McDonald County Living Center
Nursing Home & Assisted Living · Anderson, MO
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.

McDonald County Living Center

Nursing Home & Assisted Living · Anderson, MO
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.
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McDonald County Living Center accepts Medicare, Medicaid, and private pay.

Inspection History

In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.

Since 2019 · 7 years of data 36 deficiencies 15 inspections

Inspection Scorecard Info 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 2019 vs. Missouri state average
Overall vs. MO average 2 Worse Metrics worse than Missouri average:
• Total deficiencies (3% above)
• Deficiencies per year (2% above)
1 Better Metrics better than Missouri average:
• Deficiencies per inspection (17% below)
Latest Inspection July 30, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 3635 This facility has 3% more total deficiencies than a typical Missouri assisted living residence (36 vs. MO avg 35).↑ 3% worse
Deficiencies per year Info Average deficiencies per year since 2019. 5.15 This facility has 2% more deficiencies per year than a typical Missouri assisted living residence (5.1 vs. MO avg 5).↑ 2% worse
Deficiencies per inspection Info Average deficiencies per inspection. 2.42.9 This facility has 17% fewer deficiencies per inspection than a typical Missouri assisted living residence (2.4 vs. MO avg 2.9).↓ 17% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 1512 This facility has had 25% more total inspections than the Missouri average (15 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 25% more

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

  • July 30, 2025 complaint investigation found 2 medication-related deficiencies, including insulin error causing hospitalization, both corrected with staff education and follow-up.
  • December 12, 2024 routine inspection cited 3 deficiencies for pressure ulcer care, food safety, and hospice communication failures.
  • April 28, 2023 routine inspection identified 9 deficiencies including medication errors, privacy violations, expired drugs, poor hygiene, and unclean kitchen conditions.

Health Inspection History

Inspections since 2023
Total health inspections 4

State average N/A


Last Health inspection on Jul 2025

Total health citations
15 Rank #48 / 287Health citations — State benchmarkedThis home is ranked 48th out of 287 homes in Missouri. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 287 MO facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
3.75 Rank #67 / 287Citations per inspection — State benchmarkedThis home is ranked 67th out of 287 homes in Missouri. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 287 facilities with citation data. Lower is better.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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

12 of 15 citations resulted from standard inspections; and 3 of 15 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
1
In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

13 moderate citations State average: N/A

1 minor citation State average: N/A
Citations history (last 3 years)
Pharmacy moderate citation Jul 30, 2025
Corrected

Pharmacy moderate citation Jul 30, 2025

Administration moderate citation Dec 12, 2024
Corrected

Nutrition moderate citation Dec 12, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 62
Employees 54
Contractors 8
Staff to resident ratio 1.15 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 24
Average shift 8.7 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 19,124

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 5 RN Staff are full-time employees. No contractors work on this role. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 12 LPN Staff are full-time employees. No contractors work on this role. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.7 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 19 CNA Staff are full-time employees. No contractors work on this role. 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

5%

954 contractor hours this quarter

Qualified Social Worker: 2 Occupational Therapy Assistant: 2 Speech Language Pathologist: 1 Physical Therapy Assistant: 1 Respiratory Therapy Technician: 1 Occupational Therapy Aide: 1

