nursing home in Cape Girardeau, MO
Ratliff Care Center
717 North Sprigg, Cape Girardeau, MO 63701 · (573) 335-5810
CMS overall star rating
- Health inspections★★★★★4
- 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
Ratliff Care Center at a glance
Ratliff Care Center is a 46-bed for-profit nursing home in Cape Girardeau, Missouri (Cape Girardeau County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Missouri average of 2.5.
Residents receive about 3.2 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 (May 30, 2025) found 8 health citations. The Missouri average is 11.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 72.1% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 46
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- October 25, 2002
- Resident/family council
- Resident
- County
- Cape Girardeau County
- CMS Certification Number
- 265747
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.5 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| 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) | 1 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 2.7 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.24 hrs | 3.43 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.34 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.26 hrs | 2.29 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.06 hrs | 3.01 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 72.1% | 56% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 47.8% | 42.9% | Worse |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 35 | 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 | 46 | 103 | 107 | |
| Average residents per day | 41 | 73 | 86 | |
| Occupancy | 88.3% | 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) | 6.8% | 4.1% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 9.1% | 4.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 16.8% | 23.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.8% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.2% | 1.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 19.2% | 18.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 25.8% | 17.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6.7% | 5.3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 1.5% | 18.5% | 12.8% | Better |
| 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) | 23.6% | 25.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 19.8% | 17.8% | 19% | Average |
| 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) | 76.2% | 84.1% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.2% | 1.6% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 36.8% | 65.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 20 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 30, 2025 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 July 11, 2025 |
| May 30, 2025 Standard | Assure the security of all personal funds of residents deposited with the facility. Resident Rights Deficiencies · Tag F0570 | E Potential harm, pattern | Corrected July 11, 2025 |
| May 30, 2025 Standard | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Nursing and Physician Services Deficiencies · Tag F0729 | D Potential harm, isolated | Corrected July 11, 2025 |
| May 30, 2025 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected July 11, 2025 |
| May 30, 2025 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected July 11, 2025 |
| May 30, 2025 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected July 11, 2025 |
| May 30, 2025 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 | D Potential harm, isolated | Corrected July 11, 2025 |
| May 30, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 11, 2025 |
| May 30, 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 | D Potential harm, isolated | Corrected July 11, 2025 |
| May 16, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 28, 2024 |
| May 16, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected June 28, 2024 |
| May 16, 2024 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected June 28, 2024 |
| May 16, 2024 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 | D Potential harm, isolated | Corrected June 28, 2024 |
| May 16, 2024 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 | D Potential harm, isolated | Corrected June 28, 2024 |
| May 16, 2024 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 | D Potential harm, isolated | Corrected June 28, 2024 |
| May 16, 2024 Standard | 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. Environmental Deficiencies · Tag F0909 | D Potential harm, isolated | Corrected June 28, 2024 |
| March 23, 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 May 5, 2023 |
| March 23, 2023 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 May 5, 2023 |
| March 23, 2023 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | D Potential harm, isolated | Corrected May 5, 2023 |
| March 23, 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 | D Potential harm, isolated | Corrected May 5, 2023 |
| March 23, 2023 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected May 5, 2023 |
| March 23, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected May 5, 2023 |
| March 23, 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 | D Potential harm, isolated | Corrected May 5, 2023 |
| March 23, 2023 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | C No harm, widespread | Corrected May 5, 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 |
|---|---|---|---|
| RATLIFF ENTERPRISES LLC Organization | 5% or greater direct ownership interest | — | 12/31/1999 |
| RATLIFF REVOCABLE TRUST Organization | 5% or greater direct ownership interest | — | 02/13/2019 |
| RATLIFF, EMMAGENE Individual | 5% or greater indirect ownership interest | 100% | 02/13/2019 |
| CHOICE REHABILITATION LLC Organization | adp of the snf | NOT APPLICABLE | 02/24/2025 |
| PALEN, JAMES Individual | adp of the snf | NOT APPLICABLE | 01/14/2025 |
| RATLIFF, EMMAGENE Individual | adp of the snf | NOT APPLICABLE | 03/19/2024 |
| RATLIFF ENTERPRISES LLC Organization | adp of the snf | NOT APPLICABLE | 01/14/2025 |
| RATLIFF, MICHAEL Individual | adp of the snf | NOT APPLICABLE | 01/14/2025 |
| RATLIFF REVOCABLE TRUST Organization | adp of the snf | NOT APPLICABLE | 02/13/2019 |
| STRICKLAND, CHERYL Individual | adp of the snf | NOT APPLICABLE | 02/24/2025 |
| SWINDLE, AFTAN Individual | adp of the snf | NOT APPLICABLE | 01/14/2025 |
| STRICKLAND, CHERYL Individual | corporate officer | NOT APPLICABLE | 02/24/2025 |
| CHOICE REHABILITATION LLC Organization | operational/managerial control | NOT APPLICABLE | 02/24/2025 |
| FORVIS MAZARS LLP Organization | operational/managerial control | NOT APPLICABLE | 01/14/2025 |
| RATLIFF, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 01/14/2025 |
| RATLIFF REVOCABLE TRUST Organization | operational/managerial control | NOT APPLICABLE | 01/14/2025 |
| STRICKLAND, CHERYL Individual | operational/managerial control | NOT APPLICABLE | 02/24/2025 |
| RATLIFF, EMMAGENE Individual | trustee of the snf | NOT APPLICABLE | 02/13/2019 |
Other nursing homes near Ratliff Care Center
Life Care Center of Cape Girardeau
365 South Broadview Street, Cape Girardeau, MO 63703 · 1.9 mi
For-profit · 120 beds · Part of Life Care Centers of America
★★★★★1Much below average- ★★★★★3Average
Lutheran Home, the
2825 Bloomfield Road, Cape Girardeau, MO 63703 · 2.5 mi
Non-profit · 274 beds
- CMS high performer
★★★★★5Much above averageFountainbleau Lodge
2001 North Kingshighway, Cape Girardeau, MO 63701 · 3.3 mi
For-profit · 33 beds · Part of Shafiq Malik
★★★★★5Much above averageHeartland Care and Rehabilitation Center
2525 Boutin Drive, Cape Girardeau, MO 63701 · 3.4 mi
For-profit · 102 beds · Part of Circle B Enterprises
★★★★★4Above averageHubble Creek
1115 K Land Drive, Jackson, MO 63755 · 7.5 mi
For-profit · 105 beds · Part of Paradigm Senior Management
- New owner (last 12 months)
★★★★★3Average
All nursing homes in Cape Girardeau, MO · Compare side by side
Frequently asked questions
What is Ratliff Care Center's rating?
Ratliff Care Center has 3 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 Ratliff Care Center receive?
Its most recent standard health inspection found 8 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Ratliff 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 Ratliff Care Center?
It is for profit - individual. The ownership section on this page lists the owners and managers reported to CMS.
Where is Ratliff Care Center and how do I contact it?
Ratliff Care Center is at 717 North Sprigg, Cape Girardeau, MO 63701. Phone: (573) 335-5810.
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.