Nursing home · Princeton, MO
Pearl's Ii Eden for Elders
611 North College, Princeton, MO 64673 · 60 certified beds · for profit ownership
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Aug 7, 2025, when they cited 1 problem. The most common area was nutrition and dietary (1 citation). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Aug 7, 2025) it had 1 citation, 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 3.64 hours per resident per day here, 6% more than the Missouri average (3.43) and 6% less than the U.S. average (3.86). Registered nurses account for 0.51 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 42% over the past year, 15 points lower than Missouri (56%) and 4 points lower than the U.S. (46%).
How Pearl's Ii Eden for Elders 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 home | Chillicothe area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.64 | 3.28 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.51 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.37 | 2.88 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 42% | 56% | 56% | 46% |
| Registered nurse turnover (past year) | 20% | 47% | 48% | 43% |
| Citations at the most recent standard inspection | 1 | 10.1 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 38 of 38 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Aug 7, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Aug 1, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Aug 1, 2024 | Ensure that residents are free from significant medication errors. Pharmacy service | D | Deficient, Provider has date of correction |
| Aug 1, 2024 | 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 | F | Deficient, Provider has date of correction |
| Aug 1, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Aug 1, 2024 | 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 | D | Deficient, Provider has date of correction |
| Aug 1, 2024 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Aug 1, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Aug 1, 2024 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Aug 1, 2024 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident rights | D | Deficient, Provider has date of correction |
| Aug 1, 2024 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Aug 1, 2024 | Provide care or services that was trauma informed and/or culturally competent. Quality of life and care | D | Deficient, Provider has date of correction |
| Aug 1, 2024 | 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 | E | Deficient, Provider has date of correction |
| Aug 1, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care | E | Deficient, Provider has date of correction |
| Aug 1, 2024 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | E | Deficient, Provider has date of correction |
| Aug 1, 2024 | Develop 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 | E | Deficient, Provider has date of correction |
| Aug 1, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | E | Deficient, Provider has date of correction |
| Aug 1, 2024 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident rights | E | Deficient, Provider has date of correction |
| Aug 1, 2024 | 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 | E | Deficient, Provider has date of correction |
| Aug 1, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and physician services | E | Deficient, Provider has date of correction |
| Aug 1, 2024 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Nursing and physician services | E | Deficient, Provider has date of correction |
| Jun 14, 2023 | 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 | E | Deficient, Provider has date of correction |
| Jun 14, 2023 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Jun 14, 2023 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration | E | Deficient, Provider has date of correction |
| Jun 14, 2023 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration | E | Deficient, Provider has date of correction |
| Jun 14, 2023 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration | E | Deficient, Provider has date of correction |
| Jun 14, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Jun 14, 2023 | Ensure that residents are free from significant medication errors. Pharmacy service | E | Deficient, Provider has date of correction |
| Jun 14, 2023 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | E | Deficient, Provider has date of correction |
| Jun 14, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Jun 14, 2023 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | E | Deficient, Provider has date of correction |
| Jun 14, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | E | Deficient, Provider has date of correction |
| Jun 14, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | E | Deficient, Provider has date of correction |
| Jun 14, 2023 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident rights | E | Deficient, Provider has date of correction |
| Jun 14, 2023 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident rights | E | Deficient, Provider has date of correction |
| Jun 14, 2023 | The resident has the right to receive notices in a format and a language he or she understands. Resident rights | E | Deficient, Provider has date of correction |
| Jun 14, 2023 | Assure the security of all personal funds of residents deposited with the facility. Resident rights | E | Deficient, Provider has date of correction |
| Jun 14, 2023 | Develop 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 | D | Deficient, 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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Reviews
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Questions about Pearl's Ii Eden for Elders
Answers computed from CMS data for this facility.
What is Pearl's Ii Eden for Elders's Medicare rating?
Medicare rates Pearl's Ii Eden for Elders 4 out of 5 stars overall (above average). The average for Chillicothe-area nursing homes is 2.0, for Missouri 2.51 and for the U.S. 2.99.
How did Pearl's Ii Eden for Elders do on its last inspection?
Inspectors' most recent visit in the CMS data was on Aug 7, 2025, when they cited 1 problem. The most common area was nutrition and dietary (1 citation). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Aug 7, 2025) it had 1 citation, compared with an average of 10.1 for Chillicothe-area homes, 11.4 in Missouri and 9.2 nationally.
Has Pearl's Ii Eden for Elders been fined?
CMS reports no federal fines for this facility in the past three years.
Does Pearl's Ii Eden for Elders accept Medicaid?
Pearl's Ii Eden for Elders is certified for both Medicare and Medicaid. Call (660) 748-4407 to ask whether a Medicaid bed is open.
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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.