Crowley Ridge Care Center

Nursing Home, Hospice Care & Skilled Nursing · Dexter, MO

CMS overall rating

1204 North Outer Rd, Dexter, MO 63841-8684 View map

Calculator: See prices in your area

Crowley Ridge Care Center accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Crowley Ridge Care Center accepts Medicare, Medicaid, and private pay.

Overview of Crowley Ridge Care Center

Operated by N & R Of Dexter, Inc, Crowley Ridge Care Center is a 90-bed nursing home in Dexter, Missouri. The community on North Outer Road sits in a moderately walkable area with a mix of nearby services and amenities. Operating for 17 years, it currently serves about 50 residents across its bed capacity. The Medicare, Medicaid, and private pay acceptance gives families several coverage routes for short-term rehabilitation and longer-term care.

The facility focuses on rehabilitation services and provides 24-hour staffing. Total nursing care averages roughly 4 hours 14 minutes per resident day, with a care team that includes registered nurses, LPNs, and nursing aides. The average stay duration is about 168 days, indicating a mix of post-acute recovery and active skilled nursing stays. This care model bolsters residents needing structured medical oversight and rehabilitative support during recovery or transition periods. The surrounding neighborhood scores moderately for walkability, making it fairly convenient for visiting family members to access local services and amenities on foot when needed.

The Missouri Department of Health and Senior Services’ inspections have raised concerns about financial management practices, medication administration consistency, and care approaches for occupants with complex needs.

Families touring Crowley Ridge Care Center can discuss how the facility addresses crucial quality areas and what specific safeguards and protocols are implemented.

Facility Direct Line (573) 624-5557

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 14m per day

vs avg

3 of 6 metrics below state avg

Standout metric Nurse Aide is +8% above 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.	10m per day	▼ 65% 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.	43m per day	▲ 5% 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.	2h 31m per day	▲ 8% 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.	3h 7m per day	■ Avg 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.	1m per day	▼ 58% 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.	8m per day	▼ 61% State avg: 20m per day · National avg: 28m per day

Capacity and availability

168 days

90-bed community

A larger shared setting that may offer more common spaces and organized community services.

17 years in operation

A community with a solid operating history and experience delivering ongoing care.

Walk Score: 55 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

BBB Rating: A+ (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate

56%

Lower than the Missouri average: 66.6%

Occupied beds

50 / 90

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceDecember 31, 2024

ExpirationDecember 30, 2026

CountyStoddard

License Number052398

CMS Certification Number265552

Certification TypeMedicare / Medicaid

Crowley Ridge Care Center is legally operated by N & R Of Dexter, Inc., and administered by Danielle Spain.

Corporate EntityN & R OF DEXTER, INC

Owner NameN & R Of Dexter, Inc

Skilled Nursing Facility

90 units

Total beds

90 units

Rehabilitation Services

24-Hour Staffing

Dedicated Alzheimer's Unit

Skilled Nursing Care

Physical And Occupational Therapies

Dietitians

Behavioral And Alzheimer’s Care

Hospice

Pets not allowed

Since 2022 · 4 years of data 61 deficiencies 13 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 2022 vs. Missouri state average

Overall vs. MO average

Latest Inspection June 10, 2025 Complaint Investigation

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.	61	35	This facility has 74% more total deficiencies than a typical Missouri assisted living residence (61 vs. MO avg 35).↑ 74% worse
Deficiencies per year Average deficiencies per year since 2022.	15.3	8.8	This facility has 74% more deficiencies per year than a typical Missouri assisted living residence (15.3 vs. MO avg 8.8).↑ 74% worse
Deficiencies per inspection Average deficiencies per inspection.	4.7	2.9	This facility has 62% more deficiencies per inspection than a typical Missouri assisted living residence (4.7 vs. MO avg 2.9).↑ 62% 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 routine and focused inspections. Excludes complaint investigations.	13	12	This facility has had 8% more total inspections than the Missouri average (13 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 8% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

June 10, 2025 complaint investigation substantiated misappropriation of Resident #1’s funds by the Social Services Director, who was terminated after admitting misuse.
March 20, 2025 routine inspection found three deficiencies including a 7.89% medication error rate with insulin administration and failure to provide trauma informed care for a resident with PTSD.
February 10, 2025 complaint investigation substantiated narcotic medication misappropriation for four residents; responsible staff were terminated and corrective actions were implemented.

