South County Health Care Center
1101 West Outer 21 Road, Arnold, MO 63010
South County Health Care Center is a nursing home in Arnold, Missouri. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS abuse icon
CMS adds this icon when it cites a home for abuse that hurt a resident in the past year. It also adds it when it cites a home for abuse that could have hurt someone, in each of the past two years.
CMS star ratings
- 1 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (636) 296-5455
- Last standard health inspection
- August 7, 2025 (1 year ago)
- Certified beds
- 126
- Residents per day, on average
- 82.6
- Ownership type
- For profit - Limited Liability company
- Legal business name
- South County Health Care Center, L.L.C.
- Chain
- Reliant Care Management
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Missouri average (33 vs 36).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Staffing
Total nurse staffing reported to CMS went from 1.4 to 1.2 hours per resident per day.
CMS update of October 8, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of July 29, 2026
Staffing
Total nurse staffing reported to CMS went from 1.6 to 1.4 hours per resident per day.
2 citations
Health inspection on June 16, 2026
CMS lists this as a complaint inspection.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on July 9, 2026.
CMS has cited this home for F0584 2 times since 2025.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on July 9, 2026.
CMS has cited this home for F0689 2 times since 2023.
Payment stopped
May 13, 2026 (5 months ago)
CMS stopped payment for new admissions from May 13, 2026, for 57 days.
CMS update of April 29, 2026
Ownership
CMS lists this home under a new chain.
2 citations
Health inspection on April 16, 2026
CMS lists this as a complaint inspection.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on May 12, 2026.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on May 21, 2026.
1 citation
Health inspection on March 27, 2026
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
39 of 486 Missouri homes (8%) got a citation at the immediate jeopardy level in 2026.
Citation F0600. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on March 26, 2026.
Fine
March 27, 2026 (7 months ago)
CMS fine of $93,995 on March 27, 2026.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Name
CMS lists a new legal business name for this home.
19 citations
Health inspection on August 7, 2025
CMS lists this as a standard inspection.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on September 17, 2025.
CMS has cited this home for F0812 2 times since 2024.
Citation F0570. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Assure the security of all personal funds of residents deposited with the facility.
CMS lists it as corrected on September 17, 2025.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on September 17, 2025.
Citation F0607. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS lists it as corrected on September 17, 2025.
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
CMS lists it as corrected on September 17, 2025.
Citation F0627. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
CMS lists it as corrected on September 17, 2025.
Citation F0628. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on September 17, 2025.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on September 17, 2025.
CMS has cited this home for F0641 2 times since 2023.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on September 17, 2025.
CMS has cited this home for F0656 2 times since 2023.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on September 17, 2025.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on September 17, 2025.
CMS has cited this home for F0695 2 times since 2023.
Citation F0700. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on September 17, 2025.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on September 17, 2025.
Citation F0804. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS lists it as corrected on September 17, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on September 17, 2025.
CMS has cited this home for F0880 3 times since 2023.
Citation F0909. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
CMS lists it as corrected on September 17, 2025.
Citation F0947. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
CMS lists it as corrected on September 17, 2025.
Citation F0577. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
CMS lists it as corrected on September 17, 2025.
Citation F0732. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Post nurse staffing information every day.
CMS lists it as corrected on September 17, 2025.
6 citations
Fire safety inspection on August 7, 2025
CMS lists this as a standard inspection.
Citation K0211. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on September 17, 2025.
Citation K0223. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
CMS lists it as corrected on September 17, 2025.
Citation K0324. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on September 17, 2025.
Citation K0341. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install a fire alarm system that can be heard throughout the facility.
CMS lists it as corrected on September 17, 2025.
Citation K0753. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have restrictions on the use of highly flammable decorations.
CMS lists it as corrected on September 17, 2025.
Citation K0920. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on September 17, 2025.
CMS has cited this home for K0920 2 times since 2023.
CMS update of July 30, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Name
CMS lists a new legal business name for this home.
1 citation
Health inspection on May 29, 2025
CMS lists this as a complaint inspection.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on June 16, 2025.
CMS update of May 28, 2025
Name
CMS lists a new name for this home. It was SOUTH COUNTY NURSING HOME INC.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Staffing
Total nurse staffing reported to CMS went from 1.4 to 1.0 hours per resident per day.
CMS update of October 30, 2024
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
3 citations
Health inspection on August 22, 2024
CMS lists this as a standard inspection.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on September 4, 2024.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on August 30, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 30, 2024.
1 citation
Fire safety inspection on August 22, 2024
CMS lists this as a standard inspection.
Citation K0741. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on August 30, 2024.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
5 citations
Health inspection on March 24, 2023
CMS lists this as a standard inspection.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on April 12, 2023.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on April 22, 2023.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on April 22, 2023.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on April 22, 2023.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on April 22, 2023.
2 citations
Fire safety inspection on March 24, 2023
CMS lists this as a standard inspection.
Citation K0222. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on April 5, 2023.
Citation K0920. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on April 5, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- RELIANT CARE GROUP LLCDirect ownership interest · not applicable · since 04/01/2025
- RCG INCIndirect ownership interest · not applicable · since 04/01/2025
- RICHARD J. DESTEFANE REVOCABLE LIVING TRUSTIndirect ownership interest · not applicable · since 04/01/2025
- DESTEFANE, RICHARDIndirect ownership interest · not applicable · since 04/01/2025
- RELIANT CARE MANAGEMENT COMPANY LLCOperational/managerial control · not applicable · since 04/01/2025
- ARSHAD, ABDULLAHOperational/managerial control · not applicable · since 04/01/2025
- DESTEFANE, RICHARDOperational/managerial control · not applicable · since 04/01/2025
- MAGNUSSEN, KATINAOperational/managerial control · not applicable · since 04/01/2025
Questions
When was South County Health Care Center last inspected?
CMS lists August 7, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does South County Health Care Center have?
CMS lists 33 health citations since March 24, 2023. CMS also calls these deficiencies.
Has South County Health Care Center been fined?
CMS lists 1 fine in the past three years, $93,995 in total.
What is the CMS star rating of South County Health Care Center?
Its CMS overall star rating is 1 of 5.
Is South County Health Care Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.