Nursing home
Chateau Girardeau (Skilled Nursing and Continuing Care)
3120 Independence Street, Cape Girardeau, MO 63703 · Map
Non profit - Other · 75 certified beds
Chateau Girardeau (Skilled Nursing and Continuing Care) is a Medicare-certified nursing home in Cape Girardeau, Missouri. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.44 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Jan 23, 2025 cited 7 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Chateau Girardeau (Skilled Nursing and Continuing Care) compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.44 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.54 | 0.46 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.47 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 55.6% | 57.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 7.0 | 12.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Chateau Girardeau (Skilled Nursing and Continuing Care)
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure 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 Services Deficiencies · Jan 23, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 23, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Jan 23, 2025 · Full report (PDF) - Potential for harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Jan 23, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Jan 23, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Jan 23, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Jan 23, 2025 · Full report (PDF) - Potential for harm
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Environmental Deficiencies · Nov 16, 2023 · Full report (PDF) - Potential for harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Nov 16, 2023 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Nov 16, 2023 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Nov 16, 2023 · Full report (PDF) - Potential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Nov 16, 2023 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3120 Independence Street
Cape Girardeau, MO 63703 - CMS certification #
- 265142
- Ownership
- Non profit - Other
- Certified beds
- 75
- Avg residents/day
- 49.4
- Provider type
- Medicare and Medicaid
- First certified
- 1982-07-23
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Chateau Girardeau (Skilled Nursing and Continuing Care) using Google Maps.
Other public records
- Website says Nurse 24 hours a day, transportation, 3 meals a day, pets allowed, secured outdoor area
- Staff pay 1 federal wage case with violations found, since 2009
Full public records, with dates and sources
Care and services
From the community’s website
What Chateau Girardeau (Skilled Nursing and Continuing Care) says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
This notification system directly alerts our on-site 24/7 nursing staff.
(page, checked Oct 12, 2026) - Provides transportation.
Licensed nursing staff available around the clock, assistance with meals, bathing, dressing, and medication management — along with three daily meals, wellness programming, transportation, and an on-site beauty and barber shop.
(page, checked Oct 12, 2026) - 3 meals a day.
Licensed nursing staff available around the clock, assistance with meals, bathing, dressing, and medication management — along with three daily meals, wellness programming, transportation, and an on-site beauty and barber shop.
(page, checked Oct 12, 2026) - Pets allowed.
We understand that pets are part of the family, which is why The Chateau Girardeau is proud to be a pet-friendly community.
(page, checked Oct 15, 2026) - Has a secured outdoor area.
Fenced grounds
(page, checked Oct 15, 2026) - Apartment types named: studio, one-bedroom, two-bedroom.
Studio, one-bedroom, and two-bedroom apartments offering the comfort of home with hands-on support when you need it.
(page, checked Oct 12, 2026) - Entrance fee: charged.
Although we are not a tax advisor, there have been recent rulings by the IRS that do allow a portion of the entrance fee and monthly service fee to qualify as medical expenses.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jul 2, 2009 to Jul 1, 2011. Violations found: Minimum wage, Overtime. Back wages: $24,498 owed to 76 employees. Employer as DOL recorded it: Chateau Giradeau (Cape Retirement Community Inc). Case 1618866.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Saint Francis Medical Center, Cape Girardeau. 0.4 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Life Care Center of Cape Girardeau, Cape Girardeau. 0.9 miles away, straight line.
- Nearest home health agency office
- Grace Reliant Health Services, LLC, Cape Girardeau. 1.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63703 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc - Cape Girardeau, Cape Girardeau, 0.4 miles away, straight line (CMS rating 3 of 5 stars)
Westbrook Dialysis, LLC, Cape Girardeau, 0.6 miles away, straight line (CMS rating 1 of 5 stars)
Fmc - Southeast Missouri, Cape Girardeau, 1.6 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 9 Medicare hospices tell CMS they serve ZIP code 63703.
Crown Hospice, Inc, office in Cape Girardeau, 0.1 miles away, straight line (CMS family survey rating 4 of 5 stars)
Saint Francis Hospice, office in Cape Girardeau, 0.4 miles away, straight line (CMS family survey rating 5 of 5 stars)
Providence Home Health & Hospice, office in Cape Girardeau, 1.0 mile away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Sarah Lahud Cuadra, MD, Carbondale. 35.6 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 risk
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 low, wildfire very low, tornado relatively moderate, heat wave relatively high, earthquake relatively high. 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.
What we checked
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 |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| 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 very 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 | See above |
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Frequently asked questions
Is Chateau Girardeau (Skilled Nursing and Continuing Care) a good nursing home?
CMS gives Chateau Girardeau (Skilled Nursing and Continuing Care) an overall rating of 4 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Chateau Girardeau (Skilled Nursing and Continuing Care) staffed?
Chateau Girardeau (Skilled Nursing and Continuing Care) reports 4.44 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Chateau Girardeau (Skilled Nursing and Continuing Care) had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Chateau Girardeau (Skilled Nursing and Continuing Care) have?
Chateau Girardeau (Skilled Nursing and Continuing Care) is certified for 75 beds.