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Cedarcrest Manor is a nursing home in Washington, MO. Residents receive nursing oversight and assistance with daily care in a residential setting, which may suit someone who needs ongoing nursing support.
The home has 177 beds and offers private and shared rooms. A private room gives one resident personal sleeping space, while a shared room accommodates two residents in the same room. Medicare is accepted for eligible short-term skilled care after a hospital stay, rather than for long-term residence.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.177Rank#27 / 288Bed count — State benchmarkedThis nursing home is ranked 27th out of 288 nursing homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Bed count — State benchmarkedThis nursing home is ranked 27th out of 288 nursing homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Medium-capacity home
· Offers a balance of services and community atmosphere.
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.Rank#196 / 296Walk Score — State benchmarkedThis nursing home is ranked 196th out of 296 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Walk Score — State benchmarkedThis nursing home is ranked 196th out of 296 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
41/ 100
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
26days
About This Community
Room Accommodations
Building TypeSingle-story
Room Types
PrivateShared Rooms
–
ALM Inspection Grade Unavailable
Not published
We don't have enough verified data to publish an inspection grade for this facility — a missing grade reflects what we've been able to verify, not the facility's quality.
Not every facility gets an Inspection Grade. The Inspection Grade is a
proprietary Assisted Living Magazine grade, and we publish one only when the public
record is strong enough to be fair — to the facility and to the families reading it. A facility has to
clear all four of these:
A real inspection history
At least two inspections on record. Where a state publishes its own inspection record we hold the facility to two inspections in that record; where we grade from inspection reports we have read ourselves, we require at least three from the past five years, so one old visit can't define a facility.
Signal in the scored categories
A grade needs usable data in at least one category — Severity, Citations, Enforcement, or Persistence. CMS-certified nursing homes carry federal records for all four, so we require at least three of them before grading one.
Data we can actually stand behind
Each category is weighed by how trustworthy its source is: federal CMS records count fully, a state's own published record counts nearly as much, and reports read by our AI count for less. A facility whose record is essentially empty isn't graded at all.
A missing grade is not a bad grade. It reflects what we can verify — not the
facility's quality. Newer providers, and those in states that publish little inspection data, often
don't have enough public record yet.
Grades change as the record does. We recalculate as new inspection reports are
published and verified, so many of these nursing homes will earn a grade
once there's enough on file.
Enforcement
Penalties and fines
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 Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Clean record
Aug 2023202420252026Aug 2026
Total fines
$0MO avg $81KMissouri average: $81,235. Average among the 220 Missouri facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0MO avg 1.93Missouri average: 1.93. Average among the 220 Missouri facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0MO avg 0.7Missouri average: 0.7. Average among the 220 Missouri facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Breakdown by payment type
Medicare
100% of new residents, usually for short-term rehab.
Typical stay1 years
Financials
Money and staffing.
Cedarcrest Manor’s finances from its CMS cost report for the fiscal year ending December 2022. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2022
Latest cost report is for the fiscal year ending December 2022, older than most Missouri homes. Rankings are not shown because peers report different years.
Is it financially stable?
Losing money on care, and more than last year
−311.8% operating margin
−277.0 pts vs prior year
An operating loss in 3 of the last 8 reported years. Other income ($0.0M) trims the net loss to −$1.1M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Payroll in line with Missouri homes
55.1% payroll share of revenue
MO average 54.9%
Payroll fell $2.2M while revenue fell $3.7M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2022 scorecard
177 beds
Each row shows the FY 2022 figure, the change since the prior report, the trend, and how it compares with Missouri homes.
Revenue & profit
Losing money on care
Metric
FY 2022
vs prior year
Trend 2015 → 2022Trend
MO median
Compared with MO homesRank in MO
In short
Net patient revenueWhat the home earns from resident care, after discounts and bad debt.
$0.4M
−$3.7M
Trend20152022
MO median $6.2M
Rank in MONot ranked
Not rankedNo state rank for this year: homes are ranked only when their latest cost report is recent enough to compare.
Operating expensesEverything it costs to run the home: staff, supplies, rent, admin.
$1.5M
−$3.9M
Trend20152022
MO median —
Rank in MONot ranked
Exceeds revenueOperating expenses are higher than net patient revenue, so resident care runs at a loss.
Net patient incomeRevenue minus operating expenses. Negative means care loses money.
−$1.1M
+$0.3M
Trend20152022
MO median —
Rank in MONot ranked
Loss, narrowingResident care lost money this year, less than in the prior report.
Operating marginNet patient income as a share of revenue. The clearest health signal.
−311.8%
−277.0 pts
Trend20152022
MO median —
Rank in MONot ranked
LossA negative margin means resident care costs more than it earns.
Other incomeMoney not from resident care: investments, grants, services.
$0.0M
—
Trend
—
MO median —
Rank in MONot ranked
Offsets part of the lossIncome from outside resident care covers part of the loss on care.
Net incomeThe bottom line after other income.
−$1.1M
−$0.2M
Trend
—
MO median —
Rank in MONot ranked
LossThe bottom line is below zero even after other income.
