Ratliff Care Center
Cape Girardeau, Cape Girardeau County, Missouri · CCN 265747 · For-profit (Individual) · not part of a chain
CMS rates Ratliff Care Center 3 of 5 overall as of August 2026. 46 certified beds, 41 residents a day on average. 20 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 1 / 3 of 5 |
Staffing
| Total nurse staffing | 3.23718 hours per resident per day |
|---|---|
| Registered nurses | 0.33816 hours per resident per day |
| Weekend total | 3.05565 hours per resident per day |
| Nursing staff turnover | 72.1% (registered nurses 50%) |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-05-30 | Assure the security of all personal funds of residents deposited with the facility. Resident Rights Deficiencies · tag F0570 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-07-11 |
| 2025-05-30 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-11 |
| 2025-05-30 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-11 |
| 2025-05-30 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-11 |
| 2025-05-30 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-11 |
| 2025-05-30 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Nursing and Physician Services Deficiencies · tag F0729 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-11 |
| 2025-05-30 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-11 |
| 2025-05-30 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · tag F0947 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-11 |
| 2024-05-16 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · tag F0851 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-06-28 |
| 2024-05-16 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-28 |
| 2024-05-16 | 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. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-28 |
| 2024-05-16 | 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. Quality of Life and Care Deficiencies · tag F0700 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-28 |
| 2024-05-16 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Environmental Deficiencies · tag F0909 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-28 |
| 2023-03-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-05-05 |
| 2023-03-23 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-05 |
| 2023-03-23 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-05 |
| 2023-03-23 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-05 |
| 2023-03-23 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · tag F0730 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-05 |
| 2023-03-23 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · tag F0947 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-05 |
| 2023-03-23 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · tag F0565 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2023-05-05 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Ratliff Enterprises LLC Organization | 5% or greater direct ownership interest | — | 1999-12-31 |
| Ratliff Revocable Trust Organization | 5% or greater direct ownership interest | — | 2019-02-13 |
| Choice Rehabilitation LLC Organization | adp of the snf | — | 2025-02-24 |
| Ratliff Enterprises LLC Organization | adp of the snf | — | 2025-01-14 |
| Ratliff Revocable Trust Organization | adp of the snf | — | 2019-02-13 |
| Choice Rehabilitation LLC Organization | operational/managerial control | — | 2025-02-24 |
| Forvis Mazars LLP Organization | operational/managerial control | — | 2025-01-14 |
| Ratliff Revocable Trust Organization | operational/managerial control | — | 2025-01-14 |
| Ratliff, Emmagene Individual | 5% or greater indirect ownership interest | 100% | 2019-02-13 |
| Palen, James Individual | adp of the snf | — | 2025-01-14 |
| Ratliff, Emmagene Individual | adp of the snf | — | 2024-03-19 |
| Ratliff, Michael Individual | adp of the snf | — | 2025-01-14 |
| Strickland, Cheryl Individual | adp of the snf | — | 2025-02-24 |
| Swindle, Aftan Individual | adp of the snf | — | 2025-01-14 |
| Strickland, Cheryl Individual | corporate officer | — | 2025-02-24 |
| Ratliff, Michael Individual | operational/managerial control | — | 2025-01-14 |
| Strickland, Cheryl Individual | operational/managerial control | — | 2025-02-24 |
| Ratliff, Emmagene Individual | trustee of the snf | — | 2019-02-13 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Ratliff Care Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Cape Girardeau County.