Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Elsberry Missouri Health Care Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment, dependent on staff for transfers, was injured when two CNAs used a mechanical lift sling with torn attachment loops for a transfer. The staff attached the lift to lower loops beneath the damaged ones, which tore during the transfer, causing the resident to fall and sustain a head laceration requiring ER treatment. Staff interviews indicated a lack of awareness regarding the need to remove damaged slings from use, despite facility policy and manufacturer instructions.
Resident Injury Due to Use of Damaged Mechanical Lift Sling
Penalty
Summary
A deficiency occurred when staff failed to ensure a safe transfer of a resident using a mechanical lift. Two CNAs transferred a resident from a wheelchair to bed using a full body sling that had two torn attachment loops. Instead of replacing the sling, the staff attached the lift to the lower loops beneath the torn ones. During the transfer, these lower loops tore, causing the resident to fall from the lift and sustain a laceration to the back of the head, which required emergency room treatment. The resident involved had severely impaired cognition, was nonverbal most of the time, and was dependent on staff for transfers, requiring extensive assistance and use of a mechanical lift. The facility's mechanical lift policy and the manufacturer's instructions both required inspection of slings for wear prior to each use and immediate removal from service if any tearing, fraying, or wear was found. Despite these requirements, the damaged sling was used for the transfer. Interviews with staff revealed that the CNAs believed the sling was safe to use because the green loops appeared intact, even though the purple loops were broken. Laundry staff were responsible for inspecting slings for damage during washing but reported not having found any damaged slings. The restorative aide, who was assigned to conduct weekly audits of slings, was unaware of the damaged sling prior to the incident.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Elsberry
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Evercare Of Calhoun | 11.2 mi | — | 1 | 0 |
| Silex Community Care | 12.1 mi | — | 0 | 0 |
| Lincoln County Nursing & Rehab | 12.9 mi | — | 3 | 0 |
| Troy Manor | 13.3 mi | — | 0 | 0 |
| Abbey Senior Health | 24 mi | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.