Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
84
71 employees · 13 contractors · 34 on an average day Country Meadows
Nursing Home, Assisted Living, Independent Living & Memory Care · Park Hills, MO
CMS overall rating
5/5
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.
5/5
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.
Country Meadows
Nursing Home, Assisted Living, Independent Living & Memory Care · Park Hills, MO
CMS overall rating
5/5
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.
5/5
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.
Country Meadows accepts Medicare, Medicaid, and private pay.
Country Meadows in Park Hills, Missouri, provides assisted living, independent living, and memory care. Independent living centers on private housing paired with community amenities, whereas assisted living assists with daily tasks like bathing, dressing, and managing medication. Memory care sections utilize a secured layout designed for safety and supervision.
Operating as an 87-bed location managed by administrator Kimberly Burch, the site permits pets and accepts short-term respite stays. The culinary department prepares restaurant-style dining options with accommodations for special diets. Routine off-site errands depend on vehicle transportation given the local 37 walk score, though scheduled transport is available. Salon, spa, and rehabilitation options appear on the facility profile.
Prospective residents can get in touch with Country Meadows to ask about current room availability, discuss personal care needs, and set up a walkthrough.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This assisted living community is ranked 42nd out of 267 assisted living communities we track in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 37m
This assisted living community is ranked 42nd out of 267 assisted living communities we track in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 37mStandout metric: Registered nurse (RN) is +71% above Missouri average
2 of 6 metrics below Missouri average
Daily care time per resident, by role
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. All 8 are the facility's own employees; no agency contractors work in this role.
8 staff · 8.6-hour shifts
50m
↑ 71% · MO 29mThis facility: 50m per resident per day, 71% above the Missouri average of 29m (among Missouri facilities reporting a recent figure).
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. All 8 are the facility's own employees; no agency contractors work in this role.
8 staff · 8.6-hour shiftsUS average: 43m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 43m
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. All 4 are the facility's own employees; no agency contractors work in this role.
4 staff · 7.5-hour shifts
24m
↓ 44% · MO 43mThis facility: 24m per resident per day, 44% below the Missouri average of 43m (among Missouri facilities reporting a recent figure).
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. All 4 are the facility's own employees; no agency contractors work in this role.
4 staff · 7.5-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 30 are the facility's own employees; no agency contractors work in this role.
30 staff · 6.7-hour shifts
3h 23m
↑ 39% · MO 2h 26mThis facility: 3h 23m per resident per day, 39% above the Missouri average of 2h 26m (among Missouri facilities reporting a recent figure).
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. All 30 are the facility's own employees; no agency contractors work in this role.
30 staff · 6.7-hour shiftsUS average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 26m
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.
1m
↓ 52% · MO 3mThis facility: 1m per resident per day, 52% below the Missouri average of 3m (among Missouri facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
4h 13m
↑ 33% · MO 3h 10mThis facility: 4h 13m per resident per day, 33% above the Missouri average of 3h 10m (among Missouri facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 32m
RN, weekends
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.
Sat–Sun
30m
↑ 54% · MO 20mThis facility: 30m per resident per day, 54% above the Missouri average of 20m (among Missouri facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
84
71 employees · 13 contractors · 34 on an average day
84 total staff / 65 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.29 : 1
↓ 22% · MO 1.66This facility: 1.29 staff per resident, 22% below the Missouri average of 1.66 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
84 staff ÷ 65 residents
See full Missouri ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.1 h
↓ 12% · MO 8.1 hThis facility: 7.1 h, 12% below the Missouri average of 8.1 h (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
22,066 staff hours this quarter
See full Missouri ranking →97.6% of staff hours were worked by the facility's own employees
Missouri average: 92.5% · Contractors this quarter: Respiratory Therapy Technician (4), Physical Therapy Assistant (3), Speech Language Pathologist (2), Occupational Therapy Aide (2), Occupational Therapy Assistant (1), Qualified Social Worker (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
87
Rank #86 / 217Bed count — State benchmarked This assisted living community is ranked 86th out of 217 assisted living communities we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living communities without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
87
Rank #86 / 217Bed count — State benchmarked This assisted living community is ranked 86th out of 217 assisted living communities we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living communities without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #16 / 94Years in operation — State benchmarked This assisted living community is ranked 16th out of 94 assisted living communities we track in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living communities without available data are excluded, so the pool size varies from metric to metric.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #16 / 94Years in operation — State benchmarked This assisted living community is ranked 16th out of 94 assisted living communities we track in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living communities without available data are excluded, so the pool size varies from metric to metric.
