Elder Care Record

Missouri › Moniteau County › California

California Care Center

1106 South Oak, California, MO 65018

CCN 265396 · For-profit, corporation · 60 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.

Certified for 60 beds, California Care Center serves California in Moniteau County, Missouri and has taken Medicare and Medicaid residents since 1989.

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

Inspectors recorded 5 health deficiencies across the three most recent survey cycles (2, 0, 3 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 8.3 per 100 beds, fewer 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 3.1 hours per resident per day (0.3 RN), close to the Missouri median of 3.4; nursing staff turnover is 44.8%.

5health deficiencies, 3 survey cycles2 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.1nurse hours per resident per daystate median 3.4
58%occupancy (residents ÷ beds)35 residents a day

Compared with county, state and nation

MeasureThis facilityMoniteau Co. medianMissouri medianUS average
Overall star rating5523.0
Health citations, 3 cycles5213128.7
Citations per 100 beds8.331.832.126.8
Total nurse hours per resident day3.13.13.43.9
RN hours per resident day0.30.30.40.7
Nursing staff turnover44.8%62.7%56.1%45.8%
Fines listed$0$0$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)2
Cycle 20
Cycle 33

Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 May 2026, 14 Aug 2024.

Severity mix: G ×2 D ×1 E ×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
7 May 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey17 Jun 2026
7 May 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey17 Jun 2026
3 May 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GComplaint investigation11 Jun 2024
3 May 2024F0760Ensure that residents are free from significant medication errors.GComplaint investigation11 Jun 2024
14 Jun 2023F0584Honor 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 survey26 Jul 2023

Penalties

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

Staffing

Total nursing3.07 h
Nurse aides2.11 h
LPN0.67 h
RN0.29 h
Weekend total2.65 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 44.8%, 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 Stay18.7%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.8%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.0%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.3%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay18.2%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.8%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay19.8%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: for-profit, corporation. CMS groups this facility with 56 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: N & R Of California Inc.

OrganisationRole in the CMS recordInterestSince
N & R of California IncOperational/managerial controlNOT APPLICABLE10/01/1999

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 Moniteau County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Tipton Oak ManorTipton664422131.8—12 Mar 2026

All 2 facilities in Moniteau County

Questions and answers

How many deficiencies has California Care Center been cited for?

5 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.

Has California Care Center been fined?

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

How does staffing at California Care Center compare?

Reported total nurse staffing is 3.1 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.

Who operates California Care Center?

CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include N & R of California Inc. Individual owners and managers are not listed on this site.

When was California Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 7 May 2026; the most recent standard health survey was 7 May 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.