Nursing home · Vandalia, MO
Baptist Homes, Tri-County
601 North Galloway Road, Vandalia, MO 63382 · 90 certified beds · non 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 5, 2026, when they cited 18 problems. The most common area was resident rights (4 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 18 are marked corrected in the CMS data. At its most recent standard inspection (Mar 5, 2026) it had 18 citations, compared with an average of 16.7 for Hannibal-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.93 hours per resident per day here, 15% more than the Missouri average (3.43) and about the same as the U.S. average (3.86). Registered nurses account for 0.34 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 60% over the past year, 4 points higher than Missouri (56%) and 14 points higher than the U.S. (46%).
How Baptist Homes, Tri-County compares
This home's latest CMS figures next to the averages for Hannibal-area homes (15), Missouri (487) and the U.S. (14,680).
| This home | Hannibal area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.93 | 3.51 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.34 | 0.34 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.90 | 3.16 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 60% | 55% | 56% | 46% |
| Registered nurse turnover (past year) | — | 52% | 48% | 43% |
| Citations at the most recent standard inspection | 18 | 16.7 | 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 70 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Mar 5, 2026 | 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 |
| Mar 5, 2026 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Mar 5, 2026 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident rights | E | Deficient, Provider has date of correction |
| Mar 5, 2026 | 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 | D | Deficient, Provider has date of correction |
| Mar 5, 2026 | Observe each nurse aide's job performance and give regular training. Nursing and physician services | D | Deficient, Provider has date of correction |
| Mar 5, 2026 | 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 |
| Mar 5, 2026 | 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 |
| Mar 5, 2026 | 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 | D | Deficient, Provider has date of correction |
| Mar 5, 2026 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental | E | Deficient, Provider has date of correction |
| Mar 5, 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 5, 2026 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration | E | Deficient, Provider has date of correction |
| Mar 5, 2026 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Mar 5, 2026 | 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 |
| Mar 5, 2026 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident rights | E | Deficient, Provider has date of correction |
| Mar 5, 2026 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | E | Deficient, Provider has date of correction |
| Mar 5, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Mar 5, 2026 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident rights | E | Deficient, Provider has date of correction |
| Mar 5, 2026 | Ensure meals and snacks are served at times in accordance with residentâs needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Jan 24, 2025 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Jan 24, 2025 | Provide and implement an infection prevention and control program. Infection control · complaint | D | Deficient, Provider has date of correction |
| Jan 24, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Jan 24, 2025 | 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 · complaint | E | Deficient, Provider has date of correction |
| Feb 8, 2024 | Assess the resident when there is a significant change in condition Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Feb 8, 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 | B | Deficient, Provider has date of correction |
| Feb 8, 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 | B | Deficient, Provider has date of correction |
| Feb 8, 2024 | Ensure that residents are free from significant medication errors. Pharmacy service | D | Deficient, Provider has date of correction |
| Feb 8, 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 |
| Feb 8, 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 |
| Feb 8, 2024 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Feb 8, 2024 | Honor the resident's right to manage his or her financial affairs. Resident rights | D | Deficient, Provider has date of correction |
| Feb 8, 2024 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Feb 8, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
| Feb 8, 2024 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident rights | E | Deficient, Provider has date of correction |
| Feb 8, 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 |
| Feb 8, 2024 | Regularly 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 | E | Deficient, Provider has date of correction |
| Mar 2, 2022 | 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 |
| Mar 2, 2022 | 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 |
| Mar 2, 2022 | 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 |
| Mar 2, 2022 | 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 |
| Mar 2, 2022 | Provide activities to meet all resident's needs. Quality of life and care | E | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Mar 5, 2026 | Payment Denial | 23 days |
Location
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Reviews
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Questions about Baptist Homes, Tri-County
Answers computed from CMS data for this facility.
What is Baptist Homes, Tri-County's Medicare rating?
Medicare rates Baptist Homes, Tri-County 1 out of 5 stars overall (much below average). The average for Hannibal-area nursing homes is 1.5, for Missouri 2.51 and for the U.S. 2.99.
How did Baptist Homes, Tri-County do on its last inspection?
Inspectors' most recent visit in the CMS data was on Mar 5, 2026, when they cited 18 problems. The most common area was resident rights (4 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 18 are marked corrected in the CMS data. At its most recent standard inspection (Mar 5, 2026) it had 18 citations, compared with an average of 16.7 for Hannibal-area homes, 11.4 in Missouri and 9.2 nationally.
Has Baptist Homes, Tri-County been fined?
CMS reports no federal fines for this facility in the past three years.
Does Baptist Homes, Tri-County accept Medicaid?
Baptist Homes, Tri-County is certified for both Medicare and Medicaid. Call (573) 594-6467 to ask whether a Medicaid bed is open.
Other nursing homes near Vandalia
- 4/5Elsberry Missouri Health Care CenterElsberry · 56 beds
- 4/5Monroe City Manor Care CenterMonroe City · 60 beds
- 2/5Clark County Nursing HomeKahoka · 99 beds
- 1/5Avenir at Maple GroveLouisiana · 90 beds
- 1/5Beloved Health and Rehabilitation CenterHannibal · 111 beds
- 1/5Beth Haven Nursing HomeHannibal · 105 beds
Compare all 15 Hannibal-area nursing homes · · Hannibal 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.