N & R OF STRAFFORD, INC.
STRAFFORD, MO · Greene County · For profit - Limited Liability company · 78 certified beds
📍 505 West Evergreen, Strafford, MO 65757 · 📞 (417) 736-9332
Medicare ID: 265656 · Last Medicare inspection: Feb 25, 2026
This facility has been cited for potential issues related to abuse. CMS places this warning on facilities where inspectors identified concerns during their survey.
Score Breakdown
What the numbers mean
N & R OF STRAFFORD, INC. scored 28 out of 100 — 29 points below the state average of 57.
📋 Inspections: 65 citations over the last 36 months — 41 more than the state average (24). 1 was rated serious (G+) — an inspector determined it caused or risked harm to a resident.
🚨 Staffing: Staffing levels are well below average — this is a serious concern. Understaffing leads to worse resident outcomes. We strongly recommend asking for staffing schedules and speaking with current residents or family members before making any decision.
⚠️ Penalties & enforcement: CMS has recorded 2 enforcement actions totaling $52,456 against this facility. Penalties are only issued after a facility fails two levels of regulatory review — meaning this is a serious escalation beyond a standard citation. Ask for a written explanation of every fine and what corrective actions were taken.
⚠️ Complaints: Above-average complaint activity. Complaint surveys are unannounced and targeted — they often surface problems that routine annual inspections miss. Ask management about the nature of complaints filed and how each was resolved.
🚨 Resident quality outcomes: Multiple quality measures are well below national benchmarks — residents may experience higher rates of falls, pain, or hospitalizations than at comparable facilities. Ask management about their improvement plans.
What inspectors found (last 3 surveys)
Top concern areas
⚖ Penalties & Enforcement
Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.
⚠ Each enforcement action required CMS to make a separate non-compliance determination — meaning this facility failed two levels of regulatory review before any fine was issued. Ask management specifically what violations triggered these fines and what corrective steps were taken.
📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.
Resident Wellbeing — Key Indicators
These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.
Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.
See every citation, score history, ownership, and get monthly alerts
Watch this facility for $14.99/year. Family plan covers 3 facilities for $29.99/year.