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

TRUMAN HEALTHCARE & REHABILITATION CENTER

LAMAR, MO · 109 certified beds · Last Life Safety survey April 15, 2025

CMS Certification Number 265253 · first certified August 1984

Ownership

Operated by CIRCLE B ENTERPRISES · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

18
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within MO

18 citations — more than 48% 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 7 citations; the earlier surveys in the window averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: June 2026 to December 2026. This facility’s last Life Safety survey was April 2025. 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.

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 18 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.
  • F-0584 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.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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 facility18MO median18National median11
Citations on file over three years, compared
MeasureCitations
This facility18
Median facility in MO18
Median facility nationally11

Survey history

Citations at each Life Safety survey
52019-1162023-0772025-04
Citations at each Life Safety survey
Survey dateCitations
November 22, 20195
July 14, 20236
April 15, 20257

Most-cited tags

Most-cited tags at this facility
K-01613K-09202K-09122K-03532K-03511K-07811K-09111K-02111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0161Use approved construction type or materials.32025-04-15
K-0920Ensure proper usage of power strips and extension cords.22025-04-15
K-0912Have power receptacles that are properly grounded.22025-04-15
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-04-15
K-0351Install an approved automatic sprinkler system.12025-04-15
K-0781Have restrictions on the use of portable space heaters.12019-11-22
K-0911Meet requirements for the installation and maintenance of electrical systems.12023-07-14
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12025-04-15

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Smoke Deficiencies 5
  • Construction Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies6
Smoke Deficiencies5
Construction Deficiencies3
Miscellaneous Deficiencies2
Egress Deficiencies2

Every citation on file

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

April 15, 2025 — 7 citations

Citations issued on April 15, 2025
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (May 30, 2025)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (May 30, 2025)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (May 30, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 30, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 30, 2025)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (May 30, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 30, 2025)

July 14, 2023 — 6 citations

Citations issued on July 14, 2023
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (August 27, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 27, 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 (August 27, 2023)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (August 27, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 27, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (August 27, 2023)

November 22, 2019 — 5 citations

Citations issued on November 22, 2019
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (January 6, 2020)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (January 6, 2020)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (January 6, 2020)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (January 6, 2020)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (January 6, 2020)

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