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Nursing homesMissouri › St Elizabeth Care Center

St Elizabeth Care Center

649 South Walnut, Saint Elizabeth, MO 65075 · 5734932215 · 63 certified beds

Overall★★☆☆☆ 2/5
Health inspections★★★☆☆ 3/5
Staffing★☆☆☆☆ 1/5
Quality measures★★☆☆☆ 2/5

Ownership group

Per CMS filings, this facility is affiliated with Reliant Care Management, a group operating 33 facilities in 2 states. Group record: average rating 1.2/5, 14 abuse citation icons, 8 facilities on the Special Focus list, $4,513,946 in federal fines. This facility rates above its group average (1.2/5).

See all 33 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 1.70 (Missouri median: 3.36). RN hours: 0.29. Weekend total: 1.51. Nursing staff turnover: 51%.

Inspection deficiencies

All-time on record: 42 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2025-02-06Ensure residents have reasonable access to and privacy in their use of communication methods. EHealthcorrected 2025-03-14
2025-02-06Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. EHealthcorrected 2025-03-14
2025-02-06Ensure services provided by the nursing facility meet professional standards of quality. EHealthcorrected 2025-03-14
2025-02-06Try 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. EHealthcorrected 2025-03-14
2025-02-06Provide and implement an infection prevention and control program. EHealthcorrected 2025-03-14
2025-02-06Educate 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. EHealthcorrected 2025-03-14
2024-11-07Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2024-12-01
2024-11-07Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2024-12-01
2023-10-20Provide and implement an infection prevention and control program. FHealthcorrected 2023-12-02
2023-10-20Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. EHealthcorrected 2023-12-01
2023-10-20Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. EHealthcorrected 2023-12-01
2023-10-20Keep residents' personal and medical records private and confidential. EHealthcorrected 2023-12-01
2023-10-20Honor 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. EHealthcorrected 2023-12-01
2023-10-20Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. EHealthcorrected 2023-12-01
2023-10-20Notify 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. EHealthcorrected 2023-12-01
2023-10-20Ensure each resident receives an accurate assessment. EHealthcorrected 2023-12-01
2023-10-20Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. EHealthcorrected 2023-12-01
2023-10-20Ensure services provided by the nursing facility meet professional standards of quality. EHealthcorrected 2023-12-01
2023-10-20Ensure 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. EHealthcorrected 2023-12-02
2023-10-20Ensure 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. EHealthcorrected 2023-12-01
2023-10-20Develop and implement policies and procedures for flu and pneumonia vaccinations. EHealthcorrected 2023-12-01
2023-10-20Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. EHealthcorrected 2023-12-01
2023-10-20Implement 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. DHealthcorrected 2023-12-02
2023-10-20Honor 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. CHealthcorrected 2023-12-01
2023-08-10Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Gcomplaintcorrected 2023-09-20
2023-08-10Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Dcomplaintcorrected 2023-09-20
2023-08-10Ensure services provided by the nursing facility meet professional standards of quality. Dcomplaintcorrected 2023-09-20

Federal penalties

DateTypeAmount
2023-08-10Fine$37,733

Ownership & control records (CMS filings)

NameRoleType%Since
RICHARD J DESTEFANE REVOCABLE LIVING TRUST5% Or Greater Direct Ownership InterestOrganization100%since 03/01/2018
DESTEFANE, RICHARDCorporate DirectorIndividualNOT APPLICABLEsince 10/01/2010
DESTEFANE, RICHARDCorporate OfficerIndividualNOT APPLICABLEsince 10/01/2010
RELIANT CARE MANAGEMENT COMPANY LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 04/02/2013

Compare nearby (Miller County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265676. Corrections: data@carerecords.org.