Assisted Living
Equilibrium Ranch
81 Pilkenton Ln, Cuba, MO 65453 · Map
Licensed for 19 residents · EQUILIBRIUM RANCH
Equilibrium Ranch is a state-licensed assisted living community in Cuba, Missouri. It is licensed for 19 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
Starting prices the community publishes, with the date we checked each one and a link to where it is published. Care charges are usually added after an assessment.
| Care | Starting at | Checked |
|---|---|---|
| Assisted Living | $3,000 /mo | Oct 12, 2026 |
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
State inspections
Last inspection: Jul 8, 2026. See the record
License
Active, 19 residents
Residential Care Facility 053479, current license dated Mar 30, 2026. Licensee EQUILIBRIUM RANCH.
Nearest emergency room
18.4 miles
Missouri Baptist Sullivan Hospital, rated 2 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Equilibrium Ranch this community | 19 | $3,000/mo | Active | 7 requirements not met in 3 years | |
| Cuba Village Memory Care | 3.0 mi | 32 | $4,110/mo | Active | 17 requirements not met in 3 years |
| Cuba Village Residential Living | 3.0 mi | 48 | $4,110/mo | Active | 6 requirements not met in 3 years |
| Care Network of Cuba | 6.5 mi | 34 | Not published | Active | 17 requirements not met in 3 years |
| Steelville Care & Rehab Center | 9.8 mi | 21 | Not published | Active | 5 requirements not met in 3 years |
State inspection record7 requirements not met in 3 years
- Last inspection
- July 8, 2026
- Inspections in three years
- 5
- Complaint investigations in three years
- 2
- Requirements not met (all visits)
- 7
- No deficiencies cited at the last visit (July 2026)
- Every deficiency from the August 28, 2025 visit was corrected by September 16, 2025
Visits (newest first)
- July 8, 2026: Complaint Investigation, State Licensure, no requirements listed as not met · state results
- August 28, 2025: State Licensure, 1 requirement not met · state results
- Complete Fire Alarm Systems. (C) All facilities shall test and maintain the complete fire alarm system in accordance with NFPA 72, 1999 edition. rule class I/II; corrected September 16, 2025
- May 27, 2025: Complaint Investigation, 2 requirements not met · state results
- Residents shall receive proper care to meet their needs. Physician orders shall be followed. rule class I/II; corrected June 12, 2025
- The facility shall maintain a record in the facility for each resident which shall include the following: (B) A review monthly or more frequently, if indicated, of the resident ' s general condition and needs; a monthly review of medication consumption of any resident controlling his or her own medication, noting if prescription medications are being used in appropriate quantities; a daily record of administration of medication; a logging of the medication regimen review process; a monthly weight; a record of each referral of a resident for services from an outside service; and a record of any resident incidents including behaviors that present a reasonable likelihood of serious harm to himself or herself or others and accidents that potentially could result in injury or did result in injuries involving the resident; rule class III; corrected June 12, 2025
- December 19, 2024: State Licensure, no requirements listed as not met · state results
- October 30, 2024: State Licensure, 4 requirements not met · state results
- Exit Signs. (B) Directional indicators showing the direction of travel shall be placed in corridors, passageways, or other locations where the direction of travel to reach the nearest exit is not apparent. rule class II/III; corrected November 25, 2024
- Complete Fire Alarm Systems. (D) All facilities shall have inspections and written certifications of the complete fire alarm system completed by an approved qualified service representative in accordance with NFPA 72, 1999 edition, at least annually. rule class I/II; corrected November 25, 2024
- Complete Fire Alarm Systems. (G) Upon discovery of a fault with the complete fire alarm system, the facility shall correct the fault. rule class I/II; corrected November 25, 2024
- In newly licensed facilities or if a new heating system is installed in an existing licensed facility, the heating of the building shall be restricted to steam, hot water, permanently installed electric heating devices or a warm air system employing central heating plants with installation such as to safeguard the inherent fire hazard, or approved installation of outside wall heaters which bear the approved label of the American Gas Association or National Board of Fire Underwriters. The foregoing requirements are applicable to residential care facilities. In assisted living facilities, the heating of the building shall be restricted to steam, hot water, permanently installed electric heating devices or a warm air system employing central heating plants with installation such as to safeguard the inherent fire hazard, or approved installation of outside wall heaters which bear the approved label of the American Gas Association or National Board of Fire Underwriters. For all facilities, oil or gas heating appliances shall be properly vented to the outside and the use of portable heaters of any kind is prohibited. If approved wall heaters are used, adequate guards shall be provided to safeguard residents. rule class I/II; corrected November 25, 2024
- October 24, 2023: State Licensure, no requirements listed as not met · state results
Search Show Me Long Term Care → (EQUILIBRIUM RANCH, Residential Care Facility I)
What these terms mean
DHSS: the results page shows “the requirements the facility failed to meet, the corrected date, level of harm, and residents affected.” Facilities must keep the full statements of deficiencies and plans of correction on site for anyone to read.
