Senior CareScorecard

Nursing home · Arnold, MO

South County Health Care Center

1101 West Outer 21 Road, Arnold, MO 63010 · 153 certified beds · for profit ownership · part of Reliant Care Management

Medicare & MedicaidFined $93,995 in 3 yearsMedicare abuse icon
Medicare overall rating1 / 5Much below averageFestus area 2.4 · Missouri 2.51 · U.S. 2.99
2/5Health inspections Below average
1/5Staffing Much below average
3/5Quality measures Average
3/5Short-stay (rehab) quality 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 16, 2026, when they cited 2 problems from complaint investigations. The most common area was resident rights (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 2 are marked corrected in the CMS data. At its most recent standard inspection (Aug 7, 2025) it had 24 citations, compared with an average of 11.5 for Festus-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 1.40 hours per resident per day here, 59% less than the Missouri average (3.43) and 64% less than the U.S. average (3.86). Registered nurses account for 0.17 of those hours, versus 0.46 in Missouri and 0.68 nationally.

How South County Health Care Center compares

This home's latest CMS figures next to the averages for Festus-area homes (10), Missouri (487) and the U.S. (14,680).

This homeFestus areaMissouriU.S.
Total nurse hours per resident per day1.402.813.433.86
Registered nurse hours per resident per day0.170.310.460.68
Weekend nurse hours per resident per day1.212.463.013.42
Nursing staff turnover (past year)—57%56%46%
Registered nurse turnover (past year)—52%48%43%
Citations at the most recent standard inspection2411.511.49.2

Inspection history

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

Jun 16, 20262complaint
Apr 16, 20262complaint
Mar 27, 20261complaint · 1 harm-level citation
Aug 7, 202519standard
May 29, 20251complaint
Aug 22, 20243standard
Mar 24, 20235standard

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

Most recent 33 of 33 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Jun 16, 2026Honor 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
EDeficient, Provider has date of correction
Jun 16, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Apr 16, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning · complaint
DDeficient, Provider has date of correction
Apr 16, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Mar 27, 2026Protect 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 jeopardyDeficient, Provider has date of correction
Aug 7, 2025Provide 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
DDeficient, Provider has date of correction
Aug 7, 2025Post nurse staffing information every day.
Nursing and physician services
CDeficient, Provider has date of correction
Aug 7, 2025Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident rights
CDeficient, Provider has date of correction
Aug 7, 2025Ensure 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
DDeficient, Provider has date of correction
Aug 7, 2025Regularly 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
DDeficient, Provider has date of correction
Aug 7, 2025Provide and implement an infection prevention and control program.
Infection control
DDeficient, Provider has date of correction
Aug 7, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and dietary
DDeficient, Provider has date of correction
Aug 7, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy service
DDeficient, Provider has date of correction
Aug 7, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of life and care
DDeficient, Provider has date of correction
Aug 7, 2025Try 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
DDeficient, Provider has date of correction
Aug 7, 2025Develop 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
DDeficient, Provider has date of correction
Aug 7, 2025Ensure each resident receives an accurate assessment.
Resident assessment and care planning
DDeficient, Provider has date of correction
Aug 7, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident rights
DDeficient, Provider has date of correction
Aug 7, 2025Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident rights
DDeficient, Provider has date of correction
Aug 7, 2025Honor 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
Aug 7, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation
EDeficient, Provider has date of correction
Aug 7, 2025Honor 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
EDeficient, Provider has date of correction
Aug 7, 2025Assure the security of all personal funds of residents deposited with the facility.
Resident rights
EDeficient, Provider has date of correction
Aug 7, 2025Procure 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
May 29, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Aug 22, 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
Aug 22, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident rights
DDeficient, Provider has date of correction
Aug 22, 2024Provide and implement an infection prevention and control program.
Infection control
DDeficient, Provider has date of correction
Mar 24, 2023Ensure each resident receives an accurate assessment.
Resident assessment and care planning
DDeficient, Provider has date of correction
Mar 24, 2023Develop 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
DDeficient, Provider has date of correction
Mar 24, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
DDeficient, Provider has date of correction
Mar 24, 2023Provide safe and appropriate respiratory care for a resident when needed.
Quality of life and care
DDeficient, Provider has date of correction
Mar 24, 2023Provide and implement an infection prevention and control program.
Infection control
DDeficient, Provider has date of correction

Fines and penalties

DateTypeAmount
Mar 27, 2026Fine$93,995
Mar 27, 2026Payment Denial57 days

Location

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Questions about South County Health Care Center

Answers computed from CMS data for this facility.

What is South County Health Care Center's Medicare rating?

Medicare rates South County Health Care Center 1 out of 5 stars overall (much below average). The average for Festus-area nursing homes is 2.4, for Missouri 2.51 and for the U.S. 2.99.

How did South County Health Care Center do on its last inspection?

Inspectors' most recent visit in the CMS data was on Jun 16, 2026, when they cited 2 problems from complaint investigations. The most common area was resident rights (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 2 are marked corrected in the CMS data. At its most recent standard inspection (Aug 7, 2025) it had 24 citations, compared with an average of 11.5 for Festus-area homes, 11.4 in Missouri and 9.2 nationally.

Has South County Health Care Center been fined?

Yes. CMS reports 1 fine totaling $93,995 in the past three years.

Does South County Health Care Center accept Medicaid?

South County Health Care Center is certified for both Medicare and Medicaid. Call (636) 296-5455 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.