Nursing home · Queen City, MO

Schuyler County Nursing Home District

1306 Us Highway 63, Queen City, MO 63561 · 60 certified beds · government ownership

Medicare & Medicaid

Call (660) 766-2291 Directions

Medicare overall rating1 / 5Much below averageChillicothe area 2.0 · Missouri 2.51 · U.S. 2.99

2/5Health inspections Below average

4/5Staffing Above average

1/5Quality measures Much below average

1/5Short-stay (rehab) quality Much below average

1/5Long-stay quality Much below 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 Sep 10, 2025, when they cited 17 problems. The most common area was quality of life and care (5 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 17 are marked corrected in the CMS data. At its most recent standard inspection (Sep 10, 2025) it had 17 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 4.08 hours per resident per day here, 19% more than the Missouri average (3.43) and 6% more than the U.S. average (3.86). Registered nurses account for 0.52 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 38% over the past year, 18 points lower than Missouri (56%) and 8 points lower than the U.S. (46%).

How Schuyler County Nursing Home District 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	4.08	3.28	3.43	3.86
Registered nurse hours per resident per day	0.52	0.43	0.46	0.68
Weekend nurse hours per resident per day	3.35	2.88	3.01	3.42
Nursing staff turnover (past year)	38%	56%	56%	46%
Registered nurse turnover (past year)	—	47%	48%	43%
Citations at the most recent standard inspection	17	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.

Sep 10, 202517standard

Dec 13, 202313standard + complaint

Jan 5, 202112standard

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

Most recent 40 of 42 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations

Date	Deficiency	Severity	Status
Sep 10, 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
Sep 10, 2025	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
Sep 10, 2025	Provide and implement an infection prevention and control program. Infection control	F	Deficient, Provider has date of correction
Sep 10, 2025	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident assessment and care planning	B	Deficient, Provider has date of correction
Sep 10, 2025	Ensure each resident receives an accurate assessment. Resident assessment and care planning	B	Deficient, Provider has date of correction
Sep 10, 2025	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident rights	B	Deficient, Provider has date of correction
Sep 10, 2025	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	D	Deficient, Provider has date of correction
Sep 10, 2025	Provide enough food/fluids to maintain a resident's health. Quality of life and care	D	Deficient, Provider has date of correction
Sep 10, 2025	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of life and care	D	Deficient, Provider has date of correction
Sep 10, 2025	Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of life and care	D	Deficient, Provider has date of correction
Sep 10, 2025	Assess the resident when there is a significant change in condition Resident assessment and care planning	D	Deficient, Provider has date of correction
Sep 10, 2025	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from abuse, neglect, and exploitation	D	Deficient, Provider has date of correction
Sep 10, 2025	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
Sep 10, 2025	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
Sep 10, 2025	Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning	E	Deficient, Provider has date of correction
Sep 10, 2025	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
Sep 10, 2025	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	F	Deficient, Provider has date of correction
Dec 13, 2023	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and dietary	E	Deficient, Provider has date of correction
Dec 13, 2023	Post nurse staffing information every day. Nursing and physician services	C	Deficient, Provider has date of correction
Dec 13, 2023	Ensure that residents are free from significant medication errors. Pharmacy service	D	Deficient, Provider has date of correction
Dec 13, 2023	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of life and care	D	Deficient, Provider has date of correction
Dec 13, 2023	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
Dec 13, 2023	Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning	D	Deficient, Provider has date of correction
Dec 13, 2023	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
Dec 13, 2023	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
Dec 13, 2023	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	E	Deficient, Provider has date of correction
Dec 13, 2023	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental · complaint	F	Deficient, Provider has date of correction
Dec 13, 2023	Provide and implement an infection prevention and control program. Infection control	F	Deficient, Provider has date of correction
Dec 13, 2023	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
Dec 13, 2023	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy service	E	Deficient, Provider has date of correction
Jan 5, 2021	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
Jan 5, 2021	Provide and implement an infection prevention and control program. Infection control	E	Deficient, Provider has date of correction
Jan 5, 2021	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
Jan 5, 2021	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy service	E	Deficient, Provider has date of correction
Jan 5, 2021	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy service	E	Deficient, Provider has date of correction
Jan 5, 2021	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident assessment and care planning	E	Deficient, Provider has date of correction
Jan 5, 2021	Provide enough food/fluids to maintain a resident's health. Quality of life and care	E	Deficient, Provider has date of correction
Jan 5, 2021	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	E	Deficient, Provider has date of correction
Jan 5, 2021	Assess the resident when there is a significant change in condition Resident assessment and care planning	E	Deficient, Provider has date of correction
Jan 5, 2021	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights	E	Deficient, Provider has date of correction

Fines and penalties

Date	Type	Amount
Dec 13, 2023	Payment Denial	14 days

Location

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Questions about Schuyler County Nursing Home District

Answers computed from CMS data for this facility.

What is Schuyler County Nursing Home District's Medicare rating?

Medicare rates Schuyler County Nursing Home District 1 out of 5 stars overall (much below average). The average for Chillicothe-area nursing homes is 2.0, for Missouri 2.51 and for the U.S. 2.99.

How did Schuyler County Nursing Home District do on its last inspection?

Has Schuyler County Nursing Home District been fined?

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

Does Schuyler County Nursing Home District accept Medicaid?

Schuyler County Nursing Home District is certified for both Medicare and Medicaid. Call (660) 766-2291 to ask whether a Medicaid bed is open.

Other nursing homes near Queen City

Compare all 20 Chillicothe-area nursing homes · · Chillicothe guide

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.