01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-03-06 | 2 | 2025-03-06 | 0 |
| Cycle 2 | 2024-01-26 | 3 | 2024-01-26 | 2 |
| Cycle 3 | 2022-12-21 | 3 | 2022-12-21 | 4 |
CMS CCN 2655802026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Rolla Presbyterian Manor
1200 Homelife Plaza · Rolla, MO 65401 · Phelps County
Certified beds30CMS provider file
Recent citation rows14current 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
14 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-03-06 · 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 · 2025-04-042025-03-06 · HEALTHF0814Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2025-04-042024-01-26 · FIREE0037Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2024-03-062024-01-26 · HEALTHF0641Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-03-062024-01-26 · 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 · 2024-03-062024-01-26 · 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 · 2024-03-062024-01-26 · 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 · 2024-03-062022-12-21 · HEALTHF0623Severity C · widespread; potential for 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 · 2023-01-212022-12-21 · HEALTHF0758Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Correction field: Deficient, Provider has date of correction · 2023-01-212022-12-21 · 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 · 2023-01-212022-12-21 · FIREK0291Severity E · pattern; 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 · 2023-01-212022-12-21 · 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 · 2023-01-212022-12-21 · 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 · 2023-01-212022-12-21 · FIREK0372Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2023-01-2103 / 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
- PRESBYTERIAN MANORS INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 03/30/1989
- CAUDILL, ANNIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 03/31/2011
- BRENNECKE, GARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2015
- CAUDILL, ANNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/31/2011
- COOK, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2012
- GOODWIN, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- MCKELL, ELIZABETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2012
- MORRISON, AARONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2015
- NELSON, ELEANORIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2010
- HIND, SHERRYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/1989
- MILLER, JOANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/01/1997
- OWENS, MELANIEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/10/2017
- SHOGREN, BRUCEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/05/1996
- TAYLOR, WILLIAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2015
- PRESBYTERIAN MANORS OF MID-AMERICA INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/30/1989
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 hours4.49per resident day
RN hours1.09per resident day
Weekend nurse hours4.14per resident day
Staff turnover53.3%CMS reported field
06 / LOCAL RECORDS
Open the Rolla ledger →