SNF
ASH GROVE HEALTHCARE FACILITY
CCN: 265571 · ASH GROVE, MO 65604 · Greene County
Overview
- Address
- 401 NORTH MEDICAL DRIVE, ASH GROVE, MO 65604
- Phone
- 4177512575
- Certified beds
- 82
- Avg daily residents
- 72 (88% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1994-05-24
- Setting
- Urban
4 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 2.89 | 3.55 | 3.14 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.64 | 0.62 | 0.70 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.29 | 0.79 | 0.32 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.95 | 2.14 | 2.12 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 0.94 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.09 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
2.54
hrs / resident / day
RN (weekend)
0.48
hrs / resident / day
Total nurse (adjusted, weekend)
2.76
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
62.8%
annual
RN turnover
50.0%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.26
higher acuity than avg
Case-Mix Index Ratio
0.91
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-01-24 | 3 | 1 | 2 | 12 | 1 | 12 |
| Cycle 2/3 (prior) | 2023-06-02 | 12 | 5 | 7 | 84 | 1 | 84 |
Total weighted health score
30.0
lower is better
Deficiencies (16)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
16 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-11-20 | 2025-12-03 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-11-20 | 2025-12-03 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-01-24 | 2025-03-10 |
| 0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2024-10-10 | 2024-10-14 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-08-22 | 2024-10-06 |
| 0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2024-08-22 | 2024-10-14 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-08-22 | 2024-10-06 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-03-07 | 2024-03-05 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-09-08 | 2023-10-23 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-08-18 | 2023-10-02 |
| 0567 | Honor the resident's right to manage his or her financial affairs. | E | 2023-06-02 | 2023-07-17 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2023-06-02 | 2023-07-17 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-06-02 | 2023-07-17 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-06-02 | 2023-07-17 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2023-06-02 | 2023-07-17 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2020-03-06 | 2020-03-07 |
Financial Health (FY 2024)
Payer mix (share of resident days)
Medicare 3.3% Medicaid 69.4% Other 27.2%
Operating performance
Operating Margin
1.2%
Total Margin
1.5%
Occupancy Rate
92.9%
Cost per Resident Day
$38
Revenue & costs
Net Patient Revenue
$73.8M
Total Costs
$1.0M
Net Income
$1.1M
Balance sheet
Total Assets
$62.3M
Total Liabilities
$42.9M
Fund Balance
$19.4M
Current Ratio
1.46
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: CITIZENS MEMORIAL HEALTH CARE
- Chain ID
148- Facilities in chain
- 6
- Legal business name
- CITIZENS MEMORIAL HEALTH CARE FOUNDATION
Chain-average star ratings (for peer context)
Overall
4.0
Health
4.0
Staffing
2.5
QM
2.5
Owner / manager individuals (19)
| Name | Role | Association |
|---|---|---|
| ASHWORTH, JAMES | CORPORATE DIRECTOR | since 06/17/2021 |
| BABB, DONALD | CORPORATE DIRECTOR | since 12/19/2019 |
| DERRICKSON, BEVERLY | CORPORATE DIRECTOR | since 11/21/2016 |
| DONNELL, WILLIAM | CORPORATE DIRECTOR | since 03/14/2012 |
| HANCOCK, JANIECA | CORPORATE DIRECTOR | since 03/15/2018 |
| JOHNSON, BRAD | CORPORATE DIRECTOR | since 01/01/2022 |
| KALLENBACH, JOHN | CORPORATE DIRECTOR | since 06/20/2019 |
| MEENTS, DANA | CORPORATE DIRECTOR | since 10/14/2010 |
| CALHOUN, MICHAEL | CORPORATE OFFICER | since 01/01/2022 |
| DERRICKSON, BEVERLY | CORPORATE OFFICER | since 01/27/2020 |
| HANCOCK, JANIECA | CORPORATE OFFICER | since 01/01/2022 |
| KALLENBACH, JOHN | CORPORATE OFFICER | since 01/01/2022 |
| MEYER, RENEE | CORPORATE OFFICER | since 01/01/2022 |
| MOLDER, CATHERINE | CORPORATE OFFICER | since 03/01/2002 |
| CALHOUN, MICHAEL | W-2 MANAGING EMPLOYEE | since 01/01/2022 |
| DERRICKSON, BEVERLY | W-2 MANAGING EMPLOYEE | since 11/21/2016 |
| FINNELL, HEATHER | W-2 MANAGING EMPLOYEE | since 01/01/2022 |
| MCBRATNEY, CHRISTOPHER | W-2 MANAGING EMPLOYEE | since 09/06/2011 |
| MEYER, RENEE | W-2 MANAGING EMPLOYEE | since 07/01/1997 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2024, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $38 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.46 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 69.4% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 3.3% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $1,119,867 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $73,815,438 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 92.9% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 1.2% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $62,327,591 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,046,637 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $19,436,790 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $42,890,801 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 1.5% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.32026 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.12346 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.69662 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.14034 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.76473 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 72.3 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.78846 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.14285 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.62148 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.55279 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.13141 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 4.0 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 4.0 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 2.5 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.5 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 148 | Chain ID |
| Provider Information | Chain Name | CITIZENS MEMORIAL HEALTH CARE | Chain Name |
| Provider Information | City/Town | ASH GROVE | City/Town |
| Provider Information | CMS Certification Number (CCN) | 265571 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Greene | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1994-05-24 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 37.3198 | Latitude |
| Provider Information | Legal Business Name | CITIZENS MEMORIAL HEALTH CARE FOUNDATION | Legal Business Name |
| Provider Information | Location | 401 NORTH MEDICAL DRIVE,ASH GROVE,MO,65604 | Location |
| Provider Information | Long-Stay QM Rating | 2 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -93.566 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 82 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 6 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.25859 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.91358 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 401 NORTH MEDICAL DRIVE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | ASH GROVE HEALTHCARE FACILITY | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 380 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 2 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 12 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 2 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 1 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-01-24 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 12 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 3 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 5 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-06-02 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 84 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 7 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 84 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 12 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.48287 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 50.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 0.93573 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.29470 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.95398 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.08749 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.64102 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 2.88971 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 1 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | MO | State |
| Provider Information | Telephone Number | 4177512575 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.54408 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 62.8 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 30.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 65604 | ZIP Code |