Missouri › Franklin County › Union
Union Nursing
1080 Marie Lane, Union, MO 63084
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, Union Nursing serves Union in Franklin County, Missouri and has taken Medicare and Medicaid residents since 2018.
CMS gives it 4 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 4, staffing 2 and quality measures 4.
Inspectors recorded 14 health deficiencies across the three most recent survey cycles (7, 3, 4 by cycle, most recent first), none at the actual-harm level. That is 23.3 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 2.9 hours per resident per day (0.5 RN), close to the Missouri median of 3.4; nursing staff turnover is 54.5%.
Compared with county, state and nation
| Measure | This facility | Franklin Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 2 | 3.0 |
| Health citations, 3 cycles | 14 | 24 | 31 | 28.7 |
| Citations per 100 beds | 23.3 | 23.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.1 | 3.4 | 3.9 |
| RN hours per resident day | 0.5 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 54.5% | 56.2% | 56.1% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (7 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: 28 Aug 2025, 20 Jun 2024.
Severity mix: D ×3 E ×8 F ×3
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 |
|---|---|---|---|---|---|
| 19 Nov 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 20 Nov 2025 |
| 19 Nov 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 20 Nov 2025 |
| 28 Aug 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | F | Standard survey | 11 Oct 2025 |
| 28 Aug 2025 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Standard survey | 11 Oct 2025 |
| 28 Aug 2025 | 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 | 11 Oct 2025 |
| 28 Aug 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 11 Oct 2025 |
| 28 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 11 Oct 2025 |
| 20 Jun 2024 | 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 | 2 Aug 2024 |
| 20 Jun 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 | 2 Aug 2024 |
| 20 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 2 Aug 2024 |
| 7 Apr 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 | 19 May 2023 |
| 7 Apr 2023 | 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 | 19 May 2023 |
| 7 Apr 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 19 May 2023 |
| 7 Apr 2023 | 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 | 19 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 54.5%, RNs 50.0%; 1 administrator 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 | 11.7% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 4.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | 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 | 1.8% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.7% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.9% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.8% | 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. Legal business name: Bel Oak Of Union Llc. Chain: Community Care Centers (8 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| First Mid Bank & Trust Na | 5% or greater mortgage interest | NOT APPLICABLE | 06/01/2024 |
| Gc Asset Management LLC | Operational/managerial control | NOT APPLICABLE | 06/01/2024 |
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 Franklin County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| St Clair Nursing Center | Saint Clair | 79 | 5 | 5 | 3 | 8 | 10.1 | $13K | 19 Feb 2026 |
| Life Care Center of Sullivan | Sullivan | 120 | 4 | 4 | 2 | 29 | 24.2 | — | 25 Jun 2026 |
| New Haven Care Center | New Haven | 90 | 4 | 5 | 2 | 13 | 14.4 | — | 21 Mar 2025 |
| Grandview Healthcare Center | Washington | 102 | 2 | 3 | 2 | 24 | 23.5 | — | 14 Jan 2026 |
| Sunset Health Care Center | Union | 120 | 2 | 2 | 2 | 26 | 21.7 | $8K | 30 May 2025 |
| Pacific Care Center | Pacific | 118 | 1 | 3 | 1 | 35 | 29.7 | — | 12 Feb 2026 |
All 7 facilities in Franklin County
Questions and answers
How many deficiencies has Union Nursing been cited for?
14 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 Union Nursing been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Union Nursing compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Union Nursing?
It is part of the Community Care Centers chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Gc Asset Management LLC. Individual owners and managers are not listed on this site.
When was Union Nursing last inspected?
The most recent survey or investigation in the CMS record is dated 19 Nov 2025; the most recent standard health survey was 28 Aug 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.