Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ELLISVILLE REHABILITATION AND NURSING

ELLISVILLE, MO · 210 certified beds · Last Life Safety survey November 26, 2024

CMS Certification Number 265766 · first certified August 2003

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

  • Ownership changed July 1, 2024 (change of ownership)from BETHESDA LONG TERM CARE INC
17
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within MO

17 citations — more than 46% of the 487 certified nursing homes in MO. Compared within MO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 8 citations; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (January 2026 to August 2026). Most MO facilities have been surveyed by October 2026. This facility’s last Life Safety survey was November 2024. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 17 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

7 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 17 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.

This facility17MO median18National median11
Citations on file over three years, compared
MeasureCitations
This facility17
Median facility in MO18
Median facility nationally11

Survey history

Citations at each Life Safety survey
52020-0142023-0782024-11
Citations at each Life Safety survey
Survey dateCitations
January 10, 20205
July 28, 20234
November 26, 20248

Most-cited tags

Most-cited tags at this facility
K-02222K-07412K-05112K-09201E-00301K-01611K-03531K-09231
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0222Add 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.22023-07-28
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.22023-07-28
K-0511Have properly installed electrical wiring and gas equipment.22024-11-26
K-0920Ensure proper usage of power strips and extension cords.12023-07-28
E-0030List the names and contact information of those in the facility.12024-11-26
K-0161Use approved construction type or materials.12024-11-26
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-11-26
K-0923Have proper medical gas storage and administration areas.12024-11-26

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Services Deficiencies 3
  • Egress Deficiencies 2
  • Other 5
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies3
Services Deficiencies3
Egress Deficiencies2
Miscellaneous Deficiencies2
Emergency Preparedness Deficiencies2
Construction Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

November 26, 2024 — 8 citations

Citations issued on November 26, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (December 19, 2024)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (December 19, 2024)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (December 19, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 19, 2024)
K-0363Install corridor and hallway doors that block smoke.Waiver has been granted (January 28, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (December 19, 2024)
K-0531Have elevators that firefighters can control in the event of a fire.Waiver has been granted (February 3, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (December 19, 2024)

July 28, 2023 — 4 citations

Citations issued on July 28, 2023
TagWhat the surveyor checksStatus
K-0222Add 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.Deficient, Provider has date of correction (August 20, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 20, 2023)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (September 11, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 20, 2023)

January 10, 2020 — 5 citations

Citations issued on January 10, 2020
TagWhat the surveyor checksStatus
K-0222Add 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.Deficient, Provider has date of correction (February 7, 2020)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (February 7, 2020)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (February 7, 2020)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (February 7, 2020)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (February 7, 2020)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.