Southgate Living Center

Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Caruthersville, MO

CMS overall rating

500 Truman Blvd, Caruthersville, MO 63830-1261 View map

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Southgate Living Center accepts Medicare, Medicaid, and private pay.

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Southgate Living Center accepts Medicare, Medicaid, and private pay.

Overview of Southgate Living Center

Southgate Living Center is a 94-bed nursing home at 500 Truman Boulevard in Caruthersville, Missouri, operated by Caruthersville No. 1, Inc. in Pemiscot County. At 62 percent occupancy, modestly below Missouri’s 66.6 percent average, the facility typically has availability. Medicare, Medicaid, and private pay are welcome, with most current residents on long-term Medicaid stays averaging 135 days.

The facility is rated 3 stars by CMS, 14.1 percent above Missouri average, with the health inspection sub-rating running 37.9 percent above state average. Across 4 inspections since 2022, the facility recorded 28 total citations, including a substantiated immediate jeopardy finding in September 2023 involving improper medication administration that resulted in resident hospitalization and a $13,000 federal fine. No further enforcement actions exist. Meanwhile, CNA hours run 32 percent above the Missouri average, the facility’s clearest staffing strength.

On-site therapy, church services four times a week, beauty services, and an active resident council are among the amenities. A state-approved nurse aide training program operates on-site.

Southgate Living Center serves long-term Medicaid residents needing ongoing skilled nursing care in rural Pemiscot County.

Facility Direct Line (573) 333-5150 adm@southgateliving.net

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

3h 34m per day

vs avg

3 of 6 metrics below state avg

Standout metric Nurse Aide is +22% 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.	16m per day	▼ 44% 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.	49m per day	▲ 20% 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 49m per day	▲ 22% 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 20m per day	▲ 9% 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	▼ 60% 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

135 days

94-bed community

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

Walk Score: 34 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

BBB Rating: A+ (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate

62%

Lower than the Missouri average: 66.6%

Occupied beds

58 / 94

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceDecember 18, 2025

ExpirationDecember 17, 2027

CountyPemiscot

License Number053215

CMS Certification Number265771

Certification TypeMedicare / Medicaid

Southgate Living Center is legally operated by Caruthersville No. 1, Inc, and administered by Crystal Fine.

Corporate EntityCARUTHERSVILLE NO 1, INC

Owner NameCaruthersville No 1, Inc

Skilled Nursing Facility

94 units

Total beds

94 units

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Pets not allowed

Free Cable And Wi-Fi

Private Bathroom

Ac Unit

Transportation Services

Church Services Four Times A Week

Religious Services

Since 2018 · 8 years of data 109 deficiencies 9 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 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection March 6, 2025 Routine

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.	109	35	This facility has 211% more total deficiencies than a typical Missouri assisted living residence (109 vs. MO avg 35).↑ 211% worse
Deficiencies per year Average deficiencies per year since 2018.	13.6	4.4	This facility has 209% more deficiencies per year than a typical Missouri assisted living residence (13.6 vs. MO avg 4.4).↑ 209% worse
Deficiencies per inspection Average deficiencies per inspection.	12.1	2.9	This facility has 317% more deficiencies per inspection than a typical Missouri assisted living residence (12.1 vs. MO avg 2.9).↑ 317% 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.	9	12	This facility has had 25% fewer total inspections than the Missouri average (9 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 25% fewer

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

March 6, 2025 inspection found 7 deficiencies including failure to maintain surety bond, incomplete respiratory care plans, missed wound care, and improper medication labeling and storage.
February 9, 2024 inspection cited 9 deficiencies with unsafe environment, high medication error rate (30.77%), poor infection control, and inadequate trauma-informed care for residents with PTSD.
September 18, 2023 complaint investigation substantiated immediate jeopardy for improper Nitroglycerin administration causing severe hypotension and hospitalization of a resident.

Show Inspection Reports

Inspections since 2022

Total health inspections 4

State average N/A

Last Health inspection on Mar 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

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

27 of 28 citations resulted from standard inspections; and 1 of 28 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

1 critical citation State average: N/A

0 serious citations State average: N/A

27 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 4 years)

Nursing Services moderate citation Mar 06, 2025

Corrected

Pharmacy moderate citation Mar 06, 2025

Corrected

Quality of Care moderate citation Mar 06, 2025

Corrected

Quality of Care moderate citation Mar 06, 2025

Corrected

Total staff 91

Employees 79

Contractors 12

Staff to resident ratio 1.57 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 34