Missouri law (RSMo 198.085) sorts every standard into three classes: “Class I standards are standards the violation of which would present either an imminent danger to the health, safety or welfare of any resident or a substantial probability that death or serious physical harm would result; Class II standards are standards which have a direct or immediate relationship to the health, safety or welfare of any resident, but which do not create imminent danger; Class III standards are standards which have an indirect or a potential impact on the health, safety or welfare of any resident.” The class shown is the one the rule carries; some rules carry two (for example II/III).
Show Me Long Term Care lists no license numbers; this record was matched to the community by name and address. This community is licensed for 19 residents; larger communities are inspected and cited more often, so read counts with size in mind. Source: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation, data as of October 15, 2026. Always visit in person and ask the community about anything listed here.
License and ownershipActive license, licensee EQUILIBRIUM RANCH
- License type
- Residential Care Facility
- License number
- 053479
- License status
- Active
- Current license dated
- 2026-03-30
- Licensed capacity
- 19
- Licensee
- EQUILIBRIUM RANCH
- County
- Crawford County
- Administrator
- Marvin Shelton
Source: Missouri state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator name from the Missouri licensing record, as of Sep 9, 2026.
Paying with Medicaid and other programsHow Medicaid pays for care in Missouri, and other programs
How Medicaid pays for care in Missouri
- MO HealthNet Personal Care Program (state plan personal care). MO HealthNet (Missouri Medicaid) can pay for personal care services for eligible residents of licensed residential care facilities and assisted living facilities, if DHSS finds they need a nursing-home level of care. (state page)
Ask the community whether it accepts Medicaid.
Location and nearby careNearest hospital 18.4 mi, nursing home 4.0 mi, pharmacy 9.6 mi
- Nearest hospital with an emergency room
- Missouri Baptist Sullivan Hospital, Sullivan. 18.4 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Cuba Manor INC, Cuba. 4.0 miles away, straight line.
- Nearest home health agency office
- Centerwell Home Health, Rolla. 17.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Dr. Tim's Pharmacy. 9.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 65453 as rural (rural area).
- Hospice
- 12 Medicare hospices tell CMS they serve ZIP code 65453.
Phelps Health Home Health And Hospice, office in Rolla, 19.2 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Hermann Area Hospital District, Hermann. 42.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively moderate; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado relatively moderate, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in August 2025. What was it, and how was it fixed?
- The current license dates from 2026. Has the owner or operator changed recently?
- Your published starting price is a base rate. What would the total monthly cost be for my parent's needs?
- How much have prices gone up in each of the last three years?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
What we checked12 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation inspection records | Oct 15, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
Common questionsAnswers to 4 questions families ask
What type of care does Equilibrium Ranch provide?
Equilibrium Ranch is licensed by the state of Missouri for assisted living in Cuba, Missouri. Its licensed capacity is 19 residents.
Does Lilisity rate Equilibrium Ranch?
No. We publish state licensing details for Equilibrium Ranch but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Equilibrium Ranch cost?
Assisted Living in Missouri typically starts at $4,100 to $5,100 a month. Based on 109 communities that publish prices. These are area figures, not this community's price. The starting prices it publishes are in the Prices section on this page.
How do I contact Equilibrium Ranch?
Use Equilibrium Ranch's website, eqranch.org, or visit at 81 Pilkenton Ln, Cuba, MO 65453.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid