Nursing home · Union, MO
Union Nursing
1080 Marie Lane, Union, MO 63084 · 60 certified beds · for profit ownership · part of Community Care Centers
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Nov 19, 2025, when they cited 2 problems from complaint investigations. The most common area was freedom from abuse, neglect, and exploitation (2 citations). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (Aug 28, 2025) it had 7 citations, compared with an average of 8.3 for De Soto-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 2.95 hours per resident per day here, 14% less than the Missouri average (3.43) and 24% less than the U.S. average (3.86). Registered nurses account for 0.46 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 54% over the past year, 2 points lower than Missouri (56%) and 9 points higher than the U.S. (46%).
How Union Nursing compares
This home's latest CMS figures next to the averages for De Soto-area homes (11), Missouri (487) and the U.S. (14,680).
| This home | De Soto area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 2.95 | 3.26 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.46 | 0.40 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.69 | 2.90 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 54% | 60% | 56% | 46% |
| Registered nurse turnover (past year) | 50% | 53% | 48% | 43% |
| Citations at the most recent standard inspection | 7 | 8.3 | 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 14 of 14 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Nov 19, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Nov 19, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Aug 28, 2025 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Aug 28, 2025 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident rights | E | Deficient, Provider has date of correction |
| Aug 28, 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 |
| Aug 28, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Aug 28, 2025 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Jun 20, 2024 | 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 | F | Deficient, Provider has date of correction |
| Jun 20, 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 |
| Jun 20, 2024 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | D | Deficient, Provider has date of correction |
| Apr 7, 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 |
| Apr 7, 2023 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident rights | E | Deficient, Provider has date of correction |
| Apr 7, 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 |
| Apr 7, 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 |
Fines and penalties
No federal fines or payment denials reported by CMS in the past three years.
Location
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Reviews
No family reviews yet. Reviews from residents and families will appear here, kept separate from government data.
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Questions about Union Nursing
Answers computed from CMS data for this facility.
What is Union Nursing's Medicare rating?
Medicare rates Union Nursing 4 out of 5 stars overall (above average). The average for De Soto-area nursing homes is 3.1, for Missouri 2.51 and for the U.S. 2.99.
How did Union Nursing do on its last inspection?
Inspectors' most recent visit in the CMS data was on Nov 19, 2025, when they cited 2 problems from complaint investigations. The most common area was freedom from abuse, neglect, and exploitation (2 citations). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (Aug 28, 2025) it had 7 citations, compared with an average of 8.3 for De Soto-area homes, 11.4 in Missouri and 9.2 nationally.
Has Union Nursing been fined?
CMS reports no federal fines for this facility in the past three years.
Does Union Nursing accept Medicaid?
Union Nursing is certified for both Medicare and Medicaid. Call (636) 206-8585 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.