nursing home in Saint Elizabeth, MO
St Elizabeth Care Center
649 South Walnut, Saint Elizabeth, MO 65075 · (573) 493-2215
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
St Elizabeth Care Center at a glance
St Elizabeth Care Center is a 63-bed for-profit nursing home in Saint Elizabeth, Missouri (Miller County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Missouri average of 2.5.
Residents receive about 1.7 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (February 27, 2026) found 7 health citations. The Missouri average is 11.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 51.2% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 63
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Reliant Care Management
- Medicare-certified since
- August 1, 1997
- Resident/family council
- Resident
- County
- Miller County
- CMS Certification Number
- 265676
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.5 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 1.70 hrs | 3.43 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.29 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.36 hrs | 2.29 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 1.51 hrs | 3.01 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 51.2% | 56% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 47.8% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 74 | 111.8 | 80.6 | Better |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $37,425 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 63 | 103 | 107 | |
| Average residents per day | 59 | 73 | 86 | |
| Occupancy | 94% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.8% | 4.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.8% | 4.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 54.4% | 23.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.7% | 1.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 29.6% | 18.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 18.6% | 17.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.7% | 5.3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 47.2% | 18.5% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 57.8% | 25.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 15.4% | 17.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 90.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 61.1% | 84.1% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 37.8% | 65.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 31 health deficiencies and 40 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 27, 2026 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | F Potential harm, widespread | Corrected April 5, 2026 |
| February 27, 2026 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | F Potential harm, widespread | Corrected April 5, 2026 |
| February 27, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected April 5, 2026 |
| February 27, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected April 5, 2026 |
| February 27, 2026 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | F Potential harm, widespread | Corrected April 5, 2026 |
| February 27, 2026 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected April 5, 2026 |
| February 27, 2026 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected April 5, 2026 |
| February 27, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected April 5, 2026 |
| February 27, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected April 5, 2026 |
| February 27, 2026 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | E Potential harm, pattern | Corrected April 5, 2026 |
| February 27, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected April 5, 2026 |
| February 27, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected April 5, 2026 |
| February 27, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 5, 2026 |
| February 27, 2026 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected April 5, 2026 |
| February 27, 2026 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected April 5, 2026 |
| February 27, 2026 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected April 5, 2026 |
| February 27, 2026 Standard | Develop 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 Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected April 5, 2026 |
| February 27, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected April 5, 2026 |
| February 6, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected March 14, 2025 |
| February 6, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected March 14, 2025 |
| February 6, 2025 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | F Potential harm, widespread | Corrected March 14, 2025 |
| February 6, 2025 Fire safety | Meet other general requirements that are deficient. Services Deficiencies · Tag K0500 | F Potential harm, widespread | Corrected March 14, 2025 |
| February 6, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected March 14, 2025 |
| February 6, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected March 14, 2025 |
| February 6, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected March 14, 2025 |
| February 6, 2025 Fire safety | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926 | F Potential harm, widespread | Corrected March 14, 2025 |
| February 6, 2025 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected March 14, 2025 |
| February 6, 2025 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | F Potential harm, widespread | Corrected March 14, 2025 |
| February 6, 2025 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | F Potential harm, widespread | Corrected March 14, 2025 |
| February 6, 2025 Fire safety | 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. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected March 14, 2025 |
| February 6, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected March 14, 2025 |
| February 6, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected March 14, 2025 |
| February 6, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 14, 2025 |
| February 6, 2025 Standard | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | E Potential harm, pattern | Corrected March 14, 2025 |
| February 6, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected March 14, 2025 |
| February 6, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected March 14, 2025 |
| February 6, 2025 Standard | 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. Quality of Life and Care Deficiencies · Tag F0700 | E Potential harm, pattern | Corrected March 14, 2025 |
| February 6, 2025 Standard | 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. Infection Control Deficiencies · Tag F0887 | E Potential harm, pattern | Corrected March 14, 2025 |
| November 7, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected December 1, 2024 |
| November 7, 2024 Complaint | Protect 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 Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected December 1, 2024 |
| October 20, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 1, 2023 |
| October 20, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected December 1, 2023 |
| October 20, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected December 1, 2023 |
| October 20, 2023 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | F Potential harm, widespread | Corrected December 1, 2023 |
| October 20, 2023 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected December 1, 2023 |
| October 20, 2023 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected December 1, 2023 |
| October 20, 2023 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | F Potential harm, widespread | Corrected December 1, 2023 |
| October 20, 2023 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | F Potential harm, widespread | Corrected December 1, 2023 |
| October 20, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 1, 2023 |
| October 20, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected December 1, 2023 |
| October 20, 2023 Fire safety | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926 | F Potential harm, widespread | Corrected December 1, 2023 |
| October 20, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected December 1, 2023 |
| October 20, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected December 1, 2023 |
| October 20, 2023 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | F Potential harm, widespread | Corrected December 1, 2023 |
| October 20, 2023 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected December 1, 2023 |
| October 20, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected December 2, 2023 |
| October 20, 2023 Standard | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Tag F0569 | E Potential harm, pattern | Corrected December 1, 2023 |
| October 20, 2023 Standard | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Tag F0568 | E Potential harm, pattern | Corrected December 1, 2023 |
| October 20, 2023 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | E Potential harm, pattern | Corrected December 1, 2023 |
| October 20, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected December 1, 2023 |
| October 20, 2023 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | E Potential harm, pattern | Corrected December 1, 2023 |
| October 20, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0625 | E Potential harm, pattern | Corrected December 1, 2023 |
| October 20, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected December 1, 2023 |
| October 20, 2023 Standard | Develop 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 Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected December 1, 2023 |
| October 20, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected December 1, 2023 |
| October 20, 2023 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0728 | E Potential harm, pattern | Corrected December 2, 2023 |
| October 20, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected December 1, 2023 |
| October 20, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected December 1, 2023 |
| October 20, 2023 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | E Potential harm, pattern | Corrected December 1, 2023 |
| October 20, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected December 2, 2023 |
| October 20, 2023 Standard | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | C No harm, widespread | Corrected December 1, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| RICHARD J DESTEFANE REVOCABLE LIVING TRUST Organization | 5% or greater direct ownership interest | 100% | 03/01/2018 |
| DESTEFANE, RICHARD Individual | corporate director | NOT APPLICABLE | 10/01/2010 |
| DESTEFANE, RICHARD Individual | corporate officer | NOT APPLICABLE | 10/01/2010 |
| RELIANT CARE MANAGEMENT COMPANY LLC Organization | operational/managerial control | NOT APPLICABLE | 04/02/2013 |
| KAUS, BRANDY Individual | w-2 managing employee | NOT APPLICABLE | 08/03/2018 |
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★★★★★3AverageMaries Manor
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★★★★★3AverageEldon Nursing & Rehab
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★★★★★2Below averageStonebridge Lake Ozark
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★★★★★5Much above averageStonebridge Westphalia
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★★★★★3AverageOsage Beach Rehabilitation and Health Care Center
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- Abuse citation
★★★★★2Below average
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Frequently asked questions
What is St Elizabeth Care Center's rating?
St Elizabeth Care Center has 2 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did St Elizabeth Care Center receive?
Its most recent standard health inspection found 7 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does St Elizabeth Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns St Elizabeth Care Center?
It is for profit - corporation and part of Reliant Care Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is St Elizabeth Care Center and how do I contact it?
St Elizabeth Care Center is at 649 South Walnut, Saint Elizabeth, MO 65075. Phone: (573) 493-2215.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.