Chaffee Nursing Center
Nursing Home, Hospice Care & Skilled Nursing · Chaffee, MO
ALM Inspection Grade A- Info ALM's inspection grade is 92 / 100, an A- — 9 points above the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
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.

Chaffee Nursing Center

Nursing Home, Hospice Care & Skilled Nursing · Chaffee, MO
ALM Inspection Grade A- Info ALM's inspection grade is 92 / 100, an A- — 9 points above the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
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.
Chaffee Nursing Center accepts Medicare, Medicaid, and private pay.
Chaffee Nursing Center accepts Medicare, Medicaid, and private pay.

Overview of Chaffee Nursing Center

Chaffee Nursing Center is a nursing home in Chaffee, Missouri, offering skilled nursing and hospice care. Skilled nursing provides licensed nursing care on site around the clock, while hospice care focuses on comfort for residents nearing the end of life.

The home has 71 beds, with studio housing that gives each resident a single private living space. Pets are allowed, so residents may keep a pet at the community.

Medicare, Medicaid, and private pay are accepted, giving families payment routes for eligible care and services. Total nurse staffing is four hours per resident per day, representing the daily hands-on nurse time allocated per resident, and Chaffee Nursing Center may be a good fit for someone who needs licensed nursing support or comfort-focused hospice care in a setting that also offers studio housing.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 98.2% Above MO avg. ▲ 98.2% Above MO avg.MO average: 2.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 76.7% Above MO avg. ▲ 76.7% Above MO avg.MO average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 83.1% Above MO avg. ▲ 83.1% Above MO avg.MO average: 2.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▼ 26.5% Below MO avg. ▼ 26.5% Below MO avg.MO average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing Info Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).

Total nursing care per resident / day Info This nursing home is ranked 87th out of 266 nursing homes we track in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
↑ 9% · MO 3h 40mThis facility: 4h 0m per resident per day, 9% above the Missouri average of 3h 40m (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. Rank #87 / 266Nurse hours — State benchmarked This nursing home is ranked 87th out of 266 nursing homes we track in Missouri for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 266 Missouri facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag. 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.
4h 0m

Standout metric: Registered nurse (RN) is +75% above Missouri average

2 of 6 metrics below Missouri average

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 Assistant3203210,06192100%8.2
Licensed Practical Nurse130133,82392100%8.5
Nurse Aide in Training100102,2149098%9.8
Registered Nurse7072,10192100%10.3
Clinical Nurse Specialist3031,3107885%7
Physical Therapist4041,0489098%5.6
Dental Services Staff1015206166%8.5
RN Director of Nursing1014846267%7.8
Nurse Practitioner1014696065%7.8
Speech Language Pathologist0664536470%5.8
Administrator1014475661%8
Dietitian1014406368%7
Physical Therapy Aide0223496470%5.4
Respiratory Therapy Technician0222926166%4.8
Physical Therapy Assistant0112695863%4.6
Therapeutic Recreation Specialist0112414246%5.7
Qualified Social Worker0222246267%3.6
Medical Director011641415%4.6
Occupational Therapy Aide0112833%9.4
Occupational Therapy Assistant0112233%7.2
Other Dietary Services Staff202522%2.5
32 Certified Nursing Assistant
Coverage 100%
13 Licensed Practical Nurse
Coverage 100%
10 Nurse Aide in Training
Coverage 98%
7 Registered Nurse
Coverage 100%
By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 71 Rank #227 / 288Bed count — State benchmarked This nursing home is ranked 227th 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.

Smaller home · May offer a more intimate, personalized care environment.

Walk Score Info Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation. Rank #254 / 297Walk Score — State benchmarked This nursing home is ranked 254th out of 297 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.
25 / 100
Occupancy rate Info Occupancy between 85% and 95% suggests balanced demand. Rank #38 / 271Occupancy rate — State benchmarked This nursing home is ranked 38th out of 271 nursing homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 271. Higher occupancy signals strong local demand and financial stability. 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.
86.8% This home usually has limited availability

Based on residents per day and 71 beds.

Higher than the Missouri average: 67.7%
Residents per day (avg) Info The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
62

Source: CMS Provider Information, average daily residents (data as of Aug 2026)

Avg. Length of Stay Info 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.
137 days

About This Community

Certifications & Programs

Rehab-to-Home program — AmericareA branded program developed by this community's operator or its partners - a named approach to programming or care, rather than an independent external certification.

