Tri-County Care Center
Nursing Home Facility
601 North Galloway Road, Vandalia, MO 63382
Tri-County Care Center is a senior care community located in Vandalia, MO. It provides assisted living, nursing home care, and senior living for older adults in the Vandalia area. To learn more or schedule a tour, call (573) 594-6467.
Operated by Baptist Home, the, which runs 3 communities in our directory.
With 20 beds, Tri-County Care Center is smaller than most nearby options, senior care communities in Audrain County average about 72 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.
Federal reporting puts occupancy at about 67% 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. The individual scores differ noticeably: 3 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in March 2026 and recorded 18 deficiencies.
Residents receive about 3.9 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 60%, which is high and can affect continuity of care.
The community is located in Audrain County, MO.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 70 problems at Tri-County Care Center. 4 findings involved harm to a resident, including 2 that put residents in immediate danger. 4 came from investigating complaints by residents or families.
Findings from the most recent inspection cycle
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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, a pattern
Resident Rights
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
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Could cause more than minimal harm, a pattern
Resident Rights
Ensure residents have reasonable access to and privacy in their use of communication methods.
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Could cause more than minimal harm, a pattern
Resident Rights
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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Could cause more than minimal harm, a pattern
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, a pattern
Pharmacy Service
Ensure medication error rates are not 5 percent or greater.
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Could cause more than minimal harm, a pattern
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, a pattern
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
Nutrition and Dietary
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
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Could cause more than minimal harm, a pattern
Administration
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, a pattern
Environmental
Make sure that a working call system is available in each resident's bathroom and bathing area.
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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
Freedom from Abuse, Neglect, and Exploitation
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
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, one or a few residents
Nursing and Physician Services
Observe each nurse aide's job performance and give regular training.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
Tri-County Care Center offers assisted living, nursing home care, and senior living.
Facility details
- Organization type Government - County
- Beds / units 20
- Occupancy 67%
- Nursing hours per resident/day 3.9
- Annual staff turnover 60%
- Last health inspection March 2026
Resident & family reviews
No one has shared a review of Tri-County 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.