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

BAPTIST HOMES OF SHELBINA

SHELBINA, MO · 120 certified beds · Last Life Safety survey July 1, 2025

CMS Certification Number 265694 · first certified July 1998

Ownership

Independently operated (no chain recorded by CMS) · Government - County

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

21
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within MO

21 citations — more than 55% 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 9 citations; the earlier surveys in the window averaged 6. 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: September 2026 to March 2027. This facility’s last Life Safety survey was July 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.

Emergency preparedness

6 of the 21 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 21 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-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

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 facility21MO median18National median11
Citations on file over three years, compared
MeasureCitations
This facility21
Median facility in MO18
Median facility nationally11

Survey history

Citations at each Life Safety survey
12019-12112023-0992025-07
Citations at each Life Safety survey
Survey dateCitations
December 20, 20191
September 13, 202311
July 1, 20259

Most-cited tags

Most-cited tags at this facility
K-03533K-07412E-00391K-03741K-02221K-03631E-00341K-09191
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-07-01
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.22025-07-01
E-0039Conduct testing and exercise requirements.12025-07-01
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12025-07-01
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.12025-07-01
K-0363Install corridor and hallway doors that block smoke.12025-07-01
E-0034Provide a means of sharing information on occupancy/needs.12023-09-13
K-0919Meet requirements for the use of electrical equipment.12025-07-01

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Emergency Preparedness Deficiencies 6
  • Miscellaneous Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Emergency Preparedness Deficiencies6
Miscellaneous Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies3
Construction Deficiencies1
Egress Deficiencies1

Every citation on file

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

July 1, 2025 — 9 citations

Citations issued on July 1, 2025
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 13, 2025)
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 13, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 13, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 13, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (August 13, 2025)
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 13, 2025)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (August 13, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 13, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (August 13, 2025)

September 13, 2023 — 11 citations

Citations issued on September 13, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (October 28, 2023)
E-0024Establish policies and procedures for volunteers.Deficient, Provider has date of correction (October 28, 2023)
E-0034Provide a means of sharing information on occupancy/needs.Deficient, Provider has date of correction (October 28, 2023)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (October 28, 2023)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (October 28, 2023)
K-0100Meet other general requirements.Deficient, Provider has date of correction (October 28, 2023)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (October 28, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (October 28, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 28, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (October 28, 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 (October 28, 2023)

December 20, 2019 — 1 citation

Citations issued on December 20, 2019
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 25, 2020)

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