Autumn Oaks Caring Center
Nursing Home & Skilled Nursing · Mountain Grove, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Autumn Oaks Caring Center

Nursing Home & Skilled Nursing · Mountain Grove, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Autumn Oaks Caring Center accepts Medicare, Medicaid, and private pay.

Inspection History

In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.

Since 2018 · 8 years of data 98 deficiencies 23 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average
Overall vs. MO average 3 Worse Metrics worse than Missouri average:
• Total deficiencies (180% above)
• Deficiencies per year (180% above)
• Deficiencies per inspection (48% above)
0 Better No metrics in this bucket.
Latest Inspection November 20, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 9835 This facility has 180% more total deficiencies than a typical Missouri assisted living residence (98 vs. MO avg 35).↑ 180% worse
Deficiencies per year Info Average deficiencies per year since 2018. 12.34.4 This facility has 180% more deficiencies per year than a typical Missouri assisted living residence (12.3 vs. MO avg 4.4).↑ 180% worse
Deficiencies per inspection Info Average deficiencies per inspection. 4.32.9 This facility has 48% more deficiencies per inspection than a typical Missouri assisted living residence (4.3 vs. MO avg 2.9).↑ 48% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 2312 This facility has had 92% more total inspections than the Missouri average (23 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 92% more

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on November 20, 2025, found one deficiency for failure to provide and document catheter care as ordered, substantiated by a complaint investigation.
  • The January 10, 2025 routine inspection cited nine deficiencies including unsafe transfer techniques, inadequate pressure ulcer care, choking hazards, and expired medications, showing multiple serious care and safety failures.
  • Complaint investigations in 2023 and 2025 repeatedly found failures in catheter care, supervision during meals, and family notification, indicating ongoing issues with resident safety and communication.

Health Inspection History

Inspections since 2019
Total health inspections 7

State average N/A


Last Health inspection on Apr 2025

Total health citations
31 Rank #145 / 284Health citations — State benchmarkedThis home is ranked 145th out of 284 homes in Missouri for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 284 MO facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
4.43 Rank #97 / 284Citations per inspection — State benchmarkedThis home is ranked 97th out of 284 homes in Missouri for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 284 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

25 of 31 citations resulted from standard inspections; 5 of 31 resulted from complaint investigations; and 1 of 31 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 7 years)
Critical health citations
2
In line with State average

State average: N/A


Serious health citations
1
In line with State average

State average: N/A

2 critical citations State average: N/A

1 serious citation State average: N/A

27 moderate citations State average: N/A

1 minor citation State average: N/A
Citations history (last 7 years)
Quality of Care moderate citation Apr 04, 2025
Corrected

Resident Rights moderate citation Apr 04, 2025
Corrected

Pharmacy moderate citation Jan 10, 2025
Corrected

Pharmacy moderate citation Jan 10, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 109
Employees 96
Contractors 13
Staff to resident ratio 1.63 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 34
Average shift 8.2 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 25,715

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 9 LPN Staff are full-time employees. No contractors work on this role. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 29 CNA Staff are full-time employees. No contractors work on this role. 29
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

1.6%

403 contractor hours this quarter

Speech Language Pathologist: 3 Respiratory Therapy Technician: 3 Qualified Social Worker: 3 Physical Therapy Assistant: 1 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant290297,53192100%9.6
Nurse Aide in Training310315,82692100%7.4
Medication Aide/Technician120123,81292100%8.2
Licensed Practical Nurse9093,80692100%9.1
Registered Nurse8082,5569199%9.6
Administrator1015286672%8
Nurse Practitioner1015286672%8
Dietitian3034433740%7.6
Dental Services Staff2022833538%8.1
Physical Therapy Assistant0111976874%2.9
Qualified Social Worker033654043%1.5
Speech Language Pathologist033402224%1.8
Respiratory Therapy Technician033333134%1.1
Occupational Therapy Assistant0112633%8.5
Medical Director0112433%8
Occupational Therapy Aide0111833%6
29 Certified Nursing Assistant
% of Days 100%
31 Nurse Aide in Training
% of Days 100%
12 Medication Aide/Technician
% of Days 100%
9 Licensed Practical Nurse
% of Days 100%
8 Registered Nurse
% of Days 99%
1 Administrator
% of Days 72%
1 Nurse Practitioner
% of Days 72%
3 Dietitian
% of Days 40%
2 Dental Services Staff
% of Days 38%
1 Physical Therapy Assistant
% of Days 74%
3 Qualified Social Worker
% of Days 43%
3 Speech Language Pathologist
% of Days 24%
3 Respiratory Therapy Technician
% of Days 34%
1 Occupational Therapy Assistant
% of Days 3%
1 Medical Director
% of Days 3%
1 Occupational Therapy Aide
% of Days 3%

