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311 N Spring Street Steelville, MO 65565 · Crawford County
CMS certification number 265866 · See this home on Medicare Care Compare
Is Steelville Senior Living 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 Steelville Senior Living 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 3.34 hours per resident per day at Steelville Senior Living, about the same as the Missouri median of 3.37 (US median: 3.72). About 0.24 of those hours are from registered nurses. On weekends it falls to 3.09 hours, 7% below its all-week average. 76.1% 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.
About this nursing home
Paying for care at Steelville Senior Living: Medicare and Medicaid
Steelville Senior Living 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 April 23, 2026 and found 9 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 22 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 22 citations at Steelville Senior Living across 5 inspection dates, 4 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on March 14, 2024 (complaint inspection). The most common areas cited were nutrition and dietary (7) and infection control (5). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level L, March 14, 2024).
April 23, 2026 · 11 citations · includes complaint inspection
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.
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 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.
EProvide and implement an infection prevention and control program.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CImplement a program that monitors antibiotic use.
May 19, 2025 · 1 citation · includes complaint inspection
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
August 16, 2024 · 6 citations
FHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
FEnsure 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.
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.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CHonor the resident's right to manage his or her financial affairs.
March 14, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
LProvide and implement an infection prevention and control program.
May 5, 2023 · 3 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
EProvide and implement an infection prevention and control program.
Questions to ask on a tour of Steelville Senior Living
- Inspectors cited the home at the immediate-jeopardy level on March 14, 2024 under the rule on infection control. What changed afterwards, and can I see the plan of correction?
- 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 76.1% a year. How many of the staff come from agencies?
- 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
1 penalty in the last three years, including $87,749 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Mar 14, 2024 | Fine | $87,749 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 2/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 1/5 |
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Location
Hospitals near Steelville Senior Living
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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18.7 mi
Missouri Baptist Sullivan Hospital SullivanEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 55m for patients treated and sent home
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23.1 mi
Phelps County Regional Medical Center RollaEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 31m for patients treated and sent home
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24.2 mi
Salem Memorial District Hospital SalemEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 13m 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
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Higher-rated nursing homes within 10 miles
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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.