Carroll House

Nursing Home, Hospice Care, Memory Care & Skilled Nursing · Carrollton, MO

CMS overall rating

307 Grand, Carrollton, MO 64633-2265 View map

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Carroll House accepts Medicaid, Medicare, and private pay.

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Carroll House accepts Medicaid, Medicare, and private pay.

Overview of Carroll House

Operated by Carroll House, Inc., Carroll House is a skilled nursing home in Carrollton, Missouri. It is set on Grand Street in a residential setting with moderate walkability. The home provides nursing care and rehabilitation and accepts Medicaid, Medicare, and private pay, which gives families flexibility in how they cover care.

The 63-bed community has a modest footprint, with a current occupancy rate of 89%. Residents stay an average of 143 days, including rehabilitation residents and those needing longer-term nursing care. Daily nurse staffing is substantial, with total care averaging 4 hours and 10 minutes per resident each day. That level of hands-on attention is the backbone of the facility’s focus on daily living support.

The home can accommodate residents with Alzheimer’s disease or related memory impairments, with a dedicated special care unit for those needs. Beyond memory care, the facility has rehabilitation services and has a doctor on staff, which can reduce the need for off-site medical appointments. Daily support includes 24-hour staffing, van transportation for appointments and outings, and complete dining services tailored to residents’ preferences.

Amenities include a beauty salon, barber services, and housekeeping. Religious services are available because the home is committed to spiritual care, which may appeal to residents and families who value the same thing.

State inspections by the Department of Health and Senior Services identified issues related to resident safety and protection, timely incident reporting, care processes, infection control practices, staff training, kitchen safety, and resident dignity. These findings are areas that need attention as part of the facility’s ongoing management.

The facility offers a home-like environment with semi-private and private room options. Many families will find it reassuring when searching for a place that balances medical oversight with residential comfort.

Facility Direct Line (660) 542-1599

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Missouri state averages

Total nursing care / resident

4h 10m per day

This facility Missouri avg (3h 44m per day)

vs Missouri avg

+12%

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.	13m per day	▼ 54% 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.	31m per day	▼ 26% 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.	1h 40m per day	▼ 28% 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 10m per day	▼ 29% 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	▼ 98% 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.	10m per day	▼ 52% State avg: 20m per day · National avg: 28m per day

Capacity and availability

143 days

63-bed community

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

Walk Score: 46 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

89%

Higher than the Missouri average: 66.6%

Occupied beds

56 / 63

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceJanuary 21, 2026

ExpirationJanuary 20, 2028

CountyCarroll

License Number053316

CMS Certification Number265706

Certification TypeMedicare / Medicaid

Carroll House is legally operated by Carroll House, Inc., and administered by Evelyn Mcdonald.

Corporate EntityCARROLL HOUSE, INC

Owner NameCarroll House, Inc

Skilled Nursing Facility

63 units

Total beds

63 units

Accept Medicaid

Accept Medicare

Rehabilitation Services

Doctor on Staff

24-Hour Staffing

Pets not allowed

Semi-Private & Private Rooms

Beautiful

Home-Like Environment

Religious Services

Since 2018 · 8 years of data 71 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

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.	71	35	This facility has 103% more total deficiencies than a typical Missouri nursing home (71 vs. MO avg 35).↑ 103% worse
Deficiencies per inspection Average deficiencies per inspection.	6.5	2.9	This facility has 124% more deficiencies per inspection than a typical Missouri nursing home (6.5 vs. MO avg 2.9).↑ 124% 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 inspections conducted at this facility.	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.

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.

