Elder Care Record

Missouri › Audrain County › Vandalia

Baptist Homes, Tri-County

601 North Galloway Road, Vandalia, MO 63382

CCN 265638 · Non-profit, corporation · 90 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Baptist Homes, Tri-County, in Vandalia, Missouri, is certified for 90 beds under non-profit, corporation ownership.

CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 3 and quality measures 1.

Inspectors recorded 70 health deficiencies across the three most recent survey cycles (18, 17, 35 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 77.8 per 100 beds, more than the state median of 32.1.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.9 hours per resident per day (0.3 RN), close to the Missouri median of 3.4; nursing staff turnover is 60.0%.

70health deficiencies, 3 survey cycles4 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.9nurse hours per resident per daystate median 3.4
67%occupancy (residents ÷ beds)60 residents a day

Compared with county, state and nation

MeasureThis facilityAudrain Co. medianMissouri medianUS average
Overall star rating1123.0
Health citations, 3 cycles70703128.7
Citations per 100 beds77.877.832.126.8
Total nurse hours per resident day3.93.93.43.9
RN hours per resident day0.30.60.40.7
Nursing staff turnover60.0%60.0%56.1%45.8%
Fines listed$0$26,650$0—

County and state figures are medians across facilities (2 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)18
Cycle 217
Cycle 335

Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Mar 2026, 8 Feb 2024.

Severity mix: J ×2 G ×2 D ×20 E ×38 F ×6 B ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
5 Mar 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey19 Apr 2026
5 Mar 2026F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard survey19 Apr 2026
5 Mar 2026F0576Ensure residents have reasonable access to and privacy in their use of communication methods.EStandard survey19 Apr 2026
5 Mar 2026F0585Honor 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.EStandard survey19 Apr 2026
5 Mar 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey28 Jun 2026
5 Mar 2026F0759Ensure medication error rates are not 5 percent or greater.EStandard survey19 Apr 2026
5 Mar 2026F0761Ensure 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.EStandard survey19 Apr 2026
5 Mar 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey19 Apr 2026
5 Mar 2026F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard survey19 Apr 2026
5 Mar 2026F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyEStandard survey19 Apr 2026
5 Mar 2026F0880Provide and implement an infection prevention and control program.EStandard survey19 Apr 2026
5 Mar 2026F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard survey19 Apr 2026
5 Mar 2026F0584Honor 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.DStandard survey19 Apr 2026
5 Mar 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey19 Apr 2026
5 Mar 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey19 Apr 2026
5 Mar 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey19 Apr 2026
5 Mar 2026F0730Observe each nurse aide's job performance and give regular training.DStandard survey19 Apr 2026
5 Mar 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey19 Apr 2026
24 Jan 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation10 Mar 2025
24 Jan 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation10 Mar 2025
24 Jan 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation10 Mar 2025
24 Jan 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation10 Mar 2025
8 Feb 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey29 Mar 2024
8 Feb 2024F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard survey29 Mar 2024
8 Feb 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey29 Mar 2024
8 Feb 2024F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard survey29 Mar 2024
8 Feb 2024F0880Provide and implement an infection prevention and control program.EStandard survey29 Mar 2024
8 Feb 2024F0909Regularly 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.EStandard survey29 Mar 2024
8 Feb 2024F0567Honor the resident's right to manage his or her financial affairs.DStandard survey29 Mar 2024
8 Feb 2024F0637Assess the resident when there is a significant change in conditionDStandard survey29 Mar 2024
8 Feb 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey29 Mar 2024
8 Feb 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey29 Mar 2024
8 Feb 2024F0760Ensure that residents are free from significant medication errors.DStandard survey29 Mar 2024
8 Feb 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard survey29 Mar 2024
8 Feb 2024F0625Notify 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.BStandard survey29 Mar 2024
2 Mar 2022F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JStandard survey20 Apr 2022
2 Mar 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JStandard survey20 Apr 2022
2 Mar 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey22 Jul 2022
2 Mar 2022F0697Provide safe, appropriate pain management for a resident who requires such services.GStandard survey22 Jul 2022
2 Mar 2022F0727Have 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.FStandard survey8 Aug 2022
2 Mar 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey22 Jul 2022
2 Mar 2022F0880Provide and implement an infection prevention and control program.FStandard survey22 Jul 2022
2 Mar 2022F0919Make sure that a working call system is available in each resident's bathroom and bathing area.FStandard survey22 Jul 2022
2 Mar 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey22 Jul 2022
2 Mar 2022F0558Reasonably accommodate the needs and preferences of each resident.EStandard survey22 Jul 2022
2 Mar 2022F0567Honor the resident's right to manage his or her financial affairs.EStandard survey20 Apr 2022
2 Mar 2022F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard survey22 Jul 2022
2 Mar 2022F0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.EStandard survey20 Apr 2022
2 Mar 2022F0570Assure the security of all personal funds of residents deposited with the facility.EStandard survey20 Apr 2022
2 Mar 2022F0584Honor 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.EStandard survey22 Jul 2022
2 Mar 2022F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey22 Jul 2022
2 Mar 2022F0625Notify 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.EStandard survey20 Apr 2022
2 Mar 2022F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard survey20 Apr 2022
2 Mar 2022F0637Assess the resident when there is a significant change in conditionEStandard survey22 Jul 2022
2 Mar 2022F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard survey21 Apr 2022
2 Mar 2022F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey22 Jul 2022
2 Mar 2022F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey20 Apr 2022
2 Mar 2022F0679Provide activities to meet all resident's needs.EStandard survey20 Apr 2022
2 Mar 2022F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EStandard survey22 Jul 2022
2 Mar 2022F0700Try 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.EStandard survey22 Jul 2022
2 Mar 2022F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey20 Apr 2022
2 Mar 2022F0758Implement 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.EStandard survey22 Jul 2022
2 Mar 2022F0761Ensure 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.EStandard survey20 Apr 2022
2 Mar 2022F0811Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.EStandard survey22 Jul 2022
2 Mar 2022F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey22 Jul 2022
2 Mar 2022F0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.DStandard survey22 Jul 2022
2 Mar 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey20 Apr 2022
2 Mar 2022F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey22 Jul 2022
2 Mar 2022F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey22 Jul 2022
2 Mar 2022F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard survey20 Apr 2022

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.93 h
Nurse aides2.91 h
LPN0.67 h
RN0.34 h
Weekend total3.9 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 60.0%, RNs —; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMissouri medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay24.3%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay5.0%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.8%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.1%3.6%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay19.7%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.0%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay24.2%21.0%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: The Baptist Home.

OrganisationRole in the CMS recordInterestSince
The Baptist HomeOperational/managerial controlNOT APPLICABLE09/01/2023

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Audrain County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Pin Oaks Living Centerabuse iconMexico1241145846.8$27K16 Jun 2026

All 2 facilities in Audrain County

Questions and answers

How many deficiencies has Baptist Homes, Tri-County been cited for?

70 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.

Has Baptist Homes, Tri-County been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Baptist Homes, Tri-County compare?

Reported total nurse staffing is 3.9 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.

Who operates Baptist Homes, Tri-County?

Ownership type is non-profit, corporation. Organisations in the CMS ownership record include The Baptist Home. Individual owners and managers are not listed on this site.

When was Baptist Homes, Tri-County last inspected?

The most recent survey or investigation in the CMS record is dated 5 Mar 2026; the most recent standard health survey was 5 Mar 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.