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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.
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.
The skilled nursing community at Autumn Oaks Caring Center operates as a 120-bed property on Hovis Street in Mountain Grove, Missouri, under owner Jonathan Beers and administrator Cassie Miller. Financial arrangements are split among several standard coverage routes, including Medicare, Medicaid, and private pay. If you want to check out the local surroundings, the neighborhood holds a walkability score of 58 out of 100, which indicates a moderately pedestrian-friendly layout where family members can walk to a few nearby spots while still utilizing a vehicle for most errands.
Data logs show that the property, which is run by Mountain Grove #2, Inc., maintains a 63 percent occupancy rate with an average length of stay around 100 days. This operational timeline points to a daily caseload that mixes short-term post-hospital rehabilitation with traditional long-term nursing placements. To manage daily medical schedules and direct physical care, the 24-hour staffing schedule organizes an average of 3 hours and 46 minutes of total nursing care per resident each day, which is divided into roughly 31 minutes from registered nurses, 30 minutes from licensed practical nurses, and 31 minutes from nurse aides.
State file archives managed by the Department of Health and Senior Services track how the administrative team responds to routine regulatory licensing checks. Public compliance documents verify that the facility’s everyday operational charting and clinical procedures match state requirements, keeping the home’s long-term cumulative citations-per-inspection rate at zero.
Prospective residents have access to structured physical recovery tracks and clinical monitoring tailored to transitional care needs. The facility provides organized meal services and common areas for social gathering, paired with regular room cleaning and laundry assistance. Families can coordinate directly with the front office to schedule a walk-through of the residential sections and discuss the daily flow of therapy programs firsthand.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 124th out of 276 homes 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.
| 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.
| 28m per day | ■ Avg 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.
| 35m per day | ▼ 15% 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 37m per day | ▲ 13% 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.
| 3h 7m per day | ■ Avg 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 | ▼ 85% 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.
| 13m per day | ▼ 33% State avg: 20m per day · National avg: 28m per day |
Similar to the Missouri average: 66.6%Autumn Oaks Caring Center is legally operated by Mountain Grove #2, Inc, and administrated by Cassie Miller.
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.
This scorecard compares key inspection, citation, 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
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 98 | 35 | This facility has 180% more total deficiencies than a typical Missouri nursing home (98 vs. MO avg 35).↑ 180% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 12.3 | 4.4 | This facility has 180% more deficiencies per year than a typical Missouri nursing home (12.3 vs. MO avg 4.4).↑ 180% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4.3 | 5 | This facility has 14% fewer deficiencies per inspection than a typical Missouri nursing home (4.3 vs. MO avg 5).↓ 14% better |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 23 | 7 | This facility has 229% more total inspections than a typical Missouri nursing home (23 vs. MO avg 7).↑ 229% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Missouri average 6.6
Last Health inspection on Apr 2025
Missouri average 36.5
Missouri average 5.67
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).
186% worse than Missouri averageMissouri average: 0.7
In line with Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Missouri average
0% compared with Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursAssists with medical care and medications.
All 9 LPN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursHelps with daily care and mobility.
All 29 CNA Staff are full-time employees. No contractors work on this role.
29
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
403 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 29 | 0 | 29 | 7,531 | 92 | 100% | 9.6 |
| Nurse Aide in Training | 31 | 0 | 31 | 5,826 | 92 | 100% | 7.4 |
| Medication Aide/Technician | 12 | 0 | 12 | 3,812 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 9 | 0 | 9 | 3,806 | 92 | 100% | 9.1 |
| Registered Nurse | 8 | 0 | 8 | 2,556 | 91 | 99% | 9.6 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dietitian | 3 | 0 | 3 | 443 | 37 | 40% | 7.6 |
| Dental Services Staff | 2 | 0 | 2 | 283 | 35 | 38% | 8.1 |
| Physical Therapy Assistant | 0 | 1 | 1 | 197 | 68 | 74% | 2.9 |
| Qualified Social Worker | 0 | 3 | 3 | 65 | 40 | 43% | 1.5 |
| Speech Language Pathologist | 0 | 3 | 3 | 40 | 22 | 24% | 1.8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 33 | 31 | 34% | 1.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 26 | 3 | 3% | 8.5 |
| Medical Director | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 18 | 3 | 3% | 6 |
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)
14% lower than Missouri averageMissouri average: $73K
18% fewer fines than Missouri averageMissouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
45% more payment denials than Missouri averageMissouri average: 0.7
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.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 10, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jan 10, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
35.0
80% worse than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
31.5%
60% worse than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
47.0%
128% worse than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.4%
46% worse than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
0.4%
90% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
9.1%
80% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.4%
85% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
7.0%
27% worse than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
11.3%
12% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
39.2%
78% worse than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
72.2%
15% worse than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.4%
In line with Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.21
42% better than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.59
32% better than Missouri averageMissouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
43.5%
35% worse than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
3.4%
54% worse than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
36.2%
43% worse than Missouri averageMissouri average: 63.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
48.0%
11% worse than Missouri averageMissouri average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
40.5%
20% worse than Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
21% of new residents, usually for short-term rehab.
58% of new residents, often for short stays.
21% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
67Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Autumn Oaks Caring Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #189 / 286Payroll — State benchmarkedThis home is ranked 189th out of 286 homes in Missouri. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
133.5 miles from city center
Estimated distance in miles from Mountain Grove's city center to Autumn Oaks Caring Center's address, calculated via Google Maps.
