California Care Center

California Care Center is a Nursing Home in Missouri

California Care Center is a Nursing Home in Missouri

California Care Center

CALIFORNIA, MO 65018-1462 View Map

California Care Center is a Nursing Home in Missouri

California Care Center is a Nursing Home in Missouri

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Overview of 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.
(573) 796-3127

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.25/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
5/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
5/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
2/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
3/5

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.

Lower demand than the Missouri average
Occupancy rate 42.4%
Residents per day (avg) 31
Occupancy rate
42.4%
Residents per day (avg)
31

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

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

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

Proprietary home
Corporation
Home revenue
$2.6M
Operating loss
-$400.6K
Proprietary home Corporation
Home revenue
$2,567,855.00
Operating loss
$-400,571.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$961.1K
37.4% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.0M
Total costs $3.0M
Bed community size
60-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

Facility Type
SNF

Additional licensing details

CMS Certification Number: 265396
Certification type: Medicare/Medicaid
County: MONITEAU

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

Medicare & Medicaid Approved
Professional Medical Care
IV Therapy
Social Services
Rehab Services
Van Transportation
Daily Activities
Pharmaceutical Services
Complete Dining Services
Religious Services
Beauty & Barber Services
Housekeeping & Laundry

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.

Payment & Funding Options

Medicaid Medicare

Compare Nursing Homes around Missouri

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Bertrand Nursing And Rehab Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Bertrand
60
No
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
53.70
5/5
3.6515
5/5
3/5
2/5
-
California Care Center
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
No
-
N & R OF CALIFORNIA INC
42.4%
$2,559,572.00
$961,140.00
37.6%
31.40
5/5
3.2510
5/5
2/5
3/5
-
Advanced Care of St Joseph
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 64505-1872
180
No
-
NORTH 18TH STREET CONSULTING LLC
57.2%
$5,504,210.00
$2,303,058.00
41.8%
141.10
1/5
2.1152
2/5
1/5
4/5
1
Amberwood Estates Nursing and Rehabilitation
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 63121-1407
115
No
-
BERMUDA DRIVE CONSULTING LLC
81.7%
$5,482,532.00
$3,052,207.00
55.7%
79.70
1/5
1.7169
2/5
1/5
2/5
4
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
-
No
38
-
-
-
-
-
-
-
-
-
-
-
-

Places of interest near California Care Center

Address 0.0 miles from city center

Address CALIFORNIA, MO 65018-1462

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Address

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 Nurse49.8 Yes
Licensed Practical Nurse68.4 Yes
Certified Nursing Assistant457.1 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 Assistant837453,44891100%7.1
Registered Nurse2241,05391100%9.8
Licensed Practical Nurse3361,0378391%8.4
Medication Aide/Technician3038688492%9
Nurse Aide in Training7075884853%8.1
Physical Therapy Assistant0114796470%7.5
Speech Language Pathologist0224796571%5.4
RN Director of Nursing2024786066%7.6
Dental Services Staff1014665864%8
Administrator1014485763%7.9
Nurse Practitioner1013695358%7
Respiratory Therapy Technician022881921%4.6
Qualified Social Worker011714651%1.6
Physical Therapy Aide022441618%2.5
Occupational Therapy Aide0112433%8
Occupational Therapy Assistant011933%3.1
Medical Director011111%1

Health Inspection History

Total Health inspections 3
55% below Missouri average
Missouri average: 6.6

Last Health inspection on May 2024

Total Health citations 6
84% below Missouri average
Missouri average: 36.5

2 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 4 citations
Complaint investigations 2 citations
Breakdown of citations
Critical Health citations 0
100% below Missouri average
Missouri average: 0.7
Serious Health citations 2
100% above Missouri average
Missouri average: 1.0
Moderate Health citations 3

Minor Health citations 1
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

Facility Characteristics

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

Ownership: For-Profit Corporation
Resident Census by Payment Source
24 Total Residents
Medicare 1 (4.2%)
Medicaid 13 (54.2%)
Private Pay/Other 10 (41.7%)
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

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 14.2
30% worse than Missouri average
Missouri average: 10.9
Functional decline score 26.7
37% worse than Missouri average
Missouri average: 19.5
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 24.4%
23% above Missouri average.

Walking Ability Worsened 33.2%
61% above Missouri average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 22.4%
24% above Missouri average.
Safety & clinical stability

Falls with Major Injury 2.1%
49% below Missouri average.

High Risk Residents with Pressure Ulcers 6.5%
30% above Missouri average.

Urinary Tract Infection 2.2%
20% below Missouri average.
Emotional & behavioral wellbeing

Depressive Symptoms 0.0%
100% below Missouri average.

Antipsychotic Use 17.7%
19% below Missouri average.
Preventive care

Pneumococcal Vaccine 100.0%
17% above Missouri average.

Influenza Vaccine 100.0%
10% above Missouri average.
Nutrition & physical health

Lost Too Much Weight 4.9%
12% below Missouri average.
Short-stay resident measures
Pneumococcal Vaccine 92.8%

39% better than Missouri average
Antipsychotic medication increase 2.9%

29% worse than Missouri average

Guides for Better Senior Living

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Financial Aid for Missouri Seniors

Get financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+, Missouri resident, in approved facility.

~$1,215/month (individual).

$2,000 (individual).

Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

~$2,901/month (300% FBR, individual); QIT required.

$5,909.25 (individual), $11,818.45 (couple).

Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

~$1,690/month (individual, projected); spenddown allowed.

$5,909.25 (individual), $11,818.45 (couple).

Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled, Missouri resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based.

Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

Age 55+, unemployed, low-income, Missouri resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

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