Show Inspection Reports

Inspections since 2022

Total health inspections 4

State average 6.6

Last Health inspection on Jul 2025

Total health citations

State average 36.5

Citations per inspection

6.5

State average 5.67

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

43% worse than State average

State average: 0.7

Serious health citations

100% better than State average

State average: 1

1 critical citation State average: 0.7

0 serious citations State average: 1

25 moderate citations State average: 33.6

0 minor citations State average: 1.2

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

Total staff 55

Employees 49

Contractors 6

Staff to resident ratio 0.98 : 1

42% fewer staff per resident than Missouri average

Avg staff/day 20

Average shift 8.5 hours

5% better than Missouri average

Total staff hours (quarter) 15,659

Nursing staff breakdown

8.1 hours

9 hours

9.5 hours

Contractor staffing

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


Certified Nursing Assistant	12	0	12	4,334	92	100%	9.5
Medication Aide/Technician	7	0	7	2,931	92	100%	10
Licensed Practical Nurse	8	0	8	2,146	92	100%	9
Nurse Aide in Training	9	0	9	1,972	91	99%	8
Dental Services Staff	4	0	4	856	72	78%	6.3
RN Director of Nursing	1	0	1	671	74	80%	9.1
Diagnostic X-ray Services Staff	1	0	1	515	66	72%	7.8
Dietitian	1	0	1	501	66	72%	7.6
Clinical Nurse Specialist	1	0	1	497	62	67%	8
Nurse Practitioner	1	0	1	482	61	66%	7.9
Administrator	1	0	1	475	61	66%	7.8
Registered Nurse	3	0	3	209	24	26%	8.1
Occupational Therapy Aide	0	1	1	24	3	3%	8
Occupational Therapy Assistant	0	1	1	20	3	3%	6.5
Speech Language Pathologist	0	1	1	15	11	12%	1.4
Qualified Social Worker	0	1	1	6	6	7%	1
Respiratory Therapy Technician	0	1	1	5	4	4%	1.2
Physical Therapy Assistant	0	1	1	1	2	2%	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%

View All Staffing Data

Total fines amount $131K

79% higher than Missouri average

Missouri average: $73K

Number of fines 1

59% fewer fines than Missouri average

Missouri average: 2.4

Payment Denials 0

100% fewer payment denials than Missouri average

Missouri average: 0.7

Fines amount comparison

This facility $131K

Missouri 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 Jul 14, 2025

$131K

Last updated: Jan 2026

High-risk clinical events score 5.2

52% better than Missouri average

Missouri average: 10.9

Functional decline score 9.6

51% better than Missouri average

Missouri average: 19.5

Long-stay resident measures

Average Missouri avg: 2.7

Need for Help with Daily Activities Increased 12.4%

37% better than Missouri average

Missouri average: 19.8%

Walking Ability Worsened 7.7%

63% better than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 8.6%

52% better than Missouri average

Missouri average: 18.1%

Falls with Major Injury 2.6%

35% better than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers 2.3%

54% better than Missouri average

Missouri average: 5.0%

Urinary Tract Infection 2.1%

23% better than Missouri average

Missouri average: 2.7%

Lost Too Much Weight 1.1%

80% better than Missouri average

Missouri average: 5.6%

Depressive Symptoms 1.7%

87% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use 25.3%

15% worse than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine 97.9%

15% better than Missouri average

Missouri average: 85.2%

Influenza Vaccine 98.0%

8% better than Missouri average

Missouri average: 90.9%

Short-stay resident measures

Pneumococcal Vaccine 83.8%

26% better than Missouri average

Missouri 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

Total residents 56

Medicaid

94.6% of residents

Private pay or other

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.

Financial Trends

Historical financial and operational data for Carroll House from 2011–2023, based on CMS SNF Cost Reports.

