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Nursing HomeMedicaid

Daviess County Nursing and Rehabilitation

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1337 West Grand, Gallatin, MO 6464097 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 11 Google reviews

5
4
3
2
1
Daviess County Nursing and Rehabilitation Nursing Home in Gallatin, MO — Street View
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What this means for your family

While the facility has many five-star ratings, the lack of descriptive text in recent reviews makes it hard to gauge daily care quality. Families should prioritize an in-person visit to inspect room cleanliness and hygiene, as recent feedback has raised serious concerns about sanitary conditions.

Google Reviews

Google Reviews

11 reviews on Google
Families should be aware of significant concerns regarding cleanliness and room preparation, as one reviewer reported having to clean a room themselves upon arrival. While there is a high volume of five-star ratings, many lack specific details, making it difficult to verify the quality of care beyond the lack of written complaints.

Quality Themes

Tap a score for details
FoodN/AStaffN/AClean1.0ActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • High volume of five-star ratings

Concerns

  • Poor cleanliness of resident rooms

Rating Trends

Tap a year to see what changed

2343.02021(1)3.02023(2)5.02024(6)2.32026(3)

Distribution · 12 analyzed

5
8
4
0
3
1
2
0
1
3

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Since we noticed the facility is working on addressing recent state inspections, what specific steps is the team taking to improve care standards and resolve those recent deficiencies?
  • 2With the staffing rating currently at a 3-star level, how do you ensure that residents receive consistent, personalized attention during busy shifts?
  • 3How does the nursing team coordinate with doctors and handle medical emergencies or sudden changes in a resident's health during the night?
  • 4We saw that the facility is very responsive to feedback from the community; how do you typically incorporate family suggestions into the daily care plan?
  • 5What kind of daily activities or social outings do you have planned to keep residents engaged and connected with one another?
  • 6How do you ensure that the 97 residents here all feel like they are part of a close-knit community rather than just being in a large facility?

Personalized based on this facility's data


Key Review Excerpts

Walked in to get mom’s room ready and wanted to cry. Had to clean the counter in the room and sweep and mop the floor. It is nothing short of rachet.

Long-term resident's family · 2026☆☆☆☆
Source: 11 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.39hrs
53%
Registered nurses for medical care
Total Nursing
3.24hrs
79%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
0%
Lower is better (< 30% = good)

Both 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

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

6

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility31.7%
Worse than Avg
Here
31.7%
US
15.5%
MO
23.6%
Daviess
17.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MO
84.4%
Daviess
94.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility7.7%
Better than Avg
Here
7.7%
US
19.4%
MO
17.9%
Daviess
22.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility20.7%
Mixed vs Avgs
Here
20.7%
US
19.5%
MO
25.4%
Daviess
33.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.4%
Better than Avg
Here
5.4%
US
12.1%
MO
16.7%
Daviess
12.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
MO
90.9%
Daviess
96.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.7%
Better than Avg
Here
95.7%
US
79.8%
MO
63.5%
Daviess
89.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.7%
Better than Avg
Here
97.7%
US
81.8%
MO
65.9%
Daviess
85.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MO
2.2%
Daviess
0.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
Near state avg (12.0)
1 complaint-triggered

This facility has concerning deficiency patterns with 39 violations across 4 surveys, including one complaint-triggered incident involving resident protection from abuse and neglect. The most recurring issues involve fire safety systems, dining services and food safety, and resident care quality. While all deficiencies show correction dates, problems persist across multiple years in key areas like sprinkler systems, food handling, and safety equipment, suggesting ongoing operational challenges that families should carefully evaluate.

Apr 25, 2025Routine
14
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0912Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0680Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0271Potential for harm · PatternCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Jan 26, 2024Routine
4
0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0700Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0909Potential for harm · PatternCorrected

Environmental Deficiencies

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Sep 25, 2023Complaint
1
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Feb 16, 2022Routine
20
0026Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0623Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0656Potential for harm · PatternCorrected

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.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Daviess County Nursing and Rehabilitation

Organization Type

for profit

Ownership & Management

Key personnel

Osby, CharleneOfficer / DirectorOsby, EdmundOfficer / DirectorOsby Sertterh, JacquelineOfficer / DirectorOsby, JenniferOfficer / DirectorThe Osby CORPManager
Source: Medicare provider data

Contact

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References & Resources

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