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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.
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 is a nursing home in Anderson, Missouri. It is operated by N & R of Anderson, LLC, under the administration of Susan Woods. The 96-bed community provides skilled nursing care and rehabilitation. It accepts Medicare, Medicaid, and private pay to help families access care.
There are currently 56 residents. The facility has an occupancy rate of 58%, so there’s availability for those seeking admission without needing to wait.
Rehabilitation services are offered on-site. The home also has a doctor on staff to support patients under short-term recovery and those with longer-term skilled nursing needs. Total daily nurse staffing averages close to 3 hours per resident. The nursing team includes registered nurses, nursing aides, and licensed practical nurses. Residents stay an average of 122 days, including post-acute rehabilitation patients and those who stay for ongoing care.
The home’s location on Patterson Street in Anderson has a Walk Score of 36, which means some nearby services are reachable on foot, but families and residents should drive for most trips. The neighborhood setting is best for families looking for a quieter and more residential area.
Residents can choose from a variety of nutritious meal and snack options tailored to their preferences, which may benefit those with dietary needs or specific dietary preferences. Beyond meals, the facility provides transportation and professional medical care available around the clock. Housekeeping and laundry services are also available to reduce the burden on residents and families.
State inspections by Missouri’s Department of Health and Senior Services identified areas related to medication management, pressure ulcer care, and food safety protocols. The facility implements staff education and corrective measures in response to these findings. Families can ask about these areas during a tour to understand the home’s current practices and monitoring.
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.
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.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 236th out of 276 homes 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.
| 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.
| 27m per day | ▼ 3% 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.
| 39m per day | ▼ 6% 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.
| 1h 56m per day | ▼ 16% 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.
| 2h 45m per day | ▼ 10% 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 | ▼ 55% 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.
| 19m per day | ▼ 5% State avg: 20m per day · National avg: 28m per day |
Lower than the Missouri average: 66.6%McDonald County Living Center is legally operated by N & R Of Anderson, Llc, and administrated by Susan Woods.
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.
This scorecard compares key inspection, citation, 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
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 36 | 35 | This facility has 3% more total deficiencies than a typical Missouri nursing home (36 vs. MO avg 35).↑ 3% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 5.1 | 5 | This facility has 2% more deficiencies per year than a typical Missouri nursing home (5.1 vs. MO avg 5).↑ 2% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.4 | 5 | This facility has 52% fewer deficiencies per inspection than a typical Missouri nursing home (2.4 vs. MO avg 5).↓ 52% better |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 15 | 7 | This facility has 114% more total inspections than a typical Missouri nursing home (15 vs. MO avg 7).↑ 114% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Missouri average 6.6
Last Health inspection on Jul 2025
Missouri average 36.5
Missouri average 5.67
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.
100% better than Missouri averageMissouri average: 0.7
In line with Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
32% fewer staff per resident than Missouri average
7% better than Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 5 RN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursAssists with medical care and medications.
All 12 LPN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursHelps with daily care and mobility.
All 19 CNA Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
954 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 19 | 0 | 19 | 6,467 | 92 | 100% | 9.4 |
| Licensed Practical Nurse | 12 | 0 | 12 | 3,558 | 92 | 100% | 9.7 |
| Medication Aide/Technician | 4 | 0 | 4 | 2,105 | 92 | 100% | 8.9 |
| Nurse Aide in Training | 7 | 0 | 7 | 2,097 | 90 | 98% | 8.7 |
| Registered Nurse | 5 | 0 | 5 | 1,625 | 92 | 100% | 9.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 669 | 63 | 68% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 494 | 62 | 67% | 8 |
| Dietitian | 1 | 0 | 1 | 475 | 60 | 65% | 7.9 |
| Administrator | 1 | 0 | 1 | 431 | 58 | 63% | 7.4 |
| Physical Therapy Assistant | 0 | 1 | 1 | 431 | 66 | 72% | 6.5 |
| Qualified Social Worker | 0 | 2 | 2 | 334 | 66 | 72% | 5 |
| Nurse Practitioner | 1 | 0 | 1 | 210 | 27 | 29% | 7.8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 83 | 26 | 28% | 3.2 |
| Speech Language Pathologist | 0 | 1 | 1 | 62 | 27 | 29% | 2.3 |
| Other Dietary Services Staff | 1 | 0 | 1 | 39 | 17 | 18% | 2.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 21 | 3 | 3% | 6.9 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
34.7
78% worse than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
39.2%
98% worse than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
44.0%
114% worse than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.9%
15% worse than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
8.5%
110% worse than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
0.9%
82% better than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
5.7%
111% worse than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
2.4%
57% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
3.0%
77% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
36.1%
64% worse than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.2%
13% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
55.3%
17% worse than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
68.4%
8% better than Missouri averageMissouri average: 63.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
51.3%
In line with Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
26% of new residents, usually for short-term rehab.
