Occupancy rate
42%
In line with Missouri averageMix 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.
Nursing Home
California Care Center
California Care Center is a long-term care facility located in California, MO. It provides a wide range of services including professional medical care, rehabilitation services, and complete dining services. The center is committed to ensuring the highest practicable physical, mental, and psychosocial well-being of its residents.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
60
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
42.4%
Residents per day (avg)
31
Occupancy rate
42.4%
Residents per day (avg)
31
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
22% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
58% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
20% of new residents, often for long-term daily care.
Typical stay
7 - 8 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$2.6M
Operating loss
-$400.6K
Privately-owned community
Operated by a business corporation.
Home revenue
$2,567,855.00
Operating loss
$-400,571.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$961.1K
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.0M
60-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Missouri averageOccupied beds
25 / 60
Average residents
72 per day
License details
Facility type
Snf
County:
MONITEAU
Additional licensing details
CMS Certification Number:
265396
Certification type:
Medicare/Medicaid
Ownership & operating entity
California Care Center is administrated by DEBRA DUNHAM.
Owner name:
N & R OF CALIFORNIA, INC
Safety & Compliance
Care Services
Accepts Medicaid
Accepts Medicare
Doctor on Staff
Nursing Services
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Amenities & Lifestyle
Programs & Activities
Specific Programs
About Us, Services, Calendar, Virtual Tour, Resident Transportation, Careers, Contact Us, Pay My Bill
Religious Services
Yes
Dining & Nutrition
Food Description
Complete dining services with a variety of nutritious meals and snacks based on individual preferences.
Meals Included
Yes
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Health Inspection History
Inspections
Total health inspections
3
Missouri average 6.6
Last Health inspection on May 2024
Total health citations
6
Citations per inspection
2
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 6 citations resulted from standard inspections; and 2 of 6 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
2
2
100% worse than Missouri averageMissouri average: 1
0 critical citations
2 serious citations
3 moderate citations
1 minor citation
Citations history (last 3 years)
Pharmacy serious citation
May 03, 2024
Corrected
Resident Rights serious citation
May 03, 2024
Corrected
Resident Rights moderate citation
Jun 14, 2023
Corrected
Infection Control moderate citation
Apr 20, 2022
Corrected
Data sourced from CMS Health Deficiencies reports. 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.
Compare Nursing Homes around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34
5.1831
9
-
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
54
3.6515
10
-
+42%-2%+18%
California Care Center
-37%
-13%
-36%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 65018-1462
60
-
N & R OF CALIFORNIA INC
42.4%
$2,559,572.00
$961,140.00
37.6%
31
3.2510
6
2
-37%-13%-36%
Good Shepherd Care Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Concordia
-
38
-
-
-
-
-
-
-
-
-
-
-
Abbey Senior Health
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63366-2299
55
-
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
Bertrand Nursing And Rehab Center
Type of care:
SNF
AL
Community:
Bertrand
Bed Count:
60
Operator:
CHANCE, DON
CCN:
265678
Occupancy:
78.8%
Home Revenue:
$5,145,452.00
Payroll Costs:
$2,268,233.00
Payroll %:
44.1%
Avg Residents/Day:
54
Overall Rating:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
California Care Center
Type of care:
SNF
AL
Community:
MO 65018-1462
Bed Count:
60
Operator:
N & R OF CALIFORNIA INC
CCN:
265396
Occupancy:
42.4%
Home Revenue:
$2,559,572.00
Payroll Costs:
$961,140.00
Payroll %:
37.6%
Avg Residents/Day:
31
Overall Rating:
Adj Nurse Hours:
3.2510
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
6
Severe Citations:
2
RN share vs State Avg:
-37%
-37%
Staffing vs State Avg:
-13%
-13%
Occupancy vs State Avg:
-36%
-36%
Places of interest near California Care Center
0.0 miles from city center
CALIFORNIA, MO 65018-1462
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
81
Total Staff
28
Employees
53
Contractors
9,950
Total Hours (Quarter)
15
Avg Staff/Day
7.3
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 4 | 9.8 | Yes |
| Licensed Practical Nurse | 6 | 8.4 | Yes |
| Certified Nursing Assistant | 45 | 7.1 | Yes |
Staff by Category
Administration ⓘ
2 staff
7.7hs shift avg
Nursing Staff ⓘ
67 staff
7.9hs shift avg
Physicians & Practitioners ⓘ
1 staff
7hs shift avg
Therapy Services ⓘ
9 staff
5.7hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
1.5hs shift avg
Dietary Services ⓘ
0 staff
0hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
36.9%
of total hours from contractors
3,675 contractor hours this quarter
Registered Nurse: 2
Certified Nursing Assistant: 37
Physical Therapy Assistant: 1
Qualified Social Worker: 1
Speech Language Pathologist: 2
Medical Director: 1
Respiratory Therapy Technician: 2
Occupational Therapy Aide: 1
Licensed Practical Nurse: 3
Physical Therapy Aide: 2
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 8 | 37 | 45 | 3,448 | 91 | 100% | 7.1 |
| Registered Nurse | 2 | 2 | 4 | 1,053 | 91 | 100% | 9.8 |
| Licensed Practical Nurse | 3 | 3 | 6 | 1,037 | 83 | 91% | 8.4 |
| Medication Aide/Technician | 3 | 0 | 3 | 868 | 84 | 92% | 9 |
| Nurse Aide in Training | 7 | 0 | 7 | 588 | 48 | 53% | 8.1 |
| Physical Therapy Assistant | 0 | 1 | 1 | 479 | 64 | 70% | 7.5 |
| Speech Language Pathologist | 0 | 2 | 2 | 479 | 65 | 71% | 5.4 |
| RN Director of Nursing | 2 | 0 | 2 | 478 | 60 | 66% | 7.6 |
| Dental Services Staff | 1 | 0 | 1 | 466 | 58 | 64% | 8 |
| Administrator | 1 | 0 | 1 | 448 | 57 | 63% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 369 | 53 | 58% | 7 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 88 | 19 | 21% | 4.6 |
| Qualified Social Worker | 0 | 1 | 1 | 71 | 46 | 51% | 1.6 |
| Physical Therapy Aide | 0 | 2 | 2 | 44 | 16 | 18% | 2.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 9 | 3 | 3% | 3.1 |
| Medical Director | 0 | 1 | 1 | 1 | 1 | 1% | 1 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
24 residents
Residents by payment source
Medicare
1 resident (4.2%)
Medicaid
13 residents (54.2%)
Private pay or other
10 residents (41.7%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.2
30% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.7
37% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
24.4%
Percent of long-stay residents whose need for help with daily activities has increased
24.4%
23% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
33.2%
Percent of long-stay residents whose ability to move independently worsened
33.2%
61% worse than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.4%
24% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
49% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.5%
Percent of long-stay high risk residents with pressure ulcers
6.5%
30% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.2%
Percent of long-stay residents with a urinary tract infection
2.2%
20% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.9%
Percent of long-stay residents who lose too much weight
4.9%
12% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
17.7%
Percent of long-stay residents who received an antipsychotic medication
17.7%
19% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
17% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.8%
39% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
29% worse than Missouri averageMissouri average: 2.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for California Care Center based on CMS SNF Cost Reports.
Occupancy Rate
42.4%
↓ 3.5pp vs 2022
Net Income
-$400,571
↓ ~$26K vs 2022
Total Payroll
$1,620,446
↓ ~$27K vs 2022
Profit Margin
-15.7%
↓ 0.1pp vs 2022
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