01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-11-22 | 10 | 2024-11-22 | 6 |
| Cycle 2 | 2023-11-03 | 8 | 2023-11-03 | 4 |
| Cycle 3 | 2022-06-16 | 8 | 2022-06-16 | 11 |
CMS CCN 2655542026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Meramec Nursing
940 Mattox Drive · Sullivan, MO 63080 · Crawford County
Certified beds60CMS provider file
Recent citation rows47current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
47 rows in the current release
4 rows carry G–L scope/severity codes; 2 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-09-08 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2025-10-22 · complaint2024-11-22 · HEALTHF0568Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Correction field: Deficient, Provider has date of correction · 2025-01-052024-11-22 · HEALTHF0569Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Correction field: Deficient, Provider has date of correction · 2025-01-052024-11-22 · HEALTHF0582Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2025-01-052024-11-22 · HEALTHF0607Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2025-01-052024-11-22 · HEALTHF0638Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Correction field: Deficient, Provider has date of correction · 2025-01-052024-11-22 · HEALTHF0657Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-01-052024-11-22 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-01-052024-11-22 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-01-052024-11-22 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-01-052024-11-22 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-01-032024-11-22 · FIREK0351Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2025-01-032024-11-22 · FIREK0353Severity L · widespread immediate jeopardy
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-01-032024-11-22 · FIREK0354Severity L · widespread immediate jeopardy
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Correction field: Deficient, Provider has date of correction · 2025-01-032024-11-22 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-01-032024-11-22 · FIREK0923Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2025-01-032024-08-19 · HEALTHF0880Severity G · isolated actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-08-20 · complaint2024-01-11 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-01-19 · complaint2023-11-29 · HEALTHF0624Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Prepare residents for a safe transfer or discharge from the nursing home.
Correction field: Deficient, Provider has date of correction · 2023-12-15 · complaint2023-11-03 · HEALTHF0625Severity C · widespread; potential for minimal harm
Resident Rights Deficiencies
Notify 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.
Correction field: Deficient, Provider has date of correction · 2023-12-152023-11-03 · HEALTHF0656Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2023-12-152023-11-03 · HEALTHF0658Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2023-12-152023-11-03 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2023-12-152023-11-03 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2023-12-1503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-11-22 | Fine | $40,014 | 0 |
| 2024-11-22 | Payment Denial | $0 | 9 |
| 2024-08-19 | Fine | $6,435 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- WEINER, CRAIGIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST50% · since 06/01/2024
- WEINER, GINAIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST50% · since 06/01/2024
- COUNTRY LIFE ACRES GMW GST NON-EXEMPT TRUSTOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 06/01/2024
- FIRST MID BANK & TRUST NAOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 06/01/2024
- GC OF MERAMEC LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 06/01/2024
- GC ASSET MANAGEMENT LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2024
- GRAHAM, AUTUMNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2024
- PATE, JODIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2024
- WEINER, CRAIGIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2024
- COUNTRY LIFE ACRES GMW GST NON-EXEMPT TRUSTOrganization · LIMITED PARTNERSHIP INTERESTNOT APPLICABLE · since 06/01/2024
- COUNTRY LIFE ACRES GMW GST NON-EXEMPT TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/01/2024
- FIRST MID BANK & TRUST NAOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/01/2024
- FORVIS MAZARS LLPOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/01/2024
- GC ASSET HOLDING LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/08/2025
- GC OF MERAMEC LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/01/2024
- GRAHAM, AUTUMNIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/01/2024
- PATE, JODIEIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/01/2024
- REMO, JOSEIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/01/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours2.79per resident day
RN hours0.36per resident day
Weekend nurse hours2.34per resident day
Staff turnover76.9%CMS reported field
06 / LOCAL RECORDS
Open the Sullivan ledger →