Nursing HomeInspections

Shady Oaks Healthcare Center

Nursing home in Thayer, MO

Medicare & Medicaid certified5★ overall (CMS)

Call (417) 264-7256Send a messageMap ↗

Public-record details

Address
335 Business Route 63, Thayer, MO 65791
Phone
(417) 264-7256
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
265246
Overall star rating
5 of 5 ★★★★★
Health inspection rating
5 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
120
Average residents per day
72
Ownership
For-profit, corporation
Legal business name
Thayer No 1 INC
Chain
Circle B Enterprises (36 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 21, 1984
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265246. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 5, 2025. CMS lists 13 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 24, 2023 to Dec 5, 2025): 0 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Dec 5, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Dec 5, 2025Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Dec 5, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Aug 1, 2024Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 1, 2024Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 1, 2024Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Aug 1, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Aug 1, 2024Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Aug 1, 2024Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental		D
Potential for more than minimal harm, isolated
Jan 24, 2023Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jan 24, 2023Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 24, 2023Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 13. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.18 hours
Registered nurse (RN) time per resident per day
0.42 hours
Nurse aide time per resident per day
2.19 hours
Total nurse staffing on weekends
2.71 hours
Nursing staff turnover (yearly)
54%
RN turnover (yearly)
17%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.