Cassville Health Care Center
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 35 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (49 vs median 10)
Bottom 25% in MO · Critically understaffed (RN) · Worst in PRIME HEALTHCARE MANAGEMENT chain · $123,925 in fines · Special Focus Facility (CMS)
What this means for your family
While some families appreciate the home-like environment and specific staff members, the recent surge in reports regarding hygiene and delayed response times is concerning. If you consider this facility, we strongly recommend unannounced visits during evening or weekend hours to observe staffing levels and cleanliness firsthand.
Google Reviews
Google Reviews
35 reviews on Google“Cassville Health Care Center receives highly polarized feedback, with some families praising the staff's compassion and the facility's home-like environment, while others report severe neglect and unsanitary conditions. Critical reviews frequently cite issues with hygiene, delayed response times for basic needs, and a lack of proper medical oversight for residents. Prospective families should be aware of the stark contrast between the positive experiences reported by some and the serious allegations of neglect and poor communication from others.”
Quality Themes
Tap a score for detailsStrengths
- Home-like, smaller facility environment
- Compassionate nursing staff (noted by some)
- Recent facility remodeling and upgrades
- Effective rehabilitation outcomes
Concerns
- Neglect and poor hygiene (urine/feces smells, lack of showers) (mentioned by 5 reviewers)
- Slow or non-existent response to call lights/resident requests (mentioned by 3 reviewers)
- Poor communication and lack of transparency regarding medical incidents (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 39 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the facility's recent remodeling, what specific improvements have been made to the daily housekeeping and sanitation protocols to ensure a consistently fresh and clean environment for residents?
- 2With a 60-resident capacity, how does your team manage call light response times to ensure that residents receive timely assistance throughout the day and night?
- 3How do you keep families informed and involved when there is a change in a resident's health status or a medical incident, and what is your process for maintaining transparency?
- 4Could you walk me through your current staffing approach to ensure that every resident receives consistent, high-quality attention for their personal hygiene and medication management needs?
- 5What does a typical daily activity schedule look like to keep residents engaged and active within the smaller, home-like community you have built here?
- 6Since rehabilitation outcomes are a noted strength here, how do you coordinate between therapy staff and nursing staff to ensure a seamless recovery process for residents?
Personalized based on this facility's data
Key Review Excerpts
“The aides left a lady with known tall risk on the toilet for over 10 minutes while she was saying she was done .This was the most disheartening place I have ever been”
“My grandmother has now had multiple ER visits and has suffered a lot of pain from this incident.”
“She would eventually go in her underwear, or brief, and they would still leave her lying in her waste for up to an hour. She got a rash, it was disgusting”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
7
measures
4
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern with numerous family complaints triggering 39 deficiencies across recent inspections. The most persistent problems involve medication management, nursing staffing, and environmental cleanliness including pest control. While all deficiencies show correction dates, recurring issues with medication errors, inadequate nursing coverage, and basic facility maintenance suggest ongoing operational challenges that families have repeatedly reported to authorities.
Feb 2, 2026Complaint2
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nov 25, 2025Complaint4
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Sep 24, 2025Complaint5
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Sep 10, 2025Complaint20
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Administration Deficiencies
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jun 17, 2025Complaint2
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Apr 29, 2025Complaint3
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal Penalties
Fine
Sep 10, 2025
$123,925
Payment Denial
Sep 10, 2025
122-day denial
Ownership & Operations
Who Operates This Facility
Cassville Health Care Center
for profit
Chain Affiliation
Reliant Care Management
32 facilities nationwide
Chain avg rating: 1.3/5 · Rank 11 of 11 (Worst)
Ownership & Management
Owners
Reliant Care Group LLC
Owner · Organization
Rcg INC
Owner (parent company) · Organization
Richard J. Destefane Revocable Living Trust
Owner (parent company) · Organization
Destefane, Richard
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
35 reviews from families & visitors
Official Website
Visit primehm.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.