ST Elizabeth Care Center

Nursing Home · Saint Elizabeth, MO

CMS overall rating 2/5 For profit - Corporation

CMS certification number265676

Contact & location

649 South Walnut
Saint Elizabeth, MO 65075
Miller County
Phone
(573) 493-2215
ZIP code
65075 – all care providers

Open in Google Maps

Facility details

Certified beds
63
Residents per day
59.2 (94% occupied)
Ownership
For profit - Corporation
Legal name
Mma Healthcare of ST Elizabeth INC
Chain
Reliant Care Management (34 facilities, avg 1.2★)
Medicare certified since
August 1, 1997
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.5
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 2.2
Quality measures★★★★★ 2/5
State avg 2.7
Long-stay quality★★★★★ 2/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
1.70 (state 3.43 · U.S. 3.86)
Registered nurses (RN)
0.29 (state 0.46 · U.S. 0.69)
Licensed practical nurses
0.06 (state 0.68 · U.S. 0.86)
Nurse aides
1.36 (state 2.29 · U.S. 2.32)
Weekend total
1.51 (state 3.02 · U.S. 3.42)
Nursing staff turnover
51.2 (state 56.0 · U.S. 45.8)%
RN turnover
50.0 (state 47.8 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
February 27, 2026
Health deficiencies (last cycle)
7.0 (state 11.5 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
34 health · 40 fire safety · includes actual harm
DateCitationSeverityStatus
2026-02-27 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-04-05
2026-02-27 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-04-05
2026-02-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-04-05
2026-02-27 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-04-05
2026-02-27 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-04-05
2026-02-27 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-04-05
2026-02-27 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.
F0803 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-04-05
2025-02-06 Ensure residents have reasonable access to and privacy in their use of communication methods.
F0576 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-14
2025-02-06 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-14
2025-02-06 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-14
2025-02-06 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.
F0700 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-14
2025-02-06 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-14
2025-02-06 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.
F0887 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-14
2024-11-07 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-01
2024-11-07 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-01
2023-10-20 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-12-02
2023-10-20 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
F0568 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-01
2023-10-20 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
F0569 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-01
2023-10-20 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-01
2023-10-20 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.
F0584 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-01
2023-10-20 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-01
2023-10-20 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.
F0625 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-01
2023-10-20 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-01
2023-10-20 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-01
2023-10-20 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-01
2023-10-20 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.
F0728 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-02
2023-10-20 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-01
2023-10-20 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-01
2023-10-20 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-01
2023-10-20 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-02
2023-10-20 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.
F0585 · Resident Rights Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2023-12-01
2023-08-10 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
G
Actual harm
Corrected 2023-09-20
2023-08-10 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-20
2023-08-10 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-20

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Richard J Destefane Revocable Living Trust (organization)5%+ Direct Ownership Interest · 100%
Destefane, Richard (individual)Corporate Director · NOT APPLICABLE
Destefane, Richard (individual)Corporate Officer · NOT APPLICABLE
Reliant Care Management Company LLC (organization)Operational/managerial Control · NOT APPLICABLE
Kaus, Brandy (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of ST Elizabeth Care Center?

ST Elizabeth Care Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.

How many beds does ST Elizabeth Care Center have?

It has 63 certified beds and cares for about 59 residents per day.

Has ST Elizabeth Care Center been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns ST Elizabeth Care Center?

It is part of Reliant Care Management and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of ST Elizabeth Care Center?

(573) 493-2215. The facility is located at 649 South Walnut, Saint Elizabeth, MO 65075.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.