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 Assistant190196,46792100%9.4
Licensed Practical Nurse120123,55892100%9.7
Medication Aide/Technician4042,10592100%8.9
Nurse Aide in Training7072,0979098%8.7
Registered Nurse5051,62592100%9.1
Clinical Nurse Specialist2026696368%8
Dental Services Staff1014946267%8
Dietitian1014756065%7.9
Administrator1014315863%7.4
Physical Therapy Assistant0114316672%6.5
Qualified Social Worker0223346672%5
Nurse Practitioner1012102729%7.8
Respiratory Therapy Technician011832628%3.2
Speech Language Pathologist011622729%2.3
Other Dietary Services Staff101391718%2.3
Occupational Therapy Aide0112433%8
Occupational Therapy Assistant0222133%6.9
19 Certified Nursing Assistant
% of Days 100%
12 Licensed Practical Nurse
% of Days 100%
4 Medication Aide/Technician
% of Days 100%
7 Nurse Aide in Training
% of Days 98%
5 Registered Nurse
% of Days 100%
2 Clinical Nurse Specialist
% of Days 68%
1 Dental Services Staff
% of Days 67%
1 Dietitian
% of Days 65%
1 Administrator
% of Days 63%
1 Physical Therapy Assistant
% of Days 72%
2 Qualified Social Worker
% of Days 72%
1 Nurse Practitioner
% of Days 29%
1 Respiratory Therapy Technician
% of Days 28%
1 Speech Language Pathologist
% of Days 29%
1 Other Dietary Services Staff
% of Days 18%
1 Occupational Therapy Aide
% of Days 3%
2 Occupational Therapy Assistant
% of Days 3%

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. 19.0
74% worse than State average

State average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 34.7
78% worse than State average

State average: 19.5

Long-stay resident measures
Below average State 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 39.2%
98% worse than State average

State average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 44.0%
114% worse than State average

State 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 20.9%
15% worse than State average

State average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 8.5%
110% worse than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.9%
82% better than State average

State average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 5.7%
111% worse than State average

State average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.4%
57% better than State average

State average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 3.0%
77% better than State average

State average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 36.1%
64% worse than State average

State average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.2%
13% better than State average

State average: 85.2%

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

State average: 90.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 55.3%
17% worse than State average

State average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 68.4%
8% better than State average

State average: 63.5%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 51.3%
In line with State average

State average: 50.6%

Breakdown by payment type

Medicare

26% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

41% of new residents, often for short stays.

Typical stay 5 - 6 months

Medicaid

33% of new residents, often for long-term daily care.

Typical stay 11 - 12 months

Facility Characteristics

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

Total residents 54
Medicare
1
1.9% of residents
Medicaid
44
81.5% of residents
Private pay or other
9
16.7% of residents
Programs & Services
Residents Group

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

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

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

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

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 12/2023.

For-profit
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."
$4.7M
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."
-$670.0K
For-profit 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."
$4.7M Rank #172 / 292Revenue — State benchmarkedThis home is ranked 172nd out of 292 homes in Missouri. Shows this facility's annual revenue compared to the Missouri average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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."
-$670.0K
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.
$267.7K
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 #152 / 292Payroll — State benchmarkedThis home is ranked 152nd out of 292 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.0M 64.1% 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 #81 / 292Payroll % — State benchmarkedThis home is ranked 81st out of 292 homes in Missouri. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–71% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
$2.4M
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).
$5.4M

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.

New residents most often arrive under private pay (41% of admissions), and a typical private pay stay runs around 5 - 6 months.

Admissions
121 total

Coverage residents most often arrive under.

Medicare 26%
Private pay 41%
Medicaid 33%
Discharges
191 total

Coverage residents most often leave under.

Medicare 14%
Private pay 42%
Medicaid 45%

Places of interest near McDonald County Living Center

Address 0.0 miles from city center Info Estimated distance in miles from Anderson's city center to McDonald County Living Center's address, calculated via Google Maps.

Calculate Travel Distance to McDonald County Living Center

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Address

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Frequently Asked Questions about McDonald County Living Center

Who is the owner of McDonald County Living Center?

McDonald County Living Center is legally operated by N & R Of Anderson, LLC, and administered by Susan Woods.

Is McDonald County Living Center in a walkable area?

McDonald County Living Center has a walk score of 36. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of McDonald County Living Center?

According to MO state health department records, McDonald County Living Center's license number is 053415.

When does McDonald County Living Center's license expire?

According to MO state health department records, McDonald County Living Center's license expires on February 28, 2028.

What is the occupancy rate at McDonald County Living Center?

McDonald County Living Center's occupancy is 58%.

Does McDonald County Living Center operate as a for-profit or non-profit?

McDonald County Living Center is registered as a for-profit in MO.

Who is the administrator of McDonald County Living Center?

Susan Woods is the administrator of McDonald County Living Center.

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