Staffing spend
Staff spending in line with Missouri homes
Metric
FY 2022
vs prior year
Trend 2015 → 2022Trend
MO median
Compared with MO homesRank in MO
In short
Payroll costsSalaries and wage-related benefits, not counting contract labor.
$0.2M
−$2.2M
Trend20152022
MO median $3.5M
Rank in MONot ranked
Not rankedNo state rank for this year: homes are ranked only when their latest cost report is recent enough to compare.
Payroll share of revenuePayroll divided by revenue. Higher usually means more staff per resident.
55.1%
−5.2 pts
Trend20152022
MO median 52.9%
Rank in MONot ranked
Near MO averageThe MO average is 54.9% of revenue. Within 3 points of it reads as near the average.
Charts, 2015–20222 charts · MO benchmark drawn as a dashed line
Revenue, expenses and incomeWhat the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenueOperating expensesNet patient income
Where revenue goesBoth lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Missouri payroll average.
% of net patient revenue
Payroll shareOperating marginMO payroll average
Year-by-year data, 2015–2022every reported year · latest first, scroll sideways
Metric
2015
2016
2017
2018
2019
2020
2021
2022
Net patient revenue
$7.2M
$7.1M
$7.2M
$6.8M
$7.1M
$5.8M
$4.0M
$0.4M
Operating expenses
$6.6M
$6.8M
$6.9M
$6.7M
$6.8M
$6.8M
$5.4M
$1.5M
Net patient income
$0.6M
$0.3M
$0.4M
$0.1M
$0.3M
−$0.9M
−$1.4M
−$1.1M
Operating margin
7.7%
4.0%
5.1%
2.1%
4.0%
−16.0%
−34.8%
−311.8%
Net income
$0.6M
$0.3M
$0.4M
$0.2M
$0.3M
$0.6M
−$0.9M
−$1.1M
Payroll costs
$3.0M
$3.2M
$3.2M
$3.1M
$3.1M
$3.4M
$2.4M
$0.2M
Payroll share of revenue
41.6%
45.0%
44.8%
45.6%
44.3%
57.7%
60.3%
55.1%
Beds
177
177
177
177
177
177
177
177
Gross revenue
$7.6M
$7.4M
$7.8M
$7.4M
$7.7M
$6.2M
$4.3M
$0.3M
Salaries
$2.6M
$2.8M
$2.8M
$2.7M
$2.7M
$3.0M
$2.1M
$0.2M
Wage-related costs
$0.4M
$0.4M
$0.4M
$0.4M
$0.4M
$0.4M
$0.3M
$0.0M
Contract labor
$0.6M
$0.5M
$0.5M
$0.5M
$0.6M
$0.4M
$0.4M
$0.1M
Other operating costs
$3.6M
$3.6M
$3.6M
$3.6M
$3.7M
$3.4M
$3.0M
$1.3M
Net patient revenue per day
$183
$183
$180
$182
$194
$187
$191
$299
Cost per day
$169
$176
$171
$178
$186
$216
$257
$1,233
Average length of stay
156.4 days
171.0 days
137.4 days
186.0 days
81.6 days
100.7 days
84.0 days
26.0 days
Showing 2022–2020 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
How we calculate these figures
We use the home's most recent CMS SNF Cost Report — the annual financial statement every Medicare- and Medicaid-certified nursing home is required to file — to show how it earns and spends on resident care.
This includes
Net patient revenue — what the home collects for resident care after contractual allowances, bad debt and discounts.
Payroll — staff salaries plus wage-related benefits. Contract and agency labor is counted separately, under other operating costs.
Net patient income — what's left after the home's total operating expenses.
How we calculate net patient income and payroll %
Net patient income is net patient revenue minus the home's total operating expenses. Payroll % is payroll divided by net patient revenue — the share of each revenue dollar that goes to staff pay.
Net patient revenue vs. other income
Net patient revenue is money earned from resident care only. Anything the home earns outside of care — investments, grants, rentals and other non-operating sources — is reported separately as other income. Other income is not part of net patient revenue, and it is not included in net patient income.
Certification details
CMS Certification Number:265202
Rural vs. Urban:Urban
County:Franklin
Type of Control:For-profit
Source: Centers for Medicare & Medicaid Services (CMS) and State data
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.
Most new residents arrive under Medicare (100% of admissions), and a typical Medicare stay runs around 1 years.
Admissions
2 total
Coverage residents most often arrive under.
Medicare100%
Discharges
47 total
Coverage residents most often leave under.
Medicare4%
Private pay34%
Medicaid62%
How we assess these insights
We analyze official CMS data on admissions and discharges to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions and discharges
Number of nights covered by each payment type
Typical length of stay
How length of stay is calculated
Average length of stay comes from the facility's Medicare cost report: total resident days in the year divided by total discharges, across all residents and payment types. Homes that mostly provide long-term care show long averages, because few residents leave in a given year.
Places of interest near Cedarcrest Manor
324 W 5Th St, Washington, MO 63090
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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.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableNH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
$366.5k*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$201.9k*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
55.1%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
265202
Rank badges are statewide and care-type specific: each nursing home is ranked against every other MO nursing home we track that reports that metric, not just the 2 on this page. See how we rank facilities