CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 2658362026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Nodaway Healthcare

22371 State Highway 46 · Maryville, MO 64468 · Nodaway County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds60CMS provider file
Recent citation rows62current CMS citation release
Penalty rows0current 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.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-08-07172025-08-079
Cycle 22024-10-1032024-10-103
Cycle 32022-03-21212022-03-219
02 / CITATION DETAIL

62 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 8 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-04-21 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction field: Past Non-Compliance · 2026-04-06 · complaint
2026-02-13 · FIREK0311Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

Correction field: Deficient, Provider has date of correction · 2026-03-14 · complaint
2025-08-07 · HEALTHF0552Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

Correction field: Deficient, Provider has date of correction · 2025-09-17
2025-08-07 · HEALTHF0561Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Correction field: Deficient, Provider has date of correction · 2025-09-17
2025-08-07 · HEALTHF0574Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

The resident has the right to receive notices in a format and a language he or she understands.

Correction field: Deficient, Provider has date of correction · 2025-09-17
2025-08-07 · HEALTHF0583Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Correction field: Deficient, Provider has date of correction · 2025-09-17
2025-08-07 · 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 · 2025-09-17
2025-08-07 · HEALTHF0628Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Correction field: Deficient, Provider has date of correction · 2025-09-17
2025-08-07 · 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 · 2025-09-17
2025-08-07 · HEALTHF0677Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction field: Deficient, Provider has date of correction · 2025-09-17
2025-08-07 · HEALTHF0685Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

Correction field: Deficient, Provider has date of correction · 2025-09-17
2025-08-07 · HEALTHF0689Severity D · isolated; 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 · 2025-09-17
2025-08-07 · HEALTHF0695Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Correction field: Deficient, Provider has date of correction · 2025-09-17
2025-08-07 · HEALTHF0727Severity F · widespread; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Have 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.

Correction field: Deficient, Provider has date of correction · 2025-09-17
2025-08-07 · HEALTHF0761Severity E · pattern; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure 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.

Correction field: Deficient, Provider has date of correction · 2025-09-17
2025-08-07 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2025-09-17
2025-08-07 · HEALTHF0851Severity E · pattern; potential for more than minimal harm

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Correction field: Deficient, Provider has date of correction · 2025-09-17
2025-08-07 · HEALTHF0880Severity F · widespread; 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 · 2025-09-17
2025-08-07 · FIREK0161Severity E · pattern; potential for more than minimal harm

Construction Deficiencies

Use approved construction type or materials.

Correction field: Deficient, Provider has date of correction · 2025-09-23
2025-08-07 · FIREK0281Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Install proper backup exit lighting.

Correction field: Deficient, Provider has date of correction · 2025-09-23
2025-08-07 · FIREK0291Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Correction field: Deficient, Provider has date of correction · 2025-09-23
2025-08-07 · FIREK0293Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Correction field: Deficient, Provider has date of correction · 2025-09-23
2025-08-07 · 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 · 2025-09-23
2025-08-07 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2025-09-23
03 / 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.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • GATEWAY MO2 LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 12/01/2022
  • SLOANS LAKE TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    63% · since 12/01/2022
  • WYMORE, ADRIANEIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 12/01/2022
  • BERGER, ELIOTIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 12/01/2022
  • PERLOW, BERNARDIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 12/01/2022
  • KLEINER, DAVIDIndividual · GENERAL PARTNERSHIP INTEREST
    NOT APPLICABLE · since 12/01/2022

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 hours3.09per resident day
RN hours0.60per resident day
Weekend nurse hours2.70per resident day
Staff turnover73.0%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.