Strafford Rehabilitation & Health Care Center
505 West Evergreen, Strafford, MO 65757 · (417) 736-9332
For profit - Limited Liability company · 78 certified beds
Strafford Rehabilitation & Health Care Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in April 2025, found 20 citations (the Missouri average is 11.4). It was fined 1 time in the last three years, $52,456 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 1 out of 5 stars · Much below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on April 21, 2025 found 20 citations. What an inspection citation means
- Ensure 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 locked compartments, separately locked, compartments for controlled drugs.April 21, 2025 · F0761 · 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.April 21, 2025 · 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.April 21, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Have a plan that describes the process for conducting QAPI and QAA activities.April 21, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.April 21, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.April 21, 2025 · F0882 · 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.April 21, 2025 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.April 21, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.April 21, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.April 21, 2025 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.April 21, 2025 · F0625 · 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.April 21, 2025 · F0689 · 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.April 21, 2025 · F0700 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Implement a program that monitors antibiotic use.April 21, 2025 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.April 21, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.April 21, 2025 · F0644 · 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.April 21, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.April 21, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.April 21, 2025 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Post nurse staffing information every day.April 21, 2025 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
Complaint inspections, last three years
Inspections after complaints found 43 citations.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.March 26, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Reasonably accommodate the needs and preferences of each resident.March 26, 2026 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.March 26, 2026 · F0559 · Level of harm: Minimal harm or potential for 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 26, 2026 · F0561 · 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.March 26, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.March 26, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.March 26, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.March 26, 2026 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.February 25, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 25, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.January 5, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.January 5, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.December 12, 2025 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.December 11, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.December 11, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Keep residents' personal and medical records private and confidential.December 10, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.December 10, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.December 10, 2025 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.December 10, 2025 · F0842 · 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.May 20, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 2, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.May 2, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 2, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide safe, appropriate pain management for a resident who requires such services.February 6, 2025 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.February 6, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are free from significant medication errors.February 6, 2025 · F0760 · 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.December 11, 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.October 31, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.October 31, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.October 18, 2024 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 18, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.October 18, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.October 18, 2024 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.October 18, 2024 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.October 18, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are free from significant medication errors.October 18, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.June 4, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 4, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.June 4, 2024 · F0842 · 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 7, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.April 7, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 7, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.April 7, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $52,456October 18, 2024
- Medicare payment denial for 84 daysStarting December 12, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Missouri average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.16 | 3.43 | 3.86 |
| Registered nurses (RN) | 0.30 | 0.46 | 0.69 |
| Licensed practical nurses (LPN) | 0.61 | 0.68 | 0.86 |
| Nurse aides | 2.25 | 2.29 | 2.32 |
| Total nursing staff turnover | 82.3% | 56% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 78 |
| Average residents per day | 66.1 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Ash Grove Healthcare Facility Ash Grove · ★★★★★ 3 out of 5 stars
- Republic Nursing & Rehab Republic · ★★★★★ 5 out of 5 stars
- Wilson's Creek Nursing & Rehab Springfield · ★★★★★ 5 out of 5 stars
- Springfield Rehabilitation & Health Care Center Springfield · ★★★★★ 5 out of 5 stars
- Willard Care Center Willard · ★★★★★ 2 out of 5 stars
Comparing nursing homes?
See whether help at home or assisted living fits better. Answer four questions and we'll suggest where to start: a medical alert, help at home, or assisted living.
Free for families. This isn't medical advice.
Who are you looking for help for?
Data from Medicare (CMS), updated October 2026, from Strafford Rehabilitation & Health Care Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.