Therapy & Rehabilitation

3 services
Physical Therapy
Occupational Therapy
Speech Therapy

Additional Services

2 services
Home Health Transition Coordination
Transportation

Additional Policies & Features

Pets Allowed

Room Accommodations

Building TypeSingle-story
Room Sizes
216 sq. ft. 220 sq. ft.
Room Types
Studio

Contact Chaffee Nursing Center

CMS Health Inspection History

Since 2024 · 2 years of data · Last health inspection May 2026

ALM Inspection Grade

92 / 100 Calculated from CMS inspection data for this community's nursing-home beds
How it compares

9 points above the Missouri average for CMS-certified facilities (83/100)

Category breakdown

Citations Strong

19 severity-weighted points (11 deficiencies) · 5× lower than the typical CMS-certified MO facility (median: 89)

Enforcement Strong

No fines on record · 0 enforcement actions

Persistence Typical

44 days to fix issues · slower than the typical CMS-certified MO facility (median: 42)

Inspection grade: 92 out of 100, letter grade A-.
Total health inspections 3 Missouri avg 6.6
Total health citations
11 Rank #22 / 273Health citations — State benchmarked This nursing home is ranked 22nd out of 273 nursing homes we track in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 273 MO facilities. Lower citation counts earn a better rank. 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.
Missouri avg 36.1 (70% better than Missouri average)
Citations per inspection
3.67 Rank #47 / 273Citations per inspection — State benchmarked This nursing home is ranked 47th out of 273 nursing homes we track in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 273 facilities with citation data. Lower is better. 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.
Missouri avg 5.6 (34% better than Missouri average)
Citation severity
100% corrected 11 of 11 citations corrected
Bar = mix of this home's 11 citations, not a state comparison

Lighter shade = corrected

Critical J–L
0 Missouri avg 0.6 (100% better than Missouri average)
Immediate jeopardy
Serious G–I
0 Missouri avg 1.1 (100% better than Missouri average)
Actual harm
Moderate D–F
11 Missouri avg 33.3 (67% better than Missouri average)
No harm, more than minimal risk
Minor A–C
0 Missouri avg 1.1 (100% better than Missouri average)
No harm, minimal risk
Citations history
Most recent first
May 14, 2026 4 citations
Environmental moderate citation Corrected
Infection Control moderate citation Corrected
Resident Rights moderate citation Corrected
Resident Rights moderate citation Corrected
Feb 27, 2025 3 citations
Infection Control moderate citation Corrected
Pharmacy moderate citation Corrected
Quality of Care moderate citation Corrected
Jan 25, 2024 4 citations
Environmental moderate citation Corrected
Quality of Care moderate citation Corrected
Resident Rights moderate citation Corrected
Resident Rights moderate citation Corrected
Top deficiency categories
Share of 11 citations
Resident Rights 4 deficiencies (36%)
Infection Control 2 deficiencies (18%)
Quality of Life & Care 2 deficiencies (18%)
Environmental 2 deficiencies (18%)
Pharmacy Services 1 deficiency (9%)
How citations are counted

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

All 11 citations resulted from standard inspections.

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Source

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Show Inspection Reports

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

No penalties in the past 3 years

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

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. 5.9
40% better than Missouri average

Missouri average: 9.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 12.4
30% better than Missouri average

Missouri average: 17.8

Long-stay resident measures
Below average Missouri 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 8.6%
53% better than Missouri average

Missouri average: 18.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 10.9%
37% better than Missouri average

Missouri average: 17.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 17.8%
In line with Missouri average

Missouri average: 17.8%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.1%
26% worse than Missouri average

Missouri average: 4.1%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.8%
83% better than Missouri average

Missouri average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 9.1%
292% worse than Missouri average

Missouri average: 2.3%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.0%
25% better than Missouri average

Missouri average: 5.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.0%
94% better than Missouri average

Missouri average: 18.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.9%
28% better than Missouri average

Missouri average: 23.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
19% better than Missouri average

Missouri average: 84.1%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
10% better than Missouri average

Missouri average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.77
15% better than Missouri average

Missouri average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.75
17% worse than Missouri average

Missouri average: 2.35

Short-stay resident measures
Average Missouri avg: 2.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
52% better than Missouri average

Missouri average: 65.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.7%
67% better than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 96.3%
52% better than Missouri average

Missouri average: 63.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 23.5%
7% better than Missouri average

Missouri average: 25.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 19.2%
43% worse than Missouri average

Missouri average: 13.4%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 4.3%
453% worse than Missouri average

Missouri average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 41.9%
22% worse than Missouri average

Missouri average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 63.5%
26% better than Missouri average

Missouri average: 50.6%

Breakdown by payment type

Medicare

40% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

35% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

24% 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 Jun 2026)

Total residents 63
Medicare
13
20.6% of residents
Medicaid
36
57.1% of residents
Private pay or other
14
22.2% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

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 12/2024.

