Starfile / Missouri

ESTATES OF PERRYVILLE, LLC, THE

430 NORTH WEST STREET, PERRYVILLE, MO 63775 · CCN 265704

Abuse icon

Inspection history vs Missouri & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$326,522

Number of fines

4

Number of penalties

6

Payment denials

2

Inspection citations (91)7 immediate jeopardy2 actual harm

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-11-06 · Health · corrected 2025-11-24

   Potential for more than minimal harm

2. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-11 · Health

   Immediate jeopardy

3. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-04 · Health · corrected 2025-10-19

   Immediate jeopardy

4. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-09 · Health · corrected 2025-10-19

   Actual harm

5. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-06-10 · Health · corrected 2025-10-19

   Immediate jeopardy

6. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-06-10 · Health · corrected 2025-10-19

   Potential for more than minimal harm

7. DF0699Provide care or services that was trauma informed and/or culturally competent.2025-06-10 · Health · corrected 2025-10-19

   Potential for more than minimal harm

8. DF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.2025-06-10 · Health · corrected 2025-10-19

   Potential for more than minimal harm

9. DF0742Provide 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.2025-06-10 · Health · corrected 2025-10-19

   Potential for more than minimal harm

10. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-11 · Health · corrected 2025-04-18

    Immediate jeopardy

11. JF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.2025-03-11 · Health · corrected 2025-04-18

    Immediate jeopardy

12. DF0584Honor 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.2024-12-06 · Health · corrected 2025-01-19

    Potential for more than minimal harm

13. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-12-06 · Health · corrected 2025-01-19

    Potential for more than minimal harm

14. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-12-06 · Health · corrected 2025-01-19

    Potential for more than minimal harm

15. DF0625Notify 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.2024-12-06 · Health · corrected 2025-01-19

    Potential for more than minimal harm

16. DF0637Assess the resident when there is a significant change in condition2024-12-06 · Health · corrected 2025-01-19

    Potential for more than minimal harm

17. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-12-06 · Health · corrected 2025-01-19

    Potential for more than minimal harm

18. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-12-06 · Health · corrected 2025-01-19

    Potential for more than minimal harm

19. DF0679Provide activities to meet all resident's needs.2024-12-06 · Health · corrected 2025-01-19

    Potential for more than minimal harm

20. DF0758Implement 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.2024-12-06 · Health · corrected 2025-01-19

    Potential for more than minimal harm

21. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-12-06 · Health · corrected 2025-01-19

    Potential for more than minimal harm

22. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-06 · Health · corrected 2025-01-19

    Potential for more than minimal harm

23. EF0880Provide and implement an infection prevention and control program.2024-12-06 · Health · corrected 2025-01-19

    Potential for more than minimal harm

24. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-12-06 · Health · corrected 2025-01-19

    Potential for more than minimal harm

25. DF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2023-09-28 · Health · corrected 2023-10-20

    Potential for more than minimal harm

26. DF0570Assure the security of all personal funds of residents deposited with the facility.2023-09-28 · Health · corrected 2023-10-20

    Potential for more than minimal harm

27. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-09-28 · Health · corrected 2023-10-20

    Potential for more than minimal harm

28. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-09-28 · Health · corrected 2023-10-20

    Potential for more than minimal harm

29. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-09-28 · Health · corrected 2023-10-20

    Potential for more than minimal harm

30. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-09-28 · Health · corrected 2023-10-20

    Potential for more than minimal harm

31. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-28 · Health · corrected 2023-10-20

    Potential for more than minimal harm

32. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-09-28 · Health · corrected 2023-10-20

    Potential for more than minimal harm

33. DF0699Provide care or services that was trauma informed and/or culturally competent.2023-09-28 · Health · corrected 2023-10-20

    Potential for more than minimal harm

34. DF0761Ensure 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.2023-09-28 · Health · corrected 2023-10-20

    Potential for more than minimal harm

35. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-09-28 · Health · corrected 2023-10-20

    Potential for more than minimal harm

36. FF0880Provide and implement an infection prevention and control program.2023-09-28 · Health · corrected 2023-10-20

    Potential for more than minimal harm

37. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-09-28 · Health · corrected 2023-10-20

    Potential for more than minimal harm

38. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-07-20 · Health · corrected 2023-07-19

    Potential for more than minimal harm

39. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-07-06 · Health · corrected 2023-08-07

    Potential for more than minimal harm

40. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-03-29 · Health · corrected 2023-05-03

    Potential for more than minimal harm

41. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-29 · Health · corrected 2023-05-03

    Potential for more than minimal harm

42. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-29 · Health · corrected 2023-05-03

    Immediate jeopardy

43. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

44. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

45. DF0555Honor the resident's right to choose his or her attending physician.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

46. DF0558Reasonably accommodate the needs and preferences of each resident.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

47. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

48. EF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

49. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

50. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

51. FF0584Honor 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.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

52. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

53. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

54. DF0625Notify 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.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

55. EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

56. DF0637Assess the resident when there is a significant change in condition2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

57. FF0638Assure that each resident’s assessment is updated at least once every 3 months.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

58. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

59. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

60. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

61. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

62. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

63. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

64. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

65. FF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

66. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-12-09 · Health · corrected 2022-02-06

    Immediate jeopardy

67. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

68. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

69. DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

70. GF0697Provide safe, appropriate pain management for a resident who requires such services.2021-12-09 · Health · corrected 2022-02-06

    Actual harm

71. CF0732Post nurse staffing information every day.2021-12-09 · Health · corrected 2022-02-06

    Potential for minimal harm

72. DF0742Provide 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.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

73. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

74. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

75. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

76. DF0758Implement 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.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

77. DF0790Provide routine and 24-hour emergency dental care for each resident.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

78. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

79. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

80. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

81. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

82. DF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

83. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

84. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

85. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

86. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

87. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

88. EF0880Provide and implement an infection prevention and control program.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

89. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

90. EF0885Report COVID19 data to residents and families.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

91. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2021-12-09 · Health · corrected 2022-02-06

    Potential for more than minimal harm

Ownership

Other facilities in PERRYVILLE

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.