Add your location
Autumn Oaks Caring Center is located in MOUNTAIN GROVE, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Breeze Park – Lutheran Senior Services |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Weldon Spring | 50
Facility
50
MO AVG
97
Rank
#390 / 454 | - | - | 5.01
Facility
5.01
MO AVG
3.74
Rank
#31 / 276 | -16% | +34% | $41.3k
Facility
$41.3k
MO AVG
$76.9k
Rank
#222 / 283 | 16
Facility
16
MO AVG
36.5
Rank
#55 / 281 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#75 / 281 | 2 | 46 | A+ |
2
Facility
2
MO AVG
45
Rank
#545 / 563 | Holly Stevens | $20.9M
Facility
$20.9M
MO AVG
$8.4M
Rank
#17 / 286 | $12.2M
Facility
$12.2M
MO AVG
$3.3M
Rank
#6 / 286 | 58.6%
Facility
58.6%
MO AVG
45.6%
Rank
#105 / 286 | 265767 | ||||
| Farmington Presbyterian Manor |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Farmington | 90
Facility
90
MO AVG
97
Rank
#227 / 454 |
74.4%
Facility
74.4%
MO AVG
66.6%
Rank
#150 / 428 | +12% | 4.58
Facility
4.58
MO AVG
3.74
Rank
#43 / 276 | +49% | +23% | $12.6k
Facility
$12.6k
MO AVG
$76.9k
Rank
#167 / 283 | 9
Facility
9
MO AVG
36.5
Rank
#11 / 281 | 2.3
Facility
2.3
MO AVG
5.7
Rank
#11 / 281 | 1 | 70 | A+ |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | Jane Hull | $9.9M
Facility
$9.9M
MO AVG
$8.4M
Rank
#73 / 286 | $6.3M
Facility
$6.3M
MO AVG
$3.3M
Rank
#52 / 286 | 63%
Facility
63%
MO AVG
45.6%
Rank
#74 / 286 | 265583 | ||||
| Armour Oaks Senior Living Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Kansas City (Waldo Homes) | 38
Facility
38
MO AVG
97
Rank
#424 / 454 |
100.0%
Facility
100.0%
MO AVG
66.6%
Rank
#1 / 428 | +50% | 3.03
Facility
3.03
MO AVG
3.74
Rank
#230 / 276 | -27% | -19% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 39
Facility
39
MO AVG
36.5
Rank
#183 / 281 | 6.5
Facility
6.5
MO AVG
5.7
Rank
#200 / 281 | - | 100 | A+ |
73
Facility
73
MO AVG
45
Rank
#70 / 563 | Womens Christian Association Of Kansas City Missouri | $2.9M
Facility
$2.9M
MO AVG
$8.4M
Rank
#264 / 286 | $2.4M
Facility
$2.4M
MO AVG
$3.3M
Rank
#221 / 286 | 81.6%
Facility
81.6%
MO AVG
45.6%
Rank
#13 / 286 | 265802 | ||||
| Autumn Oaks Caring Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Mountain Grove | 120
Facility
120
MO AVG
97
Rank
#89 / 454 |
63.3%
Facility
63.3%
MO AVG
66.6%
Rank
#242 / 428 | -5% | 3.77
Facility
3.77
MO AVG
3.74
Rank
#124 / 276 | -5% | +1% | $63.1k
Facility
$63.1k
MO AVG
$76.9k
Rank
#234 / 283 | 31
Facility
31
MO AVG
36.5
Rank
#146 / 281 | 4.4
Facility
4.4
MO AVG
5.7
Rank
#96 / 281 | 3 | 71 | - |
58
Facility
58
MO AVG
45
Rank
#170 / 563 | Jonathan Beers | $5.9M
Facility
$5.9M
MO AVG
$8.4M
Rank
#157 / 286 | $2.8M
Facility
$2.8M
MO AVG
$3.3M
Rank
#189 / 286 | 47.7%
Facility
47.7%
MO AVG
45.6%
Rank
#201 / 286 | 265406 | ||||
| Sunrise of Des Peres |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Des Peres | 102
Facility
102
MO AVG
97
Rank
#169 / 454 |
72.5%
Facility
72.5%
MO AVG
66.6%
Rank
#166 / 428 | +9% | 3.50
Facility
3.50
MO AVG
3.74
Rank
#168 / 276 | +4% | -6% | $334.9k
Facility
$334.9k
MO AVG
$76.9k
Rank
#277 / 283 | 87
Facility
87
MO AVG
36.5
Rank
#272 / 281 | 7.9
Facility
7.9
MO AVG
5.7
Rank
#243 / 281 | 13 | 74 | A+ |
50
Facility
50
MO AVG
45
Rank
#244 / 563 | Mary Grodeon | $15.6M
Facility
$15.6M
MO AVG
$8.4M
Rank
#32 / 286 | $7.7M
Facility
$7.7M
MO AVG
$3.3M
Rank
#31 / 286 | 49.2%
Facility
49.2%
MO AVG
45.6%
Rank
#186 / 286 | 265834 |
The legal owner and operator of Autumn Oaks Caring Center is Mountain Grove #2, Inc.
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.
According to MO state health department records, Autumn Oaks Caring Center's license number is 052369.
According to MO state health department records, Autumn Oaks Caring Center's license expires on December 21, 2026.
Autumn Oaks Caring Center's occupancy is 63%.
Cassie Miller is the administrator of Autumn Oaks Caring Center.
Autumn Oaks Caring Center has 120 beds.
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