Beloved Health and Rehabilitation Center

328 Munger Lane, Hannibal, MO 63401 · (573) 577-2100
For profit - Individual · 111 certified beds

Beloved Health and Rehabilitation Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in November 2024, found 49 citations, 2 for actual harm or immediate jeopardy (the Missouri average is 11.4). It was fined 3 times in the last three years, $279,380 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on November 27, 2024 found 49 citations. What an inspection citation means

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 27, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.November 27, 2024 · F0697 · Level of harm: Actual harm · Residents affected: Few
• Assure the security of all personal funds of residents deposited with the facility.November 27, 2024 · F0570 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Give residents a notice of rights, rules, services and charges.November 27, 2024 · F0572 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.November 27, 2024 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.November 27, 2024 · F0728 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.November 27, 2024 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.November 27, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Administer the facility in a manner that enables it to use its resources effectively and efficiently.November 27, 2024 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.November 27, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Reasonably accommodate the needs and preferences of each resident.November 27, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to manage his or her financial affairs.November 27, 2024 · F0567 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.November 27, 2024 · F0568 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.November 27, 2024 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.November 27, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from the wrongful use of the resident's belongings or money.November 27, 2024 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident receives an accurate assessment.November 27, 2024 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 27, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.November 27, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate foot care.November 27, 2024 · F0687 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.November 27, 2024 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.November 27, 2024 · F0700 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.November 27, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.November 27, 2024 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.November 27, 2024 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.November 27, 2024 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement policies and procedures for flu and pneumonia vaccinations.November 27, 2024 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.November 27, 2024 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Make sure that a working call system is available in each resident's bathroom and bathing area.November 27, 2024 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.November 27, 2024 · F0941 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.November 27, 2024 · F0942 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.November 27, 2024 · F0943 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.November 27, 2024 · F0945 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide training in compliance and ethics.November 27, 2024 · F0946 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.November 27, 2024 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide behavior health training consistent with the requirements and as determined by a facility assessment.November 27, 2024 · F0949 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.November 27, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.November 27, 2024 · F0636 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Assess the resident when there is a significant change in conditionNovember 27, 2024 · F0637 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.November 27, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Assist a resident in gaining access to vision and hearing services.November 27, 2024 · F0685 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide or obtain dental services for each resident.November 27, 2024 · F0791 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.November 27, 2024 · F0944 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.November 27, 2024 · F0577 · Level of harm: Potential for minimal harm · Residents affected: Many
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.November 27, 2024 · F0623 · Level of harm: Potential for minimal harm · Residents affected: Many
• Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.November 27, 2024 · F0625 · Level of harm: Potential for minimal harm · Residents affected: Many
• Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.November 27, 2024 · F0851 · Level of harm: Potential for minimal harm · Residents affected: Many
• Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.November 27, 2024 · F0620 · Level of harm: Potential for minimal harm · Residents affected: Some
• Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.November 27, 2024 · F0847 · Level of harm: Potential for minimal harm · Residents affected: Some

Complaint inspections, last three years

Inspections after complaints found 46 citations.

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 4, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 5, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.February 5, 2025 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.November 27, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to manage his or her financial affairs.November 27, 2024 · F0567 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.November 27, 2024 · F0568 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from the wrongful use of the resident's belongings or money.November 27, 2024 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.November 27, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 27, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.November 27, 2024 · F0697 · Level of harm: Actual harm · Residents affected: Few
• Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.November 27, 2024 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 10, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.August 2, 2024 · F0550 · Level of harm: Actual harm · Residents affected: Few
• 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.August 2, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.August 2, 2024 · F0658 · Level of harm: Actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.August 2, 2024 · F0677 · Level of harm: Actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 2, 2024 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.August 2, 2024 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.June 18, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 18, 2024 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.June 18, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 18, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• 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.May 29, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.May 29, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.May 29, 2024 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.April 18, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.March 28, 2024 · F0550 · Level of harm: Actual harm · Residents affected: Few
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.March 28, 2024 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.March 28, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.March 28, 2024 · F0658 · Level of harm: Actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.March 28, 2024 · F0677 · Level of harm: Actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 28, 2024 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.March 28, 2024 · F0742 · Level of harm: Actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.March 28, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.March 28, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.March 28, 2024 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.March 28, 2024 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.March 28, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Make sure that a working call system is available in each resident's bathroom and bathing area.March 28, 2024 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Respond appropriately to all alleged violations.February 7, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide routine and 24-hour emergency dental care for each resident.February 7, 2024 · F0790 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.February 7, 2024 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.December 6, 2023 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.December 6, 2023 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide or get specialized rehabilitative services as required for a resident.December 6, 2023 · F0825 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to manage his or her financial affairs.November 3, 2023 · F0567 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some

Fines and payment denials

• Fine of $17,011April 4, 2025
• Fine of $175,201November 27, 2024
• Fine of $87,168March 28, 2024
• Medicare payment denial for 58 daysStarting January 18, 2025
• Medicare payment denial for 89 daysStarting June 28, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home