Home›Browse›Missouri›Saint Elizabeth›St Elizabeth Care Center

Nursing homeFAID #7277

St Elizabeth Care Center

649 SOUTH WALNUT, SAINT ELIZABETH, MO, 65075

(573) 493-2215

63 licensed beds

★★★★★2/5CMS Five-Star overall3/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Address

649 South Walnut

Saint Elizabeth, MO 65075

Get directions

Map facilities in this area

All facilities in Saint Elizabeth

Public record summary

What we can show you for free.

Bed capacity

State license

053935

CMS facility ID

265676

Care type

Nursing home

Facility name

St Elizabeth Care Center

Street address

649 SOUTH WALNUT

City / state / ZIP

Saint Elizabeth, MO 65075

Phone

(573) 493-2215

State license #

053935

About this facility — St Elizabeth Care Center

St Elizabeth Care Center is a Medicare/Medicaid-certified skilled nursing facility in Saint Elizabeth, Missouri. It is licensed for 63 beds — below the median for skilled nursing facilities in Missouri (97 beds).

It is one of 1 senior care facility in Saint Elizabeth 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 St Elizabeth Care Center 74 times across 8 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

St Elizabeth Snf Opco Llc

Parent company

Reliant Care Management

Ownership type

For profit - Corporation

Administrator

Rayn Evans

Registered owners & officers

Richard J Destefane Revocable Living Trust

Direct owner — 100% stake — since 2018

Destefane, Richard

Director · Officer — since 2010

Kaus, Brandy

Managing employee — since 2018

Reliant Care Management Company Llc

Operational control — since 2013

Regulatory standing

Federal court records

6 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1997-08-01

License expires

2028-05-31

CMS overall rating

2 of 5 stars

Health deficiencies

7 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-02-27

Nurse staffing

1.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$211 per day (≈ $6,410/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

93% Medicaid · 2% Medicare · 6% private/other

Occupancy

79% (fiscal year 2023)

Vs. state median

18% 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.

2026-02-27Health inspection7 citations

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-04-05

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 2026-04-05

F-0679

E · No harm found

Provide activities to meet all resident's needs.

Corrected 2026-04-05

F-0803

E · No harm foundFood safety

Ensure 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.

Corrected 2026-04-05

F-0804

F · No harm foundFood safety

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

Corrected 2026-04-05

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 2026-04-05

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-04-05

2025-02-06Health inspection6 citations

F-0576

E · No harm found

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2025-03-14

F-0657

E · No harm found

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

Corrected 2025-03-14

F-0658

E · No harm found

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

Corrected 2025-03-14

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 2025-03-14

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-03-14

F-0887

E · No harm found

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2025-03-14

6 earlier / fire-safety inspections (61 citations)

2024-11-07Health inspectionComplaint-triggered2 citations

F-0600

D · No harm foundFrom a complaint

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

Corrected 2024-12-01

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-12-01

2023-10-20Health inspection16 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 2023-12-01

F-0569

E · No harm found

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

Corrected 2023-12-01

F-0583

E · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2023-12-01

F-0584

E · No harm found

Honor 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.

Corrected 2023-12-01

F-0585

C · No harm found

Honor 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.

Corrected 2023-12-01

F-0623

E · 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 2023-12-01

F-0625

E · 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 2023-12-01

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2023-12-01

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 2023-12-01

F-0658

E · No harm found

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

Corrected 2023-12-01

F-0728

E · No harm found

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Corrected 2023-12-02

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 2023-12-02

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 2023-12-01

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-12-02

F-0883

E · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-12-01

F-0947

E · No harm found

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2023-12-01

2023-08-10Health inspectionComplaint-triggered3 citations

F-0600

G · Actual harmFrom a complaint

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

Corrected 2023-09-20

F-0656

D · No harm foundFrom a complaint

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

Corrected 2023-09-20

F-0658

D · No harm foundFrom a complaint

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

Corrected 2023-09-20

2026-02-27Fire-safety inspection11 citations

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2026-04-05

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2026-04-05

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2026-04-05

K-0325

F · No harm found

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2026-04-05

K-0351

F · No harm found

Install an approved automatic sprinkler system.

Corrected 2026-04-05

K-0521

E · No harm found

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

Corrected 2026-04-05

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-04-05

K-0912

E · No harm found

Have power receptacles that are properly grounded.

Corrected 2026-04-05

K-0918

F · No harm found

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

Corrected 2026-04-05

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2026-04-05

K-0923

F · No harm found

Have proper medical gas storage and administration areas.

Corrected 2026-04-05

2025-02-06Fire-safety inspection14 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-03-14

E-0030

F · No harm found

List the names and contact information of those in the facility.

Corrected 2025-03-14

E-0035

F · No harm found

Provide family notifications of emergency plan.

Corrected 2025-03-14

K-0222

F · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-03-14

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2025-03-14

K-0345

F · No harm found

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

Corrected 2025-03-14

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-14

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-03-14

K-0374

F · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-03-14

K-0500

F · No harm found

Meet other general requirements that are deficient.

Corrected 2025-03-14

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-03-14

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-03-14

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-03-14

K-0926

F · No harm found

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2025-03-14

2023-10-20Fire-safety inspection15 citations

E-0035

F · No harm found

Provide family notifications of emergency plan.

Corrected 2023-12-01

E-0036

F · No harm found

Establish emergency prep training and testing.

Corrected 2023-12-01

E-0037

F · No harm found

Establish staff and initial training requirements.

Corrected 2023-12-01

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2023-12-01

K-0223

F · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-12-01

K-0321

F · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-12-01

K-0345

F · No harm found

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

Corrected 2023-12-01

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-12-01

K-0521

F · No harm found

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

Corrected 2023-12-01

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-12-01

K-0741

F · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-12-01

K-0911

F · No harm found

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-12-01

K-0918

F · No harm found

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

Corrected 2023-12-01

K-0920

F · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2023-12-01

K-0926

F · No harm found

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2023-12-01

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 265676.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 74 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

Unlock the full file

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

$79 $99 Advanced

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