28
years
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #145 / 258Walk Score — State benchmarked This assisted living community is ranked 145th out of 258 assisted living communities we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living communities without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #145 / 258Walk Score — State benchmarked This assisted living community is ranked 145th out of 258 assisted living communities we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living communities without available data are excluded, so the pool size varies from metric to metric.
37
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #51 / 186Occupancy rate — State benchmarked This assisted living community is ranked 51st out of 186 assisted living communities we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 186. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living communities without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #51 / 186Occupancy rate — State benchmarked This assisted living community is ranked 51st out of 186 assisted living communities we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 186. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living communities without available data are excluded, so the pool size varies from metric to metric.
69%
This home usually has availability
Based on 60 residents and 87 beds. Source: state inspection report (May 2024)
Higher than the Missouri average: 63.9%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
86
days
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+
Not Accredited
How BBB ratings workAbout This Community
StatusActive
IssuanceJanuary 28, 2025
ExpirationJanuary 27, 2027
CountySaint Francois
License Number052454, 052453
CMS Certification Number265734
Certification TypeMedicare / Medicaid
Assisted Living and Memory Care by US News & World Report
Country Meadows is legally operated by Country Meadows Nursing & Rehab, LLC, and administered by Kimberly Burch.
Corporate EntityCOUNTRY MEADOWS NURSING & REHAB, LLC
Owner NameCountry Meadows Nursing & Rehab, LLC
Skilled Nursing Facility
72 units
Assisted Living Facility
15 units
Total beds
87 units
Resident Council
CNA Training Program
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
TransportationListed as: Scheduled transportation
Housekeeping
Pets Allowed
Fitness Center
Beauty Salon
Spa
Computers
Wi-Fi
Activities
Support Groups
Dining & Nutrition
Sourced directly from the team at Country Meadows.
Dining & Nutrition
Sourced directly from the team at Country Meadows.Food DescriptionDining experience centers on meals professionally prepared by the Culinary team, served restaurant style and inspired by resident input and favorites.
This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.
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
These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes. 54 deficiencies 9 inspections
Includes all inspection records for this property, which could include management/ownership changes. 54 deficiencies 9 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
2 Worse
Metrics worse than Missouri average:
• Total deficiencies (17% above)
• Deficiencies per inspection (50% above) 0 Better No metrics in this bucket.
• Total deficiencies (17% above)
• Deficiencies per inspection (50% above) 0 Better No metrics in this bucket.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 54 | 46.0 | This facility has 17% more total deficiencies than a typical Missouri assisted living residence (54 vs. MO avg 46).↑ 17% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 6.0 | 4.0 | This facility has 50% more deficiencies per inspection than a typical Missouri assisted living residence (6 vs. MO avg 4).↑ 50% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 9 | 11.0 | This facility has had 18% fewer total inspections than the Missouri average (9 vs. MO avg 11). More inspections can mean more regulatory scrutiny rather than worse care.↓ 18% fewer |
CMS Health Inspection History
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections
4
↓ 39% · MO 6.6This facility: 4, 39% below the MO average of 6.6 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
9
Rank #8 / 274Health citations — State benchmarked This assisted living community is ranked 8th out of 274 assisted living communities we track in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 274 MO facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living communities without available data are excluded, so the pool size varies from metric to metric.↓ 75% · MO 36.1This facility: 9, 75% below the MO average of 36.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
2.25
Rank #9 / 274Citations per inspection — State benchmarked This assisted living community is ranked 9th out of 274 assisted living communities we track in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 274 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living communities without available data are excluded, so the pool size varies from metric to metric.↓ 60% · MO 5.6This facility: 2.25, 60% below the MO average of 5.6 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
9 of 9 citations corrected
Critical
J–L
0
↓ 100% · MO 0.6This facility: 0, 100% below the MO average of 0.6 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · MO 1.1This facility: 0, 100% below the MO average of 1.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
9
↓ 73% · MO 33.3This facility: 9, 73% below the MO average of 33.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · MO 1.1This facility: 0, 100% below the MO average of 1.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Nov 12, 2025 · 1 citation (Care Planning, moderate), corrected
