All states › Missouri › Perryville › The Estates of Perryville
430 North West Street Perryville, MO 63775 · Perry County
All 2 nursing homes in Perryville, MO (2 take Medicaid)
CMS certification number 265704 · See this home on Medicare Care Compare
Is The Estates of Perryville a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Estates of Perryville as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 1.39 hours per resident per day at The Estates of Perryville, below the Missouri median of 3.37 (US median: 3.72). About 0.08 of those hours are from registered nurses. On weekends it falls to 1.23 hours, 12% below its all-week average. 75% of nursing staff left within a year (Missouri median 56.8%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 3 administrators left in the past year.
About this nursing home
Paying for care at The Estates of Perryville: Medicare and Medicaid
The Estates of Perryville is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on March 11, 2026 and found 6 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 43 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 43 citations at The Estates of Perryville across 9 inspection dates, 13 of them from complaint investigations. 5 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on September 11, 2025 (complaint inspection). The most common areas cited were resident assessment and care planning (11) and quality of life and care (9). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, September 11, 2025). 5 citations were under CMS's abuse, neglect and exploitation rules.
March 11, 2026 · 6 citations
DEnsure that residents are fully informed and understand their health status, care and treatments.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure medication error rates are not 5 percent or greater.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
November 6, 2025 · 1 citation · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
September 11, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
September 4, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
July 9, 2025 · 1 citation, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
June 10, 2025 · 5 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide care or services that was trauma informed and/or culturally competent.
DEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
DProvide 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.
March 11, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
December 6, 2024 · 13 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DHonor 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.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DNotify 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.
DAssess the resident when there is a significant change in condition
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide activities to meet all resident's needs.
DImplement 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.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
September 28, 2023 · 13 citations
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
FProvide and implement an infection prevention and control program.
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
DAssure the security of all personal funds of residents deposited with the facility.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DAssure that each resident’s assessment is updated at least once every 3 months.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide care or services that was trauma informed and/or culturally competent.
DEnsure 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.
Questions to ask on a tour of The Estates of Perryville
- Inspectors cited the home at the immediate-jeopardy level on September 11, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on September 4, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 75% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
5 penalties in the last three years, including $306,992 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 10, 2025 | Fine | $17,627 |
| Jun 10, 2025 | Fine | $155,548 |
| Jun 10, 2025 | Payment Denial | 57 days of payments denied |
| Mar 11, 2025 | Fine | $133,817 |
| Mar 11, 2025 | Payment Denial | 6 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 3/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 1/5 |
Add this rating badge to your websiteFree. Shows The Estates of Perryville's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near The Estates of Perryville
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
0.1 mi
Perry County Memorial Hospital PerryvilleEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 15m for patients treated and sent home
- 13.2 mi
-
19.4 mi
Ste Genevieve County Memorial Hospital Ste GenevieveEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 1h 43m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near The Estates of Perryville › All nursing homes in Perryville ›
Compare The Estates of Perryville with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Independence Care Center of Perry County · Perryville · 3 stars · 0.7 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.