Nursing HomeInspections

The Estates of Perryville, LLC

Nursing home in Perryville, MO

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

Call (573) 547-1011Send a messageMap ↗

Public-record details

Address
430 North West Street, Perryville, MO 63775
Phone
(573) 547-1011
Listed under
For-profit
Medicare CCN
265704
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
1 of 5
Certified beds
156
Average residents per day
95
Ownership
For-profit, limited Liability company
Legal business name
The Estates of Perryville LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 14, 2000
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 265704. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 11, 2026. CMS lists 43 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 28, 2023 to Mar 11, 2026): 13 from complaint inspections, 6 at the “actual harm” level or higher, including 5 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Mar 11, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights
D
Potential for more than minimal harm, isolated
Mar 11, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Mar 11, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Mar 11, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Mar 11, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Mar 11, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Nov 6, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Sep 11, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
J
Immediate jeopardy, isolated
Sep 4, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
J
Immediate jeopardy, isolated
Jul 9, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
G
Actual harm, isolated
Jun 10, 2025PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 10, 2025Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 43. 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 3 fines totalling $306,992 and 2 denials of Medicare payment for new admissions in the last three years.

Jun 10, 2025Fine: $17,627
Jun 10, 2025Fine: $155,548
Jun 10, 2025Payment denial for 57 days from Aug 23, 2025
Mar 11, 2025Fine: $133,817
Mar 11, 2025Payment denial for 6 days from Apr 12, 2025

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
2.10 hours
Registered nurse (RN) time per resident per day
0.10 hours
Nurse aide time per resident per day
1.56 hours
Total nurse staffing on weekends
1.73 hours
Nursing staff turnover (yearly)
61%
Administrators who left in the past year
2

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.

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