Memory Lane of Dexter

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Dexter, MO

CMS overall rating

415 S Catalpa Street, Dexter, MO 63841-2017 View map

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Memory Lane of Dexter accepts Medicare, Medicaid, and private pay.

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Memory Lane of Dexter accepts Medicare, Medicaid, and private pay.

Overview of Memory Lane of Dexter

Memory Lane of Dexter is a 73-bed nursing home operated by Memory Lane of Dexter LLC in Dexter, Missouri. It’s designed for dementia care, offering 24-hour skilled nursing in a secure environment alongside rehabilitation services and respite care. Accepted are Medicare, Medicaid, and private pay.

CMS scores the facility 2 stars, 24 percent below Missouri average. The health inspection sub-rating stands out: 37.9 percent above the state average across 3 inspections since 2021. The drag on the overall rating comes from staffing and quality measures, which run well below Missouri average. Across those 3 inspections, the facility averaged 6.3 deficiencies annually, 15 percent above Missouri’s 5.5 average, with no fines or immediate jeopardy findings recorded. Nurse hours run 3h 33m per resident daily, about 7 percent below Missouri average. At 88 percent occupancy, well above Missouri’s 66.6 percent average, the facility operates near capacity, ranked 57th of 283 Missouri skilled nursing facilities. The resident mix reflects both short-term rehabilitation and longer dementia care stays.

Programs include Rehab to Home and Special Care, with the facility carrying a therapy gym, private and semi-private rooms, chaplain visits, and beauty and barber services.

With added capacity for short-term post-acute rehabilitation, Memory Lane of Dexter is built for residents with dementia or Alzheimer’s requiring secured skilled nursing in Stoddard County.

Facility Direct Line (573) 624-7491

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 33m per day

vs avg

5 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	22m per day	▼ 21% State avg: 28m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	36m per day	▼ 12% State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 22m per day	■ Avg State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 48m per day	▼ 8% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	0m per day	▼ 100% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	19m per day	▼ 6% State avg: 20m per day · National avg: 28m per day

Capacity and availability

150 days

73-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 55 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

88%

Higher than the Missouri average: 66.6%

Occupied beds

64 / 73

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceNovember 1, 2024

ExpirationOctober 31, 2026

CountyStoddard

License Number052248

CMS Certification Number265382

Certification TypeMedicare / Medicaid

Memory Lane of Dexter is legally operated by Memory Lane Of Dexter LLC, and administered by Michelle Chism.

Corporate EntityMEMORY LANE OF DEXTER LLC

Owner NameMemory Lane Of Dexter LLC

Skilled Nursing Facility

73 units

Total beds

73 units

Secured Perimeter

Safety FeaturesWander Guard Secured Environment

Accept Medicare

Rehabilitation Services

Respite Care

Doctor on Staff

24-Hour Staffing

Dedicated Alzheimer's Unit

Private/Semi-Private Rooms

Private Bathrooms

Individual Call System

Free Guest Wi-Fi

Housekeeping Services

In-House Laundry Services

Beauty/Barber Shop Services

Satellite Tv

Televisions Available

Spacious Dining Rooms

Beverages & Snacks Available

Open Living Room Space

Therapy Gym

Entertainment & Programs

Transportation Services

Flexible Visiting Hours

Fully Sprinklered Facility

Since 2018 · 8 years of data 103 deficiencies 10 inspections

Inspection Scorecard 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

Latest Inspection January 17, 2025 Plan Of Correction

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	103	35	This facility has 194% more total deficiencies than a typical Missouri assisted living residence (103 vs. MO avg 35).↑ 194% worse
Deficiencies per year Average deficiencies per year since 2018.	12.9	4.4	This facility has 193% more deficiencies per year than a typical Missouri assisted living residence (12.9 vs. MO avg 4.4).↑ 193% worse
Deficiencies per inspection Average deficiencies per inspection.	10.3	5	This facility has 106% more deficiencies per inspection than a typical Missouri assisted living residence (10.3 vs. MO avg 5).↑ 106% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	10	7	This facility has 43% more total inspections than a typical Missouri assisted living residence (10 vs. MO avg 7).↑ 43% worse

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

January 17, 2025 inspection found 4 deficiencies including psychotropic medication dose reduction failures, insulin administration errors, unsanitary food storage, and ineffective pest control with gnats present.
August 17, 2023 inspection cited 5 deficiencies including unsafe water temperatures in 9 rooms, poor infection control during medication and care, unsanitary food storage, and missing Legionella water management program.
July 1, 2021 annual inspection revealed 10 deficiencies covering individualized care failures, wound treatment lapses, unsafe transfers, medication mismanagement, infection control breaches, and unsanitary food handling.

Show Inspection Reports

Inspections since 2021

Total health inspections 3

State average N/A

Last Health inspection on Jan 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

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

All 18 citations resulted from standard inspections.

