Missouri › Ray County › Richmond
Shirkey Nursing and Rehabilitation Center
804 Wollard Blvd, Richmond, MO 64085
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.
Shirkey Nursing and Rehabilitation Center, in Richmond, Missouri, is certified for 197 beds under government, county ownership.
CMS gives it 3 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 3, staffing 3 and quality measures 4.
Inspectors recorded 47 health deficiencies across the three most recent survey cycles (10, 14, 23 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 23.9 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 4.1 hours per resident per day (0.4 RN), close to the Missouri median of 3.4; nursing staff turnover is 37.6%.
Compared with county, state and nation
| Measure | This facility | Ray Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 2 | 3.0 |
| Health citations, 3 cycles | 47 | 62 | 31 | 28.7 |
| Citations per 100 beds | 23.9 | 103.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 4.1 | 4.1 | 3.4 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 37.6% | 73.6% | 56.1% | 45.8% |
| Fines listed | $0 | $51,882 | $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: 8 May 2025, 5 Apr 2024.
Severity mix: G ×1 D ×4 E ×39 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 |
|---|---|---|---|---|---|
| 8 May 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 22 Jun 2025 |
| 8 May 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 22 Jun 2025 |
| 8 May 2025 | 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. | E | Standard survey | 22 Jun 2025 |
| 8 May 2025 | F0585 | Honor 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. | E | Standard survey | 22 Jun 2025 |
| 8 May 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 22 Jun 2025 |
| 8 May 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 22 Jun 2025 |
| 8 May 2025 | 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. | E | Standard survey | 22 Jun 2025 |
| 8 May 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 22 Jun 2025 |
| 8 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 22 Jun 2025 |
| 8 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 22 Jun 2025 |
| 5 Apr 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 | 20 May 2024 |
| 5 Apr 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 20 May 2024 |
| 5 Apr 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. | E | Standard survey | 20 May 2024 |
| 5 Apr 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | Standard survey | 20 May 2024 |
| 5 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 20 May 2024 |
| 5 Apr 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 20 May 2024 |
| 5 Apr 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 20 May 2024 |
| 5 Apr 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. | E | Standard survey | 20 May 2024 |
| 5 Apr 2024 | 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. | E | Standard survey | 20 May 2024 |
| 5 Apr 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 20 May 2024 |
| 5 Apr 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 20 May 2024 |
| 5 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 20 May 2024 |
| 5 Apr 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 20 May 2024 |
| 5 Apr 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 20 May 2024 |
| 20 Apr 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | 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. | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | 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. | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | 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. | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | 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. | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 2 Jun 2022 |
| 20 Apr 2022 | F0888 | Ensure staff are vaccinated for COVID-19 | C | Standard survey | 2 Jun 2022 |
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 37.6%, RNs 63.6%; 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 | 11.1% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.3% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.2% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.0% | 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. Legal business name: Senior Citizens Nursing Home District Of Ray County.
No organisations are listed in the CMS ownership record for this facility.
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 Ray County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Lawson Manor & Rehababuse icon | Lawson | 60 | 1 | 2 | 1 | 62 | 103.3 | $52K | 14 Jan 2026 |
All 2 facilities in Ray County
Questions and answers
How many deficiencies has Shirkey Nursing and Rehabilitation Center been cited for?
47 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Shirkey Nursing and Rehabilitation Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Shirkey Nursing and Rehabilitation Center 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 Shirkey Nursing and Rehabilitation Center?
Ownership type is government, county. Individual owners and managers are not listed on this site.
When was Shirkey Nursing and Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 8 May 2025; the most recent standard health survey was 8 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.