Nursing home · Perryville, MO
The Estates of Perryville, Llc
430 North West Street, Perryville, MO 63775 · 156 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 Mar 11, 2026, when they cited 6 problems. The most common area was resident assessment and care planning (3 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 6 are marked corrected in the CMS data. At its most recent standard inspection (Mar 11, 2026) it had 9 citations, compared with an average of 7.6 for Farmington-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 2.10 hours per resident per day here, 39% less than the Missouri average (3.43) and 46% less than the U.S. average (3.86). Registered nurses account for 0.10 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 61% over the past year, 5 points higher than Missouri (56%) and 16 points higher than the U.S. (46%).
How The Estates of Perryville, Llc compares
This home's latest CMS figures next to the averages for Farmington-area homes (15), Missouri (487) and the U.S. (14,680).
| This home | Farmington area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 2.10 | 3.23 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.10 | 0.44 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 1.73 | 2.79 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 61% | 59% | 56% | 46% |
| Registered nurse turnover (past year) | — | 47% | 48% | 43% |
| Citations at the most recent standard inspection | 9 | 7.6 | 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 40 of 43 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Mar 11, 2026 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident rights | D | Deficient, Provider has date of correction |
| Mar 11, 2026 | 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 |
| Mar 11, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Mar 11, 2026 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | D | Deficient, Provider has date of correction |
| Mar 11, 2026 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | D | Deficient, Provider has date of correction |
| Mar 11, 2026 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Nov 6, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Sep 11, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | J immediate jeopardy | Past Non-Compliance |
| Sep 4, 2025 | 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 · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| Jul 9, 2025 | 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 · complaint | G actual harm | Deficient, Provider has date of correction |
| Jun 10, 2025 | 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 · complaint | D | Deficient, Provider has date of correction |
| Jun 10, 2025 | 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 · complaint | D | Deficient, Provider has date of correction |
| Jun 10, 2025 | PASARR screening for Mental disorders or Intellectual Disabilities Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Jun 10, 2025 | Provide care or services that was trauma informed and/or culturally competent. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Jun 10, 2025 | 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 · complaint | J immediate jeopardy | Past Non-Compliance |
| Mar 11, 2025 | 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 · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| Mar 11, 2025 | 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 · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| Dec 6, 2024 | Assess the resident when there is a significant change in condition Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Dec 6, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | D | Deficient, Provider has date of correction |
| Dec 6, 2024 | 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 | D | Deficient, Provider has date of correction |
| Dec 6, 2024 | Provide activities to meet all resident's needs. Quality of life and care | D | Deficient, Provider has date of correction |
| Dec 6, 2024 | 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 6, 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 |
| Dec 6, 2024 | 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 · complaint | D | Deficient, Provider has date of correction |
| Dec 6, 2024 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | D | Deficient, Provider has date of correction |
| Dec 6, 2024 | 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 · complaint | D | Deficient, Provider has date of correction |
| Dec 6, 2024 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental | E | Deficient, Provider has date of correction |
| Dec 6, 2024 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Dec 6, 2024 | 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 6, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | D | Deficient, Provider has date of correction |
| Sep 28, 2023 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Sep 28, 2023 | Provide care or services that was trauma informed and/or culturally competent. Quality of life and care | D | Deficient, Provider has date of correction |
| Sep 28, 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 |
| Sep 28, 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 |
| Sep 28, 2023 | Encode each residentâs assessment data and transmit these data to the State within 7 days of assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Sep 28, 2023 | Assure that each residentâs assessment is updated at least once every 3 months. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Sep 28, 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 |
| Sep 28, 2023 | Assure the security of all personal funds of residents deposited with the facility. Resident rights | D | Deficient, Provider has date of correction |
| Sep 28, 2023 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident rights | D | Deficient, Provider has date of correction |
| Sep 28, 2023 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental | F | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Jun 10, 2025 | Fine | $17,627 |
| Jun 10, 2025 | Fine | $155,548 |
| Jun 10, 2025 | Payment Denial | 57 days |
| Mar 11, 2025 | Fine | $133,817 |
| Mar 11, 2025 | Payment Denial | 6 days |
Location
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Reviews
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Questions about The Estates of Perryville, Llc
Answers computed from CMS data for this facility.
What is The Estates of Perryville, Llc's Medicare rating?
Medicare rates The Estates of Perryville, Llc 1 out of 5 stars overall (much below average). The average for Farmington-area nursing homes is 3.5, for Missouri 2.51 and for the U.S. 2.99.
How did The Estates of Perryville, Llc do on its last inspection?
Inspectors' most recent visit in the CMS data was on Mar 11, 2026, when they cited 6 problems. The most common area was resident assessment and care planning (3 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 6 are marked corrected in the CMS data. At its most recent standard inspection (Mar 11, 2026) it had 9 citations, compared with an average of 7.6 for Farmington-area homes, 11.4 in Missouri and 9.2 nationally.
Has The Estates of Perryville, Llc been fined?
Yes. CMS reports 3 fines totaling $306,992 in the past three years.
Does The Estates of Perryville, Llc accept Medicaid?
The Estates of Perryville, Llc is certified for both Medicare and Medicaid. Call (573) 547-1011 to ask whether a Medicaid bed is open.
Other nursing homes near Perryville
- 3/5Independence Care Center of Perry CountyPerryville · 133 beds
- 5/5Camelot Nursing and Rehabilitation CenterFarmington · 97 beds
- 5/5Country MeadowsPark Hills · 72 beds
- 5/5Farmington Presbyterian ManorFarmington · 90 beds
- 5/5Madison Medical CenterFredericktown · 99 beds
- 5/5Southbrook Nursing CenterFarmington · 104 beds
Compare all 15 Farmington-area nursing homes · · Farmington 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.