Nursing homeActive
Chateau Girardeau
3120 Independence Street, Cape Girardeau, MO 63703573335128175 certified beds · 54 residentsNon profit - OtherMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
20
● 0● 20● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-10
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 4
Staffing 3
Quality 1
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-10 | Standard | 080 | CMS-2567 (Care Compare) | — |
| 2025-01-23 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2023-11-16 | Standard | 050 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-25Record 265142-20260410-F552
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-25Record 265142-20260410-F578
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-25Record 265142-20260410-F582
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-25Record 265142-20260410-F605
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-25Record 265142-20260410-F636
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-25Record 265142-20260410-F637
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-25Record 265142-20260410-F658
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-25Record 265142-20260410-F880
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 265142-20250123-F550
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 265142-20250123-F623
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 265142-20250123-F625
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 265142-20250123-F727
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 265142-20250123-F759
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 265142-20250123-F880
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 265142-20250123-F947
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 265142-20231116-F623
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 265142-20231116-F625
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-08Record 265142-20231116-F641
F700Try 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-08Record 265142-20231116-F700
F909Regularly 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.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-30Record 265142-20231116-F909
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.63
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day4.26
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours3.53
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover66%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover70%
Facility
Missouri
National
Missouri 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Missouri | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.4% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.3% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 19.7% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.3% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 33.8% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.1% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 34.8% | 25.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Cape Retirement Community, Inc. Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Boeller, Keith Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cape Retirement Community, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Boeller, Keith Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Boeller, Keith Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Boeller, Keith Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Boeller, Keith Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Carins, Paul Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Edmonds, Chris Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Eudy, Debra Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Fadler, Jeannette Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Herbst, Charlie Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kasten, Vernon Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kinder, Mark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Klein, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mattingly, Nancy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Reeves, Dean Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Schade, Kevin Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Sides, Chris Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Tanner, Roger Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Taylor, Steve Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.
No county cost figures on file for Cape Girardeau.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Lutheran Home, The Cape Girardeau | 1.0 mi | 2025-03-28 | 050 |
| Life Care Center Of Cape Girardeau Cape Girardeau | 0.9 mi | 2025-12-16 | 1337 |
| Fountainbleau Lodge Cape Girardeau | 2.1 mi | 2025-09-04 | 0101 |
| Heartland Care And Rehabilitation Center Cape Girardeau | 2.9 mi | 2025-11-17 | 160 |
| Ratliff Care Center Cape Girardeau | 2.4 mi | 2025-05-30 | 0130 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |