Crowley Ridge Care Center

Nursing Home
Overview of Crowley Ridge Care Center
Crowley Ridge Care Center is located in Dexter, MO. It provides comprehensive long-term care services under physician supervision, focusing on the physical, mental, and psychosocial well-being of residents. The center offers skilled nursing care, rehabilitation services, and memory care.
(573) 624-5557

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
5/5
Missouri average: 2.5/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
5/5
Missouri average: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
3/5
Missouri average: 2.2/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
2/5
Missouri average: 2.7/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
4h 14m per day

This home provides 13% more nursing time per resident than the state average.

Missouri average: 3h 44m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 90

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Missouri average
Occupancy rate 61.9%
Residents per day (avg) 50
Occupancy rate
61.9%
Residents per day (avg)
50

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.

Breakdown by payment type

Medicare

36% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

46% of new residents, often for short stays.

Typical stay 11 - 12 months

Medicaid

18% of new residents, often for long-term daily care.

Typical stay 8 - 9 years

Finances and operations

Proprietary home
Corporation
Home revenue
$3.9M
Operating loss
-$700.1K
Proprietary home Corporation
Home revenue
$3,946,723.00
Operating loss
$-700,140.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.2M
54.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.5M
Total costs $4.6M
Bed community size
90-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Facility Type
SNF

Additional licensing details

CMS Certification Number: 265552
Certification type: Medicare/Medicaid
County: STODDARD

Ownership & operating entity

Crowley Ridge Care Center is administrated by DANIELLE SPAIN.

Owner name: N & R OF DEXTER, INC

Care Services

Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing

All Levels of Care

Skilled Nursing Care
Physical and Occupational Therapies
Dietitians
Behavioral and Alzheimer’s Care
Activities
Hospice

Programs & Activities

Specific Programs
About Us, Services, Calendar, Virtual Tour, Resident Transportation, Careers, Contact Us, Pay My Bill

Compare Nursing Homes around Missouri

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

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 63122-5536
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ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
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26.3%
34.30
5/5
5.1831
5/5
4/5
4/5
9
-
-32%
+39%
+39%
Crowley Ridge Care Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 63841-8684
90
No
-
N & R OF DEXTER INC
61.9%
$3,879,612.00
$2,161,151.00
55.7%
50.20
5/5
4.2415
5/5
3/5
2/5
11
-
-12%
+13%
-7%
Bertrand Nursing And Rehab Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Bertrand
60
No
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
53.70
5/5
3.6515
5/5
3/5
2/5
10
-
+42%
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+18%
Adair Village
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 64735-1127
120
No
-
VOGT, MARK
21.7%
$2,609,859.00
$1,035,294.00
39.7%
51.50
3/5
3.9409
3/5
2/5
2/5
29
2
-2%
+5%
-67%
Good Shepherd Care Community
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Hospice Care

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Concordia
-
No
38
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

Places of interest near Crowley Ridge Care Center

Address 0.0 miles from city center

Address DEXTER, MO 63841-8684

Calculate Travel Distance to Crowley Ridge Care Center

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

72
Total Staff
61
Employees
11
Contractors
19,561
Total Hours (Quarter)
25
Avg Staff/Day
8.6
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse57.7 No
Licensed Practical Nurse108.1 No
Certified Nursing Assistant279.5 No
Staff by Category
Administration
1 staff
8.1hs shift avg
Nursing Staff
56 staff
9.4hs shift avg
Physicians & Practitioners
2 staff
7.7hs shift avg
Therapy Services
10 staff
2.5hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
1hs shift avg
Dietary Services
1 staff
7.7hs shift avg
Other Services
1 staff
7.4hs shift avg
Contractor Analysis
2.3%
of total hours from contractors
455 contractor hours this quarter
Physical Therapy Assistant: 2 Respiratory Therapy Technician: 1 Physical Therapy Aide: 2 Speech Language Pathologist: 3 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Qualified Social Worker: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant270279,40891100%9.5
Medication Aide/Technician5052,56791100%11.9
Licensed Practical Nurse100102,0969099%8.1
Nurse Aide in Training7071,8708998%9.1
RN Director of Nursing2029756976%8.1
Administrator1014886066%8.1
Registered Nurse5054725662%7.7
Dietitian1014676167%7.7
Nurse Practitioner2024395763%7.7
Dental Services Staff1013244448%7.4
Speech Language Pathologist0332316066%3.9
Physical Therapy Aide0221415965%2.4
Physical Therapy Assistant022242527%1
Occupational Therapy Aide0112433%8
Respiratory Therapy Technician011193336%0.6
Occupational Therapy Assistant0111533%5
Qualified Social Worker011111%1

Health Inspection History

Inspections
Total health inspections 5

Missouri average 6.6


Last Health inspection on Jun 2025

Total health citations 11
Citations per inspection
2.2

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

9 of 11 citations resulted from standard inspections; and 2 of 11 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Missouri average

Missouri average: 0.7


Serious Health citations More info 0
100% better than Missouri average

Missouri average: 1

0 critical citations More info Missouri average: 0.7

0 serious citations More info Missouri average: 1

11 moderate citations More info Missouri average: 33.6

0 minor citations More info Missouri average: 1.2
Citations history (last 3 years)
Abuse/Neglect moderate citation Jun 10, 2025
Corrected

Pharmacy moderate citation Mar 20, 2025
Corrected

Quality of Care moderate citation Mar 20, 2025
Corrected

Care Planning moderate citation Mar 20, 2025
Corrected

Facility Characteristics

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

Ownership: For-Profit Individual
Part of: HEALTH SYSTEMS INC
Resident Census by Payment Source
48 Total Residents
Medicaid 40 (83.3%)
Private Pay/Other 8 (16.7%)
Specialized Care Beds
16 Total Specialty Beds
17.8% of Bed Capacity
16
Alzheimer's / Dementia Beds
17.8%
Programs & Services
Residents' Group
Nurse Aide Training
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

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. 8.1
26% better than Missouri average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 11.9
39% better than Missouri average

Missouri average: 19.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 16.2%
18% better than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 8.4%
59% better than Missouri average

Missouri 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 11.1%
39% better than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 6.1%
51% worse than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.7%
66% better than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 5.6%
104% worse than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.3%
50% worse than Missouri average

Missouri average: 5.6%

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

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 19.7%
11% better than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
17% better than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.9%
8% better than Missouri average

Missouri average: 90.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.5%
43% better than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 6.7%
201% worse than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 37.5%
41% worse than Missouri average

Missouri average: 63.5%

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Financial Aid for Missouri Seniors

Get financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+, Missouri resident, in approved facility.

~$1,215/month (individual).

$2,000 (individual).

Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

~$2,901/month (300% FBR, individual); QIT required.

$5,909.25 (individual), $11,818.45 (couple).

Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

~$1,690/month (individual, projected); spenddown allowed.

$5,909.25 (individual), $11,818.45 (couple).

Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled, Missouri resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

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

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based.

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

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

Age 55+, unemployed, low-income, Missouri resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

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

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

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