All states › Missouri › Savannah › Abundant Acres Care and Rehab
13277 State Route D Savannah, MO 64485 · Andrew County
All 2 nursing homes in Savannah, MO (2 take Medicaid)
CMS certification number 265846 · See this home on Medicare Care Compare
Is Abundant Acres Care and Rehab 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 Abundant Acres Care and Rehab 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 2.50 hours per resident per day at Abundant Acres Care and Rehab, below the Missouri median of 3.37 (US median: 3.72). About 0.43 of those hours are from registered nurses. On weekends it falls to 2.05 hours, 18% below its all-week average. Ask how weekends are staffed. 55.3% of nursing staff left within a year (Missouri median 56.8%).
About this nursing home
Paying for care at Abundant Acres Care and Rehab: Medicare and Medicaid
Abundant Acres Care and Rehab 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 August 21, 2025 and found 14 deficiencies. In total, inspectors issued 60 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 60 citations at Abundant Acres Care and Rehab across 11 inspection dates, 18 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on January 19, 2023. The most common areas cited were resident rights (16) and quality of life and care (12). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level G, January 19, 2023). 6 citations were under CMS's abuse, neglect and exploitation rules.
August 21, 2025 · 14 citations
FProvide and implement an infection prevention and control program.
EEnsure that residents are fully informed and understand their health status, care and treatments.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
ENotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
EHonor 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.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DThe resident has the right to receive notices in a format and a language he or she understands.
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.
DPASARR screening for Mental disorders or Intellectual Disabilities
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure medication error rates are not 5 percent or greater.
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.
June 16, 2025 · 1 citation · includes complaint inspection
EProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
January 27, 2025 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
January 3, 2025 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
December 2, 2024 · 1 citation · includes complaint inspection
DEnsure that residents are fully informed and understand their health status, care and treatments.
June 26, 2024 · 16 citations
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
EHonor 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.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide activities to meet all resident's needs.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide enough food/fluids to maintain a resident's health.
EProvide safe and appropriate respiratory care for a resident when needed.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
EEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EImplement a program that monitors antibiotic use.
EEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
DEnsure services provided by the nursing facility meet professional standards of quality.
May 14, 2024 · 4 citations · includes complaint inspection
FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
EHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
EHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
April 29, 2024 · 2 citations · includes complaint inspection
ENotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
EMake sure that a working call system is available in each resident's bathroom and bathing area.
April 3, 2024 · 5 citations · includes complaint inspection
ENotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
EEnsure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
EMake sure that a working call system is available in each resident's bathroom and bathing area.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
January 18, 2024 · 3 citations · includes complaint inspection
EReasonably accommodate the needs and preferences of each resident.
EEnsure 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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 19, 2023 · 12 citations, includes actual harm
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
FProvide and implement an infection prevention and control program.
FMake sure that a working call system is available in each resident's bathroom and bathing area.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EEnsure medication error rates are not 5 percent or greater.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Questions to ask on a tour of Abundant Acres Care and Rehab
- Inspectors cited the home at the actual-harm level on January 19, 2023 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 January 27, 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?
- Weekend staffing is 18% below the all-week average. Who is on duty on Saturday nights?
- 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
3 penalties in the last three years, including $14,498 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 21, 2025 | Fine | $14,498 |
| Aug 21, 2025 | Payment Denial | 3 days of payments denied |
| Apr 3, 2024 | Payment Denial | 13 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 3/5 |
| August 2026 | 2/5 | 2/5 | 3/5 | 3/5 |
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Location
Hospitals near Abundant Acres Care and Rehab
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 11.2 mi
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11.2 mi
Mosaic Life Care at St Joseph St JosephEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 33m 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.
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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.