01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-10 | 17 | 2025-09-10 | 13 |
| Cycle 2 | 2023-12-13 | 13 | 2023-12-13 | 12 |
| Cycle 3 | 2021-01-05 | 12 | 2021-01-05 | 11 |
CMS CCN 2658162026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Schuyler County Nursing Home District
1306 Us Highway 63 · Queen City, MO 63561 · Schuyler County
Certified beds60CMS provider file
Recent citation rows78current CMS citation release
Penalty rows1current 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
78 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 23 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-09-10 · FIREE0020Severity D · isolated; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Correction field: Deficient, Provider has date of correction · 2025-10-252025-09-10 · FIREE0024Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish policies and procedures for volunteers.
Correction field: Deficient, Provider has date of correction · 2025-10-252025-09-10 · FIREE0026Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Correction field: Deficient, Provider has date of correction · 2025-10-252025-09-10 · 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 · 2025-10-252025-09-10 · 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 · 2025-10-242025-09-10 · HEALTHF0628Severity B · pattern; potential for 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 · 2025-10-242025-09-10 · HEALTHF0637Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2025-10-242025-09-10 · HEALTHF0641Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-10-252025-09-10 · HEALTHF0655Severity B · pattern; potential for 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 · 2025-10-252025-09-10 · 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 · 2025-10-242025-09-10 · 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 · 2025-10-242025-09-10 · 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 · 2025-10-242025-09-10 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-10-252025-09-10 · HEALTHF0691Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2025-10-242025-09-10 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2025-10-242025-09-10 · HEALTHF0700Severity E · pattern; 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 · 2025-10-252025-09-10 · HEALTHF0728Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Correction field: Deficient, Provider has date of correction · 2025-10-252025-09-10 · HEALTHF0801Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Correction field: Deficient, Provider has date of correction · 2025-10-252025-09-10 · 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 · 2025-10-252025-09-10 · 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 · 2025-10-252025-09-10 · HEALTHF0947Severity F · widespread; 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 · 2025-10-252025-09-10 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2025-10-252025-09-10 · FIREK0311Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2025-10-252025-09-10 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-10-2503 / 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 |
|---|---|---|---|
| 2023-12-13 | Payment Denial | $0 | 14 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SCHUYLER COUNTY NURSING HOME DISTRICTOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 06/29/1976
- BUSHNELL, RYANIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/20/2023
- OBERMAN, MIKEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/20/2023
- BUSHNELL, RYANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/20/2023
- MCLAIN, CAROLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/01/2025
- MORGAN, TERRYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/20/2023
- OBERMAN, MIKEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/20/2023
- BARNES, ERICIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/22/2019
- HUMPHREY, REBECCAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2022
- RUSSELL, DORENEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/18/2015
- BUSHNELL, RYANIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 12/20/2023
- HUMPHREY, REBECCAIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 05/01/2022
- MCLAIN, CAROLIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 05/01/2025
- MORGAN, TERRYIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 12/20/2023
- OBERMAN, MIKEIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 12/20/2023
- BARNES, ERICIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/02/2025
- HUMPHREY, REBECCAIndividual · ADP OF THE SNFNOT APPLICABLE · since 05/01/2022
- RUSSELL, DORENEIndividual · ADP OF THE SNFNOT APPLICABLE · since 08/18/2015
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 hours4.08per resident day
RN hours0.52per resident day
Weekend nurse hours3.35per resident day
Staff turnover38.3%CMS reported field
06 / LOCAL RECORDS
Open the Missouri ledger →Other published facilities nearby
No second facility in the same city met the directory rule.