F

STRAFFORD CARE CENTER

505 WEST EVERGREEN, STRAFFORD, MO 65757
Score: 18 / 100

Strafford Care Center has received an F grade based on CMS data, with a score of 18/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this Strafford facility should carefully review its inspection history and quality metrics.

Staffing levels are a potential concern at Strafford Care Center, with 3.38 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 CMS inspections identified 46 deficiencies at Strafford Care Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.38 3.8 Below Average
Registered Nurses (RN) 0.38 0.7 Below Average
Licensed Practical Nurses (LPN) 0.60 0.7 Below Average
Certified Nursing Assistants (CNA) 2.40 2.4 Average
Weekend Total Nursing 2.89 3.8 Below Average
Weekend RN Hours 0.21 0.7 Below Average

🔍 Inspection & Deficiency History

46
Total Deficiencies
Jan 4, 2026
Most Recent Inspection
🟠 45 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Jan 4, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0610 Severity D
    Respond appropriately to all alleged violations.
    Jan 4, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0688 Severity E
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medic
    Dec 11, 2025 · Quality of Life and Care Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Dec 10, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0760 Severity D
    Ensure that residents are free from significant medication errors.
    Dec 10, 2025 · Pharmacy Service 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 3.6% 4.5% Better
Falls with major injury 6.1% 3.0% Worse
On antipsychotic medication 28.9% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 25.1% 14.0% Worse
Excessive weight loss 2.0% 7.5% Better
New/worsened incontinence 24.9% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $52,456

How This Grade Was Calculated

This facility's grade of F is based on a score of 18 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -5 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
78
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jun 28, 2023
Deficiencies (Cycle 1)
19