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The Estates of Perryville

All states › Missouri › Perryville › The Estates of Perryville

430 North West Street Perryville, MO 63775 · Perry County

(573) 547-1011

All 2 nursing homes in Perryville, MO (2 take Medicaid)

Accepts Medicare Accepts Medicaid 156 certified beds For profit

CMS certification number 265704 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 43 citations in the last three years. CMS imposed 5 penalties, including $306,992 in fines, in that time.

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.

Nursing care per resident per day 1.39 hours
Below the Missouri median of 3.37 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.08 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 1.23 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 75% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left 3 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds156
Residents per day 100 About 64% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceMarch 2000
Legal business nameTHE ESTATES OF PERRYVILLE LLC

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Deficient, Provider has date of correction (Apr 17, 2026)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Apr 17, 2026)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Apr 17, 2026)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Apr 17, 2026)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Apr 17, 2026)

DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Apr 17, 2026)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Nov 24, 2025)

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.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance

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.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Oct 19, 2025)

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.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Oct 19, 2025)

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.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Oct 19, 2025)

DPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Complaint inspection · Deficient, Provider has date of correction (Oct 19, 2025)

DProvide care or services that was trauma informed and/or culturally competent.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0699 · Complaint inspection · Deficient, Provider has date of correction (Oct 19, 2025)

DEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0741 · Complaint inspection · Deficient, Provider has date of correction (Oct 19, 2025)

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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0742 · Complaint inspection · Deficient, Provider has date of correction (Oct 19, 2025)

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.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Apr 18, 2025)

JEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0741 · Complaint inspection · Deficient, Provider has date of correction (Apr 18, 2025)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jan 19, 2025)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jan 19, 2025)

EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0925 · Deficient, Provider has date of correction (Jan 19, 2025)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Jan 19, 2025)

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Jan 19, 2025)

DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Jan 19, 2025)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0625 · Deficient, Provider has date of correction (Jan 19, 2025)

DAssess the resident when there is a significant change in condition

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0637 · Deficient, Provider has date of correction (Jan 19, 2025)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Jan 19, 2025)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Jan 19, 2025)

DProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Jan 19, 2025)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Jan 19, 2025)

DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Jan 19, 2025)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0801 · Deficient, Provider has date of correction (Oct 20, 2023)

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Oct 20, 2023)

FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0925 · Deficient, Provider has date of correction (Oct 20, 2023)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Oct 20, 2023)

DNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0569 · Deficient, Provider has date of correction (Oct 20, 2023)

DAssure the security of all personal funds of residents deposited with the facility.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0570 · Deficient, Provider has date of correction (Oct 20, 2023)

DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Deficient, Provider has date of correction (Oct 20, 2023)

DAssure that each resident’s assessment is updated at least once every 3 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0638 · Deficient, Provider has date of correction (Oct 20, 2023)

DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0640 · Deficient, Provider has date of correction (Oct 20, 2023)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Oct 20, 2023)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Oct 20, 2023)

DProvide care or services that was trauma informed and/or culturally competent.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0699 · Deficient, Provider has date of correction (Oct 20, 2023)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Oct 20, 2023)

Questions to ask on a tour of The Estates of Perryville

  1. 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?
  2. CMS cited the home under its abuse and neglect rules on September 4, 2025. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Nursing staff turnover was 75% a year. How many of the staff come from agencies?
  5. Several administrators left in the past year. What has changed for residents since then?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. 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.

DateTypeAmount 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 monthOverallInspectionStaffingQuality
October 2026 1/5 2/5 1/5 3/5
August 2026 1/5 2/5 1/5 1/5
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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 Perryville
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 2h 15m for patients treated and sent home
  • 13.2 mi
    Memorial Hospital Chester
    Emergency room
    Median ER visit 3h 3m for patients treated and sent home
  • 19.4 mi
    Ste Genevieve County Memorial Hospital Ste Genevieve
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median 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

Independence Care Center of Perry County Perryville · 0.7 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 133 beds · Medicaid
Riverview at the Park Care and Rehabilitation Center Sainte Genevieve · 19.0 mi away ★★★★☆ Inspection 5/5 · Staffing 1/5 120 beds · Medicaid
St Genevieve Nursing Sainte Genevieve · 19.8 mi away ★★★★★ Inspection 5/5 · Staffing 2/5 90 beds · Medicaid
Jackson Manor Jackson · 25.2 mi away ★★★★☆ Inspection 5/5 · Staffing 1/5 90 beds · Medicaid
Claru Deville Nursing Center Fredericktown · 25.8 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 90 beds · Medicaid

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

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.

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https://www.nursinghomesineachstate.com/missouri/perryville/the-estates-of-perryville/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.