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Nursing homeFAID #7406

Nodaway Healthcare

22371 STATE HIGHWAY 46, MARYVILLE, MO, 64468

(660) 562-2876

60 licensed beds

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing1/5 quality measuresSource: CMS Care Compare

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Address

22371 State Highway 46

Maryville, MO 64468

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Public record summary

What we can show you for free.

Bed capacity

State license

053789

CMS facility ID

265836

Care type

Nursing home

Facility name

Nodaway Healthcare

Street address

22371 STATE HIGHWAY 46

City / state / ZIP

Maryville, MO 64468

Phone

(660) 562-2876

State license #

053789

About this facility — Nodaway Healthcare

Nodaway Healthcare is a Medicare/Medicaid-certified skilled nursing facility in Maryville, Missouri. It is licensed for 60 beds — below the median for skilled nursing facilities in Missouri (97 beds).

It is one of 7 senior care facilities in Maryville and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Nodaway Healthcare 62 times across 11 inspections in the last three years, including 3 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

Nodaway Healthcare Llc

Parent company

Blue Sky Basin, Llc

Ownership type

For profit - Limited Liability company

Administrator

Joy Downing

Registered owners & officers

Gateway Mo2 Llc

Direct owner — 100% stake — since 2022

Sloans Lake Trust

Indirect owner — 63% stake — since 2022

Berger, Eliot

Director — since 2022

Kleiner, David

Partner — since 2022

Perlow, Bernard

Director — since 2022

Wymore, Adriane

Managing employee — since 2022

Regulatory standing

Licensed / certified since

2010-07-01

License expires

2028-06-30

CMS overall rating

1 of 5 stars

Health deficiencies

17 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-08-07

Nurse staffing

3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$187 per day (≈ $5,680/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

41% Medicaid · 10% Medicare · 49% private/other

Occupancy

51% (fiscal year 2023)

Vs. state median

27% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds

Licensed as

SNF

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-04-21Health inspectionComplaint-triggered1 citation

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-04-06

2025-08-07Health inspection16 citations

F-0552

E · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-09-17

F-0561

E · No harm found

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-09-17

F-0574

E · No harm found

The resident has the right to receive notices in a format and a language he or she understands.

Corrected 2025-09-17

F-0583

E · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2025-09-17

F-0607

E · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-09-17

F-0628

E · No harm found

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-09-17

F-0656

E · No harm found

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

Corrected 2025-09-17

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-09-17

F-0685

D · No harm found

Assist a resident in gaining access to vision and hearing services.

Corrected 2025-09-17

F-0689

D · No harm found

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

Corrected 2025-09-17

F-0695

E · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-09-17

F-0727

F · No harm found

Have 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.

Corrected 2025-09-17

F-0761

E · No harm found

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.

Corrected 2025-09-17

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-09-17

F-0851

E · No harm found

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-09-17

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-09-17

8 earlier / fire-safety inspections (45 citations)

2024-11-12Health inspectionComplaint-triggered1 citation

F-0697

D · No harm foundFrom a complaint

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-12-06

2024-10-10Health inspection1 citation

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-11-16

2024-08-21Health inspectionComplaint-triggered1 citation

F-0569

E · No harm foundFrom a complaint

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

Corrected 2024-09-03

2022-03-21Health inspection21 citations

F-0568

E · No harm found

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2022-07-07

F-0570

E · No harm found

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

Corrected 2022-06-20

F-0623

D · No harm found

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

Corrected 2022-06-20

F-0625

D · No harm found

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.

Corrected 2022-06-20

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2022-06-20

F-0656

E · No harm found

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

Corrected 2022-06-20

F-0661

D · No harm found

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2022-06-20

F-0679

E · No harm found

Provide activities to meet all resident's needs.

Corrected 2022-06-20

F-0689

D · No harm found

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

Corrected 2022-06-20

F-0700

E · No harm found

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.

Corrected 2022-06-20

F-0727

F · No harm found

Have 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.

Corrected 2022-06-20

F-0744

E · No harm found

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2022-06-20

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2022-06-20

F-0758

D · No harm found

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.

Corrected 2022-06-20

F-0800

F · No harm foundFood safety

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2022-06-20

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-06-20

F-0849

D · No harm found

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2022-06-20

F-0881

F · No harm found

Implement a program that monitors antibiotic use.

Corrected 2022-06-20

F-0886

D · No harm found

Perform COVID19 testing on residents and staff.

Corrected 2022-07-07

F-0888

D · No harm found

Ensure staff are vaccinated for COVID-19

Corrected 2022-06-20

F-0924

D · No harm found

Put firmly secured handrails on each side of hallways.

Corrected 2022-06-20

2026-02-13Fire-safety inspectionComplaint-triggered1 citation

K-0311

F · No harm foundFrom a complaint

Have an enclosure around a vertical opening shaft.

Corrected 2026-03-14

2025-08-07Fire-safety inspection8 citations

K-0161

E · No harm found

Use approved construction type or materials.

Corrected 2025-09-23

K-0281

F · No harm found

Install proper backup exit lighting.

Corrected 2025-09-23

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-09-23

K-0293

F · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2025-09-23

K-0351

F · No harm found

Install an approved automatic sprinkler system.

Corrected 2025-09-23

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-23

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-09-23

K-0521

E · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-09-23

2024-10-10Fire-safety inspection3 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-10-16

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-12-10

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-10-16

2022-03-21Fire-safety inspection9 citations

E-0026

F · No harm found

Establish roles under a Waiver declared by secretary.

Corrected 2022-06-20

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2022-06-20

K-0161

E · No harm found

Use approved construction type or materials.

Corrected 2022-06-20

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-06-20

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-06-20

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-06-20

K-0711

E · No harm found

Provide a written emergency evacuation plan.

Corrected 2022-06-20

K-0914

E · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2022-06-20

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2022-06-20

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265836.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 62 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered