Map showing the location of LIFE CARE CENTER OF CAPE GIRARDEAU in CAPE GIRARDEAU, Missouri
365 SOUTH BROADVIEW STREET, CAPE GIRARDEAU, MO, 63703

Overall Score

CMS Five-Star Quality Rating
1/5Much below averageCMS Five-Star overall rating
  1. Much below average
  2. Below average
  3. Average
  4. Above average
  5. Much above average

Where it ranks

  • MissouriLowest tier among peers479 rated homes · average 2.5★
  • Cape Girardeau CountyLowest tier among peers8 rated homes · average 3.3★
  • United StatesLowest tier among peers14,574 rated homes · average 3.0★

How the rating is built

  • Health inspectionsStarting point1★−1.8 vs MO avg
  • StaffingCan add or remove a star2★−0.1 vs MO avg
  • Quality measuresCan add or remove a star3★+0.3 vs MO avg

CMS starts from the health inspection stars, then adds or subtracts a star for staffing and for quality measures. Stars are assigned relative to other facilities in the same state.

Ratings & measures

Tap a row to see what it means
Health inspection ratingCMS stars from the last three on-site inspection cycles1★Lowest tier among peersMO avg2.8★U.S. avg2.8★
What is health inspection rating?

Stars assigned from the last three standard surveys and every complaint investigation in that window, weighted toward the most recent and the most serious findings. CMS assigns these stars relative to other facilities in the same state.

Why it matters

It carries the most weight in the overall rating and is the only domain based on what trained inspectors saw on site rather than what the facility reported.

Staffing ratingCMS stars from payroll-reported hours and turnover2★Above only 42% of peersMO avg2.1★U.S. avg2.9★
What is staffing rating?

Nurse and aide hours per resident day from payroll records CMS collects every quarter, adjusted for how much care residents need, plus staff turnover and weekend coverage.

Why it matters

More hours and lower turnover are the strongest predictors of fewer falls, pressure sores, and avoidable hospital stays.

Quality measures ratingCMS stars from clinical outcomes and resident assessments3★Above only 49% of peersMO avg2.7★U.S. avg3.6★
What is quality measures rating?

Clinical outcomes from resident assessments and Medicare claims: falls with injury, pressure ulcers, hospitalizations, antipsychotic use, and more, for both short-stay and long-stay residents.

Why it matters

It shows whether care is working, but part of it comes from the facility’s own assessments, so read it alongside the inspection results.

Total nurse hoursPer resident per day, all nursing staff3.66hrsAbove 68% of peersMO avg3.47Benchmark4.10
What is total nurse hours?

All licensed nurse and aide hours worked, divided by the number of residents, on an average day. Reported from payroll, not self-reported.

Why it matters

Federal research links 4.1 hours a day to fewer avoidable harms. Below about 3 hours, residents wait longer for help with basics like toileting and repositioning.

RN hoursPer resident per day, registered nurses only0.51hrsAbove 69% of peersMO avg0.46Benchmark0.75
What is rn hours?

Registered nurse hours only. RNs assess residents, manage medications, and catch changes in condition; LPNs and aides deliver most hands-on care.

Why it matters

RN coverage is the staffing measure most tied to fewer hospital transfers and infections, and it is where thinly staffed facilities cut first.

Nursing staff turnoverShare of nursing staff who left within a year · lower is better78%Above only 7% of peersMO avg57%RN turnover86%
What is nursing staff turnover?

The share of nursing staff who left within the past year, from the same payroll data.

Why it matters

High turnover means residents are cared for by people who do not know them, and it is one of the strongest predictors of inspection problems.

Fines in the last three yearsCivil money penalties imposed by CMS · lower is better$149,578Above only 7% of peersMO avg$37,310Fines · denials4 · 1
What is fines in the last three years?

Civil money penalties CMS imposed after serious or uncorrected deficiencies, and denials of Medicare payment for new admissions.

Why it matters

Penalties follow the worst inspection findings. A recent fine is the clearest sign that inspectors found real harm.

Inspection history

Last three inspection cycles
45citations
12inspection dates
5actual harm (G–I)
2immediate jeopardy (J–L)
Dec 16, 2025most recent

Citations by monthOct 2022 – Dec 2025

  • No actual harm (D–F)
  • Actual harm (G–I)
  • Immediate jeopardy (J–L)
  • $Fine or payment denial

Click a month or a year to filter the findings below. Arrow keys move between months; Esc clears.

Dec 16, 20251 citationCycle 1worst D · no actual harm
  1. F692Provide enough food/fluids to maintain a resident's health.Quality of Life and CareD · isolatedCorrection pending
Jun 27, 20251 citationCycle 1worst J · immediate jeopardy
  1. Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Quality of Life and CareJ · isolatedCorrected Jul 2, 2025
May 22, 202517 citationsCycle 1worst F · no actual harm$81,955, payment denial
  1. Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and CareD · isolatedCorrected Jul 2, 2025
  2. F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Resident RightsD · isolatedCorrected Jul 2, 2025
  3. Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Quality of Life and CareD · isolatedCorrected Jul 2, 2025
  4. F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Resident RightsD · isolatedCorrected Jul 2, 2025
  5. F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Resident RightsD · isolatedCorrected Jul 2, 2025
  6. F574The resident has the right to receive notices in a format and a language he or she understands.Resident RightsC · widespreadCorrected Jul 2, 2025
  7. F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care PlanningD · isolatedCorrected Jul 2, 2025
  8. F658Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care PlanningD · isolatedCorrected Jul 2, 2025
  9. F675Honor each resident's preferences, choices, values and beliefs.Quality of Life and CareD · isolatedCorrected Jul 2, 2025
  10. F677Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and CareD · isolatedCorrected Jul 2, 2025
  11. F679Provide activities to meet all resident's needs.Quality of Life and CareD · isolatedCorrected Jul 2, 2025
  12. F730Observe each nurse aide's job performance and give regular training.Nursing and Physician ServicesD · isolatedCorrected Jul 2, 2025
  13. F761Ensure 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.Pharmacy ServiceD · isolatedCorrected Jul 2, 2025
  14. F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and DietaryE · patternCorrected Jul 2, 2025
  15. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryF · widespreadCorrected Jul 2, 2025
  16. F880Provide and implement an infection prevention and control program.Infection ControlD · isolatedCorrected Jul 2, 2025
  17. F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EnvironmentalD · isolatedCorrected Jul 2, 2025
Mar 18, 20253 citationsCycle 1worst J · immediate jeopardy$17,345
  1. F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.Resident RightsD · isolatedCorrected May 7, 2025
  2. Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Quality of Life and CareJ · isolatedCorrected Nov 12, 2024
  3. F760Ensure that residents are free from significant medication errors.Pharmacy ServiceD · isolatedCorrected May 7, 2025
Dec 18, 20242 citationsCycle 2worst G · actual harm
  1. F697Provide safe, appropriate pain management for a resident who requires such services.Quality of Life and CareG · isolatedCorrected Dec 24, 2024
  2. F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.Nursing and Physician ServicesD · isolatedCorrected Dec 24, 2024
Nov 26, 20241 citationCycle 2worst G · actual harm$30,030
  1. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareG · isolatedCorrected Dec 24, 2024
Aug 22, 20243 citationsCycle 2worst G · actual harm$20,248
  1. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareD · isolatedCorrected Sep 26, 2024
  2. F558Reasonably accommodate the needs and preferences of each resident.Resident RightsD · isolatedCorrected Sep 26, 2024
  3. F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and CareG · isolatedCorrected Sep 26, 2024
Mar 15, 202411 citationsCycle 2worst G · actual harm
  1. F677Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and CareD · isolatedCorrected Apr 18, 2024
  2. F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Resident RightsD · isolatedCorrected Apr 18, 2024
  3. F658Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care PlanningD · isolatedCorrected Apr 18, 2024
  4. F761Ensure 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.Pharmacy ServiceD · isolatedCorrected Apr 18, 2024
  5. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryF · widespreadCorrected Apr 18, 2024
  6. F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Nursing and Physician ServicesD · isolatedCorrected Apr 18, 2024
  7. F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and CareG · isolatedCorrected Apr 18, 2024
  8. F881Implement a program that monitors antibiotic use.Infection ControlD · isolatedCorrected Apr 18, 2024
  9. Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and CareG · isolatedCorrected Apr 18, 2024
  10. F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Resident RightsD · isolatedCorrected Apr 18, 2024
  11. F584Honor 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.Resident RightsD · isolatedCorrected Apr 18, 2024
Jan 5, 20241 citationCycle 3worst D · no actual harm
  1. F677Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and CareD · isolatedCorrected Feb 9, 2024
Dec 5, 20231 citationCycle 3worst D · no actual harm
  1. F658Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care PlanningD · isolatedCorrected Dec 29, 2023
Aug 10, 20231 citationCycle 3worst D · no actual harm
  1. F658Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care PlanningD · isolatedCorrected Aug 31, 2023
Oct 6, 20223 citationsCycle 3worst F · no actual harm
  1. F814Dispose of garbage and refuse properly.Nutrition and DietaryD · isolatedCorrected Nov 11, 2022
  2. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryF · widespreadCorrected Nov 11, 2022
  3. F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care PlanningD · isolatedCorrected Nov 11, 2022

