Nursing homeActive
Ratliff Care Center
717 North Sprigg, Cape Girardeau, MO 63701573335581046 certified beds · 41 residentsFor profit - IndividualMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
20
● 1● 19● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-05-30
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 4
Staffing 1
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 |
|---|---|---|---|---|
| 2025-05-30 | Standard | 080 | CMS-2567 (Care Compare) | — |
| 2024-05-16 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2023-03-23 | Standard | 160 | 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.
F570Assure the security of all personal funds of residents deposited with the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-11Record 265747-20250530-F570
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 2025-07-11Record 265747-20250530-F605
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-11Record 265747-20250530-F607
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-11Record 265747-20250530-F610
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-11Record 265747-20250530-F657
F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-11Record 265747-20250530-F729
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 2025-07-11Record 265747-20250530-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 2025-07-11Record 265747-20250530-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 2024-06-28Record 265747-20240516-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 2024-06-28Record 265747-20240516-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 2024-06-28Record 265747-20240516-F700
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-06-28Record 265747-20240516-F851
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 2024-06-28Record 265747-20240516-F909
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-05Record 265747-20230323-F655
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 2023-05-05Record 265747-20230323-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 2023-05-05Record 265747-20230323-F658
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 2023-05-05Record 265747-20230323-F730
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 2023-05-05Record 265747-20230323-F812
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 2023-05-05Record 265747-20230323-F947
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2023-05-05Record 265747-20230323-F565
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.34
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.24
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours3.06
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover72%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover50%
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 | 9.1% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 6.8% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 16.8% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.8% | 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 | 19.2% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.7% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 23.6% | 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 |
|---|---|---|---|---|
| Ratliff Enterprises LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Ratliff Revocable Trust Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Ratliff, Emmagene Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | — | — |
| Choice Rehabilitation LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Forvis Mazars LLP Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ratliff Revocable Trust Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ratliff, Michael Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Strickland, Cheryl Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Choice Rehabilitation LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Palen, James Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ratliff Enterprises LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ratliff Revocable Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ratliff, Emmagene Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Ratliff, Emmagene Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ratliff, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Strickland, Cheryl Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Strickland, Cheryl Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Swindle, Aftan Individual | ADP OF THE SNF | 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 |
|---|---|---|---|
| Life Care Center Of Cape Girardeau Cape Girardeau | 1.9 mi | 2025-12-16 | 1337 |
| Lutheran Home, The Cape Girardeau | 2.5 mi | 2025-03-28 | 050 |
| Chateau Girardeau Cape Girardeau | 2.4 mi | 2026-04-10 | 0200 |
| Heartland Care And Rehabilitation Center Cape Girardeau | 3.4 mi | 2025-11-17 | 160 |
| Fountainbleau Lodge Cape Girardeau | 3.3 mi | 2025-09-04 | 0101 |
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 |