Average shift 8.4 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 26,318

Nursing staff breakdown

8.3 hours

9.3 hours

8.6 hours

Contractor staffing

1,779 contractor hours this quarter

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

Staff by category


Certified Nursing Assistant	26	0	26	8,841	92	100%	8.6
Nurse Aide in Training	24	0	24	6,203	92	100%	9.3
Licensed Practical Nurse	13	0	13	4,914	92	100%	9.3
Medication Aide/Technician	7	0	7	1,924	92	100%	7.5
Physical Therapy Aide	0	2	2	866	78	85%	7.4
Registered Nurse	4	0	4	628	67	73%	8.3
Administrator	1	0	1	528	66	72%	8
Nurse Practitioner	1	0	1	528	66	72%	8
Dental Services Staff	1	0	1	509	61	66%	8.3
Speech Language Pathologist	0	2	2	424	49	53%	8.7
Clinical Nurse Specialist	1	0	1	422	54	59%	7.8
Qualified Social Worker	0	2	2	237	64	70%	3.7
Physical Therapy Assistant	0	2	2	84	19	21%	4.2
Respiratory Therapy Technician	0	1	1	81	27	29%	3
Occupational Therapy Aide	0	1	1	53	7	8%	7.5
Dietitian	1	0	1	43	6	7%	7.2
Medical Director	0	1	1	24	3	3%	8
Occupational Therapy Assistant	0	1	1	11	3	3%	3.7

26 Certified Nursing Assistant

% of Days 100%

24 Nurse Aide in Training

% of Days 100%

13 Licensed Practical Nurse

% of Days 100%

7 Medication Aide/Technician

% of Days 100%

2 Physical Therapy Aide

% of Days 85%

4 Registered Nurse

% of Days 73%

1 Administrator

% of Days 72%

1 Nurse Practitioner

% of Days 72%

1 Dental Services Staff

% of Days 66%

2 Speech Language Pathologist

% of Days 53%

1 Clinical Nurse Specialist

% of Days 59%

2 Qualified Social Worker

% of Days 70%

2 Physical Therapy Assistant

% of Days 21%

1 Respiratory Therapy Technician

% of Days 29%

1 Occupational Therapy Aide

% of Days 8%

1 Dietitian

% of Days 7%

1 Medical Director

% of Days 3%

1 Occupational Therapy Assistant

% of Days 3%

View All Staffing Data

Total fines amount $13K

82% lower than State average

State average: $73K

Number of fines 1

59% fewer fines than State average

State average: 2.4

Payment Denials 0

100% fewer payment denials than State average

State average: 0.7

Fines amount comparison

This facility $13K

State average $73K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Sep 18, 2023 · $13K

Civil Money Penalty Sep 18, 2023

$13K

Last updated: Jan 2026

High-risk clinical events score 15.9

45% worse than State average

State average: 10.9

Functional decline score 29.8

53% worse than State average

State average: 19.5

Long-stay resident measures

Below average State avg: 2.7

Need for Help with Daily Activities Increased 29.4%

49% worse than State average

State average: 19.8%

Walking Ability Worsened 37.9%

84% worse than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 22.0%

22% worse than State average

State average: 18.1%

Falls with Major Injury 2.0%

51% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 4.4%

12% better than State average

State average: 5.0%

Urinary Tract Infection 0.0%

100% better than State average

State average: 2.7%

Lost Too Much Weight 5.6%

In line with State average

State average: 5.6%

Depressive Symptoms 0.5%

96% better than State average

State average: 12.8%

Antipsychotic Use 16.8%

24% better than State average

State average: 22.0%

Pneumococcal Vaccine 98.4%

15% better than State average

State average: 85.2%

Influenza Vaccine 98.6%

9% better than State average

State average: 90.9%

Hospitalizations per 1,000 days 1.95

6% better than State average

State average: 2.08

ED visits per 1,000 days 4.00

70% worse than State average

State average: 2.35

Short-stay resident measures

Below average State avg: 2.1

Pneumococcal Vaccine 100.0%

50% better than State average

State average: 66.6%

Antipsychotic medication increase 1.3%

40% better than State average

State average: 2.2%

Influenza Vaccine 94.1%

48% better than State average

State average: 63.5%

Re-hospitalized after SNF stay 25.4%

In line with State average

State average: 25.3%

Emergency department visits 21.8%

63% worse than State average

State average: 13.4%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 56.7%

6% better than State average

State average: 53.7%

Successful return to home or community 44.6%

12% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

27% of new residents, usually for short-term rehab.

Typical stay 2 months

Private pay

25% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

48% of new residents, often for long-term daily care.

