Roaring River Health and Rehabilitation is an average-sized nursing home located in Cassville, Missouri. This nursing home received an uninspiring overall grade of D, which is a lower end rating. If you are not happy with this facility's poor overall grade, you may find your options to be limited in Cassville. The city has just one other nursing home. If you aren't deterred by this place's report card, feel free to continue reading to find out about its category scores. We discuss inspections in the next section.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 90 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Partnership

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
January
January 1, 2019January 2, 2019January 3, 2019January 4, 2019January 5, 2019January 6, 2019January 7, 2019January 8, 2019January 9, 2019January 10, 2019January 11, 2019January 12, 2019January 13, 2019January 14, 2019January 15, 2019January 16, 2019January 17, 2019January 18, 2019January 19, 2019January 20, 2019January 21, 2019January 22, 2019January 23, 2019January 24, 2019January 25, 2019January 26, 2019January 27, 2019January 28, 2019January 29, 2019January 30, 2019January 31, 2019
February
February 1, 2019February 2, 2019February 3, 2019February 4, 2019February 5, 2019February 6, 2019February 7, 2019February 8, 2019February 9, 2019February 10, 2019February 11, 2019February 12, 2019February 13, 2019February 14, 2019February 15, 2019February 16, 2019February 17, 2019February 18, 2019February 19, 2019February 20, 2019February 21, 2019February 22, 2019February 23, 2019February 24, 2019February 25, 2019February 26, 2019February 27, 2019February 28, 2019
March
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April
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May
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June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019
July
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August
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September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Facility Inspections

A-
Oct 18: A+Nov 18: A+Dec 18: A+Jan 19: A+Feb 19: A+May 19: AJun 19: AJul 19: AAug 19: ASep 19: AJan 20: AMar 20: AApr 20: A-May 20: A-Jun 20: A-Jul 20: A-Aug 20: A-
Historical

Although we did not rate this facility favorably overall, we want to draw your attention to its nearly flawless government inspections in recent years. We awarded them an A- in this category. We take several aspects of a facility's inspection report into consideration in computing these inspection ratings. One key factor is health deficiencies. It should be noted that the severity of the deficiencies is usually more important than the number of deficiencies, as some of these end up being quite minor. This place was assessed 4 deficiencies on its inspection report, but fortunately none of the deficiencies were considered to be severe deficiencies. This means that the inspectors did not deem any of the deficiencies to pose an immediate threat to patient health or safety. A few minor deficiencies aren't the end of the world.

Long-term Care Quality

C
Oct 18: CNov 18: DDec 18: DJan 19: CFeb 19: CMay 19: DJun 19: BJul 19: B+Aug 19: B+Sep 19: B+Jan 20: B+Mar 20: B+Apr 20: CMay 20: CJun 20: CJul 20: CAug 20: C
Historical

This nursing home's next most favorable category is long-term care. We awarded it a grade of C in this area. This is basically a middle of the road grade in this category. In forming these long-term care grades, we assess the facility's ability to maintain its permanent residents' health and quality of life. After looking at the amount of care provided by nurses and other staff, we turned to the facility's vaccination record. This nursing home vaccinated 98.73418 percent of its residents against pneumonia, which is higher than the majority of nursing homes. This facility also excelled at keeping its patients out of the hospital. It had just 1.03 hospitalizations per one thousand long-term resident days, which is a much lower hospitalization rate than the average nursing home.

Nurse Quality

D
Oct 18: DNov 18: DDec 18: DJan 19: CFeb 19: CMay 19: DJun 19: DJul 19: FAug 19: FSep 19: FJan 20: FMar 20: FApr 20: DMay 20: DJun 20: DJul 20: DAug 20: D
Historical

We gave this facility a grade of just D for our nursing rating. Our nursing score looks at the facility's level of nurse staffing. We consider both the levels of training of the nurses and the quantity of hours spent with patients. This facility averaged only 3.3 hours of nursing care per resident each day. To pair with its low totals in the area of nursing hours per patient, this facility also did not fare as well in the quality-based measures we looked at in calculating our nursing ratings. We looked at the percentage of patients experiencing major falls and pressure ulcers. This nursing home had more pressure ulcers and falls than the average facility.