Most cited category: Resident Assessment & Care Planning, 5 of 9 citations · 5 categories in total
Citations history
Most recent first
Nov 12, 2025
1 citation
Care Planning moderate citation
Corrected
Corrected
Jul 25, 2025
2 citations
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
May 23, 2024
3 citations
Infection Control moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Dec 16, 2022
3 citations
Administration moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Top deficiency categories
Share of 9 citations
Resident Assessment & Care Planning
5 deficiencies (56%)
Infection Control
1 deficiency (11%)
Quality of Life & Care
1 deficiency (11%)
Nutrition & Dietary
1 deficiency (11%)
Administration
1 deficiency (11%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 9 citations resulted from standard inspections; 1 of 9 resulted from complaint investigations; and 1 of 9 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Enforcement
Penalties and fines
Penalties and fines
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 Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Total fines
$0
MO avg $81KMissouri average: $81,235. Average among the 220 Missouri facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0
MO avg 1.93Missouri average: 1.93. Average among the 220 Missouri facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
MO avg 0.7Missouri average: 0.7. Average among the 220 Missouri facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Missouri average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
8.8
Score · lower is better
↓ 11% · MO 9.8This facility: 8.8, 11% below the MO average of 9.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
13.4
Score · lower is better
↓ 25% · MO 17.8This facility: 13.4, 25% below the MO average of 17.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 8 better, 3 worse
3 short-stay measures: 1 better, 2 worse
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
12.6%
↓ 31% · MO 18.1This facility: 12.6, 31% below the MO average of 18.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
12.6%
↓ 31% · MO 18.1This facility: 12.6, 31% below the MO average of 18.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
21.1%
↑ 21% · MO 17.4This facility: 21.1, 21% above the MO average of 17.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
21.1%
↑ 21% · MO 17.4This facility: 21.1, 21% above the MO average of 17.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.4%
↓ 64% · MO 17.8This facility: 6.4, 64% below the MO average of 17.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.4%
↓ 64% · MO 17.8This facility: 6.4, 64% below the MO average of 17.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · MO 2.3This facility: 0.0, 100% below the MO average of 2.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · MO 2.3This facility: 0.0, 100% below the MO average of 2.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
5.8%
↑ 43% · MO 4.1This facility: 5.8, 43% above the MO average of 4.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
5.8%
↑ 43% · MO 4.1This facility: 5.8, 43% above the MO average of 4.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
1.9%
↓ 58% · MO 4.5This facility: 1.9, 58% below the MO average of 4.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
1.9%
↓ 58% · MO 4.5This facility: 1.9, 58% below the MO average of 4.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
2.4%
↓ 55% · MO 5.3This facility: 2.4, 55% below the MO average of 5.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
2.4%
↓ 55% · MO 5.3This facility: 2.4, 55% below the MO average of 5.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · MO 18.5This facility: 0.0, 100% below the MO average of 18.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · MO 18.5This facility: 0.0, 100% below the MO average of 18.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
29.8%
↑ 27% · MO 23.5This facility: 29.8, 27% above the MO average of 23.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
29.8%
↑ 27% · MO 23.5This facility: 29.8, 27% above the MO average of 23.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.6%
↑ 8% · MO 84.1This facility: 90.6, 8% above the MO average of 84.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.6%
↑ 8% · MO 84.1This facility: 90.6, 8% above the MO average of 84.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
↑ 5% · MO 90.9This facility: 95.5, 5% above the MO average of 90.9 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
↑ 5% · MO 90.9This facility: 95.5, 5% above the MO average of 90.9 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
↓ 36% · MO 2.2This facility: 1.4, 36% below the MO average of 2.2 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
↓ 36% · MO 2.2This facility: 1.4, 36% below the MO average of 2.2 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
9.3%
↓ 86% · MO 65.7This facility: 9.3, 86% below the MO average of 65.7 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
9.3%
↓ 86% · MO 65.7This facility: 9.3, 86% below the MO average of 65.7 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
46.9%
↓ 26% · MO 63.5This facility: 46.9, 26% below the MO average of 63.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
46.9%
↓ 26% · MO 63.5This facility: 46.9, 26% below the MO average of 63.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Country Meadows’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 267 Missouri nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Breaking even on care
4.0% operating margin
+2.0 pts vs prior year
Positive margin in 8 of the last 8 reported years. Net income $0.2M after other income.
