Shepherd Of The Hills Living Center faces challenges in its CMS ratings, earning a D grade with a score of 47/100. The facility ranks in the 56th percentile among Missouri nursing homes, suggesting significant room for improvement.
Staffing levels are a potential concern at Shepherd Of The Hills Living Center, with 3.16 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent inspections identified 26 deficiencies at Shepherd Of The Hills Living Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.16 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.20 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.73 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 2.23 | 2.4 | Average |
| Weekend Total Nursing | 2.80 | 3.8 | Below Average |
| Weekend RN Hours | 0.13 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Nov 19, 2025 · Quality of Life and Care Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Jul 28, 2025 · Pharmacy Service Deficiencies
- Tag 0689 Severity EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Mar 20, 2024 · Quality of Life and Care Deficiencies
- Tag 0554 Severity DAllow residents to self-administer drugs if determined clinically appropriate.Mar 20, 2024 · Resident Rights Deficiencies
- Tag 0585 Severity DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt eMar 20, 2024 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.9% | 4.5% | Better |
| Falls with major injury | 3.5% | 3.0% | Worse |
| On antipsychotic medication | 12.1% | 14.5% | Better |
| Urinary tract infections | 8.4% | 2.5% | Worse |
| ADL decline (daily activities) | 27.3% | 14.0% | Worse |
| Excessive weight loss | 2.8% | 7.5% | Better |
| New/worsened incontinence | 18.9% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 47 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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