Carroll House
Nursing Home, Hospice Care, Memory Care & Skilled Nursing · Carrollton, MO
CMS overall rating Info 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.

Carroll House

Nursing Home, Hospice Care, Memory Care & Skilled Nursing · Carrollton, MO
CMS overall rating Info 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.
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Carroll House accepts Medicaid, Medicare, and private pay.

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 71 deficiencies 11 inspections

Inspection Scorecard Info 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 3 Worse Metrics worse than Missouri average:
• Total deficiencies (103% above)
• Deficiencies per year (102% above)
• Deficiencies per inspection (124% above)
0 Better No metrics in this bucket.
Latest Inspection July 14, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 7135 This facility has 103% more total deficiencies than a typical Missouri assisted living residence (71 vs. MO avg 35).↑ 103% worse
Deficiencies per year Info Average deficiencies per year since 2018. 8.94.4 This facility has 102% more deficiencies per year than a typical Missouri assisted living residence (8.9 vs. MO avg 4.4).↑ 102% worse
Deficiencies per inspection Info Average deficiencies per inspection. 6.52.9 This facility has 124% more deficiencies per inspection than a typical Missouri assisted living residence (6.5 vs. MO avg 2.9).↑ 124% worse

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

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 1112 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 Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • July 14, 2025 inspection found four deficiencies including failure to protect residents from physical abuse causing a fracture and failure to allow confidential calls to the abuse hotline, with Immediate Jeopardy removed the same day.
  • December 26, 2023 complaint investigation substantiated failure to timely report a resident-to-resident abuse incident within the required two-hour timeframe.
  • May 30, 2024 routine survey identified 14 deficiencies across care planning, infection control, staff training, kitchen sanitation, noise control, and resident dignity issues.

Health Inspection History

Inspections since 2022
Total health inspections 4

State average N/A


Last Health inspection on Jul 2025

Total health citations
26 Rank #113 / 287Health citations — State benchmarkedThis home is ranked 113th out of 287 homes in Missouri. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 287 MO facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
6.5 Rank #202 / 287Citations per inspection — State benchmarkedThis home is ranked 202nd out of 287 homes in Missouri. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 287 facilities with citation data. Lower is better.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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

22 of 26 citations resulted from standard inspections; 1 of 26 resulted from complaint investigations; and 3 of 26 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)
Critical health citations
1
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

1 critical citation State average: N/A

0 serious citations State average: N/A

25 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 4 years)
Abuse/Neglect critical citation Jul 14, 2025
Corrected

Abuse/Neglect moderate citation Jul 14, 2025
Corrected

Resident Rights moderate citation Jul 14, 2025
Corrected

Administration moderate citation May 30, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 55
Employees 49
Contractors 6
Staff to resident ratio 0.98 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 20
Average shift 8.5 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 15,659

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 3 RN Staff are full-time employees. No contractors work on this role. 3
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 8 LPN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 12 CNA Staff are full-time employees. No contractors work on this role. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.4%

70 contractor hours this quarter

Occupational Therapy Assistant: 1 Qualified Social Worker: 1 Occupational Therapy Aide: 1 Physical Therapy Assistant: 1 Respiratory Therapy Technician: 1 Speech Language Pathologist: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant120124,33492100%9.5
Medication Aide/Technician7072,93192100%10
Licensed Practical Nurse8082,14692100%9
Nurse Aide in Training9091,9729199%8
Dental Services Staff4048567278%6.3
RN Director of Nursing1016717480%9.1
Diagnostic X-ray Services Staff1015156672%7.8
Dietitian1015016672%7.6
Clinical Nurse Specialist1014976267%8
Nurse Practitioner1014826166%7.9
Administrator1014756166%7.8
Registered Nurse3032092426%8.1
Occupational Therapy Aide0112433%8
Occupational Therapy Assistant0112033%6.5
Speech Language Pathologist011151112%1.4
Qualified Social Worker011667%1
Respiratory Therapy Technician011544%1.2
Physical Therapy Assistant011122%0.5
12 Certified Nursing Assistant
% of Days 100%
7 Medication Aide/Technician
% of Days 100%
8 Licensed Practical Nurse
% of Days 100%
9 Nurse Aide in Training
% of Days 99%
4 Dental Services Staff
% of Days 78%
1 RN Director of Nursing
% of Days 80%
1 Diagnostic X-ray Services Staff
% of Days 72%
1 Dietitian
% of Days 72%
1 Clinical Nurse Specialist
% of Days 67%
1 Nurse Practitioner
% of Days 66%
1 Administrator
% of Days 66%
3 Registered Nurse
% of Days 26%
1 Occupational Therapy Aide
% of Days 3%
1 Occupational Therapy Assistant
% of Days 3%
1 Speech Language Pathologist
% of Days 12%
1 Qualified Social Worker
% of Days 7%
1 Respiratory Therapy Technician
% of Days 4%
1 Physical Therapy Assistant
% of Days 2%

