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Nursing HomeMedicaid Investigative

South County Health Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1101 West Outer 21 Road, Arnold, MO 63010153 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.4/5

based on 18 Google reviews

5
4
3
2
1
South County Health Care Center Nursing Home in Arnold, MO — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (20 vs median 10)
  • High staff turnover (100%)

Below average in MO · Critically understaffed (RN) · Significantly below average staffing · Very high staff turnover · No penalties on record

Source: Medicare data

What this means for your family

While the administrative team has demonstrated competence during emergency transfers, the facility suffers from persistent reports of poor sanitation and understaffing. We strongly advise families to conduct an unannounced tour during a weekend or evening shift to verify the cleanliness and staff-to-resident ratio before making a decision.

Google Reviews

Google Reviews

18 reviews on Google
South County Health Care Center receives highly polarized feedback, with long-term family members and professional observers praising the administration's responsiveness during crises, while other visitors report severe concerns regarding facility cleanliness and staff conduct. Recurring complaints highlight persistent odors, understaffing, and a lack of security for resident belongings, suggesting a facility that struggles with basic maintenance and oversight.

Quality Themes

Tap a score for details
Food1.0Staff2.0Clean1.0ActivitiesN/AMedsN/AMemoryN/AComms6.0Value1.0

Strengths

  • Responsive administrative team during transfers
  • Availability of beds for urgent admissions
  • Quiet environment noted by some visitors

Concerns

  • Persistent unpleasant odors throughout the facility (mentioned by 3 reviewers)
  • Understaffing and lack of attentive care (mentioned by 3 reviewers)
  • Poor physical condition and cleanliness of the building (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'18(2)'21(1)'23(4)'25(3)'26(3)

Distribution · 19 analyzed

5
7
4
0
3
0
2
1
1
11

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the facility's current staffing ratings, how do you ensure that residents receive consistent, attentive care throughout the day and night?
  • 2I noticed some concerns regarding facility cleanliness and odors; what is your current protocol for housekeeping and maintaining a fresh environment for residents?
  • 3With 20 recent state violations, what specific steps is the leadership team taking to improve quality of care and address these regulatory findings?
  • 4I appreciate that your team is known for being responsive during urgent admissions; how do you manage transitions to ensure a new resident feels settled and well-supported immediately?
  • 5Could you walk me through the daily activity schedule and explain how you encourage resident engagement, especially for those who may need extra motivation to participate?
  • 6How does your nursing team handle medical emergencies or sudden changes in a resident's health status, and at what point is the family typically notified?

Personalized based on this facility's data


Key Review Excerpts

I just would like to give high praise to South County nursing facility the Administrator and her Team did a excellent job Yesterday Helping assist with housing residence from from Northview Village.

Professional observer from another facility · 2023★★★★★

The “front desk” is like an old school desk that someone sits at, it smells like pee as soon as you get past the double doors, the rooms are a joke and they put two people in each room.

Visitor · 2023☆☆☆☆

My grandfather had everything stolen from him constantly. It is stinky and the help is minimal.

Grandchild of resident · 2018☆☆☆☆
Source: 18 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.16hrs
21%
Registered nurses for medical care
Total Nursing
1.61hrs
39%
All nurses + aides combined

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 · 15 measures

Medicare Rating
3/ 5
Better Than Avg

7

measures

Worse Than Avg

7

measures

Mixed Results

1

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility32.2%
Worse than Avg
Here
32.2%
US
93.4%
MO
84.4%
Jefferson
84.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility56.7%
Worse than Avg
Here
56.7%
US
12.1%
MO
16.7%
Jefferson
2.8%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility49.6%
Worse than Avg
Here
49.6%
US
15.5%
MO
23.6%
Jefferson
20.8%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility84.7%
Worse than Avg
Here
84.7%
US
95.5%
MO
90.9%
Jefferson
92.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility27.5%
Worse than Avg
Here
27.5%
US
19.5%
MO
25.4%
Jefferson
18.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility20.5%
Worse than Avg
Here
20.5%
US
14.4%
MO
19.1%
Jefferson
12.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility19.4%
Worse than Avg
Here
19.4%
US
81.8%
MO
65.9%
Jefferson
73.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

19deficiencies
Well above state avg (12.0)
1 complaint-triggered

South County Health Care Center has persistent issues across multiple surveys, with recurring problems in infection control, care planning and assessment, and fire safety appearing in each inspection over three years. One family filed a complaint about inadequate treatment and care in 2025. While all deficiencies show correction dates, the repeated nature of problems in core care areas suggests ongoing challenges with maintaining consistent standards.

Aug 7, 2025Routine
25
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.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0223Potential for harm · WidespreadCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0753Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0570Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0584Potential for harm · PatternCorrected

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.

0607Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

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.

0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

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.

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.

0577Minimal · WidespreadCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

May 29, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Aug 22, 2024Routine
4
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.

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.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 24, 2023Routine
7
0222Potential for harm · WidespreadCorrected

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.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

South County Health Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Reliant Care Management

Chain Size

32 facilities nationwide

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

Reliant Care Management Company LLCManagerArshad, AbdullahManagerDestefane, RichardManagerMagnussen, KatinaManagerReliant Care Management Company LLCAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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