Nursing homeActive
Life Care Center Of Cape Girardeau
365 South Broadview Street, Cape Girardeau, MO 637035733352086120 certified beds · 85 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
12
since 2022
Deficiencies
45
● 1● 37● 7
Penalties · 3 yrs
$149,578
4 fines · 1 action
Last survey
2025-12-16
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 1
Quality 3
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 |
|---|---|---|---|---|
| 2025-12-16 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-06-27 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-05-22 | Standard | 1160 | CMS-2567 (Care Compare) | — |
| 2025-03-18 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2024-12-18 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2024-11-26 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-08-22 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2024-03-15 | Standard | 092 | CMS-2567 (Care Compare) | — |
| 2024-01-05 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-12-05 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-08-10 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2022-10-06 | Standard | 030 | 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.
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-14Record 265185-20251216-F692
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-07-02Record 265185-20250627-F678
F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-02Record 265185-20250522-F557
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-02Record 265185-20250522-F561
F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-02Record 265185-20250522-F569
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-02Record 265185-20250522-F656
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 2025-07-02Record 265185-20250522-F658
F675Honor each resident's preferences, choices, values and beliefs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-02Record 265185-20250522-F675
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-02Record 265185-20250522-F677
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-02Record 265185-20250522-F678
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-02Record 265185-20250522-F679
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-02Record 265185-20250522-F684
F730Observe each nurse aide's job performance and give regular training.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-02Record 265185-20250522-F730
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-02Record 265185-20250522-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-02Record 265185-20250522-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-07-02Record 265185-20250522-F812
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 2025-07-02Record 265185-20250522-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-02Record 265185-20250522-F921
F574The resident has the right to receive notices in a format and a language he or she understands.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2025-07-02Record 265185-20250522-F574
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-11-12Record 265185-20250318-F678
F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-07Record 265185-20250318-F573
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-07Record 265185-20250318-F760
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-12-24Record 265185-20241218-F697
F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-24Record 265185-20241218-F712
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-12-24Record 265185-20241126-F689
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-09-26Record 265185-20240822-F686
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-26Record 265185-20240822-F558
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-26Record 265185-20240822-F689
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-04-18Record 265185-20240315-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-04-18Record 265185-20240315-F686
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 2024-04-18Record 265185-20240315-F582
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-18Record 265185-20240315-F584
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 2024-04-18Record 265185-20240315-F623
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 2024-04-18Record 265185-20240315-F658
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-18Record 265185-20240315-F677
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-18Record 265185-20240315-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-18Record 265185-20240315-F812
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-18Record 265185-20240315-F881
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 2024-04-18Record 265185-20240315-F947
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-09Record 265185-20240105-F677
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 2023-12-29Record 265185-20231205-F658
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 2023-08-31Record 265185-20230810-F658
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-11Record 265185-20221006-F656
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-11-11Record 265185-20221006-F812
F814Dispose of garbage and refuse properly.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-11Record 265185-20221006-F814
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-05-22 | Civil money penalty | $81,955 | CMS · Penalties |
| 2025-05-22 | Denial of payment for new admissions Payment denial for 19 days, from 2025-07-25 | — | CMS · Penalties |
| 2025-03-18 | Civil money penalty | $17,345 | CMS · Penalties |
| 2024-11-26 | Civil money penalty | $30,030 | CMS · Penalties |
| 2024-08-22 | Civil money penalty | $20,248 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.55
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.53
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours3.11
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover69%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover89%
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 | 6.1% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.3% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 10.0% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 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 | 9.3% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 9.3% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 32.2% | 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 |
|---|---|---|---|---|
| Barnes, Eric Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Developers Investment Company II, Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Eklund, Amber Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fletcher, Todd Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Life Care Centers Of America, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Miller, Kristine Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Preston, Aubrey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Tucker, Candy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ziegler, James Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Barnes, Eric Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cape Girardeau Medical Investors, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cross, Cindy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Developers Investment Company II, Inc Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Eklund, Amber Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Henry, Terry Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Lay, Lisa Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Life Care Centers Of America, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Miller, Kristine Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Preston, Forrest Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Swanker, Richard Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Thurmond, Joan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Tucker, Candy Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Tucker, Candy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Life Care Centers Of America — 194 facilities
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 | 0.5 mi | 2025-03-28 | 050 |
| Chateau Girardeau Cape Girardeau | 0.9 mi | 2026-04-10 | 0200 |
| Ratliff Care Center Cape Girardeau | 1.9 mi | 2025-05-30 | 0130 |
| Fountainbleau Lodge Cape Girardeau | 2.9 mi | 2025-09-04 | 0101 |
| Heartland Care And Rehabilitation Center Cape Girardeau | 3.6 mi | 2025-11-17 | 160 |
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 |