The Estates of Perryville, Perryville, Missouri
- 43
- Citations from health inspectionsMissouri average: 36 a home
- 6
- Residents harmed or put in dangerMissouri average: 1.7 a home
- $306,992
- 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
Nine inspection visits produced 43 citations. Residents were in immediate danger in five findings. Residents were found hurt in one case. Federal fines came to $306,992 (three fines). Two times, Medicare stopped paying for new admissions.
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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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 2 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 1 out of 5
- Nurse time for each resident
- 2.10 hours each dayThe Missouri average is 3.43 hours
- Time from registered nurses
- 0.10 hours each dayThe Missouri average is 0.46 hours
- Nursing staff who left during one year
- 61.4%against the Missouri average of 56%
- Beds that are certified
- 156
- Ownership
- Limited Liability company (for profit)
- Chain
- This home is not part of a chain
- Street address
- 430 North West Street, Perryville, Missouri 63775
- County
- Perry
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Six citations dated March 11, 2026
- F804 Food Taste and Temperature: risk of harm, no one found hurt, one or a few residents.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
- F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents.
One citation dated Nov. 6, 2025
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Sept. 11, 2025
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
One citation dated Sept. 4, 2025
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
One citation dated July 9, 2025
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
Five citations dated June 10, 2025
- F742 Mental Health and Trauma Treatment: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F741 Staff Skilled in Behavioral Health Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F699 Trauma Informed and Culturally Respectful Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
Two citations dated March 11, 2025
- F741 Staff Skilled in Behavioral Health Needs: immediate danger to residents, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
13 citations dated Dec. 6, 2024
- F925 Pest Control Program: risk of harm, no one found hurt, a pattern, several 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, one or a few residents.
- F758 Psychotropic Drugs and PRN Orders: 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, one or a few residents.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, 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: risk of harm, no one found hurt, one or a few residents.
- F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents.
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
13 citations dated Sept. 28, 2023
- F925 Pest Control Program: risk of harm, no one found hurt, widespread.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
- F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, widespread.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F699 Trauma Informed and Culturally Respectful Care: risk of harm, no one found hurt, one or a few residents.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents.
- F640 Send Assessment Data to State on Time: risk of harm, no one found hurt, one or a few residents.
- F638 Update Assessments Every Three Months: risk of harm, no one found hurt, one or a few residents.
- F636 Complete Assessments at Admission and Yearly: risk of harm, no one found hurt, one or a few residents.
- F570 Secure Resident Personal Funds: risk of harm, no one found hurt, one or a few residents.
- F569 Return Resident Funds After Discharge or Death: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| June 10, 2025 | Fine | $17,627 |
| June 10, 2025 | Fine | $155,548 |
| June 10, 2025 | Payment denial for new admissions | 57 days |
| March 11, 2025 | Fine | $133,817 |
| March 11, 2025 | Payment denial for new admissions | six days |
Ownership and Management of the Home
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 265704. Other homes in Missouri.