California Care Center

Nursing Home & Skilled Nursing · California, MO

CMS overall rating

1106 South Oak, Route 3, California, MO 65018-1462 View map

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California Care Center accepts Medicaid, Medicare, and private pay.

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California Care Center accepts Medicaid, Medicare, and private pay.

Overview of California Care Center

N & R Of California, Inc handles operations at California Care Center, a 60-bed skilled nursing facility located at 1106 South Oak Street in California, Missouri. The administrative team structures billing across conventional avenues like Medicare, Medicaid, and private pay. For family visits, the surrounding layout scores 61 out of 100 for walkability, meaning the grid is moderately pedestrian-friendly, so guests can manage a few basic tasks on foot while a vehicle remains necessary for longer trips.

Operational charts report that the building runs at a 48 percent occupancy rate, with residents maintaining an average stay of roughly 197 days. This operational timeframe indicates a business pattern that balances standard long-term clinical care with short-term post-hospital therapy. To monitor daily recovery and routine treatments, the continuous 24-hour staffing schedule delivers an average of 3 hours and 15 minutes of total nursing care per resident each day, utilizing a combined rotation of registered nurses, practical nurses, and aides.

Recent health evaluations came back with clear surveys, though broader historical data from the tracking period flagged specific procedural corrections regarding medication logging accuracy and general housekeeping protocols, meaning the property’s overall cumulative citations-per-inspection rate is above zero.

Interested individuals can evaluate how the facility coordinates daily clinical resources like intravenous therapy, an on-staff physician, and specialized pharmaceutical care. The community pairs these medical tracks with standard services, including specialized dining options, scheduled religious services, beauty salon treatments, and resident medical transportation.

Facility Direct Line (573) 796-3127

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 15m per day

vs avg

6 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	17m per day	▼ 39% 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.	37m per day	▼ 10% 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 6m per day	▼ 10% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 36m per day	▼ 15% 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.	1m per day	▼ 62% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	19m per day	▼ 6% State avg: 20m per day · National avg: 28m per day

Capacity and availability

197 days

60-bed community

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

1 year in operation

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

Walk Score: 61 / 100

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

About this community

Occupancy

Occupancy rate

48%

Lower than the Missouri average: 66.6%

Occupied beds

29 / 60

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceApril 1, 2025

ExpirationMarch 31, 2027

CountyMoniteau

License Number052595

CMS Certification Number265396

Certification TypeMedicare / Medicaid

California Care Center is legally operated by N & R Of California, Inc., and administered by Debra Dunham.

Corporate EntityN & R OF CALIFORNIA, INC

Owner NameN & R Of California, Inc

Skilled Nursing Facility

60 units

Total beds

60 units

Accept Medicaid

Accept Medicare

Rehabilitation Services

Doctor on Staff

24-Hour Staffing

Pets not allowed

Medicare & Medicaid Approved

Professional Medical Care

Iv Therapy

Rehab Services

Van Transportation

Pharmaceutical Services

Complete Dining Services

Religious Services

Beauty & Barber Services

Housekeeping & Laundry

Religious Services

Since 2018 · 8 years of data 47 deficiencies 11 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection August 14, 2024 Annual Inspection

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	47	35	This facility has 34% more total deficiencies than a typical Missouri assisted living residence (47 vs. MO avg 35).↑ 34% worse
Deficiencies per year Average deficiencies per year since 2018.	5.9	4.4	This facility has 34% more deficiencies per year than a typical Missouri assisted living residence (5.9 vs. MO avg 4.4).↑ 34% worse
Deficiencies per inspection Average deficiencies per inspection.	4.3	2.9	This facility has 48% more deficiencies per inspection than a typical Missouri assisted living residence (4.3 vs. MO avg 2.9).↑ 48% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	11	12	This facility has had 8% fewer total inspections than the Missouri average (11 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 8% fewer

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

August 14, 2024 inspection found no health deficiencies and no complaints were reported.
May 3, 2024 complaint investigation substantiated a medication error causing harm and hospital admission, with delayed physician notification and failure to follow medication policies.
June 12, 2023 routine inspection cited failure to maintain resident areas in good repair, including debris, stains, damaged walls, rust, and peeling materials.