For-profit
Operated by a business 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."
$6.5MFiscal year ending 12/2024
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."
$1.3MFiscal year ending 12/2024
For-profit Operated by a business 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."
$6.5MFiscal year ending 12/2024 Rank #125 / 249Net patient revenue — State benchmarked This nursing home is ranked 125th out of 249 nursing homes we track in Missouri. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. 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.
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."
$1.3MFiscal year ending 12/2024
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.
$1.5KFiscal year ending 12/2024
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 #140 / 249Payroll costs — State benchmarked This nursing home is ranked 140th out of 249 nursing homes we track in Missouri. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. 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.
$3.1MFiscal year ending 12/2024 48.3% 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 #133 / 249Payroll % of net patient revenue — State benchmarked This nursing home is ranked 133rd out of 249 nursing homes we track in Missouri. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. 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.
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).
$2.1MFiscal year ending 12/2024
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).
$5.2MFiscal year ending 12/2024

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (40% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
147 total

Coverage residents most often arrive under.

Medicare 40%
Private pay 35%
Medicaid 24%
Discharges
160 total

Coverage residents most often leave under.

Medicare 33%
Private pay 33%
Medicaid 34%

Places of interest near Chaffee Nursing Center

Address 0.9 miles from city center Info Estimated distance in miles from Chaffee's city center to Chaffee Nursing Center's address, calculated via Google Maps.

Calculate Travel Distance to Chaffee Nursing Center

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Address

Compare Nursing Homes around Cape Girardeau

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 Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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.
Chaffee Nursing Center ★ ★ ★ ★ ★
NH
HOS
SNF
Chaffee
71
Facility 71
MO AVG 111
Rank #227 / 288
A-
86.8%
Facility 86.8%
MO AVG 67.7%
Rank #38 / 271
+28%
4.00
Facility 4.00
MO AVG 3.67
Rank #87 / 266
★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ★ ★ ☆ ☆ ☆ -3%+9%
$0
Facility $0
MO AVG $86.2k
Rank #1 / 274
11
Facility 11
MO AVG 36.1
Rank #22 / 273
3.7
Facility 3.7
MO AVG 5.6
Rank #47 / 273
-62-
25
Facility 25
MO AVG 50
Rank #254 / 297
Chaffee Nursing, LLC
$6.5MFiscal year ending 12/2024
Facility $6.5MFiscal year ending 12/2024
MO AVG $7.4M
Rank #125 / 249
$3.1MFiscal year ending 12/2024
Facility $3.1MFiscal year ending 12/2024
MO AVG $3.9M
Rank #140 / 249
48.3%Fiscal year ending 12/2024
Facility 48.3%Fiscal year ending 12/2024
MO AVG 54.9%
Rank #133 / 249
265492
Heartland Care and Rehabilitation Center ★ ★ ★ ★ ☆
NH
SNF
Cape Girardeau
102
Facility 102
MO AVG 111
Rank #145 / 288
A
61.8%
Facility 61.8%
MO AVG 67.7%
Rank #170 / 271
-9%
3.37
Facility 3.37
MO AVG 3.67
Rank #161 / 266
★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ +8%-8%
$0
Facility $0
MO AVG $86.2k
Rank #1 / 274
11
Facility 11
MO AVG 36.1
Rank #22 / 273
3.7
Facility 3.7
MO AVG 5.6
Rank #47 / 273
-63A+
66
Facility 66
MO AVG 50
Rank #73 / 297
Cape Girardeau #1, Inc
$5.6MFiscal year ending 12/2024
Facility $5.6MFiscal year ending 12/2024
MO AVG $7.4M
Rank #128 / 249
$2.6MFiscal year ending 12/2024
Facility $2.6MFiscal year ending 12/2024
MO AVG $3.9M
Rank #175 / 249
46.6%Fiscal year ending 12/2024
Facility 46.6%Fiscal year ending 12/2024
MO AVG 54.9%
Rank #208 / 249
265503
Fountainbleau Lodge ★ ★ ★ ★ ★
NH
AL
SNF
Cape Girardeau
89
Facility 89
MO AVG 111
Rank #203 / 288
?
33.7%
Facility 33.7%
MO AVG 67.7%
Rank #264 / 271
-50%
5.46
Facility 5.46
MO AVG 3.67
Rank #17 / 266
★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ +7%+49%
$8.8k
Facility $8.8k
MO AVG $86.2k
Rank #164 / 274
20
Facility 20
MO AVG 36.1
Rank #68 / 273
5.0
Facility 5.0
MO AVG 5.6
Rank #126 / 273
130-
66
Facility 66
MO AVG 50
Rank #73 / 297
Fountainbleau Of Cape Girardeau, Inc
$3.8MFiscal year ending 10/2024
Facility $3.8MFiscal year ending 10/2024
MO AVG $7.4M
Rank #195 / 249
$2.6MFiscal year ending 10/2024
Facility $2.6MFiscal year ending 10/2024
MO AVG $3.9M
Rank #196 / 249
66.5%Fiscal year ending 10/2024
Facility 66.5%Fiscal year ending 10/2024
MO AVG 54.9%
Rank #146 / 249
265383
Life Care Center of Cape Girardeau ★ ☆ ☆ ☆ ☆
NH
SNF
Cape Girardeau
120
Facility 120
MO AVG 111
Rank #73 / 288
C-
65.8%
Facility 65.8%
MO AVG 67.7%
Rank #150 / 271
-3%
3.14
Facility 3.14
MO AVG 3.67
Rank #202 / 266
★ ★ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -45%-14%
$149.6k
Facility $149.6k
MO AVG $86.2k
Rank #256 / 274
45
Facility 45
MO AVG 36.1
Rank #200 / 273
3.8
Facility 3.8
MO AVG 5.6
Rank #55 / 273
779C+
66
Facility 66
MO AVG 50
Rank #73 / 297
Cape Girardeau Operations, LLC
$12.3MFiscal year ending 12/2024
Facility $12.3MFiscal year ending 12/2024
MO AVG $7.4M
Rank #38 / 249
$7.5MFiscal year ending 12/2024
Facility $7.5MFiscal year ending 12/2024
MO AVG $3.9M
Rank #21 / 249
60.9%Fiscal year ending 12/2024
Facility 60.9%Fiscal year ending 12/2024
MO AVG 54.9%
Rank #67 / 249
265185