Does it invest in staff?
Spends less on payroll than most Missouri homes
50.1% payroll share of revenue
MO average 54.9%Rank #159 / 267Payroll % of net patient revenue — State benchmarked This assisted living community is ranked 159th out of 267 assisted living communities we track in Missouri for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living communities without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.3M while revenue rose $0.2M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Missouri homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | MO median | Compared with MO homesRank in MO | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $5.1M | +$0.2M | Trend 20172024 | MO median $6.2M | Rank in MO Rank #178 / 267Net patient revenue — State benchmarked This assisted living community is ranked 178th out of 267 assisted living communities we track in Missouri for net patient revenue. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living communities without available data are excluded, so the pool size varies from metric to metric. Higher than 33% of homes | Below MO median Higher net patient revenue than 33% of MO homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $4.8M | +$0.1M | Trend 20172024 | MO median — | Rank in MO Not ranked | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.2M | +$0.1M | Trend 20172024 | MO median — | Rank in MO Not ranked | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 4.0% | +2.0 pts | Trend 20172024 | MO median — | Rank in MO Not ranked | Thin margin A margin from 0% to 5% of revenue leaves little room for unexpected costs. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | MO median — | Rank in MO Not ranked | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $0.2M | +$0.0M | Trend — | MO median — | Rank in MO Not ranked | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Missouri homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | MO median | Compared with MO homesRank in MO | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $2.5M | +$0.3M | Trend 20172024 | MO median $3.5M | Rank in MO Rank #196 / 267Payroll costs — State benchmarked This assisted living community is ranked 196th out of 267 assisted living communities we track in Missouri for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living communities without available data are excluded, so the pool size varies from metric to metric. Higher than 27% of homes | Below MO median Higher payroll than 27% of MO homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 50.1% | +3.1 pts | Trend 20172024 | MO median 52.9% | Rank in MO Rank #159 / 267Payroll % of net patient revenue — State benchmarked This assisted living community is ranked 159th out of 267 assisted living communities we track in Missouri for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living communities without available data are excluded, so the pool size varies from metric to metric. Higher than 41% of homes | 4.8 pts under MO average The MO average is 54.9% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · MO benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Missouri payroll average.
% of net patient revenue
Payroll share Operating margin MO payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $4.2M | $4.2M | $4.7M | $4.7M | $4.7M | $4.8M | $4.8M | $5.1M |
| Operating expenses | $4.0M | $4.0M | $4.3M | $4.6M | $4.3M | $4.6M | $4.7M | $4.8M |
| Net patient income | $0.2M | $0.2M | $0.3M | $0.1M | $0.3M | $0.3M | $0.1M | $0.2M |
| Operating margin | 5.1% | 4.8% | 7.1% | 1.1% | 7.5% | 5.3% | 2.0% | 4.0% |
| Net income | $0.2M | $0.2M | $0.3M | $0.8M | $0.6M | $0.5M | $0.2M | $0.2M |
| Payroll costs | $1.7M | $1.7M | $1.9M | $2.0M | $2.0M | $2.1M | $2.3M | $2.5M |
| Payroll share of revenue | 40.5% | 40.3% | 40.3% | 42.7% | 42.7% | 44.3% | 47.0% | 50.1% |
| Beds | 87 | 87 | 87 | 87 | 87 | 87 | 87 | 87 |
| Gross revenue | $5.0M | $5.0M | $5.2M | $5.0M | $5.0M | $5.2M | $5.2M | $5.2M |
| Salaries | $1.5M | $1.5M | $1.6M | $1.8M | $1.7M | $1.9M | $2.0M | $2.3M |
| Wage-related costs | $0.2M | $0.2M | $0.2M | $0.2M | $0.2M | $0.2M | $0.2M | $0.3M |
| Contract labor | $0.4M | $0.4M | $0.4M | $0.3M | $0.3M | $0.3M | $0.3M | $0.3M |
| Other operating costs | $2.3M | $2.3M | $2.5M | $2.6M | $2.3M | $2.4M | $2.5M | $2.3M |
| Net patient revenue per day | $169 | $175 | $178 | $184 | $181 | $189 | $188 | $198 |
| Cost per day | $161 | $166 | $166 | $182 | $168 | $179 | $185 | $190 |
| Average length of stay | 103.9 days | 148.3 days | 101.3 days | 88.3 days | 80.3 days | 70.8 days | 64.2 days | 85.6 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
220 admissions · FY2024
Residents admitted during the year.