Penalties and fines

Includes penalties issued in 2025

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $63K Rank #235 / 286Federal fines — State benchmarkedThis home is ranked 235th out of 286 homes in Missouri for Federal Fines. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 286 facilities in the pool. Lower total dollars mean a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
14% lower than State average

State average: $73K

Number of fines 2
18% fewer fines than State average

State average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
45% more payment denials than State average

State average: 0.7

Fines amount comparison
Fines amount comparison
This facility $63K
State average $73K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 10, 2025
$49K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Jan 10, 2025
8 days

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 19.0
74% worse than State average

State average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 35.0
80% worse than State average

State average: 19.5

Long-stay resident measures
Significantly below average State avg: 2.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 31.5%
60% worse than State average

State average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 47.0%
128% worse than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 26.4%
46% worse than State average

State average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.4%
90% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 9.1%
80% worse than State average

State average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.4%
85% better than State average

State average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.0%
27% worse than State average

State average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 11.3%
12% better than State average

State average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 39.2%
78% worse than State average

State average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 72.2%
15% worse than State average

State average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 90.4%
In line with State average

State average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.21
42% better than State average

State average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.59
32% better than State average

State average: 2.35

Short-stay resident measures
Significantly below average State avg: 2.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 43.5%
35% worse than State average

State average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.4%
54% worse than State average

State average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 36.2%
43% worse than State average

State average: 63.5%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 48.0%
11% worse than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 40.5%
20% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

21% of new residents, usually for short-term rehab.

Typical stay 28 days

Private pay

58% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

21% of new residents, often for long-term daily care.

Typical stay 9 - 10 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 67
Medicaid
53
79.1% of residents
Private pay or other
14
20.9% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Individual
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.5M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$364.6K
For-profit Individual
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.5M Rank #169 / 290Revenue — State benchmarkedThis home is ranked 169th out of 290 homes in Missouri for Revenue. Shows this facility's annual revenue compared to the Missouri average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$364.6K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$94.5K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #200 / 290Payroll — State benchmarkedThis home is ranked 200th out of 290 homes in Missouri for Payroll. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.5M 56.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #205 / 290Payroll % — State benchmarkedThis home is ranked 205th out of 290 homes in Missouri for Payroll %. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–72% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.8M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (58% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
254 total

Coverage residents most often arrive under.

Medicare 21%
Private pay 58%
Medicaid 21%
Discharges
228 total

Coverage residents most often leave under.

Medicare 14%
Private pay 58%
Medicaid 28%

Places of interest near Autumn Oaks Caring Center

Address 0.0 miles from city center Info Estimated distance in miles from Mountain Grove's city center to Autumn Oaks Caring Center's address, calculated via Google Maps.

Calculate Travel Distance to Autumn Oaks Caring Center

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Address

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Frequently Asked Questions about Autumn Oaks Caring Center

Who is the owner of Autumn Oaks Caring Center?

Autumn Oaks Caring Center is legally operated by Mountain Grove #2, Inc, and administered by Cassie Miller.

Is Autumn Oaks Caring Center in a walkable area?

Autumn Oaks Caring Center has a walk score of 58. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Autumn Oaks Caring Center?

According to MO state health department records, Autumn Oaks Caring Center's license number is 052369.

When does Autumn Oaks Caring Center's license expire?

According to MO state health department records, Autumn Oaks Caring Center's license expires on December 21, 2026.

What is the occupancy rate at Autumn Oaks Caring Center?

Autumn Oaks Caring Center's occupancy is 63%.

Are pets allowed at Autumn Oaks Caring Center?

No, Autumn Oaks Caring Center has a no-pet policy.

Does Autumn Oaks Caring Center operate as a for-profit or non-profit?

Autumn Oaks Caring Center is registered as a for-profit in MO.

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