Short-term Care Quality

D
Oct 18: CNov 18: CDec 18: CJan 19: CFeb 19: DMay 19: DJun 19: DJul 19: DAug 19: DSep 19: DJan 20: FMar 20: FApr 20: DMay 20: DJun 20: DJul 20: DAug 20: D
Historical

This facility's worst area was short-term care, which is the final category we looked at. For this category, we gave this nursing home a D. Our short-term care grades are likely most meaningful for people needing rehabilitation from their nursing home. Rehabilitation usually mandates higher levels of skilled nursing. This means not only nursing, but also physical and speech therapy, as well as other variations of therapy. Based on its abysmal rating in this area, we weren't surprised to find that this nursing home provided far fewer registered nurse and physical therapist hours per resident than most other nursing homes. Finally, we assessed the number of patients who were able to return to the community from this facility. This wasn't a strength for this nursing home. We found that just 36.4 percent of this nursing home's residents returned home. At most nursing homes, around half of their residents are able to return home so this is well below average.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
D
State:
B-
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Roaring River Health and Rehabilitation Quality Metrics

Minimizes Pressure Ulcers

This tells you the percentage of residents that suffered from a pressure ulcer. Pressure ulcers, also referred to as bed sores, are routinely the result of residents staying in one position for too long. Better nursing care can limit the percentage of residents in a nursing home who sustain pressure ulcers.

Provider
B-
8.76%
State
B
8.39%
National
B
7.32%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This tells you the percent of patients who suffered from a major fall. Falls leading to severe injuries are considered by many in the nursing home industry to be an indicator of nursing care . Major falls leading to injury are routinely caused by lower quality nursing care.

Provider
D
5.49%
State
B-
4.16%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This tells you the percent of patients that have had a urinary tract infection. These infections are associated with poor hygiene.

Provider
A-
0.86%
State
B
3.59%
National
B
2.65%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This metric gauges the percentage of long-term stay patients receiving antipsychotic drugs. While antipsychotic drugs play an important role in caring for many residents, it is important to confirm these medications are being used appropriately. In some cases, excessive reliance on these medications may suggest a nursing home is using these drugs to control patient behavior.

Provider
C
18.22%
State
B-
18.42%
National
B
14.18%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This metric indicates the percent of long-term care residents who are administered antianxiety drugs. These medications are typically used to treat residents experiencing depression and anxiety.

Provider
C
27.44%
State
B-
24.61%
National
B
19.68%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This metric measures the percentage of long-term care patients demonstrating signs of depression.

Provider
A+
0%
State
B
3.59%
National
B+
5.07%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This datapoint measures the percent of long-term stay residents that were given the pneumonia and flu vaccines. Respiratory viruses can be very dangerous for nursing home patients, making these types of vaccines important for resident well-being.

Provider
B-
96.38%
State
B-
89.7%
National
B
92.05%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

Measures the percentage of long-term care patients that needed more assistance with activities of daily living over time. Activities of daily living include activities such as getting dressed and taking a bath.

Provider
D
22.89%
State
B
14.44%
National
B
14.45%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This tells you the percentage of residents who remained mobile levels over time. Optimizing mobility is usually a great sign for residents' health.

Provider
A
25.46%
State
B-
14.54%
National
B
17.08%

Percentage of Residents
Higher is Better

Hospitalizations

This is the number of hospitalizations per thousand days of patient care. There is generally a correlation between keeping patients out of the hospital and the quality of long-term care.

Provider
A
1.03
State
B-
2.01
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This indicates the number of times residents are rehospitalized per 1,000 days of short-term care. There is typically a correlation between having fewer hospitalizations and a nursing homes short-term rehabilitation performance.

Provider
D
25.46
State
B+
14.54
National
B
17.08

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

Measures the number of emergency room visits per 1,000 days of short-term patient care.

Provider
B+
8.62
State
B
10.15
National
B
10.26

Percentage of Patients
Lower is Better

Short-term Care: Facilitates Functional Improvement

This metric is a measure of the percentage of short-term residents who experienced functional improvements.

Provider
A+
87.92%
State
B
69.72%
National
B
68.03%

Percentage of Resident
Higher is Better

Nearby Hospitals

Mercy Hospital Cassville 0.52 mi
94 Main Street Cassville Missouri 65625
(417) 847-6065
Critical Access Hospitals
Voluntary non-profit - Church
Cox Monett Hospital 17.51 mi
801 North Lincoln Avenue Monett Missouri 65708
(417) 354-1400
Critical Access Hospitals
Voluntary non-profit - Private

Nearby Dialysis

Ozarks Dialysis Services - Monett 16.71 mi
Dialysis Stations: 20
825 Highway 60 Ste B Monett Missouri 65708
(417) 354-1111