Show Inspection Reports

Inspections since 2022

Total health inspections 5

State average N/A

Last Health inspection on Jun 2025

Total health citations

State average N/A

Citations per inspection

2.2

State average N/A

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 4 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

11 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 4 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

Total staff 65

Employees 52

Contractors 13

Staff to resident ratio 1.35 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 20

Average shift 8.9 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 16,436

Nursing staff breakdown

8.1 hours

8.4 hours

9.8 hours

Contractor staffing

203 contractor hours this quarter

Speech Language Pathologist: 4 Qualified Social Worker: 3 Registered Nurse: 1 Occupational Therapy Aide: 1 Physical Therapy Assistant: 1 Physical Therapy Aide: 1 Respiratory Therapy Technician: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	25	0	25	7,849	92	100%	9.8
Licensed Practical Nurse	8	0	8	2,369	92	100%	8.4
Medication Aide/Technician	5	0	5	2,031	92	100%	11.7
Nurse Aide in Training	6	0	6	1,106	74	80%	7.9
RN Director of Nursing	2	0	2	771	57	62%	7.6
Dental Services Staff	1	0	1	491	67	73%	7.3
Dietitian	1	0	1	475	61	66%	7.8
Administrator	1	0	1	442	55	60%	8
Nurse Practitioner	1	0	1	418	53	58%	7.9
Registered Nurse	2	1	3	299	37	40%	8.1
Respiratory Therapy Technician	0	1	1	61	29	32%	2.1
Speech Language Pathologist	0	4	4	43	24	26%	1.8
Physical Therapy Assistant	0	1	1	37	24	26%	1.5
Occupational Therapy Aide	0	1	1	24	3	3%	8
Occupational Therapy Assistant	0	1	1	17	3	3%	5.5
Qualified Social Worker	0	3	3	3	3	3%	1.1
Physical Therapy Aide	0	1	1	1	2	2%	0.6

25 Certified Nursing Assistant

% of Days 100%

8 Licensed Practical Nurse

% of Days 100%

5 Medication Aide/Technician

% of Days 100%

6 Nurse Aide in Training

% of Days 80%

2 RN Director of Nursing

% of Days 62%

1 Dental Services Staff

% of Days 73%

1 Dietitian

% of Days 66%

1 Administrator

% of Days 60%

1 Nurse Practitioner

% of Days 58%

3 Registered Nurse

% of Days 40%

1 Respiratory Therapy Technician

% of Days 32%

4 Speech Language Pathologist

% of Days 26%

1 Physical Therapy Assistant

% of Days 26%

1 Occupational Therapy Aide

% of Days 3%

1 Occupational Therapy Assistant

% of Days 3%

3 Qualified Social Worker

% of Days 3%

1 Physical Therapy Aide

% of Days 2%

View All Staffing Data

No penalties in the past 3 years

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

High-risk clinical events score 8.1

26% better than State average

State average: 10.9

Functional decline score 11.9

39% better than State average

State average: 19.5

Long-stay resident measures

Below average State avg: 2.7

Need for Help with Daily Activities Increased 16.2%

18% better than State average

State average: 19.8%

Walking Ability Worsened 8.4%

59% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 11.1%

39% better than State average

State average: 18.1%

Falls with Major Injury 6.1%

51% worse than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 1.7%

66% better than State average

State average: 5.0%

Urinary Tract Infection 5.6%

104% worse than State average

State average: 2.7%

Lost Too Much Weight 8.3%

50% worse than State average

State average: 5.6%

Depressive Symptoms 1.7%

87% better than State average

State average: 12.8%

Antipsychotic Use 19.7%

11% better than State average

State average: 22.0%

Pneumococcal Vaccine 100.0%

17% better than State average

State average: 85.2%

Influenza Vaccine 97.9%

8% better than State average

State average: 90.9%

Short-stay resident measures

Pneumococcal Vaccine 95.5%

43% better than State average

State average: 66.6%

Antipsychotic medication increase 6.7%

201% worse than State average

State average: 2.2%

Influenza Vaccine 37.5%

41% worse than State average

State average: 63.5%

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

Total residents 48

Medicaid

83.3% of residents

Private pay or other

16.7% 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.

Financial Trends

Historical financial and operational data for Crowley Ridge Care Center from 2011–2023, based on CMS SNF Cost Reports.

