Elder Care Record

Missouri › Schuyler County › Queen City

Schuyler County Nursing Home District

1306 Us Highway 63, Queen City, MO 63561

CCN 265816 · Government, county · 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.

Schuyler County Nursing Home District is a Government, county nursing home in Queen City, Missouri, certified for 60 beds and caring for about 47 residents a day.

CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 2, staffing 4 and quality measures 1.

Inspectors recorded 42 health deficiencies across the three most recent survey cycles (17, 13, 12 by cycle, most recent first), none at the actual-harm level. That is 70.0 per 100 beds, more than the state median of 32.1.

CMS lists 1 penalty in the period covered: no fines and 1 payment denial.

Reported nurse staffing is 4.1 hours per resident per day (0.5 RN), close to the Missouri median of 3.4; nursing staff turnover is 38.3%.

42health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS1 penalty in period
4.1nurse hours per resident per daystate median 3.4
78%occupancy (residents ÷ beds)47 residents a day

Compared with county, state and nation

MeasureThis facilitySchuyler Co. medianMissouri medianUS average
Overall star rating1123.0
Health citations, 3 cycles42423128.7
Citations per 100 beds70.070.032.126.8
Total nurse hours per resident day4.14.13.43.9
RN hours per resident day0.50.50.40.7
Nursing staff turnover38.3%38.3%56.1%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (1 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)17
Cycle 213
Cycle 312

Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Sep 2025, 13 Dec 2023.

Severity mix: D ×11 E ×20 F ×7 B ×3 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)
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
10 Sep 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey25 Oct 2025
10 Sep 2025F0880Provide and implement an infection prevention and control program.FStandard survey25 Oct 2025
10 Sep 2025F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard survey25 Oct 2025
10 Sep 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey24 Oct 2025
10 Sep 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey24 Oct 2025
10 Sep 2025F0700Try 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 survey25 Oct 2025
10 Sep 2025F0728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.EStandard survey25 Oct 2025
10 Sep 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey24 Oct 2025
10 Sep 2025F0637Assess the resident when there is a significant change in conditionDStandard survey24 Oct 2025
10 Sep 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey24 Oct 2025
10 Sep 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey25 Oct 2025
10 Sep 2025F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DStandard survey24 Oct 2025
10 Sep 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey24 Oct 2025
10 Sep 2025F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.DStandard survey25 Oct 2025
10 Sep 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.BStandard survey24 Oct 2025
10 Sep 2025F0641Ensure each resident receives an accurate assessment.BStandard survey25 Oct 2025
10 Sep 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedBStandard survey25 Oct 2025
13 Dec 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey27 Jan 2024
13 Dec 2023F0880Provide and implement an infection prevention and control program.FStandard survey21 Dec 2023
13 Dec 2023F0919Make sure that a working call system is available in each resident's bathroom and bathing area.FComplaint investigation27 Jan 2024
13 Dec 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey26 Jan 2024
13 Dec 2023F0728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.EStandard survey26 Jan 2024
13 Dec 2023F0758Implement 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 survey26 Jan 2024
13 Dec 2023F0761Ensure 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 survey21 Dec 2023
13 Dec 2023F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard survey27 Jan 2024
13 Dec 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey26 Jan 2024
13 Dec 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey26 Jan 2024
13 Dec 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey26 Jan 2024
13 Dec 2023F0760Ensure that residents are free from significant medication errors.DStandard survey26 Jan 2024
13 Dec 2023F0732Post nurse staffing information every day.CStandard survey26 Jan 2024
5 Jan 2021F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard survey28 Feb 2021
5 Jan 2021F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey28 Feb 2021
5 Jan 2021F0637Assess the resident when there is a significant change in conditionEStandard survey28 Feb 2021
5 Jan 2021F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard survey28 Feb 2021
5 Jan 2021F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey28 Feb 2021
5 Jan 2021F0692Provide enough food/fluids to maintain a resident's health.EStandard survey28 Feb 2021
5 Jan 2021F0700Try 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 survey28 Feb 2021
5 Jan 2021F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey28 Feb 2021
5 Jan 2021F0758Implement 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 survey28 Feb 2021
5 Jan 2021F0761Ensure 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 survey28 Feb 2021
5 Jan 2021F0880Provide and implement an infection prevention and control program.EStandard survey28 Feb 2021
5 Jan 2021F0909Regularly 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 survey28 Feb 2021

Penalties

DateTypeAmountDetail
13 Dec 2023Payment denial—14 days

Staffing

Total nursing4.08 h
Nurse aides2.89 h
LPN0.67 h
RN0.52 h
Weekend total3.35 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 38.3%, 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 Stay26.6%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay6.6%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay7.5%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay6.7%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.4%1.3%1.0%
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 Stay3.6%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay26.0%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: government, county.

OrganisationRole in the CMS recordInterestSince
Schuyler County Nursing Home District5% or greater direct ownership interest100%06/29/1976

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

Questions and answers

How many deficiencies has Schuyler County Nursing Home District been cited for?

42 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 Schuyler County Nursing Home District been fined?

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

How does staffing at Schuyler County Nursing Home District compare?

Reported total nurse staffing is 4.1 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.

Who operates Schuyler County Nursing Home District?

Ownership type is government, county. Organisations in the CMS ownership record include Schuyler County Nursing Home District. Individual owners and managers are not listed on this site.

When was Schuyler County Nursing Home District last inspected?

The most recent survey or investigation in the CMS record is dated 10 Sep 2025; the most recent standard health survey was 10 Sep 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.