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 4 on this page. See how we rank facilities

Financial Assistance for
Nursing Home in Missouri

Chaffee Nursing Center is located in Chaffee, Missouri.
Here are the financial assistance programs available to residents in Missouri.

Get Financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled
General Missouri resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MO

Rural access prioritized.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home health services

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+
General Missouri resident, in approved facility.
Income Limits ~$1,215/month individual
Asset Limits $2,000 individual
MO

Supplements SSI; facility-based only.

Benefits
Monthly cash payment (~$156-$292/month) for care costs

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+
General Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
Income Limits (2025) ~$2,901/month (300% FBR, individual); QIT required.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Caregiver must be family; small program size.

Benefits
Cash stipend ($1,000-$1,500/month) to family caregiver Respite Training Supplies ($500/year)

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled
General Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
Income Limits (2025) ~$1,690/month (individual, projected); spenddown allowed.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Less intensive than waivers; statewide access.

Benefits
Personal care (2-4 hours/day) Homemaker services Limited respite Medical equipment

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled
General Missouri resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MO

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

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Age —
General Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based.
MO

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

Benefits
Respite (4-6 hours/week) Training Assistive tech ($500/year) Supplies

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

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Missouri resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MO

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about Chaffee Nursing Center

Is Chaffee Nursing Center in a walkable area?

Chaffee Nursing Center has a walk score of 25. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Chaffee Nursing Center?

Chaffee Nursing Center's occupancy is 86.8%.

Are pets allowed at Chaffee Nursing Center?

Yes, Chaffee Nursing Center allows residents to bring their pets.

Does Chaffee Nursing Center operate as a for-profit or non-profit?

Chaffee Nursing Center is registered as a for-profit.

What is the overall rating for Chaffee Nursing Center?

Chaffee Nursing Center received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.

How many beds does Chaffee Nursing Center have?

Chaffee Nursing Center has 71 beds.

Are there photos of Chaffee Nursing Center?

Yes — there are 4 photos of Chaffee Nursing Center in the photo gallery on this page.

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