Medicare
57 · 26%
Medicaid
84 · 38%
Private pay & other
79 · 36%
Resident snapshot
65 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
3 · 5%
Medicaid
48 · 74%
Private pay & other
14 · 22%
Leaving
266 discharges · FY2024
Residents discharged during the year.
Medicare
45 · 17%
Medicaid
107 · 40%
Private pay & other
114 · 43%
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Places of interest near Country Meadows
0.0 miles from city center
Estimated distance in miles from Park Hills's city center to Country Meadows's address, calculated via Google Maps.
Calculate Travel Distance to Country Meadows
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Compare Assisted Living around the area
Info below is compiled from the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
|
City and state of the facility. Used for mapping and state-average comparisons.
|
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
|
Indicates whether residents are allowed to have pets in the facility.
|
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
|
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
|
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
|
Number of years the company has been in operation.
|
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
| |
|---|---|---|---|---|---|---|---|---|---|
| Advanced Care of St Joseph | AL HOS IL NH SNF | Saint Joseph | 180
Facility
180
MO AVG
88
Rank
#23 / 288 | No |
76
Facility
76
MO AVG
43
Rank
#38 / 296 | Skilled Nursing Facility (180) | North 18Th Street Healthcare LLC | 2
Facility
2
MO AVG
12
Rank
#47 / 167 | - |
| Alpine Breeze Health and Wellness | AL HOS MC NH PC RC SNF | Raytown | 154
Facility
154
MO AVG
88
Rank
#42 / 288 | No |
73
Facility
73
MO AVG
43
Rank
#43 / 296 | Skilled Nursing Facility (154) | Raytown Road Healthcare LLC | 2
Facility
2
MO AVG
12
Rank
#47 / 167 | - |
| Brookdale West County | AL CCRC IL MC NH SNF | Ballwin | 98
Facility
98
MO AVG
88
Rank
#60 / 217 | Yes |
56
Facility
56
MO AVG
43
Rank
#76 / 258 | Unit Type | Vb Ballwin Sh, LLC | 48
Facility
48
MO AVG
12
Rank
#2 / 94 | A+ |
| The Manor | AL MC NH SNF | Poplar Bluff | 90
Facility
90
MO AVG
88
Rank
#186 / 288 | No |
67
Facility
67
MO AVG
43
Rank
#65 / 296 | Skilled Nursing Facility (90) | Poplar Bluff No 1, Inc | 28
Facility
28
MO AVG
12
Rank
#19 / 167 | A+ |
| Country Meadows | AL NH IL MC | Park Hills | 87
Facility
87
MO AVG
88
Rank
#86 / 217 | Yes |
37
Facility
37
MO AVG
43
Rank
#145 / 258 | Skilled Nursing Facility (72), Assisted Living Facility (15) | Country Meadows Nursing & Rehab, LLC | 28
Facility
28
MO AVG
12
Rank
#16 / 94 | A+ |
Rank badges are statewide and care-type specific: each assisted living community is ranked against every other MO assisted living community we track that reports that metric, not just the 5 on this page. See how we rank facilities
Frequently Asked Questions about Country Meadows
Who is the owner of Country Meadows?
Country Meadows is legally operated by Country Meadows Nursing & Rehab, LLC, and administered by Kimberly Burch.
Is Country Meadows in a walkable area?
Country Meadows has a walk score of 37. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of Country Meadows?
According to MO state health department records, Country Meadows's license number is 052454, 052453.
When does Country Meadows's license expire?
According to MO state health department records, Country Meadows's license expires on January 27, 2027.
What is the occupancy rate at Country Meadows?
Country Meadows's occupancy is 69%.
How long has Country Meadows been in business?
Country Meadows has been operating for approximately 28 years, based on available licensing and registration records.
Are pets allowed at Country Meadows?
Yes, Country Meadows allows residents to bring their pets.
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