Senior CareScorecard

Nursing home · Gallatin, MO

Daviess County Nursing and Rehabilitation

1337 West Grand, Gallatin, MO 64640 · 97 certified beds · for profit ownership

Medicare & Medicaid
Medicare overall rating3 / 5AverageChillicothe area 2.0 · Missouri 2.51 · U.S. 2.99
3/5Health inspections Average
2/5Staffing Below average
4/5Quality measures Above average
4/5Short-stay (rehab) quality Above average
3/5Long-stay quality Average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Jun 25, 2026, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Apr 25, 2025) it had 9 citations, compared with an average of 10.1 for Chillicothe-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 3.11 hours per resident per day here, 9% less than the Missouri average (3.43) and 20% less than the U.S. average (3.86). Registered nurses account for 0.35 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 52% over the past year, 4 points lower than Missouri (56%) and 6 points higher than the U.S. (46%).

How Daviess County Nursing and Rehabilitation compares

This home's latest CMS figures next to the averages for Chillicothe-area homes (20), Missouri (487) and the U.S. (14,680).

This homeChillicothe areaMissouriU.S.
Total nurse hours per resident per day3.113.283.433.86
Registered nurse hours per resident per day0.350.430.460.68
Weekend nurse hours per resident per day2.762.883.013.42
Nursing staff turnover (past year)52%56%56%46%
Registered nurse turnover (past year)20%47%48%43%
Citations at the most recent standard inspection910.111.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Jun 25, 20261complaint
Apr 25, 20258standard
Jan 26, 20244standard
Sep 25, 20231complaint
Feb 16, 20226standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 20 of 20 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Jun 25, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care · complaint
EDeficient, Provider has date of correction
Apr 25, 2025Provide activities to meet all resident's needs.
Quality of life and care
EDeficient, Provider has date of correction
Apr 25, 2025Ensure the activities program is directed by a qualified professional.
Quality of life and care
EDeficient, Provider has date of correction
Apr 25, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of life and care
EDeficient, Provider has date of correction
Apr 25, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
EDeficient, Provider has date of correction
Apr 25, 2025Keep all essential equipment working safely.
Environmental
EDeficient, Provider has date of correction
Apr 25, 2025Reasonably accommodate the needs and preferences of each resident.
Resident rights
DDeficient, Provider has date of correction
Apr 25, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of life and care
DDeficient, Provider has date of correction
Apr 25, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
EDeficient, Provider has date of correction
Jan 26, 2024Try 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
EDeficient, Provider has date of correction
Jan 26, 2024Regularly 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
EDeficient, Provider has date of correction
Jan 26, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Jan 26, 2024Employ 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
FDeficient, Provider has date of correction
Sep 25, 2023Protect 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 · complaint
DDeficient, Provider has date of correction
Feb 16, 2022Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident rights
EDeficient, Provider has date of correction
Feb 16, 2022Develop 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 planning
EDeficient, Provider has date of correction
Feb 16, 2022Ensure medication error rates are not 5 percent or greater.
Pharmacy service
EDeficient, Provider has date of correction
Feb 16, 2022Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
EDeficient, Provider has date of correction
Feb 16, 2022Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident rights
DDeficient, Provider has date of correction
Feb 16, 2022Provide safe and appropriate respiratory care for a resident when needed.
Quality of life and care
DDeficient, Provider has date of correction

Fines and penalties

No federal fines or payment denials reported by CMS in the past three years.

Location

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Questions about Daviess County Nursing and Rehabilitation

Answers computed from CMS data for this facility.

What is Daviess County Nursing and Rehabilitation's Medicare rating?

Medicare rates Daviess County Nursing and Rehabilitation 3 out of 5 stars overall (average). The average for Chillicothe-area nursing homes is 2.0, for Missouri 2.51 and for the U.S. 2.99.

How did Daviess County Nursing and Rehabilitation do on its last inspection?

Inspectors' most recent visit in the CMS data was on Jun 25, 2026, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Apr 25, 2025) it had 9 citations, compared with an average of 10.1 for Chillicothe-area homes, 11.4 in Missouri and 9.2 nationally.

Has Daviess County Nursing and Rehabilitation been fined?

CMS reports no federal fines for this facility in the past three years.

Does Daviess County Nursing and Rehabilitation accept Medicaid?

Daviess County Nursing and Rehabilitation is certified for both Medicare and Medicaid. Call (660) 663-2197 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.