Nursing home
Elsberry Missouri Health Care Center (Skilled Nursing)
1827 Hwy B, Elsberry, MO 63343 · Map
Non profit - Corporation · 56 certified beds
Elsberry Missouri Health Care Center (Skilled Nursing) is a Medicare-certified nursing home in Elsberry, Missouri. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 2.97 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on Jul 31, 2025 cited 6 deficiencies.
- 1 fine totaling $28,704In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Elsberry Missouri Health Care Center (Skilled Nursing) 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) | 2.97 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.36 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.12 | 2.32 | 2.34 | below avg |
| Nursing staff turnover | 30.0% | 57.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 6.0 | 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.
- Every deficiency from the July 31, 2025 inspection was corrected by September 14, 2025
Penalties in CMS records: 1 fine totaling $28,704, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Elsberry Missouri Health Care Center (Skilled Nursing)
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jul 31, 2025 · Full report (PDF)
Show all 12 deficiencies
- Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 16, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Oct 19, 2023 - Potential for harm
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.
Nutrition and Dietary Deficiencies · Oct 19, 2023 - 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 · Oct 19, 2023 - Potential for harm
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.
Pharmacy Service Deficiencies · Oct 19, 2023 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Oct 19, 2023 - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Oct 19, 2023
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
- 1827 Hwy B
Elsberry, MO 63343 - CMS certification #
- 265825
- Ownership
- Non profit - Corporation
- Certified beds
- 56
- Avg residents/day
- 53.3
- Provider type
- Medicare and Medicaid
- First certified
- 2009-01-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Elsberry Missouri Health Care Center (Skilled Nursing) using Google Maps.
Other public records
- Staff pay 2 federal wage cases with violations found, since 2011
Full public records, with dates and sources
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 Jun 21, 2016 to Jun 20, 2018. Violations found: Overtime. Back wages: $1,000 owed to 7 employees. DOL marked the employer as a repeat violator. Employer as DOL recorded it: Elsberry Missouri Heath Care Center (Elsberry Missouri Health Care Center Inc.). Case 1833767.
- Findings for Apr 28, 2011 to Apr 27, 2013. Violations found: Overtime. Back wages: $6,655 owed to 20 employees. Employer as DOL recorded it: Elsberry Missouri Health Care Center (Elsberry, Missouri Health Care Center, INC.). Case 1684307.
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
- Mercy Hospital Lincoln, Troy. 14.2 miles away, straight line.
- Nearest Medicare nursing home
- Evercare of Calhoun, Hardin. 11.2 miles away, straight line.
- Nearest home health agency office
- Calhoun County Health Department, Hardin. 11.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- The Medicine Shoppe. 3.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63343 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Fmc Dialysis Services Of Lincoln County, Troy, 13.1 miles away, straight line (CMS rating 2 of 5 stars)
- Hospice
- 15 Medicare hospices tell CMS they serve ZIP code 63343.
Pike County Health Department, Home Health & Hospice, office in Bowling Green, 22.3 miles away, straight line
Ssm Health At Home Hospice, office in Wentzville, 22.3 miles away, straight line (CMS family survey rating 4 of 5 stars)
Community Loving Care Hospice, office in Wentzville, 23.5 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Ssm Health Care Group, Saint Charles. 31.3 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 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 high, wildfire relatively low, tornado relatively high, 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.
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 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 | Could not read the site |
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Frequently asked questions
Is Elsberry Missouri Health Care Center (Skilled Nursing) a good nursing home?
CMS gives Elsberry Missouri Health Care Center (Skilled Nursing) an overall rating of 4 out of 5 stars, including 3/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Elsberry Missouri Health Care Center (Skilled Nursing) staffed?
Elsberry Missouri Health Care Center (Skilled Nursing) reports 2.97 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Elsberry Missouri Health Care Center (Skilled Nursing) had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Elsberry Missouri Health Care Center (Skilled Nursing) have?
Elsberry Missouri Health Care Center (Skilled Nursing) is certified for 56 beds.