Breakdown of citation severity (last 5 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

17 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 5 years)

Environmental moderate citation Jan 17, 2025

Corrected

Nutrition moderate citation Jan 17, 2025

Corrected

Pharmacy moderate citation Jan 17, 2025

Corrected

Pharmacy moderate citation Jan 17, 2025

Corrected

Total staff 78

Employees 78

Contractors 0

Staff to resident ratio 1.22 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 34

Average shift 7.9 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 24,811

Nursing staff breakdown

8.6 hours

7.4 hours

7.9 hours

Contractor staffing

Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category


Certified Nursing Assistant	21	21	6,886	92	100%	7.9
Nurse Aide in Training	20	20	5,713	92	100%	8.1
Licensed Practical Nurse	13	13	3,530	92	100%	7.4
Registered Nurse	10	10	2,273	92	100%	8.6
Medication Aide/Technician	4	4	1,979	92	100%	9
Occupational Therapy Assistant	4	4	1,852	92	100%	7.6
Administrator	2	2	957	63	68%	8
Dietitian	1	1	499	62	67%	8
Dental Services Staff	1	1	497	62	67%	8
Other Dietary Services Staff	1	1	477	60	65%	7.9
RN Director of Nursing	1	1	150	33	36%	4.5

21 Certified Nursing Assistant

% of Days 100%

20 Nurse Aide in Training

% of Days 100%

13 Licensed Practical Nurse

% of Days 100%

10 Registered Nurse

% of Days 100%

4 Medication Aide/Technician

% of Days 100%

4 Occupational Therapy Assistant

% of Days 100%

2 Administrator

% of Days 68%

1 Dietitian

% of Days 67%

1 Dental Services Staff

% of Days 67%

1 Other Dietary Services Staff

% of Days 65%

1 RN Director of Nursing

% of Days 36%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 14.2

30% worse than State average

State average: 10.9

Functional decline score 18.4

6% better than State average

State average: 19.5

Long-stay resident measures

Significantly below average State avg: 2.7

Need for Help with Daily Activities Increased 18.7%

5% better than State average

State average: 19.8%

Walking Ability Worsened 27.0%

31% worse than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 9.4%

48% better than State average

State average: 18.1%

Falls with Major Injury 9.0%

123% worse than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 2.9%

42% better than State average

State average: 5.0%

Urinary Tract Infection 10.8%

296% worse than State average

State average: 2.7%

Lost Too Much Weight 13.5%

143% worse than State average

State average: 5.6%

Depressive Symptoms 0.0%

100% better than State average

State average: 12.8%

Antipsychotic Use 48.7%

122% worse than State average

State average: 22.0%

Pneumococcal Vaccine 51.6%

39% worse than State average

State average: 85.2%

Influenza Vaccine 84.1%

8% worse than State average

State average: 90.9%

Hospitalizations per 1,000 days 2.14

In line with State average

State average: 2.08

ED visits per 1,000 days 4.61

96% worse than State average

State average: 2.35

Short-stay resident measures

Pneumococcal Vaccine 6.7%

90% worse than State average

State average: 66.6%

Re-hospitalized after SNF stay 27.6%

9% worse than State average

State average: 25.3%

Emergency department visits 16.4%

22% worse than State average

State average: 13.4%

Breakdown by payment type

Medicare

14% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

48% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

38% of new residents, often for long-term daily care.

Typical stay 5 - 6 months

Total residents 64

Medicare

6.3% of residents

Medicaid

64.1% of residents

Private pay or other

29.7% of residents

Programs & Services

Residents Group

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

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

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

Financial Trends

Historical financial and operational data for Memory Lane of Dexter from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 61.9% ↑ 38.4pp vs 2022

