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Nursing homeFAID #7296

The Estates of Perryville

430 NORTH WEST STREET, PERRYVILLE, MO, 63775
(573) 547-1011
156 licensed beds
★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing1/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
156
State license
053306
CMS facility ID
265704
Care type
Nursing home
Facility name
The Estates of Perryville
Street address
430 NORTH WEST STREET
City / state / ZIP
Perryville, MO 63775
Phone
(573) 547-1011
State license #
053306

The Estates of Perryville is a Medicare/Medicaid-certified skilled nursing facility in Perryville, Missouri. It is licensed for 156 beds — well above the median for skilled nursing facilities in Missouri (97 beds).

It is one of 8 senior care facilities in Perryville 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 The Estates of Perryville 57 times across 13 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $306,992 in fines. 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.

What the public record shows.

Ownership & operator

Operator / owner
The Estates of Perryville, Llc
Ownership type
For profit - Limited Liability company
Administrator
Dorothy Westin

Registered owners & officers

Rosenberg, Zev
Direct owner — 60% stake — since 2014
Haque, Zahirul
Operational control · Additional disclosable party — since 2024
Huff, Devon
Operational control · Additional disclosable party — since 2024
Medallion Healthcare Systems Llc
Additional disclosable party — since 2014

Regulatory standing

Licensed / certified since
2000-03-14
License expires
2027-11-30
CMS overall rating
1 of 5 stars
Health deficiencies
9 at the last standard inspection
Federal fines
$306,992 total
Last standard inspection
2026-03-11
Nurse staffing
2.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$190 per day (≈ $5,780/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
92% Medicaid · 2% Medicare · 6% private/other
Occupancy
64% (fiscal year 2023)
Vs. state median
26% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds
156
Licensed as
SNF
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-11Health inspection6 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-04-17
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-04-17
F-0656
D · 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 2026-04-17
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-04-17
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2026-04-17
F-0804
D · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-04-17
2025-11-06Health 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 2025-11-24
10 earlier / fire-safety inspections (50 citations)
2025-09-11Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-09-04Health inspectionComplaint-triggered1 citation
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-10-19
2025-07-09Health inspectionComplaint-triggered1 citation
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 2025-10-19
2025-06-10Health inspectionComplaint-triggered5 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-10-19
F-0645
D · No harm foundFrom a complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-10-19
F-0699
D · No harm foundFrom a complaint
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-10-19
F-0741
D · No harm foundFrom a complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2025-10-19
F-0742
D · No harm foundFrom a complaint
Provide 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.
Corrected 2025-10-19
2025-03-11Health inspectionComplaint-triggered2 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-18
F-0741
J · Immediate jeopardyFrom a complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2025-04-18
2024-12-06Health inspectionComplaint-triggered13 citations
F-0584
D · No harm foundFrom a complaint
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 2025-01-19
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 2025-01-19
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 2025-01-19
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 2025-01-19
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2025-01-19
F-0657
D · 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 2025-01-19
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-19
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2025-01-19
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 2025-01-19
F-0804
D · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-01-19
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 2025-01-19
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-01-19
F-0925
E · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-01-19
2023-09-28Health inspection13 citations
F-0569
D · No harm found
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2023-10-20
F-0570
D · No harm found
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2023-10-20
F-0636
D · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-10-20
F-0638
D · No harm found
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-10-20
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-10-20
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-20
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-20
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-10-20
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2023-10-20
F-0761
D · 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 2023-10-20
F-0801
F · No harm foundFood safety
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2023-10-20
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-10-20
F-0925
F · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-10-20
2026-03-11Fire-safety inspection6 citations
K-0271
D · No harm found
Have exits that are accessible at all times.
Corrected 2026-04-17
K-0293
F · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2026-04-17
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 2026-04-17
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-04-17
K-0781
D · No harm found
Have restrictions on the use of portable space heaters.
Corrected 2026-04-17
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2026-04-17
2024-12-06Fire-safety inspection5 citations
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-01-19
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2025-01-19
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-19
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-01-19
K-0923
F · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-01-19
2023-09-28Fire-safety inspection3 citations
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 2023-10-20
K-0351
F · No harm found
Install an approved automatic sprinkler system.
Corrected 2023-10-20
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-10-20

Federal penalties

2025-06-10Fine$17,627
2025-06-10Fine$155,548
2025-03-11Fine$133,817
2025-06-10Medicare payment denial — 57 days
2025-03-11Medicare payment denial — 6 days
Total fines$306,992
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 265704.
What people say on Google.
2.924 ratings on Google
★Pamela Odonnell · 2026-03-18 · via Google

“My sister is there I did not recognize her. What teeth she has left no one tried to help her care for them. She asked for floss a few years back and nail clippers which I sent. They over medicate them. They told me she quit talking at all. I figured she would not recognize me or my uncle. They pointed her out to me when I got there and I did not recognize her at all. To my surprise she recognize…”

★★★★★Laura Jung · 2025-05-23 · via Google

“My aunt resided at Perryville Estates needing care in the locked unit for mental illness. The facility was clean, the staff were very kind and she appeared to be well taken care of. The social worker, Nikki was a very kind, caring and responsive person. She had a genuine interest to get to know the residents. My aunt also really loved the food and looked forward to mealtime. It’s also conveniently…”

★★★★★Lisa Cain · 2024-05-16 · via Google

“My 44 year old son was a resident there, for a short time, after a hospital stay for mental illness. The facility exceeded my expectations on cleanliness and friendliness. His case worker Brian and office person Pam are very understanding, kind people who actually listen and have compassion not only for my son but for myself also. Every staff member I spoke to was the same way, compassionate and l…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
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 57 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.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
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