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Nursing Home Violations
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Chariton Park Health Care Center, Salisbury, Missouri

84
Citations from health inspectionsMissouri average: 36 a home
14
Residents harmed or put in dangerMissouri average: 1.7 a home
$202,512
Fines from the federal governmentMissouri average: $37,425 a home
1 out of 5
Overall rating in starsMissouri average: 2.5

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

15 inspection visits produced 84 citations. Residents were in immediate danger in two findings. Residents were found hurt in 12 cases. Federal fines came to $202,512 (six fines). Two times, Medicare stopped paying for new admissions.

A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.

The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.

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Quick Look at the Record

The home's overall star rating
1 out of 5
Rating for health inspections
1 out of 5
Rating for staffing
1 out of 5
Rating for quality of care
3 out of 5
Nurse time for each resident
1.83 hours each dayThe Missouri average is 3.43 hours
Time from registered nurses
0.12 hours each dayThe Missouri average is 0.46 hours
Nursing staff who left during one year
53.3%against the Missouri average of 56%
Beds that are certified
120
Ownership
Corporation (for profit)
Chain
Reliant Care Management, with 34 homes
Street address
902 Manor Drive, Salisbury, Missouri 65281
County
Chariton

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

Two citations dated June 12, 2026

  • F742 Mental Health and Trauma Treatment: residents were harmed, one or a few residents, found on a complaint visit.
  • F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.

22 citations dated April 30, 2026

  • F920 Proper Dining and Activity Room: risk of harm, no one found hurt, a pattern, several residents.
  • F919 Working Call System in Bathrooms: risk of harm, no one found hurt, a pattern, several residents.
  • F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
  • F835 Run the Facility Effectively: risk of harm, no one found hurt, a pattern, several residents.
  • F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
  • F806 Food That Meets Allergies and Preferences: risk of harm, no one found hurt, a pattern, several residents.
  • F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
  • F800 Nutritious, Tasty, Balanced Meals: risk of harm, no one found hurt, a pattern, several residents.
  • F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
  • F742 Mental Health and Trauma Treatment: residents were harmed, one or a few residents.
  • F728 Trained and Competent Nurse Aides: risk of harm, no one found hurt, a pattern, several residents.
  • F699 Trauma Informed and Culturally Respectful Care: risk of harm, no one found hurt, a pattern, several residents.
  • F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents.
  • F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
  • F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
  • F641 Accurate Resident Assessments: risk of harm, no one found hurt, a pattern, several residents.
  • F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents.
  • F609 Reporting Suspected Abuse: risk of harm, no one found hurt, a pattern, several residents.
  • F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
  • F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
  • F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents.
  • F550 Dignity and Resident Rights: residents were harmed, one or a few residents.

Two citations dated March 12, 2026

  • F742 Mental Health and Trauma Treatment: residents were harmed, one or a few residents, found on a complaint visit.
  • F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.

One citation dated Dec. 31, 2025

  • F627 Safe Transfer or Discharge Meeting Resident Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Four citations dated Nov. 24, 2025

  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F605 Avoid Unnecessary Sedating or Psychiatric Drugs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
  • F557 Respect, Dignity, and Personal Belongings: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

One citation dated June 5, 2025

  • F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated April 2, 2025

  • F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

One citation dated Sept. 12, 2024

  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Three citations dated Sept. 4, 2024

  • F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.

One citation dated Aug. 7, 2024

  • F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated April 25, 2024

  • F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.

28 citations dated March 8, 2024

  • F909 Regular Safety Checks of Beds and Rails: risk of harm, no one found hurt, one or a few residents.
  • F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents.
  • F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
  • F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
  • F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
  • F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, a pattern, several residents.
  • F790 Routine and Emergency Dental Care: risk of harm, no one found hurt, one or a few residents.
  • F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
  • F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
  • F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, a pattern, several residents.
  • F728 Trained and Competent Nurse Aides: risk of harm, no one found hurt, a pattern, several residents.
  • F700 Safe Use of Bed Rails: risk of harm, no one found hurt, one or a few residents.
  • F692 Enough Food and Fluids: risk of harm, no one found hurt, a pattern, several residents.
  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
  • F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents.
  • F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents.
  • F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, a pattern, several residents.
  • F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents.
  • F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, a pattern, several residents.
  • F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
  • F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents.
  • F577 Access to Inspection Results and Advocates: minimal risk to residents, widespread.
  • F565 Right to Resident and Family Groups: risk of harm, no one found hurt, a pattern, several residents.
  • F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents.
  • F557 Respect, Dignity, and Personal Belongings: risk of harm, no one found hurt, a pattern, several residents.
  • F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Two citations dated Dec. 12, 2023

  • F742 Mental Health and Trauma Treatment: residents were harmed, one or a few residents, found on a complaint visit.
  • F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

One citation dated Nov. 1, 2023

  • F836 Licensed and Following All Laws: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

14 citations dated May 19, 2022

  • F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
  • F805 Food Prepared to Meet Individual Needs: risk of harm, no one found hurt, one or a few residents.
  • F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, a pattern, several residents.
  • F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
  • F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents.
  • F692 Enough Food and Fluids: residents were harmed, one or a few residents.
  • F637 Reassess After a Major Change in Condition: risk of harm, no one found hurt, one or a few residents.
  • F625 Written Notice of Bed Hold Policy: minimal risk to residents, a pattern, several residents.
  • F623 Notice Before Transfer or Discharge: minimal risk to residents, a pattern, several residents.
  • F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
  • F577 Access to Inspection Results and Advocates: minimal risk to residents, a pattern, several residents.
  • F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, a pattern, several residents.
  • F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents.
  • F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents.

Payment Denials and Fines

DatePenaltyAmount
April 30, 2026Fine$81,789
April 30, 2026Payment denial for new admissions12 days
March 12, 2026Fine$10,361
Nov. 24, 2025Fine$31,565
Sept. 4, 2024Fine$24,668
March 8, 2024Fine$28,925
March 8, 2024Payment denial for new admissions12 days
Nov. 1, 2023Fine$25,204

Ownership and Management of the Home

  • The home is run by Reliant Care Management Company LLC (operational or managerial control).
  • The direct owner is Rc Tier Properties, L.L.C..
  • Owns a share through another company: Rcg Inc..
  • Owns a share through another company: Reliant Care Group LLC.
  • Owns a share through another company: Richard J. Destefane Revocable Living Trust.

One person with an ownership stake is also listed by CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 265526. Other homes in Missouri.