Net Patient Income $60.1K ↑ ~$966.8K vs 2022

Payroll Costs $1.6M ↑ ~$605.0K vs 2022

Operating Margin 2.1% ↑ 82.2pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	56.1%	62.0%	58.0%	53.1%	49.5%	33.9%	39.3%	43.0%	36.7%	34.6%	27.5%	23.5%	61.9%
Beds	73	73	73	73	73	73	73	73	73	73	73	73	73
Net Income	-$315,252	-$176,146	-$446,771	-$693,010	-$606,043	-$284,211	-$441,850	-$507,408	-$503,883	-$206,393	-$514,217	-$826,433	$63,098
Gross Revenue	$3,479,773	$3,740,302	$3,181,539	$2,845,655	$2,706,090	$750,394	$2,192,639	$2,925,632	$2,063,483	$2,075,995	$1,380,643	$1,229,540	$3,264,408
Operating Expenses	$3,240,489	$3,358,042	$3,217,621	$3,175,464	$2,900,782	$840,655	$2,253,303	$2,735,896	$2,369,317	$2,504,150	$2,062,594	$2,039,808	$2,765,682
Net Patient Income	-$339,451	-$220,881	-$458,976	-$734,332	-$613,175	-$284,211	-$444,462	-$511,523	-$505,037	-$689,889	-$757,482	-$906,751	$60,057
Net Patient Revenue	$2,901,038	$3,137,161	$2,758,645	$2,441,132	$2,287,607	$556,444	$1,808,841	$2,224,373	$1,864,280	$1,814,261	$1,305,112	$1,133,057	$2,825,739
Payroll Costs	$1,347,108	$1,432,615	$1,360,968	$1,430,315	$1,367,781	$326,428	$990,287	$1,170,773	$1,098,966	$1,160,867	$949,191	$1,008,313	$1,613,294
Operating Margin %	-11.7%	-7.0%	-16.6%	-30.1%	-26.8%	-51.1%	-24.6%	-23.0%	-27.1%	-38.0%	-58.0%	-80.0%	2.1%
Medicare %	20.5%	20.0%	16.9%	14.6%	12.2%	16.1%	9.2%	14.3%	6.0%	8.8%	2.3%	4.4%	5.0%
Medicaid %	0.0%	0.0%	0.0%	0.0%	0.0%	70.2%	76.1%	80.4%	91.4%	84.7%	89.1%	87.8%	56.4%
Private %	79.5%	80.0%	83.1%	85.4%	87.8%	13.7%	14.6%	5.3%	2.6%	6.5%	8.6%	7.7%	38.6%
Net Patient Revenue/Day	$194	$189	$178	$173	$173	$184	$173	$194	$191	$196	$178	$181	$229
Cost/Day	$217	$203	$208	$224	$220	$278	$215	$239	$242	$271	$281	$326	$224
Avg Length of Stay	103.7 days	114.3 days	138.0 days	116.0 days	125.7 days	75.6 days	111.3 days	110.2 days	155.3 days	132.2 days	209.4 days	145.7 days	150.4 days

Finances and operations

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

Net patient revenue

$2.8M

Net patient income

$60.1K

For-profit Operated by a single business entity.

Net patient revenue

$2.8M

Net patient income

$60.1K

Other income

$3.0K

Payroll costs

$1.6M 57.1% of net patient revenue

Other operating costs

$1.2M

Total costs

$2.8M

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.

New residents most often arrive under private pay (48% of admissions), and a typical private pay stay runs around 2 - 3 months.

Coverage residents most often arrive under.

Medicare 14%

Private pay 48%

Medicaid 38%

Coverage residents most often leave under.

Medicare 15%

Private pay 54%

Medicaid 32%

0.0 miles from city center Estimated distance in miles from Dexter's city center to Memory Lane of Dexter's address, calculated via Google Maps.

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Country Meadows	NH AL IL MC	Park Hills	-	87	A+	37	-
Ignite Medical Resort Blue Springs	NH PC SNF	Blue Springs	-	90	-	68	-
Avalon Memory Care	NH MC	Saint Louis	-	30	-	26	-
Breeze Park – Lutheran Senior Services	NH AL IL MC	Weldon Spring	-	50	A+	2	1 Bed / 2 Bed
Memory Lane of Dexter	NH HOS MC PC RC SNF	Dexter	-	73	-	55	-

Nursing Home Explorer

Is Memory Lane of Dexter in a walkable area?

Memory Lane of Dexter has a walk score of 55. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Memory Lane of Dexter?

According to MO state health department records, Memory Lane of Dexter's license number is 052248.

When does Memory Lane of Dexter's license expire?

According to MO state health department records, Memory Lane of Dexter's license expires on October 31, 2026.

What is the occupancy rate at Memory Lane of Dexter?

Memory Lane of Dexter's occupancy is 88%.

Does Memory Lane of Dexter operate as a for-profit or non-profit?

Memory Lane of Dexter is registered as a for-profit in MO.

Who is the administrator of Memory Lane of Dexter?

Michelle Chism is the administrator of Memory Lane of Dexter.

How many beds does Memory Lane of Dexter have?

Memory Lane of Dexter has 73 beds.

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Memory Lane of Dexter

Overview of Memory Lane of Dexter

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Safety & Compliance

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Memory & Specialized Care

Amenities & Lifestyle

Contact Memory Lane of Dexter

Inspection History

Inspection Scorecard 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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

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

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

Health Inspection History

Inspections since 2021

Breakdown of citation severity (last 5 years)

Citations history (last 5 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

21 Certified Nursing Assistant

20 Nurse Aide in Training

13 Licensed Practical Nurse

10 Registered Nurse

4 Medication Aide/Technician

4 Occupational Therapy Assistant

2 Administrator

1 Dietitian

1 Dental Services Staff

1 Other Dietary Services Staff

1 RN Director of Nursing

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Memory Lane of Dexter

Calculate Travel Distance to Memory Lane of Dexter

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