Pleasant Valley Manor Care Center
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.

Pleasant Valley Manor Care Center

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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Pleasant Valley Manor Care Center accepts Medicaid, Medicare, 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 2018 · 8 years of data 102 deficiencies 16 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 2018 vs. Missouri state average
Overall vs. MO average 4 Worse Metrics worse than Missouri average:
• Total deficiencies (191% above)
• Deficiencies per year (191% above)
• Deficiencies per inspection (28% above)
• Total inspections (129% above)
0 Better No metrics in this bucket.
Latest Inspection September 5, 2025 Annual Inspection

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. 10235 This facility has 191% more total deficiencies than a typical Missouri assisted living residence (102 vs. MO avg 35).↑ 191% worse
Deficiencies per year Info Average deficiencies per year since 2018. 12.84.4 This facility has 191% more deficiencies per year than a typical Missouri assisted living residence (12.8 vs. MO avg 4.4).↑ 191% worse
Deficiencies per inspection Info Average deficiencies per inspection. 6.45 This facility has 28% more deficiencies per inspection than a typical Missouri assisted living residence (6.4 vs. MO avg 5).↑ 28% worse

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. 167 This facility has 129% more total inspections than a typical Missouri assisted living residence (16 vs. MO avg 7).↑ 129% worse

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

  • September 5, 2025 annual inspection found 7 deficiencies including medication errors at 16%, failure to inform residents about psychotropic risks, and multiple food service violations.
  • September 25, 2023 complaint investigation substantiated abuse by a CNA and cited failure to timely report and investigate the incident.
  • September 5, 2024 annual inspection found 7 deficiencies including malfunctioning mechanical lifts, pest entry through unsealed AC units, and incomplete staff training, posing minimal harm to residents.

Health Inspection History

Inspections since 2021
Total health inspections 5

State average N/A


Last Health inspection on Sep 2024

Total health citations
36 Rank #176 / 287Health citations — State benchmarkedThis home is ranked 176th 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
7.2 Rank #233 / 287Citations per inspection — State benchmarkedThis home is ranked 233rd 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.

33 of 36 citations resulted from standard inspections; and 3 of 36 resulted from complaint investigations.

Breakdown of citation severity (last 5 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

34 moderate citations State average: N/A

2 minor citations State average: N/A
Citations history (last 5 years)
Nursing Services moderate citation Sep 05, 2024
Corrected

Nutrition moderate citation Sep 05, 2024
Corrected

Quality of Care moderate citation Sep 05, 2024
Corrected

Resident Rights moderate citation Sep 05, 2024
Corrected

Staffing Data

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

Total staff 61
Employees 56
Contractors 5
Staff to resident ratio 0.98 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 30
Average shift 8.1 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 22,281

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 4 RN Staff are full-time employees. No contractors work on this role. 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 10 LPN Staff are full-time employees. No contractors work on this role. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 34 CNA Staff are full-time employees. No contractors work on this role. 34
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 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

2.7%

610 contractor hours this quarter

Physical Therapy Aide: 2 Respiratory Therapy Technician: 1 Physical Therapy Assistant: 1 Qualified Social Worker: 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 Assistant3403413,57692100%8.3
Licensed Practical Nurse100103,70092100%8.6
Registered Nurse4042,05892100%8.8
RN Director of Nursing2028916368%7.9
Mental Health Service Worker1014526267%7.3
Nurse Practitioner1014475661%8
Dietitian1014455560%8.1
Respiratory Therapy Technician0113216368%5.1
Physical Therapy Aide0221484852%3.1
Physical Therapy Assistant0111123841%3
Medication Aide/Technician101881314%6.8
Qualified Social Worker011292729%1.1
Administrator2021444%3.4
34 Certified Nursing Assistant
% of Days 100%
10 Licensed Practical Nurse
% of Days 100%
4 Registered Nurse
% of Days 100%
2 RN Director of Nursing
% of Days 68%
1 Mental Health Service Worker
% of Days 67%
1 Nurse Practitioner
% of Days 61%
1 Dietitian
% of Days 60%
1 Respiratory Therapy Technician
% of Days 68%
2 Physical Therapy Aide
% of Days 52%
1 Physical Therapy Assistant
% of Days 41%
1 Medication Aide/Technician
% of Days 14%
1 Qualified Social Worker
% of Days 29%
2 Administrator
% of Days 4%

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. 6.8
38% better 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. 14.4
26% better than State average

State average: 19.5

Long-stay resident measures
Above 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 19.2%
In line with State average

State average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 13.7%
34% better 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 10.2%
44% better 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 0.0%
100% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.1%
79% better than State average

State average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.4%
84% better than State average

State average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.0%
100% better than State average

State average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.4%
97% better than State average

State average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 17.7%
19% better than State average

State average: 22.0%

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

State average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 71.9%
21% worse than State average

State average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.76
15% better than State average

State average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.05
55% better than State average

State average: 2.35

Short-stay resident measures
Above average State 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 95.7%
44% better than State average

State average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 4.4%
96% worse than State average

State average: 2.2%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 13.4%
47% better than State average

State average: 25.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 18.5%
38% worse than State average

State average: 13.4%

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%

Breakdown by payment type

Medicare

34% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

45% of new residents, often for short stays.

Typical stay 10 - 11 months

Medicaid

21% of new residents, often for long-term daily care.

Typical stay 5 years

Facility Characteristics

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

Total residents 62
Medicare
3
4.8% of residents
Medicaid
40
64.5% of residents
Private pay or other
19
30.6% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, 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 07/2024.

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."
$6.0M
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."
-$74.9K
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."
$6.0M Rank #157 / 292Revenue — State benchmarkedThis home is ranked 157th 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."
-$74.9K
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.
$9.9K
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 #112 / 292Payroll — State benchmarkedThis home is ranked 112th 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.
$3.8M 64.6% 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 #29 / 292Payroll % — State benchmarkedThis home is ranked 29th 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).
$2.2M
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).
$6.0M

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 (45% of admissions), and a typical private pay stay runs around 10 - 11 months.

Admissions
47 total

Coverage residents most often arrive under.

Medicare 34%
Private pay 45%
Medicaid 21%
Discharges
59 total

Coverage residents most often leave under.

Medicare 20%
Private pay 42%
Medicaid 37%

Places of interest near Pleasant Valley Manor Care Center

Address 0.0 miles from city center Info Estimated distance in miles from Liberty's city center to Pleasant Valley Manor Care Center's address, calculated via Google Maps.

Calculate Travel Distance to Pleasant Valley Manor Care Center

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Address

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Frequently Asked Questions about Pleasant Valley Manor Care Center

Who is the owner of Pleasant Valley Manor Care Center?

Pleasant Valley Manor Care Center is legally operated by Pleasant Valley Manor Inc, and administered by Ladonna Vaughan.

Is Pleasant Valley Manor Care Center in a walkable area?

Pleasant Valley Manor Care Center has a walk score of 69. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Pleasant Valley Manor Care Center?

According to MO state health department records, Pleasant Valley Manor Care Center's license number is 052040.

When does Pleasant Valley Manor Care Center's license expire?

According to MO state health department records, Pleasant Valley Manor Care Center's license expires on July 31, 2026.

What is the occupancy rate at Pleasant Valley Manor Care Center?

Pleasant Valley Manor Care Center's occupancy is 61%.

Does Pleasant Valley Manor Care Center operate as a for-profit or non-profit?

Pleasant Valley Manor Care Center is registered as a for-profit in MO.

Who is the administrator of Pleasant Valley Manor Care Center?

Ladonna Vaughan is the administrator of Pleasant Valley Manor Care Center.

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