,498 | |
| 21 Aug 2025 | Payment denial | 3 | |
| 3 Apr 2024 | Payment denial | 13 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Missouri median | Missouri average (CMS) |
|---|---|---|---|
| All nurse staff | 2.86 | 3.40 | 3.43 |
| Registered nurses (RN) | 0.51 | 0.40 | 0.46 |
| Licensed practical nurses (LPN) | 0.25 | 0.68 | |
| Nurse aides | 2.10 | 2.29 | |
| All nurse staff, weekends | 2.48 | 2.90 | 3.02 |
- Nurse staff turnover in a year
- 50.0%
- Nurse staff turnover, Missouri median
- 56.1%
- RN turnover in a year
- 20.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.0% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.8% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.4% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.3% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 13.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.3% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.6% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 40.5% | 21.0% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Non-profit, other
- Legal business name
- Andrew County Nursing Home District
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Andrew County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Laverna Manor Health & Rehabilitation | Savannah | 3 of 5 | 13 | $101,967 | 16 Mar 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Abundant Acres Care and Rehab (CCN 265846). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/abundant-acres-care-and-rehab-savannah-mo-265846/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Abundant Acres Care and Rehab last inspected?
- The latest inspection with a citation in the CMS record was on 21 Aug 2025. It was a standard survey. It gave 14 citations. The standard survey before the last one was on 26 Jun 2024.
- Who operates Abundant Acres Care and Rehab?
- The CMS record gives the ownership type as non-profit, other. CMS lists no chain for the home. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- Is Abundant Acres Care and Rehab a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Missouri as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.