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

Occupancy Rate 34.2% ↓ 3.3pp vs 2022

Net Patient Income -$1.1M ↑ ~$108.9K vs 2022

Payroll Costs $1.1M ↓ ~$111.3K vs 2022

Operating Margin -64.0% ↑ 15.4pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	72.4%	67.1%	68.3%	73.4%	75.0%	71.9%	74.7%	75.8%	76.5%	63.8%	44.2%	37.5%	34.2%
Beds	63	63	63	63	63	63	63	63	63	63	63	63	63
Net Income	-$84,859	-$275,061	-$130,473	-$42,577	-$329,322	-$344,054	-$217,602	-$82,880	-$45,386	$143,189	-$492,595	-$1,177,942	-$875,566
Gross Revenue	$2,661,104	$2,597,392	$2,694,868	$3,335,432	$3,123,060	$2,866,580	$3,035,731	$3,145,039	$3,108,976	$2,562,021	$1,911,000	$1,593,407	$1,647,417
Operating Expenses	$2,387,455	$2,565,371	$2,569,485	$2,892,647	$3,038,828	$2,966,723	$2,909,023	$2,941,762	$2,959,842	$2,909,599	$2,461,962	$2,738,641	$2,827,323
Net Patient Income	-$93,963	-$280,961	-$135,772	-$46,396	-$332,352	-$346,409	-$220,611	-$84,984	-$48,410	-$464,754	-$693,652	-$1,212,208	-$1,103,314
Net Patient Revenue	$2,293,492	$2,284,410	$2,433,713	$2,846,251	$2,706,476	$2,620,314	$2,688,412	$2,856,778	$2,911,432	$2,444,845	$1,768,310	$1,526,433	$1,724,009
Payroll Costs	$1,112,375	$1,147,046	$1,175,181	$1,381,878	$1,508,792	$1,478,561	$1,491,220	$1,504,457	$1,586,409	$1,556,581	$1,174,870	$1,170,940	$1,059,625
Operating Margin %	-4.1%	-12.3%	-5.6%	-1.6%	-12.3%	-13.2%	-8.2%	-3.0%	-1.7%	-19.0%	-39.2%	-79.4%	-64.0%
Medicare %	6.4%	5.8%	5.7%	8.4%	5.3%	3.0%	3.9%	3.2%	1.9%	1.0%	1.9%	1.7%	1.7%
Medicaid %	43.7%	48.2%	44.8%	35.2%	24.2%	30.2%	29.8%	33.0%	35.4%	35.9%	39.9%	46.8%	46.1%
Private %	49.9%	46.0%	49.5%	56.3%	70.5%	66.8%	66.3%	63.8%	62.6%	63.1%	58.2%	51.5%	52.2%
Net Patient Revenue/Day	$138	$148	$155	$169	$157	$158	$156	$164	$166	$166	$174	$177	$219
Cost/Day	$143	$166	$164	$171	$176	$179	$169	$169	$168	$198	$242	$318	$359
Avg Length of Stay	138.8 days	286.5 days	270.6 days	194.1 days	210.3 days	404.5 days	242.0 days	405.4 days	177.7 days	158.2 days	137.5 days	179.5 days	143.0 days

Finances and operations

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

Net patient revenue

$1.7M

Net patient income

-$1.1M

For-profit Corporation

Net patient revenue

$1.7M

Net patient income

-$1.1M

Other income

$227.7K

Payroll costs

$1.1M 61.5% of net patient revenue

Other operating costs

$1.8M

Total costs

$2.8M

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.

Coverage residents most often arrive under.

Medicare 18%

Private pay 54%

Medicaid 29%

Coverage residents most often leave under.

Medicare 9%

Private pay 58%

Medicaid 33%

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Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

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Carroll House	NH HOS MC SNF	Grand Carrollton	63 Facility 63 MO AVG 96 Rank #333 / 450	88.9% Facility 88.9% MO AVG 65.1 Rank #43 / 418	+37%	4.17 Facility 4.17 MO AVG 3.74 Rank #74 / 270	-29%	+12%	$84.9k Facility $84.9k MO AVG $76.9k Rank #246 / 276	26 Facility 26 MO AVG 36.5 Rank #108 / 274	6.5 Facility 6.5 MO AVG 5.7 Rank #192 / 274	1	56	-	46 Facility 46 MO AVG 45 Rank #283 / 563	Carroll House, Inc	$1.7MFiscal year ending 12/2023 Facility $1.7MFiscal year ending 12/2023 MO AVG $8.4M Rank #273 / 277	$1.1MFiscal year ending 12/2023 Facility $1.1MFiscal year ending 12/2023 MO AVG $3.3M Rank #251 / 277	61.5%Fiscal year ending 12/2023 Facility 61.5%Fiscal year ending 12/2023 MO AVG 45.6% Rank #2 / 277	265706

Nursing Home Explorer

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%.

Are pets allowed at Carroll House?

No, Carroll House has a no-pet policy.

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.

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Carroll House

Overview of Carroll House

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 Carroll House

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

12 Certified Nursing Assistant

7 Medication Aide/Technician

8 Licensed Practical Nurse

9 Nurse Aide in Training

4 Dental Services Staff

1 RN Director of Nursing

1 Diagnostic X-ray Services Staff

1 Dietitian

1 Clinical Nurse Specialist

1 Nurse Practitioner

1 Administrator

3 Registered Nurse

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

1 Speech Language Pathologist

1 Qualified Social Worker

1 Respiratory Therapy Technician

1 Physical Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

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

Mostly long-term care residents

Admissions

Discharges

Places of interest near Carroll House

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