Senior CareScorecard

Nursing home · Saint Elizabeth, MO

St Elizabeth Care Center

649 South Walnut, Saint Elizabeth, MO 65075 · 63 certified beds · for profit ownership · part of Reliant Care Management

Medicare & Medicaid
Medicare overall rating2 / 5Below averageOsage Beach area 2.7 · Missouri 2.51 · U.S. 2.99
3/5Health inspections Average
1/5Staffing Much below average
2/5Quality measures Below average
–Short-stay (rehab) quality Not rated
2/5Long-stay quality 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 Feb 27, 2026, when they cited 7 problems. The most common area was nutrition and dietary (3 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 7 are marked corrected in the CMS data. At its most recent standard inspection (Feb 27, 2026) it had 7 citations, compared with an average of 10.4 for Osage Beach-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 1.70 hours per resident per day here, 50% less than the Missouri average (3.43) and 56% less than the U.S. average (3.86). Registered nurses account for 0.29 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 51% over the past year, 5 points lower than Missouri (56%) and 5 points higher than the U.S. (46%).

How St Elizabeth Care Center compares

This home's latest CMS figures next to the averages for Osage Beach-area homes (19), Missouri (487) and the U.S. (14,680).

This homeOsage Beach areaMissouriU.S.
Total nurse hours per resident per day1.703.543.433.86
Registered nurse hours per resident per day0.290.680.460.68
Weekend nurse hours per resident per day1.513.093.013.42
Nursing staff turnover (past year)51%60%56%46%
Registered nurse turnover (past year)50%45%48%43%
Citations at the most recent standard inspection710.411.49.2

Inspection history

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

Feb 27, 20267standard
Feb 6, 20256standard
Nov 7, 20242complaint
Oct 20, 202316standard

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

Most recent 31 of 31 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Feb 27, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and dietary
FDeficient, Provider has date of correction
Feb 27, 2026Provide and implement an infection prevention and control program.
Infection control
FDeficient, Provider has date of correction
Feb 27, 2026Ensure each resident receives an accurate assessment.
Resident assessment and care planning
EDeficient, Provider has date of correction
Feb 27, 2026Develop 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
EDeficient, Provider has date of correction
Feb 27, 2026Provide activities to meet all resident's needs.
Quality of life and care
EDeficient, Provider has date of correction
Feb 27, 2026Ensure 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
EDeficient, Provider has date of correction
Feb 27, 2026Procure 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
Feb 6, 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
EDeficient, Provider has date of correction
Feb 6, 2025Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection control
EDeficient, Provider has date of correction
Feb 6, 2025Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Feb 6, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
EDeficient, Provider has date of correction
Feb 6, 2025Develop 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
EDeficient, Provider has date of correction
Feb 6, 2025Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident rights
EDeficient, Provider has date of correction
Nov 7, 2024Protect 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
DDeficient, Provider has date of correction
Nov 7, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Oct 20, 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
EDeficient, Provider has date of correction
Oct 20, 2023Implement 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
DDeficient, Provider has date of correction
Oct 20, 2023Ensure 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
EDeficient, Provider has date of correction
Oct 20, 2023Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection control
EDeficient, Provider has date of correction
Oct 20, 2023Ensure 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
EDeficient, Provider has date of correction
Oct 20, 2023Ensure 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
EDeficient, Provider has date of correction
Oct 20, 2023Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
EDeficient, Provider has date of correction
Oct 20, 2023Provide and implement an infection prevention and control program.
Infection control
FDeficient, Provider has date of correction
Oct 20, 2023Ensure each resident receives an accurate assessment.
Resident assessment and care planning
EDeficient, Provider has date of correction
Oct 20, 2023Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident rights
EDeficient, Provider has date of correction
Oct 20, 2023Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident rights
EDeficient, Provider has date of correction
Oct 20, 2023Honor 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
Oct 20, 2023Keep residents' personal and medical records private and confidential.
Resident rights
EDeficient, Provider has date of correction
Oct 20, 2023Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident rights
EDeficient, Provider has date of correction
Oct 20, 2023Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident rights
EDeficient, Provider has date of correction
Oct 20, 2023Honor 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
CDeficient, 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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Questions about St Elizabeth Care Center

Answers computed from CMS data for this facility.

What is St Elizabeth Care Center's Medicare rating?

Medicare rates St Elizabeth Care Center 2 out of 5 stars overall (below average). The average for Osage Beach-area nursing homes is 2.7, for Missouri 2.51 and for the U.S. 2.99.

How did St Elizabeth Care Center do on its last inspection?

Inspectors' most recent visit in the CMS data was on Feb 27, 2026, when they cited 7 problems. The most common area was nutrition and dietary (3 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 7 are marked corrected in the CMS data. At its most recent standard inspection (Feb 27, 2026) it had 7 citations, compared with an average of 10.4 for Osage Beach-area homes, 11.4 in Missouri and 9.2 nationally.

Has St Elizabeth Care Center been fined?

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

Does St Elizabeth Care Center accept Medicaid?

St Elizabeth Care Center is certified for both Medicare and Medicaid. Call (573) 493-2215 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.