Estates of Perryville, LLC, the
430 North West Street, Perryville, MO 63775
Estates of Perryville, LLC, the is a nursing home in Perryville, 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.
At a glance
- CMS overall star rating1 of 5
- Last standard health inspectionMarch 11, 2026 (8 months ago)
- Health citations since September 28, 202343 (Missouri average 36)
- Fines in the past three years3, $306,992 in total
- CMS flagsNone listed by CMS
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
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
Star rating
The CMS quality measures star rating changed from 1 of 5 to 3 of 5.
CMS abuse icon
CMS removed its abuse icon from this home.
Staffing
Total nurse staffing reported to CMS went from 2.1 to 1.4 hours per resident per day.
CMS update of October 8, 2026
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
Fine
CMS changed the fine from June 10, 2025 from $152,319 to $155,548.
CMS update of July 29, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.8 to 2.1 hours per resident per day.
Fine
CMS changed the fine from March 11, 2025 from $133,195 to $133,817.
CMS update of May 27, 2026
Fine
CMS changed the fine from June 10, 2025 from $149,885 to $152,319.
Fine
CMS changed the fine from June 10, 2025 from $17,345 to $17,627.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 1 of 5.
CMS update of March 25, 2026
Fine
CMS changed the fine from March 11, 2025 from $130,764 to $133,195.
Health inspection on March 11, 2026
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation F0552. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS lists it as corrected on April 17, 2026.
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 17, 2026.
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 17, 2026.
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 April 17, 2026.
CMS has cited this home for F0658 3 times since 2023.
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 April 17, 2026.
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 April 17, 2026.
CMS has cited this home for F0804 2 times since 2024.
Fire safety inspection on March 11, 2026
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation K0293. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on April 17, 2026.
Citation K0321. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on April 17, 2026.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on April 17, 2026.
CMS has cited this home for K0353 2 times since 2024.
Citation K0271. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have exits that are accessible at all times.
CMS lists it as corrected on April 17, 2026.
Citation K0781. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have restrictions on the use of portable space heaters.
CMS lists it as corrected on April 17, 2026.
Citation K0920. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on April 17, 2026.
CMS has cited this home for K0920 3 times since 2023.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Fine
CMS changed the fine from June 10, 2025 from $200,156 to $149,885.
CMS update of January 14, 2026
Fine
CMS changed the fine from March 11, 2025 from $13,750 to $130,764.
Fine
CMS changed the fine from June 10, 2025 from $26,685 to $17,345.
CMS update of November 20, 2025
Fine
CMS changed the fine from March 11, 2025 from $187,425 to $13,750.
Health inspection on November 6, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
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 November 24, 2025.
Health inspection on September 11, 2025
1 citationCMS 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.
65 of 486 Missouri homes (13%) got a citation at the immediate jeopardy level in 2025.
Show the 1 citation
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS has cited this home for F0689 2 times since 2023.
Health inspection on September 4, 2025
1 citationCMS 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.
65 of 486 Missouri homes (13%) got a citation at the immediate jeopardy level in 2025.
Show the 1 citation
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 October 19, 2025.
CMS has cited this home for F0600 5 times since 2024.
August 23, 2025
Payment stoppedCMS stopped payment for new admissions from August 23, 2025, for 57 days.
CMS update of July 30, 2025
Staffing
Total nurse staffing reported to CMS went from 1.5 to 1.3 hours per resident per day.
Health inspection on July 9, 2025
1 citationCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
104 of 486 Missouri homes (21%) got a citation at the actual harm level in 2025.
Show the 1 citation
Citation F0600. Severity G: actual harm, 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 October 19, 2025.
CMS update of June 25, 2025
Health citation
CMS removed citation F0623 from the health inspection on December 6, 2024.
Health citation
CMS removed citation F0625 from the health inspection on December 6, 2024.
Health citation
CMS removed citation F0758 from the health inspection on December 6, 2024.
Health inspection on June 10, 2025
5 citationsCMS 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.
65 of 486 Missouri homes (13%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $155,548 on June 10, 2025.
CMS fine of $17,627 on June 10, 2025.
Show the 5 citations
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 October 19, 2025.
Citation F0645. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
PASARR screening for Mental disorders or Intellectual Disabilities
CMS lists it as corrected on October 19, 2025.
Citation F0699. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care or services that was trauma informed and/or culturally competent.
