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Nursing HomeMedicaid

Ratliff Care Center

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

717 North Sprigg, Cape Girardeau, MO 6370146 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 11 Google reviews

5
4
3
2
1
Ratliff Care Center Nursing Home in Cape Girardeau, MO — Street View
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What this means for your family

Recent feedback suggests a warm, home-like environment with attentive staff, which is encouraging for prospective families. However, given past concerns regarding administrative transparency, we recommend scheduling an in-person tour and asking direct questions about their communication protocols and management policies.

Google Reviews

Google Reviews

11 reviews on Google
Ratliff Care Center receives polarized feedback, with recent reviews highlighting a friendly, home-like environment and attentive staff. However, older reviews contain serious allegations regarding administrative honesty, suggesting a need for families to conduct thorough due diligence.

Quality Themes

Tap a score for details
FoodN/AStaff8.0CleanN/AActivitiesN/AMedsN/AMemoryN/AComms2.0ValueN/A

Strengths

  • Friendly and caring staff
  • Home-like, quiet environment
  • Positive transition experiences for new residents

Concerns

  • Lack of administrative transparency and honesty (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02016(1)3.02018(2)5.02019(2)4.02022(4)5.02024(2)5.02025(2)5.02026(1)

Distribution · 14 analyzed

5
12
4
0
3
0
2
0
1
2

How They Respond to Reviews

9%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the current staffing levels, what specific steps are you taking to ensure residents receive consistent, one-on-one attention throughout the day?
  • 2I noticed there have been some recent state violations; could you walk me through the corrective action plans you have implemented to address these concerns?
  • 3How do you ensure clear and proactive communication with families regarding changes in a resident's health or facility policies?
  • 4Since many families appreciate the home-like atmosphere here, what daily activities or social programs are currently in place to keep residents engaged and connected?
  • 5In the event of a medical emergency, what is your protocol for stabilizing a resident and notifying the family immediately?
  • 6How do you foster an environment of transparency so that families feel fully informed about their loved one's care and the facility's operations?

Personalized based on this facility's data


Key Review Excerpts

Our family loves this cute and quiet little home with great care and friendly staff!

Family member · 2022★★★★★

My mom loves the staff. She was just in the hospital and ready to go “home”!! Caring & considerate staff. Would definitely recommend to others for their family members.

Long-term resident's family · 2022★★★★★

My Mother just got to Ratliff and so far the experience has been great.

Long-term resident's family · 2022★★★★★
Source: 11 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.35hrs
47%
Registered nurses for medical care
Total Nursing
3.35hrs
82%
All nurses + aides combined
Staff Turnover
70%
Lower is better (< 30% = good)
RN Turnover
67%
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 · 16 measures

Medicare Rating
2/ 5
Better Than Avg

6

measures

Worse Than Avg

6

measures

Mixed Results

4

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility78.1%
Worse than Avg
Here
78.1%
US
93.4%
MO
84.4%
Cape girardeau
85.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.5%
Better than Avg
Here
1.5%
US
12.1%
MO
16.7%
Cape girardeau
10.0%

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

🚶

Residents whose walking got worse

↓ Lower is better
This Facility22.9%
Worse than Avg
Here
22.9%
US
15.3%
MO
18.9%
Cape girardeau
13.7%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
MO
90.9%
Cape girardeau
90.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility19.0%
Mixed vs Avgs
Here
19.0%
US
15.5%
MO
23.6%
Cape girardeau
17.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility23.9%
Mixed vs Avgs
Here
23.9%
US
19.5%
MO
25.4%
Cape girardeau
27.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility48.1%
Worse than Avg
Here
48.1%
US
81.8%
MO
65.9%
Cape girardeau
61.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MO
2.2%
Cape girardeau
1.2%
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)

Ratliff Care Center has faced recurring issues with staff training and care planning across multiple surveys, though all deficiencies have been corrected. The facility has struggled with nurse aide supervision and training, resident care plan development, and abuse prevention policies. Two complaints from families in 2023 triggered investigations into abuse reporting and response procedures, indicating some families had serious concerns about resident safety.

May 30, 2025Routine
9
0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0570Potential for harm · PatternCorrected

Resident Rights Deficiencies

Assure the security of all personal funds of residents deposited with the facility.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0729Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0947Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

May 16, 2024Routine
7
0851Potential for harm · WidespreadCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0623Potential for harm · IsolatedCorrected

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.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

0700Potential for harm · IsolatedCorrected

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 · IsolatedCorrected

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.

Mar 23, 2023Routine
8
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.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656Potential for harm · IsolatedCorrected

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0730Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0947Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0565Minimal · WidespreadCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Ratliff Care Center

Organization Type

for profit

Ownership & Management

Owners

Ratliff Enterprises LLC

Owner · Organization

Ratliff Revocable Trust

Owner · Organization

Ratliff, Emmagene

Owner (parent company)

100%

Key personnel

Strickland, CherylOfficer / DirectorChoice Rehabilitation LLCManagerForvis Mazars LlpManagerRatliff Revocable TrustManagerRatliff, MichaelManager
Source: Medicare provider data

Contact

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References & Resources

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