Strafford Care Center
Nursing Home Facility
505 West Evergreen, Strafford, MO 65757
Strafford Rehabilitation & Health Care Center provides skilled nursing, rehabilitation, long-term care, rapid recovery, and therapy services in Strafford, Missouri. The community offers individualized care plans, 24-hour skilled nursing, physical therapy, occupational therapy, speech therapy, and supportive amenities designed to help residents recover and thrive.
Operated by Tutera Senior Living, which runs 60 communities in our directory.
Strafford Care Center is licensed for 78 beds, about typical for the area, where senior care communities in Greene County average about 100 beds.
Federal reporting puts occupancy at about 85% of its licensed beds.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Greene County average about 2.9 stars. Its most recent standard health inspection was in April 2025 and recorded 39 deficiencies.
Residents receive about 3.2 hours of nursing care per day on average, including 0.3 hours from a registered nurse. Nursing staff turnover over the past year was about 82%, which is high and can affect continuity of care.
The community is located in Greene County, MO.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 72 problems at Strafford Care Center. 1 finding involved harm to a resident, including 1 that put residents in immediate danger. 43 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $52,456. Medicare also stopped paying for new admissions once in that period.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, widespread
Nutrition and Dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Could cause more than minimal harm, a pattern
Resident Rights
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Reasonably accommodate the needs and preferences of each resident.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Could cause more than minimal harm, one or a few residents
Environmental
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Keep residents' personal and medical records private and confidential.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, widespread
Pharmacy Service
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.
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Could cause more than minimal harm, widespread
Nutrition and Dietary
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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Could cause more than minimal harm, widespread
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, widespread
Administration
Have a plan that describes the process for conducting QAPI and QAA activities.
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Could cause more than minimal harm, widespread
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, widespread
Infection Control
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
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Could cause more than minimal harm, a pattern
Resident Rights
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Could cause more than minimal harm, a pattern
Resident Rights
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.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
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.
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Could cause more than minimal harm, a pattern
Infection Control
Implement a program that monitors antibiotic use.
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Could cause more than minimal harm, a pattern
Environmental
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe, appropriate pain management for a resident who requires such services.
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Minimal harm or the potential for it, widespread
Nursing and Physician Services
Post nurse staffing information every day.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Strafford Care Center offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 78
- Occupancy 85%
- Nursing hours per resident/day 3.2
- Annual staff turnover 82%
- Last health inspection April 2025
Resident & family reviews
No one has shared a review of Strafford Care Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.