Penalties and fines

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)

Total fines amount $131K Rank #258 / 289Federal fines — State benchmarkedThis home is ranked 258th out of 289 homes in Missouri. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 289 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
79% higher than State average

State average: $73K

Number of fines 1
59% fewer fines than State average

State average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.7

Fines amount comparison
Fines amount comparison
This facility $131K
State average $73K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jul 14, 2025 · $131K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 14, 2025
$131K

Last updated: Jan 2026

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 5.2
52% better than State average

State average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 9.6
51% better than State average

State average: 19.5

Long-stay resident measures
Average State avg: 2.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 12.4%
37% better than State average

State average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 7.7%
63% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 8.6%
52% better than State average

State average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.6%
35% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.3%
54% better than State average

State average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.1%
23% better than State average

State average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.1%
80% better than State average

State average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.7%
87% better than State average

State average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 25.3%
15% worse than State average

State average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.9%
15% better than State average

State average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.0%
8% better than State average

State average: 90.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 83.8%
26% better than State average

State average: 66.6%

Breakdown by payment type

Medicare

18% of new residents, usually for short-term rehab.

Typical stay 27 days

Private pay

54% of new residents, often for short stays.

Typical stay 9 months

Medicaid

29% of new residents, often for long-term daily care.

Typical stay 1 years

Facility Characteristics

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

Total residents 56
Medicaid
53
94.6% of residents
Private pay or other
3
5.4% 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.

Finances and operations

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

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$1.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.1M
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$1.7M Rank #287 / 292Revenue — State benchmarkedThis home is ranked 287th out of 292 homes in Missouri. Shows this facility's annual revenue compared to the Missouri average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.1M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$227.7K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #259 / 292Payroll — State benchmarkedThis home is ranked 259th out of 292 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.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$1.1M 61.5% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #2 / 292Payroll % — State benchmarkedThis home is ranked 2nd out of 292 homes in Missouri. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–71% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.8M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$2.8M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under private pay (54% of admissions), and a typical private pay stay runs around 9 months.

Admissions
28 total

Coverage residents most often arrive under.

Medicare 18%
Private pay 54%
Medicaid 29%
Discharges
55 total

Coverage residents most often leave under.

Medicare 9%
Private pay 58%
Medicaid 33%

Places of interest near Carroll House

Address 0.0 miles from city center Info Estimated distance in miles from Carrollton's city center to Carroll House's address, calculated via Google Maps.

Calculate Travel Distance to Carroll House

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

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Frequently Asked Questions about Carroll House

Is Carroll House in a walkable area?

Carroll House has a walk score of 46. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Carroll House?

According to MO state health department records, Carroll House's license number is 053316.

When does Carroll House's license expire?

According to MO state health department records, Carroll House's license expires on January 20, 2028.

What is the occupancy rate at Carroll House?

Carroll House's occupancy is 89%.

Does Carroll House operate as a for-profit or non-profit?

Carroll House is registered as a for-profit in MO.

Who is the administrator of Carroll House?

Evelyn McDonald is the administrator of Carroll House.

How many beds does Carroll House have?

Carroll House has 63 beds.

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