Show Inspection Reports

Inspections since 2022

Total health inspections 3

State average N/A

Last Health inspection on May 2024

Total health citations

State average N/A

Citations per inspection

State average N/A

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

4 of 6 citations resulted from standard inspections; and 2 of 6 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

2 serious citations State average: N/A

3 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 4 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

Total staff 114

Employees 23

Contractors 91

Staff to resident ratio 4.75 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 18

Average shift 7.2 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 11,840

Nursing staff breakdown

6.8 hours

8.7 hours

7.5 hours

Contractor staffing

5,959 contractor hours this quarter

Certified Nursing Assistant: 56 Medication Aide/Technician: 9 Licensed Practical Nurse: 8 Registered Nurse: 6 Speech Language Pathologist: 3 Physical Therapy Aide: 3 Physical Therapy Assistant: 1 Qualified Social Worker: 1 Medical Director: 1 Respiratory Therapy Technician: 1 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 1

Staff by category


Certified Nursing Assistant	5	56	61	5,257	92	100%	7.5
Licensed Practical Nurse	3	8	11	1,664	92	100%	8.7
Medication Aide/Technician	4	9	13	1,032	92	100%	8.7
Nurse Aide in Training	3	0	3	628	58	63%	8.5
Registered Nurse	3	6	9	525	64	70%	6.8
Dental Services Staff	1	0	1	508	64	70%	7.9
Administrator	1	0	1	461	63	68%	7.3
Nurse Practitioner	1	0	1	408	61	66%	6.7
Speech Language Pathologist	0	3	3	402	67	73%	5.2
Physical Therapy Assistant	0	1	1	394	65	71%	6.1
RN Director of Nursing	2	0	2	361	46	50%	7.2
Qualified Social Worker	0	1	1	87	53	58%	1.6
Respiratory Therapy Technician	0	1	1	42	19	21%	2.2
Physical Therapy Aide	0	3	3	34	10	11%	3.4
Occupational Therapy Aide	0	1	1	24	3	3%	8
Occupational Therapy Assistant	0	1	1	13	3	3%	4.4
Medical Director	0	1	1	1	1	1%	1

61 Certified Nursing Assistant

% of Days 100%

11 Licensed Practical Nurse

% of Days 100%

13 Medication Aide/Technician

% of Days 100%

3 Nurse Aide in Training

% of Days 63%

9 Registered Nurse

% of Days 70%

1 Dental Services Staff

% of Days 70%

1 Administrator

% of Days 68%

1 Nurse Practitioner

% of Days 66%

3 Speech Language Pathologist

% of Days 73%

1 Physical Therapy Assistant

% of Days 71%

2 RN Director of Nursing

% of Days 50%

1 Qualified Social Worker

% of Days 58%

1 Respiratory Therapy Technician

% of Days 21%

3 Physical Therapy Aide

% of Days 11%

1 Occupational Therapy Aide

% of Days 3%

1 Occupational Therapy Assistant

% of Days 3%

1 Medical Director

% of Days 1%

View All Staffing Data

No penalties in the past 3 years

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

High-risk clinical events score 14.2

30% worse than State average

State average: 10.9

Functional decline score 26.7

37% worse than State average

State average: 19.5

Long-stay resident measures

Above average State avg: 2.7

Need for Help with Daily Activities Increased 24.4%

23% worse than State average

State average: 19.8%

Walking Ability Worsened 33.2%

61% worse than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 22.4%

24% worse than State average

State average: 18.1%

Falls with Major Injury 2.1%

49% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 6.5%

30% worse than State average

State average: 5.0%

Urinary Tract Infection 2.2%

20% better than State average

State average: 2.7%

Lost Too Much Weight 4.9%

12% better than State average

State average: 5.6%

Depressive Symptoms 0.0%

100% better than State average

State average: 12.8%

Antipsychotic Use 17.7%

19% better than State average

State average: 22.0%

Pneumococcal Vaccine 100.0%

17% better than State average

State average: 85.2%

Influenza Vaccine 100.0%

10% better than State average

State average: 90.9%

Short-stay resident measures

Significantly above average State avg: 2.1

Pneumococcal Vaccine 92.8%

39% better than State average

State average: 66.6%

Antipsychotic medication increase 2.9%

29% worse than State average

State average: 2.2%

Re-hospitalized after SNF stay 11.9%

53% better than State average

State average: 25.3%

Emergency department visits 0.0%

100% better than State average

State average: 13.4%

Falls with major injury 4.8%

518% worse than State average

State average: 0.8%

Successful return to home or community 45.6%

10% worse than State average

State average: 50.6%

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

Total residents 24

Medicare

4.2% of residents

Medicaid

54.2% of residents

Private pay or other

41.7% of residents

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.

Financial Trends

Historical financial and operational data for California Care Center from 2011–2023, based on CMS SNF Cost Reports.

