Nursing home
The Estates of Perryville
430 North West Street, Perryville, MO 63775 · Map
For profit - Limited Liability company · 156 certified beds
The Estates of Perryville is a Medicare-certified nursing home in Perryville, Missouri. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.32 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on Dec 6, 2024 cited 24 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 4 fines totaling $326,522In CMS records: 6 total penalties, 2 Medicare payment denials.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Estates of Perryville 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) | 3.32 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.08 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.71 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 54.2% | 57.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 24.0 | 12.0 | 9.5 | above 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.
Penalties in CMS records: 4 fines totaling $326,522, 6 total penalties, 2 Medicare payment denials.
What inspectors found at The Estates of Perryville
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
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Nov 6, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Sep 11, 2025 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 4, 2025 · Full report (PDF) - Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 9, 2025 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 10, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide 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.
Quality of Life and Care Deficiencies · Jun 10, 2025 · Full report (PDF) - Potential for harm
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of Life and Care Deficiencies · Jun 10, 2025 · Full report (PDF) - Potential for harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Jun 10, 2025 · Full report (PDF) - Potential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Jun 10, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of Life and Care Deficiencies · Mar 11, 2025 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 11, 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 · Dec 6, 2024 · 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
- 430 North West Street
Perryville, MO 63775 - CMS certification #
- 265704
- Ownership
- For profit - Limited Liability company
- Certified beds
- 156
- Avg residents/day
- 106.5
- Provider type
- Medicare and Medicaid
- First certified
- 2000-03-14
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Estates of Perryville using Google Maps.
Other public records
- Workplace safety 3 OSHA workplace safety inspections since 2020, 6 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Nov 16, 2023: complaint inspection, partial (health). Case closed Jun 24, 2024. 1 violation cited (1 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as The Estates of Perryville, LLC.
Details
- Other than serious: Floors and walking surfaces (slips, trips and falls) (1910.22(a)(1)). Penalty $0 proposed, $0 now. To be fixed by Jun 6, 2024.
- May 20, 2021: follow-up inspection, partial (health). Case closed Sep 15, 2021. 1 violation cited (1 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as The Estates of Perryville, LLC.
Details
- Other than serious: Respiratory protection (respirators, N95 fit testing) (1910.134(e)(2)(i)). Penalty $0 proposed, $0 now. To be fixed by Sep 30, 2021.
- Jul 31, 2020: fatality or catastrophe inspection, partial (health). Case closed May 27, 2021. 4 violations cited (4 serious). Penalties: $9,557 proposed, $9,557 now. OSHA record. OSHA recorded the employer as The Estates of Perryville, LLC.
Details
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(c)(1)). Penalty $9,557 proposed, $9,557 now. To be fixed by Mar 16, 2021.
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(e)(1)). Penalty $0 proposed, $0 now. To be fixed by Mar 16, 2021.
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(f)(2)). Penalty $0 proposed, $0 now. To be fixed by Mar 16, 2021.
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(k)(1)). Penalty $0 proposed, $0 now. To be fixed by Mar 16, 2021.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Mercy Hospital Perry, Perryville. 0.0 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Independence Care Center of Perry County, Perryville. 0.7 miles away, straight line.
- Nearest home health agency office
- Ste Genevieve Co Memorial Hosp Home Health Agency, Sainte Genevieve. 19.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 2.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63775 as small town (small town core).
- Dialysis within 15 miles
- Fmc - Randolph County, Chester, 13.1 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 11 Medicare hospices tell CMS they serve ZIP code 63775.
Journey Hospice, LLC, office in Perryville, 0.5 miles away, straight line - Nearest geriatric medicine practice
- Red Bud Illinois Hospital Company LLC, Red Bud. 33.8 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 high. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado very high, 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 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| 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 |
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Frequently asked questions
Is The Estates of Perryville a good nursing home?
CMS gives The Estates of Perryville an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Estates of Perryville staffed?
The Estates of Perryville reports 3.32 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has The Estates of Perryville had inspection problems?
Its most recent CMS inspection cited 24 deficiencies.
How many beds does The Estates of Perryville have?
The Estates of Perryville is certified for 156 beds.