2/5
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.
2/5
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.
Administrator Ashley Drewel directs operations at Steelville Senior Living, a 93-bed nursing community located on North Spring Street in Steelville, Missouri. The facility keeps the setup simple for families by working with standard payment options such as private pay, Medicaid, and Medicare. Relatives dropping by for a visit will find a somewhat walkable neighborhood grid, so you can take care of a few small errands on foot, but a vehicle is still your best bet for general travel.
The building runs at a lower occupancy rate of 44 percent since it is a relatively new addition to the area, with residents staying an average of 142 days. This operational timeline shows that the staff splits their daily routine between short-term post-hospital therapy tracks and extended residential care. To keep up with regular clinical targets, the 24-hour shift schedule delivers an average of 3 hours and 49 minutes of direct nursing care per resident each day, utilizing a combined rotation of registered nurses, practical nurses, and aides.
State health department inspectors keep public records of how the building aligns with regular safety and licensing codes. Past evaluation summaries have noted a few procedural areas needing some adjustment, specifically focusing on kitchen food safety protocols, clinical infection control steps, daily staffing schedules, and medication management routines, keeping the total citation rate above zero.
Prospective representatives can evaluate the on-site outpatient rehabilitation programs, therapy spaces, and independent activity rooms. The everyday routine features restaurant-style dining with menu choices planned by a dietitian, plus extras like building-wide Wi-Fi, local transportation, an internal beauty shop, and a private dining room for guests.
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.
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.
| 15m per day | ▼ 46% 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 | ▼ 4% 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 47m per day | ▲ 20% 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 26m per day | ▲ 13% 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.
| 0m per day | ▼ 100% 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.
| 15m per day | ▼ 24% State avg: 20m per day · National avg: 28m per day |
Steelville Senior Living is legally operated by Steelville Senior Living Llc, and administered by Ashley Drewel.
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, 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
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 88 | 35 | This facility has 151% more total deficiencies than a typical Missouri assisted living residence (88 vs. MO avg 35).↑ 151% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 11 | 4.4 | This facility has 150% more deficiencies per year than a typical Missouri assisted living residence (11 vs. MO avg 4.4).↑ 150% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 5.5 | 5 | This facility has 10% more deficiencies per inspection than a typical Missouri assisted living residence (5.5 vs. MO avg 5).↑ 10% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 16 | 7 | This facility has 129% more total inspections than a typical Missouri assisted living residence (16 vs. MO avg 7).↑ 129% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on May 2025
State average N/A
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.
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 6 RN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursAssists with medical care and medications.
10 total: 9 full-time employees and 1 contractor.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursHelps with daily care and mobility.
21 total: 20 full-time employees and 1 contractor.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
516 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Nurse Aide in Training | 17 | 0 | 17 | 4,500 | 92 | 100% | 9.5 |
| Certified Nursing Assistant | 20 | 1 | 21 | 4,486 | 92 | 100% | 9.9 |
| Medication Aide/Technician | 9 | 0 | 9 | 2,744 | 91 | 99% | 8.7 |
| Licensed Practical Nurse | 9 | 1 | 10 | 2,221 | 91 | 99% | 8.4 |
| Registered Nurse | 6 | 0 | 6 | 589 | 53 | 58% | 9.8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 565 | 68 | 74% | 7.4 |
| Mental Health Service Worker | 2 | 0 | 2 | 564 | 67 | 73% | 7.9 |
| RN Director of Nursing | 4 | 0 | 4 | 530 | 47 | 51% | 8.2 |
| Nurse Practitioner | 3 | 0 | 3 | 472 | 59 | 64% | 8 |
| Dietitian | 1 | 0 | 1 | 448 | 60 | 65% | 7.5 |
| Administrator | 2 | 0 | 2 | 216 | 27 | 29% | 8 |
| Physical Therapy Aide | 0 | 1 | 1 | 114 | 23 | 25% | 4.9 |
| Physical Therapy Assistant | 0 | 1 | 1 | 102 | 23 | 25% | 4.4 |
| Qualified Social Worker | 0 | 1 | 1 | 45 | 18 | 20% | 2.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 41 | 8 | 9% | 5.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 29 | 8 | 9% | 3.6 |
| Medical Director | 0 | 1 | 1 | 22 | 11 | 12% | 2 |
| Speech Language Pathologist | 0 | 1 | 1 | 19 | 14 | 15% | 1.4 |
Includes penalties issued in 2024
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 (Data as of Jan 2026)
20% higher than State averageState average: $73K
59% fewer fines than State averageState average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State averageState average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Mar 14, 2024 · $88K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 14, 2024Last updated: Jan 2026
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.
16.2
48% worse than State averageState average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.6
57% worse than State averageState 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
36.2%
83% worse than State averageState average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
29.8%
45% worse than State averageState average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.9%
43% worse than State averageState average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
9.4%
132% worse than State averageState average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
5.0%
In line with State averageState average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than State averageState average: 2.7%
Percent of long-stay residents who lose too much weight
0.8%
86% better than State averageState average: 5.6%
Percent of long-stay residents who have depressive symptoms
1.3%
90% better than State averageState average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
39.3%
79% worse than State averageState average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
17% better than State averageState average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
7% better than State averageState average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.47
29% better than State averageState average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
4.15
77% worse than State averageState average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
47% better than State averageState average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than State averageState average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
36.0%
43% worse than State averageState average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
36.2%
43% worse than State averageState average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.6%
36% better than State averageState average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than State averageState average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
12% of new residents, usually for short-term rehab.
35% of new residents, often for short stays.
53% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
41Data 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 Steelville Senior Living from 2018–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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."
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."
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."
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."
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.
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 #216 / 292Payroll — State benchmarkedThis home is ranked 216th 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.
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 #285 / 292Payroll % — State benchmarkedThis home is ranked 285th 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.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (53% of admissions), and a typical Medicaid stay runs around 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Steelville's city center to Steelville Senior Living'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.
| Steelville Senior Living | NH AL HC MC RC | Steelville | - | 93 | - | 39 | - |
| Breeze Park – Lutheran Senior Services | NH AL IL MC | Weldon Spring | - | 50 | A+ | 2 | 1 Bed / 2 Bed |
| John Knox Village | NH AL HC IL MC RC | Lee's Summit | - | 408 | A+ | 58 | 1 Bed / 2 Bed |
| Ignite Medical Resort Blue Springs | NH PC | Blue Springs | - | 90 | - | 68 | - |
| Moore-Few Care Center | NH HC MC PC RC | - | - | 108 | - | 39 | Private Suites |
Steelville Senior Living has a walk score of 39. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to MO state health department records, Steelville Senior Living's license number is 052439, 052440.
According to MO state health department records, Steelville Senior Living's license expires on January 16, 2027.
Steelville Senior Living's occupancy is 58.0%.
Steelville Senior Living is registered as a for-profit in MO.
Ashley Drewel is the administrator of Steelville Senior Living.
Steelville Senior Living has 93 beds.
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