Missouri › Cape Girardeau County › Cape Girardeau
Ratliff Care Center
717 North Sprigg, Cape Girardeau, MO 63701
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.
Ratliff Care Center is a For-profit, individual nursing home in Cape Girardeau, Missouri, certified for 46 beds and caring for about 41 residents a day.
CMS gives it 3 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 4, staffing 1 and quality measures 2.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (8, 5, 7 by cycle, most recent first), none at the actual-harm level. That is 43.5 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 3.2 hours per resident per day (0.3 RN), close to the Missouri median of 3.4; nursing staff turnover is 72.1%.
Compared with county, state and nation
| Measure | This facility | Cape Girardeau Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 2 | 3.0 |
| Health citations, 3 cycles | 20 | 20 | 31 | 28.7 |
| Citations per 100 beds | 43.5 | 37.5 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.5 | 3.4 | 3.9 |
| RN hours per resident day | 0.3 | 0.6 | 0.4 | 0.7 |
| Nursing staff turnover | 72.1% | 65.7% | 56.1% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (8 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: 30 May 2025, 16 May 2024.
Severity mix: D ×16 E ×1 F ×2 C ×1
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 |
|---|---|---|---|---|---|
| 30 May 2025 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard survey | 11 Jul 2025 |
| 30 May 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 11 Jul 2025 |
| 30 May 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 11 Jul 2025 |
| 30 May 2025 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 11 Jul 2025 |
| 30 May 2025 | 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 | 11 Jul 2025 |
| 30 May 2025 | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | Standard survey | 11 Jul 2025 |
| 30 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 11 Jul 2025 |
| 30 May 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 11 Jul 2025 |
| 16 May 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 28 Jun 2024 |
| 16 May 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 | 28 Jun 2024 |
| 16 May 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 | 28 Jun 2024 |
| 16 May 2024 | F0700 | Try 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. | D | Standard survey | 28 Jun 2024 |
| 16 May 2024 | F0909 | Regularly 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. | D | Standard survey | 28 Jun 2024 |
| 23 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 5 May 2023 |
| 23 Mar 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 5 May 2023 |
| 23 Mar 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 | 5 May 2023 |
| 23 Mar 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 5 May 2023 |
| 23 Mar 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 5 May 2023 |
| 23 Mar 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 5 May 2023 |
| 23 Mar 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | C | Standard survey | 5 May 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 72.1%, RNs 50.0%; — 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 | 19.2% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.8% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.8% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 25.8% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.1% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.8% | 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, individual.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ratliff Enterprises LLC | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 12/31/1999 |
| Choice Rehabilitation LLC | Operational/managerial control | NOT APPLICABLE | 02/24/2025 |
| Forvis Mazars LLP | Operational/managerial control | NOT APPLICABLE | 01/14/2025 |
| Choice Rehabilitation LLC | Adp of the snf | NOT APPLICABLE | 02/24/2025 |
| Ratliff Enterprises LLC | Adp of the snf | NOT APPLICABLE | 01/14/2025 |
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 Cape Girardeau County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Fountainbleau Lodge | Cape Girardeau | 33 | 5 | 4 | 5 | 20 | 60.6 | $9K | 4 Sep 2025 |
| Lutheran Home, The | Cape Girardeau | 274 | 5 | 5 | 5 | 8 | 2.9 | — | 28 Mar 2025 |
| Heartland Care and Rehabilitation Center | Cape Girardeau | 102 | 4 | 5 | 1 | 11 | 10.8 | — | 17 Nov 2025 |
| Jackson Manor | Jackson | 90 | 4 | 5 | 1 | 15 | 16.7 | — | 22 Aug 2025 |
| Chateau Girardeau | Cape Girardeau | 75 | 3 | 4 | 3 | 20 | 26.7 | — | 10 Apr 2026 |
| Hubble Creek | Jackson | 105 | 3 | 4 | 1 | 42 | 40.0 | — | 12 Feb 2026 |
| Life Care Center of Cape Girardeau | Cape Girardeau | 120 | 1 | 2 | 1 | 45 | 37.5 | $150K | 16 Dec 2025 |
All 8 facilities in Cape Girardeau County
Questions and answers
How many deficiencies has Ratliff Care Center been cited for?
20 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Ratliff Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Ratliff Care Center compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Ratliff Care Center?
Ownership type is for-profit, individual. Organisations in the CMS ownership record include Ratliff Enterprises LLC, Choice Rehabilitation LLC and Forvis Mazars LLP. Individual owners and managers are not listed on this site.
When was Ratliff Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 30 May 2025; the most recent standard health survey was 30 May 2025.
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.