Staffing

From quarterly payroll reports

Hours per resident per day

  • All nursing staffRNs, LPNs and aides combined3.66hrsAbove 68% of peers+0.19 vs MO avg
  • Registered nursesRN hours only0.51hrsAbove 69% of peers+0.05 vs MO avg
  • Licensed practical nursesLPN hours1.05hrs
  • Nurse aidesCNA hours2.10hrs
  • Weekend nursingAll staff on Saturdays and Sundays3.22hrs
  • Missouri average
  • Research benchmark (4.10 total, 0.75 RN)

Turnover & capacity

  • Nursing staff turnoverShare who left within a year · lower is better78%Above only 7% of peersMO avg 57%
  • RN turnoverRegistered nurses only86%Not ranked by CMS
  • Administrators who leftIn the past year2Leadership changed
  • Occupancy120 certified beds · ~91 residents a day75%Above 55% of peersMO avg 72%

Fines & penalties

Roughly the past three years

Enforcement summary

  • $149,578In fines
  • 4Fines
  • 1Payment denial
  • $37,310MO avg in fines
Above only 7% of peersFewer fines than 7% of rated homes in Missouri

Actions on record

  1. May 22, 2025Civil money penalty$81,955
  2. May 22, 2025Denial of payment for new admissionsfrom Jul 25, 2025
  3. Mar 18, 2025Civil money penalty$17,345
  4. Nov 26, 2024Civil money penalty$30,030
  5. Aug 22, 2024Civil money penalty$20,248

Ownership

As filed with CMS

Structure

Ownership type
For profit - Corporation
Chain
Life Care Centers of America194 facilities in the chain3.4★ chain average
Certification
Medicare and Medicaid
Location type
Urban
Ownership change
None in the last 12 months

People and entities on file

Direct owners (5%+)
  • Forrest Preston
Indirect owners (5%+)
  • Forrest Preston
Operational or managerial control
  • Developers Investment Company II, INC
  • Life Care Centers of America, INC.
  • Eric Barnes
  • Amber Eklund
  • Todd Fletcher
  • Kristine Miller
  • Aubrey Preston
  • Candy Tucker
  • +1 more
Corporate officers
  • Cindy Cross
  • Terry Henry
  • Lisa Lay
  • Richard Swanker
  • Joan Thurmond

Person Organization

Sources & notes

Public data, updated quarterly

Data sources

  • CMS Care Compare · Provider InformationStar ratings, staffing hours, turnover, penalties and flags · processed February 2026.
  • CMS Health CitationsEvery deficiency from the last three inspection cycles, with scope, severity and inspection cycle.
  • CMS Penalties and Ownership filesCivil money penalties, payment denials, and the owners and managers on file.

Notes

  • CMS Certification Number 265185 · 365 SOUTH BROADVIEW STREET, CAPE GIRARDEAU, MO, 63703.
  • Percentiles compare this facility with every rated nursing home in Missouri and Cape Girardeau County. Turnover and fines are inverted so a high percentile is always good.
  • This is an informational summary of public data, not medical, legal, or placement advice. Facilities cannot pay to change it; a facility that believes a record is wrong can dispute it with CMS.

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