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

Occupancy Rate 42.4% ↓ 3.5pp vs 2022

Net Patient Income -$408.9K ↑ ~$71.1K vs 2022

Payroll Costs $1.1M ↑ ~$141.9K vs 2022

Operating Margin -19.0% ↑ 4.2pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	68.2%	65.1%	59.8%	61.3%	59.6%	65.8%	63.7%	56.7%	53.5%	45.5%	37.2%	45.8%	42.4%
Beds	60	60	60	60	60	60	60	60	60	60	60	60	60
Net Income	$305,653	$306,822	$155,552	$80,158	$257,021	$222,714	$75,315	$98,496	$13,162	$301,873	-$45,974	-$374,976	-$400,571
Gross Revenue	$3,079,378	$3,279,901	$3,027,967	$3,294,000	$3,254,471	$3,347,083	$3,278,954	$3,251,142	$2,790,703	$2,294,785	$1,840,748	$2,406,732	$2,559,572
Operating Expenses	$2,282,108	$2,345,272	$2,308,997	$2,573,412	$2,450,139	$2,592,071	$2,696,096	$2,610,118	$2,420,148	$2,284,850	$1,895,034	$2,549,956	$2,560,004
Net Patient Income	$298,083	$298,165	$141,549	$61,933	$235,207	$198,201	$60,508	$82,373	$3,540	-$184,950	-$249,811	-$479,919	-$408,854
Net Patient Revenue	$2,580,191	$2,643,437	$2,450,546	$2,635,345	$2,685,346	$2,790,272	$2,756,604	$2,692,491	$2,423,688	$2,099,900	$1,645,223	$2,070,037	$2,151,150
Payroll Costs	$983,437	$947,687	$956,443	$965,206	$1,011,317	$1,153,815	$1,112,610	$1,124,989	$1,100,553	$1,050,705	$878,425	$943,647	$1,085,575
Operating Margin %	11.6%	11.3%	5.8%	2.4%	8.8%	7.1%	2.2%	3.1%	0.2%	-8.8%	-15.2%	-23.2%	-19.0%
Medicare %	10.6%	11.3%	10.3%	12.8%	12.0%	8.2%	10.4%	11.7%	8.1%	6.6%	3.9%	4.1%	7.1%
Medicaid %	33.9%	45.7%	46.1%	41.5%	41.9%	48.3%	39.1%	46.9%	50.9%	53.1%	46.7%	51.7%	48.8%
Private %	55.5%	43.0%	43.6%	45.8%	46.2%	43.6%	50.4%	41.5%	41.0%	40.3%	49.4%	44.2%	44.1%
Net Patient Revenue/Day	$173	$185	$187	$196	$206	$193	$198	$217	$207	$210	$202	$206	$232
Cost/Day	$153	$164	$176	$192	$188	$179	$193	$210	$206	$229	$233	$254	$276
Avg Length of Stay	138.2 days	238.1 days	79.0 days	50.9 days	42.1 days	48.2 days	94.2 days	188.2 days	93.8 days	81.8 days	104.5 days	154.5 days	197.3 days

Finances and operations

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

Net patient revenue

$2.2M

Net patient income

-$408.9K

For-profit Corporation

Net patient revenue

$2.2M

Net patient income

-$408.9K

Other income

$8.3K

Payroll costs

$1.1M 50.5% of net patient revenue

Other operating costs

$1.5M

Total costs

$2.6M

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.

Most new residents arrive under private pay (58% of admissions), and a typical private pay stay runs around 2 - 3 months.

Coverage residents most often arrive under.

Medicare 22%

Private pay 58%

Medicaid 20%

Coverage residents most often leave under.

Medicare 23%

Private pay 70%

Medicaid 6%

0.0 miles from city center Estimated distance in miles from California's city center to California Care Center's address, calculated via Google Maps.

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


Laclede Groves	NH AL IL MC	St. Louis	-	251	-	35	-
Republic Nursing and Rehab	NH SNF	Republic	-	127	-	48	Private / Semi-Private Rooms
Chaffee Nursing Center	NH HOS SNF	Chaffee	-	71	-	25	Studio
Heisinger Bluffs	NH AL IL MC RC SNF	Jefferson City	-	111	-	32	1 Bed / 2 Bed / 3 Bed
California Care Center	NH SNF	California	-	60	-	61	-

Nursing Home Explorer

Who is the owner of California Care Center?

California Care Center is legally operated by N & R Of California, Inc., and administered by Debra Dunham.

Is California Care Center in a walkable area?

California Care Center has a walk score of 61. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of California Care Center?

According to MO state health department records, California Care Center's license number is 052595.

When does California Care Center's license expire?

According to MO state health department records, California Care Center's license expires on March 31, 2027.

What is the occupancy rate at California Care Center?

California Care Center's occupancy is 48%.

Are pets allowed at California Care Center?

No, California Care Center has a no-pet policy.

Does California Care Center operate as a for-profit or non-profit?

California Care Center is registered as a for-profit in MO.

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California Care Center

Overview of California Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Amenities & Lifestyle

Contact California Care Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

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

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

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

61 Certified Nursing Assistant

11 Licensed Practical Nurse

13 Medication Aide/Technician

3 Nurse Aide in Training

9 Registered Nurse

1 Dental Services Staff

1 Administrator

1 Nurse Practitioner

3 Speech Language Pathologist

1 Physical Therapy Assistant

2 RN Director of Nursing

1 Qualified Social Worker

1 Respiratory Therapy Technician

3 Physical Therapy Aide

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near California Care Center

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