Nursing homeActive
Chaffee Nursing Center
12273 State Highway 77, Chaffee, MO 63740573887361571 certified beds · 62 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2024
Deficiencies
11
● 0● 11● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-05-14
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 4
Quality 2
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 |
|---|---|---|---|---|
| 2026-05-14 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2025-02-27 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-01-25 | Standard | 040 | 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 2026-06-26Record 265492-20260514-F552
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 2026-06-26Record 265492-20260514-F582
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 2026-06-26Record 265492-20260514-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 2026-06-26Record 265492-20260514-F921
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-31Record 265492-20250227-F699
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 2025-03-31Record 265492-20250227-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 2025-03-31Record 265492-20250227-F880
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 2024-03-20Record 265492-20240125-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 2024-03-20Record 265492-20240125-F625
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 2024-03-20Record 265492-20240125-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 DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 265492-20240125-F909
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.72
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.54
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours2.94
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover32%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover20%
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 | 0.8% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.1% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 16.9% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 9.1% | 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 | 8.6% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.0% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 20.8% | 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 |
|---|---|---|---|---|
| Chaffee Nursing, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Montgomery, Richard Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| R H Montgomery Properties, Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Montgomery, Anna Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | — | — |
| Americare Systems, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Crosson, Clay Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hatlestad, Steven Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Reiker, James Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Heisserer, Gail Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Montgomery, Richard Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Montgomery, Richard Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Reiker, James Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Schade, Kyle Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Schade, Kyle Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Americare Senior Living — 23 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 Scott.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Lutheran Home, The Cape Girardeau | 9.3 mi | 2025-03-28 | 050 |
| Chateau Girardeau Cape Girardeau | 9.9 mi | 2026-04-10 | 0200 |
| Life Care Center Of Cape Girardeau Cape Girardeau | 9.8 mi | 2025-12-16 | 1337 |
| Fountainbleau Lodge Cape Girardeau | 11.3 mi | 2025-09-04 | 0101 |
| Hubble Creek Jackson | 12.6 mi | 2026-02-12 | 0200 |
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 |