41% of new residents, often for short stays.
33% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
54Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for McDonald County Living Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #148 / 286Payroll — State benchmarkedThis home is ranked 148th out of 286 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Anderson's city center to McDonald County Living Center's address, calculated via Google Maps.
Add your location
McDonald County Living Center is located in ANDERSON, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
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Facility
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MO AVG
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Facility
5.01
MO AVG
3.74
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#31 / 276 | -16% | +34% | $41.3k
Facility
$41.3k
MO AVG
$76.9k
Rank
#222 / 283 | 16
Facility
16
MO AVG
36.5
Rank
#55 / 281 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#75 / 281 | 2 | 46 | A+ |
2
Facility
2
MO AVG
45
Rank
#545 / 563 | Holly Stevens | $20.9M
Facility
$20.9M
MO AVG
$8.4M
Rank
#17 / 286 | $12.2M
Facility
$12.2M
MO AVG
$3.3M
Rank
#6 / 286 | 58.6%
Facility
58.6%
MO AVG
45.6%
Rank
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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Facility
90
MO AVG
97
Rank
#227 / 454 |
74.4%
Facility
74.4%
MO AVG
66.6%
Rank
#150 / 428 | +12% | 4.58
Facility
4.58
MO AVG
3.74
Rank
#43 / 276 | +49% | +23% | $12.6k
Facility
$12.6k
MO AVG
$76.9k
Rank
#167 / 283 | 9
Facility
9
MO AVG
36.5
Rank
#11 / 281 | 2.3
Facility
2.3
MO AVG
5.7
Rank
#11 / 281 | 1 | 70 | A+ |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | Jane Hull | $9.9M
Facility
$9.9M
MO AVG
$8.4M
Rank
#73 / 286 | $6.3M
Facility
$6.3M
MO AVG
$3.3M
Rank
#52 / 286 | 63%
Facility
63%
MO AVG
45.6%
Rank
#74 / 286 | 265583 | ||||
| McDonald County Living Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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Facility
96
MO AVG
97
Rank
#201 / 454 |
58.3%
Facility
58.3%
MO AVG
66.6%
Rank
#283 / 428 | -13% | 2.93
Facility
2.93
MO AVG
3.74
Rank
#236 / 276 | +5% | -22% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 15
Facility
15
MO AVG
36.5
Rank
#48 / 281 | 3.8
Facility
3.8
MO AVG
5.7
Rank
#66 / 281 | 1 | 60 | - |
36
Facility
36
MO AVG
45
Rank
#350 / 563 | N & R Of Anderson, LLC | $5.7M
Facility
$5.7M
MO AVG
$8.4M
Rank
#166 / 286 | $3.5M
Facility
$3.5M
MO AVG
$3.3M
Rank
#148 / 286 | 61.1%
Facility
61.1%
MO AVG
45.6%
Rank
#81 / 286 | 265447 | ||||
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Facility
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MO AVG
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Rank
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100.0%
Facility
100.0%
MO AVG
66.6%
Rank
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Facility
3.03
MO AVG
3.74
Rank
#230 / 276 | -27% | -19% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 39
Facility
39
MO AVG
36.5
Rank
#183 / 281 | 6.5
Facility
6.5
MO AVG
5.7
Rank
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73
Facility
73
MO AVG
45
Rank
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Facility
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MO AVG
$8.4M
Rank
#264 / 286 | $2.4M
Facility
$2.4M
MO AVG
$3.3M
Rank
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Facility
81.6%
MO AVG
45.6%
Rank
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Facility
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MO AVG
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Rank
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72.5%
Facility
72.5%
MO AVG
66.6%
Rank
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Facility
3.50
MO AVG
3.74
Rank
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Facility
$334.9k
MO AVG
$76.9k
Rank
#277 / 283 | 87
Facility
87
MO AVG
36.5
Rank
#272 / 281 | 7.9
Facility
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MO AVG
5.7
Rank
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50
Facility
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MO AVG
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Rank
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Facility
$15.6M
MO AVG
$8.4M
Rank
#32 / 286 | $7.7M
Facility
$7.7M
MO AVG
$3.3M
Rank
#31 / 286 | 49.2%
Facility
49.2%
MO AVG
45.6%
Rank
#186 / 286 | 265834 |
The legal owner and operator of McDonald County Living Center is N & R Of Anderson, Llc.
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.
According to MO state health department records, McDonald County Living Center's license number is 053415.
According to MO state health department records, McDonald County Living Center's license expires on February 28, 2028.
McDonald County Living Center's occupancy is 58%.
Susan Woods is the administrator of McDonald County Living Center.
McDonald County Living Center has 96 beds.
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