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

Occupancy Rate 61.9% ↑ 15.1pp vs 2022

Net Patient Income -$767.3K ↓ ~$148.7K vs 2022

Payroll Costs $2.4M ↑ ~$818.4K vs 2022

Operating Margin -21.0% ↑ 1.7pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	59.5%	71.9%	64.7%	68.7%	68.8%	75.0%	79.0%	72.7%	70.9%	60.5%	48.7%	46.8%	61.9%
Beds	90	90	90	90	90	90	90	90	90	90	90	90	90
Net Income	$34,744	$57,286	$343,656	$43,112	$186,653	$243,635	$365,960	$158,727	$231,486	$473,157	$13,153	-$397,946	-$700,140
Gross Revenue	$3,640,081	$4,305,597	$3,866,110	$4,834,618	$4,911,359	$5,212,596	$5,982,225	$5,416,059	$5,540,951	$4,483,250	$3,291,406	$2,861,346	$3,879,612
Operating Expenses	$3,027,868	$3,373,091	$3,352,188	$3,783,512	$3,918,636	$4,094,302	$4,350,853	$4,172,459	$4,132,206	$4,372,662	$3,139,404	$3,343,982	$4,417,961
Net Patient Income	$32,887	$52,218	$336,556	$35,114	$180,225	$240,075	$363,096	$156,801	$229,460	-$341,257	-$251,127	-$618,535	-$767,251
Net Patient Revenue	$3,060,755	$3,425,309	$3,688,744	$3,818,626	$4,098,861	$4,334,377	$4,713,949	$4,329,260	$4,361,666	$4,031,405	$2,888,277	$2,725,447	$3,650,710
Payroll Costs	$1,196,744	$1,320,801	$1,301,862	$1,417,711	$1,486,938	$1,515,323	$1,579,430	$1,496,670	$1,622,390	$1,854,228	$1,229,329	$1,606,101	$2,424,461
Operating Margin %	1.1%	1.5%	9.1%	0.9%	4.4%	5.5%	7.7%	3.6%	5.3%	-8.5%	-8.7%	-22.7%	-21.0%
Medicare %	9.9%	7.9%	6.6%	10.7%	10.9%	8.0%	11.3%	10.7%	8.4%	9.9%	4.1%	2.1%	2.5%
Medicaid %	64.0%	68.3%	67.7%	65.0%	65.6%	68.1%	65.3%	63.9%	62.7%	65.6%	71.1%	72.3%	76.3%
Private %	26.1%	23.8%	25.7%	24.3%	23.5%	23.9%	23.4%	25.4%	28.9%	24.5%	24.8%	25.6%	21.1%
Net Patient Revenue/Day	$157	$145	$174	$169	$181	$176	$182	$181	$187	$202	$181	$177	$180
Cost/Day	$155	$142	$158	$168	$173	$166	$168	$175	$178	$219	$196	$218	$217
Avg Length of Stay	98.2 days	197.4 days	169.9 days	160.1 days	136.9 days	257.2 days	154.4 days	280.8 days	136.1 days	96.3 days	137.8 days	133.6 days	168.0 days

Finances and operations

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

Net patient revenue

$3.7M

Net patient income

-$767.3K

For-profit Individual

Net patient revenue

$3.7M

Net patient income

-$767.3K

Other income

$67.1K

Payroll costs

$2.4M 66.4% of net patient revenue

Other operating costs

$2.0M

Total costs

$4.4M

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.

New residents most often arrive under private pay (46% of admissions), and a typical private pay stay runs around 11 - 12 months.

Coverage residents most often arrive under.

Medicare 36%

Private pay 46%

Medicaid 18%

Coverage residents most often leave under.

Medicare 12%

Private pay 24%

Medicaid 64%

0.0 miles from city center Estimated distance in miles from Dexter's city center to Crowley Ridge Care Center's address, calculated via Google Maps.

Quick search

Calculate Travel Distance to Crowley Ridge Care Center

Add your location

Compare Nursing Homes around the area

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


Laclede Groves	NH AL IL MC	St. Louis	-	251	-	35	-
Republic Nursing and Rehab	NH	Republic	-	127	-	48	Private / Semi-Private Rooms
Chaffee Nursing Center	NH HOS SNF	Chaffee	-	71	-	25	Studio
Heisinger Bluffs	NH AL IL MC RC SNF	Jefferson City	-	111	-	32	1 Bed / 2 Bed / 3 Bed
Crowley Ridge Care Center	NH HOS SNF	Dexter	-	90	A+	55	-

Nursing Home Explorer

Who is the owner of Crowley Ridge Care Center?

Crowley Ridge Care Center is legally operated by N & R Of Dexter, Inc., and administered by Danielle Spain.

Is Crowley Ridge Care Center in a walkable area?

Crowley Ridge Care Center has a walk score of 55. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Crowley Ridge Care Center?

According to MO state health department records, Crowley Ridge Care Center's license number is 052398.

When does Crowley Ridge Care Center's license expire?

According to MO state health department records, Crowley Ridge Care Center's license expires on December 30, 2026.

What is the occupancy rate at Crowley Ridge Care Center?

Crowley Ridge Care Center's occupancy is 56%.

Are pets allowed at Crowley Ridge Care Center?

No, Crowley Ridge Care Center has a no-pet policy.

Does Crowley Ridge Care Center operate as a for-profit or non-profit?

Crowley Ridge Care Center is registered as a for-profit in MO.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Crowley Ridge Care Center

Overview of Crowley Ridge Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Therapy & Rehabilitation

Staffing & Medical

Memory & Specialized Care

Additional Services

Additional Policies & Features

Amenities & Lifestyle

Contact Crowley Ridge Care Center

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

25 Certified Nursing Assistant

8 Licensed Practical Nurse

5 Medication Aide/Technician

6 Nurse Aide in Training

2 RN Director of Nursing

1 Dental Services Staff

1 Dietitian

1 Administrator

1 Nurse Practitioner

3 Registered Nurse

1 Respiratory Therapy Technician

4 Speech Language Pathologist

1 Physical Therapy Assistant

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

3 Qualified Social Worker

1 Physical Therapy Aide

Penalties and fines

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

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Crowley Ridge Care Center

Calculate Travel Distance to Crowley Ridge Care Center

Compare Nursing Homes around the area

Guides for Better Senior Living