CMS lists it as corrected on October 19, 2025.
CMS has cited this home for F0699 2 times since 2023.
Citation F0741. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
CMS lists it as corrected on October 19, 2025.
CMS has cited this home for F0741 2 times since 2025.
Citation F0742. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on October 19, 2025.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
April 12, 2025
Payment stoppedCMS stopped payment for new admissions from April 12, 2025, for 6 days.
Health inspection on March 11, 2025
2 citationsCMS 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.
65 of 486 Missouri homes (13%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $133,817 on March 11, 2025.
Show the 2 citations
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 April 18, 2025.
Citation F0741. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
CMS lists it as corrected on April 18, 2025.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 1 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of December 20, 2024
Fine
CMS changed the fine from March 29, 2023 from $25,590 to $26,098.
Health inspection on December 6, 2024
13 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 13 citations
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 January 19, 2025.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on January 19, 2025.
CMS has cited this home for F0880 2 times since 2023.
Citation F0925. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS lists it as corrected on January 19, 2025.
CMS has cited this home for F0925 2 times since 2023.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
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 January 19, 2025.
Citation F0600. Severity D: potential for more than minimal harm, 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 January 19, 2025.
Citation F0623. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS lists it as corrected on January 19, 2025.
Citation F0625. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on January 19, 2025.
Citation F0637. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assess the resident when there is a significant change in condition
CMS lists it as corrected on January 19, 2025.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on January 19, 2025.
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 January 19, 2025.
Citation F0679. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide activities to meet all resident's needs.
CMS lists it as corrected on January 19, 2025.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS lists it as corrected on January 19, 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 January 19, 2025.
Fire safety inspection on December 6, 2024
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
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 January 19, 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 January 19, 2025.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on January 19, 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 January 19, 2025.
Citation K0923. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on January 19, 2025.
CMS update of July 31, 2024
Staffing
Total nurse staffing reported to CMS went from 2.2 to 0.6 hours per resident per day.
CMS update of June 26, 2024
CMS abuse icon
CMS removed its abuse icon from this home.
CMS update of January 31, 2024
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of December 21, 2023
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility candidate.
Health inspection on September 28, 2023
13 citationsCMS lists this as a standard inspection.
Show the 13 citations
Citation F0801. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
CMS lists it as corrected on October 20, 2023.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on October 20, 2023.
Citation F0925. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS lists it as corrected on October 20, 2023.
Citation F0689. Severity E: potential for more than minimal harm, pattern.
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 October 20, 2023.
Citation F0569. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
CMS lists it as corrected on October 20, 2023.
Citation F0570. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assure the security of all personal funds of residents deposited with the facility.
CMS lists it as corrected on October 20, 2023.
Citation F0636. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS lists it as corrected on October 20, 2023.
Citation F0638. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assure that each resident’s assessment is updated at least once every 3 months.
CMS lists it as corrected on October 20, 2023.
Citation F0640. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS lists it as corrected on October 20, 2023.
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 October 20, 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 October 20, 2023.
Citation F0699. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care or services that was trauma informed and/or culturally competent.
CMS lists it as corrected on October 20, 2023.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on October 20, 2023.
Fire safety inspection on September 28, 2023
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
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 October 20, 2023.
Citation K0351. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on October 20, 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 October 20, 2023.
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
- (573) 547-1011
- Last standard health inspection
- March 11, 2026 (8 months ago)
- Certified beds
- 156
- Residents per day, on average
- 99.8
- Ownership type
- For profit - Limited Liability company
- Legal business name
- The Estates of Perryville LLC
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
More health citations than the Missouri average (43 vs 36).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- ROSENBERG, ZEV5% or greater direct ownership interest · 60% · since 11/01/2014
- HAQUE, ZAHIRULOperational/managerial control · not applicable · since 09/15/2024
- HUFF, DEVONOperational/managerial control · not applicable · since 12/03/2024
Questions
When was Estates of Perryville, LLC, the last inspected?
CMS lists March 11, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Estates of Perryville, LLC, the have?
CMS lists 43 health citations since September 28, 2023. CMS also calls these deficiencies.
Has Estates of Perryville, LLC, the been fined?
CMS lists 3 fines in the past three years, $306,992 in total.
What is the CMS star rating of Estates of Perryville, LLC, the?
Its CMS overall star rating is 1 of 5.
Is Estates of Perryville, LLC, the a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.