01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-30 | 8 | 2025-05-30 | 1 |
| Cycle 2 | 2024-05-16 | 5 | 2024-05-16 | 2 |
| Cycle 3 | 2023-03-23 | 7 | 2023-03-23 | 1 |
CMS CCN 2657472026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Ratliff Care Center
717 North Sprigg · Cape Girardeau, MO 63701 · Cape Girardeau County
Certified beds46CMS provider file
Recent citation rows24current 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.
02 / CITATION DETAIL
24 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-05-30 · HEALTHF0570Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Assure the security of all personal funds of residents deposited with the facility.
Correction field: Deficient, Provider has date of correction · 2025-07-112025-05-30 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2025-07-112025-05-30 · HEALTHF0607Severity D · isolated; 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 · 2025-07-112025-05-30 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-07-112025-05-30 · HEALTHF0657Severity D · isolated; 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 · 2025-07-112025-05-30 · HEALTHF0729Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Correction field: Deficient, Provider has date of correction · 2025-07-112025-05-30 · HEALTHF0880Severity D · isolated; 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 · 2025-07-112025-05-30 · HEALTHF0947Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Correction field: Deficient, Provider has date of correction · 2025-07-112025-05-30 · FIREK0741Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has date of correction · 2025-07-112024-05-16 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2024-06-282024-05-16 · HEALTHF0625Severity D · isolated; potential for more than 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 · 2024-06-282024-05-16 · HEALTHF0700Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Try 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.
Correction field: Deficient, Provider has date of correction · 2024-06-282024-05-16 · HEALTHF0851Severity F · widespread; 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 · 2024-06-282024-05-16 · HEALTHF0909Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Regularly 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.
Correction field: Deficient, Provider has date of correction · 2024-06-282024-05-16 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-06-282024-05-16 · 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 · 2024-06-282023-03-23 · HEALTHF0565Severity C · widespread; potential for minimal harm
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Correction field: Deficient, Provider has date of correction · 2023-05-052023-03-23 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2023-05-052023-03-23 · HEALTHF0656Severity D · isolated; 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 · 2023-05-052023-03-23 · HEALTHF0658Severity D · isolated; 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 · 2023-05-052023-03-23 · HEALTHF0730Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Correction field: Deficient, Provider has date of correction · 2023-05-052023-03-23 · HEALTHF0812Severity F · widespread; 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 · 2023-05-052023-03-23 · HEALTHF0947Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Correction field: Deficient, Provider has date of correction · 2023-05-052023-03-23 · FIREK0920Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2023-05-0503 / 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 |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- RATLIFF ENTERPRISES LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 12/31/1999
- RATLIFF REVOCABLE TRUSTOrganization · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 02/13/2019
- RATLIFF, EMMAGENEIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 02/13/2019
- STRICKLAND, CHERYLIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/24/2025
- CHOICE REHABILITATION LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/24/2025
- FORVIS MAZARS LLPOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/14/2025
- RATLIFF REVOCABLE TRUSTOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/14/2025
- RATLIFF, MICHAELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/14/2025
- STRICKLAND, CHERYLIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/24/2025
- RATLIFF, EMMAGENEIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 02/13/2019
- CHOICE REHABILITATION LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 02/24/2025
- RATLIFF ENTERPRISES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/14/2025
- RATLIFF REVOCABLE TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 02/13/2019
- PALEN, JAMESIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/14/2025
- RATLIFF, EMMAGENEIndividual · ADP OF THE SNFNOT APPLICABLE · since 03/19/2024
- RATLIFF, MICHAELIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/14/2025
- STRICKLAND, CHERYLIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/24/2025
- SWINDLE, AFTANIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/14/2025
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 hours3.24per resident day
RN hours0.34per resident day
Weekend nurse hours3.06per resident day
Staff turnover72.1%CMS reported field
06 / LOCAL RECORDS
Open the Cape Girardeau ledger →Other published facilities nearby
Chateau Girardeau75 beds · CMS overall 3/524 citation rowsFountainbleau Lodge33 beds · CMS overall 5/530 citation rowsHeartland Care And Rehabilitation Center102 beds · CMS overall 4/519 citation rowsLife Care Center Of Cape Girardeau120 beds · CMS overall 1/555 citation rowsLutheran Home, The274 beds · CMS overall 5/510 citation rows