Missouri › Perry County › Perryville
Estates of Perryville, LLC, The
430 North West Street, Perryville, MO 63775
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.
Estates of Perryville, LLC, The is a For-profit, limited liability company nursing home in Perryville, Missouri, certified for 156 beds and caring for about 95 residents a day.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 2, staffing 1 and quality measures 1.
Inspectors recorded 43 health deficiencies across the three most recent survey cycles (9, 21, 13 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 27.6 per 100 beds, about the same as the state median of 32.1.
CMS lists 5 penalties in the period covered: fines totalling $307K and 2 payment denials.
Reported nurse staffing is 2.1 hours per resident per day (0.1 RN), below the Missouri median of 3.4; nursing staff turnover is 61.4%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Perry Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 2 | 3.0 |
| Health citations, 3 cycles | 43 | 43 | 31 | 28.7 |
| Citations per 100 beds | 27.6 | 27.6 | 32.1 | 26.8 |
| Total nurse hours per resident day | 2.1 | 2.7 | 3.4 | 3.9 |
| RN hours per resident day | 0.1 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 61.4% | 61.4% | 56.1% | 45.8% |
| Fines listed | $306,992 | $306,992 | $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
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Mar 2026, 6 Dec 2024.
Severity mix: J ×5 G ×1 D ×30 E ×3 F ×4
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 11 Mar 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 17 Apr 2026 |
| 11 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 17 Apr 2026 |
| 11 Mar 2026 | 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 | 17 Apr 2026 |
| 11 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 17 Apr 2026 |
| 11 Mar 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 17 Apr 2026 |
| 11 Mar 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 17 Apr 2026 |
| 6 Nov 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 24 Nov 2025 |
| 11 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | Past Non-Compliance |
| 4 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 19 Oct 2025 |
| 9 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 19 Oct 2025 |
| 10 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 19 Oct 2025 |
| 10 Jun 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 19 Oct 2025 |
| 10 Jun 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Complaint investigation | 19 Oct 2025 |
| 10 Jun 2025 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | Complaint investigation | 19 Oct 2025 |
| 10 Jun 2025 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Complaint investigation | 19 Oct 2025 |
| 11 Mar 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 18 Apr 2025 |
| 11 Mar 2025 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | J | Complaint investigation | 18 Apr 2025 |
| 6 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 19 Jan 2025 |
| 6 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 19 Jan 2025 |
| 6 Dec 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 19 Jan 2025 |
| 6 Dec 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. | D | Complaint investigation | 19 Jan 2025 |
| 6 Dec 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 19 Jan 2025 |
| 6 Dec 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 19 Jan 2025 |
| 6 Dec 2024 | F0625 | 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. | D | Standard survey | 19 Jan 2025 |
| 6 Dec 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 19 Jan 2025 |
| 6 Dec 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 19 Jan 2025 |
| 6 Dec 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 19 Jan 2025 |
| 6 Dec 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 19 Jan 2025 |
| 6 Dec 2024 | F0758 | 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. | D | Standard survey | 19 Jan 2025 |
| 6 Dec 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 19 Jan 2025 |
| 28 Sep 2023 | 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. | F | Standard survey | 20 Oct 2023 |
| 28 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 20 Oct 2023 |
| 28 Sep 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 20 Oct 2023 |
| 28 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 20 Oct 2023 |
| 28 Sep 2023 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 20 Oct 2023 |
| 28 Sep 2023 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | D | Standard survey | 20 Oct 2023 |
| 28 Sep 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 20 Oct 2023 |
| 28 Sep 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 20 Oct 2023 |
| 28 Sep 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 20 Oct 2023 |
| 28 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 20 Oct 2023 |
| 28 Sep 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 20 Oct 2023 |
| 28 Sep 2023 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 20 Oct 2023 |
| 28 Sep 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 | 20 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 10 Jun 2025 | Payment denial | — | 57 days |
| 10 Jun 2025 | Fine | $155,548 | |
| 10 Jun 2025 | Fine | $17,627 | |
| 11 Mar 2025 | Payment denial | — | 6 days |
| 11 Mar 2025 | Fine | $133,817 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 61.4%, RNs —; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.1% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.5% | 3.6% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.5% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.1% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 56.1% | 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, limited liability company. Legal business name: The Estates Of Perryville Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Medallion Healthcare Systems LLC | Adp of the snf | NOT APPLICABLE | 11/01/2014 |
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 Perry County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Independence Care Center of Perry County | Perryville | 133 | 3 | 4 | 1 | 16 | 12.0 | — | 9 Jan 2026 |
All 2 facilities in Perry County
Questions and answers
How many deficiencies has Estates of Perryville, LLC, The been cited for?
43 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Estates of Perryville, LLC, The been fined?
Yes. CMS lists fines totalling $307K in the period covered, plus 2 payment denials.
How does staffing at Estates of Perryville, LLC, The compare?
Reported total nurse staffing is 2.1 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Estates of Perryville, LLC, The?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Estates of Perryville, LLC, The last inspected?
The most recent survey or investigation in the CMS record is dated 11 Mar 2026; the most recent standard health survey was 11 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.