Typical stay 7 - 8 months

Total residents 58

Medicare

12.1% of residents

Medicaid

74.1% of residents

Private pay or other

13.8% 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 Southgate Living Center from 2017–2023, based on CMS SNF Cost Reports.

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

Occupancy Rate 71.4% ↑ 6.7pp vs 2022

Net Patient Income $360.4K ↓ ~$32.3K vs 2022

Payroll Costs $2.2M ↑ ~$287.1K vs 2022

Operating Margin 6.4% ↓ 1.0pp vs 2022

Metric	2017	2018	2019	2020	2021	2022	2023
Occupancy %	55.4%	70.4%	74.2%	68.4%	64.2%	64.7%	71.4%
Beds	94	94	94	94	94	94	94
Net Income	$44,757	$738,175	$918,871	$1,670,454	$707,457	$497,335	$591,535
Gross Revenue	$3,961,770	$5,068,152	$5,389,562	$5,079,873	$5,435,547	$6,513,713	$7,585,549
Operating Expenses	$3,455,987	$3,786,414	$4,015,373	$4,520,817	$4,409,976	$4,951,797	$5,319,269
Net Patient Income	$16,177	$717,803	$892,573	$679,186	$411,553	$392,722	$360,395
Net Patient Revenue	$3,472,164	$4,504,217	$4,907,946	$5,200,003	$4,821,529	$5,344,519	$5,679,664
Payroll Costs	$1,589,984	$1,686,345	$1,730,431	$2,050,622	$1,765,321	$1,878,930	$2,166,075
Operating Margin %	0.5%	15.9%	18.2%	13.1%	8.5%	7.4%	6.4%
Medicare %	9.2%	10.4%	8.9%	13.5%	12.7%	19.0%	12.8%
Medicaid %	74.8%	73.1%	74.4%	67.6%	75.8%	68.0%	78.1%
Private %	16.0%	16.4%	16.8%	18.9%	11.5%	13.0%	9.1%
Net Patient Revenue/Day	$183	$186	$193	$221	$219	$241	$232
Cost/Day	$182	$157	$158	$192	$200	$223	$217
Avg Length of Stay	128.4 days	102.8 days	160.0 days	114.8 days	99.7 days	103.7 days	134.5 days

Finances and operations

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

Net patient revenue

$5.7M

Net patient income

$360.4K

For-profit Individual

Net patient revenue

$5.7M

Net patient income

$360.4K

Other income

$231.1K

Payroll costs

$2.2M 38.1% of net patient revenue

Other operating costs

$3.2M

Total costs

$5.3M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicaid (48% of admissions), and a typical Medicaid stay runs around 7 - 8 months.

Coverage residents most often arrive under.

Medicare 27%

Private pay 25%

Medicaid 48%

Coverage residents most often leave under.

Medicare 20%

Private pay 26%

Medicaid 54%

0.0 miles from city center Estimated distance in miles from Caruthersville's city center to Southgate Living Center's address, calculated via Google Maps.

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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 SNF	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
Southgate Living Center	NH HOS RC SNF	Caruthersville	-	94	A+	34	-

Nursing Home Explorer

Who is the owner of Southgate Living Center?

Southgate Living Center is legally operated by Caruthersville No. 1, Inc, and administered by Crystal Fine.

Is Southgate Living Center in a walkable area?

Southgate Living Center has a walk score of 34. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Southgate Living Center?

According to MO state health department records, Southgate Living Center's license number is 053215.

When does Southgate Living Center's license expire?

According to MO state health department records, Southgate Living Center's license expires on December 17, 2027.

What is the occupancy rate at Southgate Living Center?

Southgate Living Center's occupancy is 62%.

Are pets allowed at Southgate Living Center?

No, Southgate Living Center has a no-pet policy.

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

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

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Southgate Living Center

Overview of Southgate Living 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

Additional Policies & Features

Amenities & Lifestyle

Contact Southgate Living 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

26 Certified Nursing Assistant

24 Nurse Aide in Training

13 Licensed Practical Nurse

7 Medication Aide/Technician

2 Physical Therapy Aide

4 Registered Nurse

1 Administrator

1 Nurse Practitioner

1 Dental Services Staff

2 Speech Language Pathologist

1 Clinical Nurse Specialist

2 Qualified Social Worker

2 Physical Therapy Assistant

1 Respiratory Therapy Technician

1 Occupational Therapy Aide

1 Dietitian

1 Medical Director

1 Occupational Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

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

Mostly long-term care residents

Admissions

Discharges

Places of interest near Southgate Living Center

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