Randolph County

North Village Park

Special Focus Facility candidateCarries Medicare’s abuse warning icon
Medicare rating
1 out of 5
10
findings of immediate jeopardy, the most serious kind
69%
less nursing care than its residents are expected to need, against a research benchmark
$543,649
in federal fines recorded since 2023

Medicare’s overall rating for this home. The inspection part of it is graded on a curve against other Missouri homes, so a star here does not mean what it means in another state.

2041 Silva Lane, Moberly, MO 65270 · (660) 269-7300
183 beds · about 169 residents on a typical day · for-profit limited liability company

Staffing

All nursing staff, per resident, per day
1 hour 36 minutes

Residents here are expected to need about 5 hours 9 minutes, given how sick they are. This home reports 69% less. The average Missouri home reports 3 hours 26 minutes.

Registered nurses only
11 minutes

Registered nurses have the most training of the nursing staff on a shift. Residents here are expected to need about 1 hour 17 minutes of their time. This home reports 86% less.

Nursing staff who left in the past year
70%

70% of the nursing staff left within a year. High turnover means the people caring for your family member keep changing. The average Missouri home reports 56%.

Where the benchmark comes from

Staffing is the measure most closely linked to how residents do, and the one families almost never see. How much nursing care a resident needs depends on how sick they are, so we compare this home against the level its own residents are expected to need. The marker on the first two bars shows that level. It is a research benchmark, not a legal limit. The hours shown are the hours the home filed with Medicare, before any adjustment for how sick its residents are.

What inspectors found

Inspectors visit every nursing home and write up what they find. This home has 129 findings on record going back to 2021, 63 of them after someone filed a complaint. Of the 129, 83 are from the last three years.

The 25 serious findings here

Actual harm March 26, 2026 From a complaint

Resident not protected from abuse or neglect

The home did not protect a resident from abuse or neglect by anyone.

The home had already fixed this before inspectors arrived.

Medicare’s wording

Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy February 19, 2026 From a complaint

Resident not protected from abuse or neglect

The home did not protect a resident from abuse or neglect by anyone.

The home fixed this on February 20, 2026.

Medicare’s wording

Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy December 12, 2025 From a complaint

Quality of care

A resident did not get treatment and care that followed their orders, their own preferences and their goals.

The home fixed this on January 26, 2026.

Medicare’s wording

Federal tag F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy December 4, 2025 From a complaint

Quality of care

A resident did not get treatment and care that followed their orders, their own preferences and their goals.

The home had already fixed this before inspectors arrived.

Medicare’s wording

Federal tag F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm December 4, 2025 From a complaint

Resident not protected from abuse or neglect

The home did not protect a resident from abuse or neglect by anyone.

The home had already fixed this before inspectors arrived.

Medicare’s wording

Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm November 18, 2025 From a complaint

Resident not protected from abuse or neglect

The home did not protect a resident from abuse or neglect by anyone.

The home had already fixed this before inspectors arrived.

Medicare’s wording

Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm August 13, 2025 From a complaint

Treatment for mental illness missed

The home did not treat a resident who was struggling to adjust or cope emotionally.

The home fixed this on September 5, 2025.

Medicare’s wording

Federal tag F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Actual harm July 29, 2025 From a complaint

Care below professional standards

The care the home gave did not meet the standards that trained health workers are expected to follow.

The home fixed this on August 5, 2025.

Medicare’s wording

Federal tag F658Ensure services provided by the nursing facility meet professional standards of quality.

Actual harm July 29, 2025 From a complaint

Resident not protected from abuse or neglect

The home did not protect a resident from abuse or neglect by anyone.

The home fixed this on August 5, 2025.

Medicare’s wording

Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm July 29, 2025 From a complaint

Treatment for mental illness missed

The home did not treat a resident who was struggling to adjust or cope emotionally.

The home fixed this on August 5, 2025.

Medicare’s wording

Federal tag F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Immediate jeopardy April 24, 2025 From a complaint

Accidents and supervision

The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.

The home had already fixed this before inspectors arrived.

Medicare’s wording

Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm October 3, 2024 From a complaint

Quality of care

A resident did not get treatment and care that followed their orders, their own preferences and their goals.

The home fixed this on October 23, 2024.

Medicare’s wording

Federal tag F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm July 29, 2024 From a complaint

Resident not protected from abuse or neglect

The home did not protect a resident from abuse or neglect by anyone.

The home fixed this on September 12, 2024.

Medicare’s wording

Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm July 29, 2024 From a complaint

Treatment for mental illness missed

The home did not treat a resident who was struggling to adjust or cope emotionally.

The home fixed this on September 12, 2024.

Medicare’s wording

Federal tag F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Immediate jeopardy July 29, 2024 From a complaint

Accidents and supervision

The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.

The home fixed this on September 12, 2024.

Medicare’s wording

Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy March 27, 2024 From a complaint

Accidents and supervision

The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.

The home fixed this on May 3, 2024.

Medicare’s wording

Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm March 14, 2024 From a complaint

Quality of care

A resident did not get treatment and care that followed their orders, their own preferences and their goals.

The home fixed this on April 22, 2024.

Medicare’s wording

Federal tag F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy November 20, 2023

Treatment for mental illness missed

The home did not treat a resident who was struggling to adjust or cope emotionally.

The home fixed this on January 24, 2024.

Medicare’s wording

Federal tag F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Immediate jeopardy November 20, 2023 From a complaint

Medicine used without a medical need

The home used drugs that affect the mind when there was no medical need for them, or used them in a way that held back what a resident could do.

The home fixed this on January 24, 2024.

Medicare’s wording

Federal tag F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Immediate jeopardy November 20, 2023 From a complaint

Physical restraints

The home used a device to stop a resident moving freely when there was no medical need.

The home fixed this on January 24, 2024.

Medicare’s wording

Federal tag F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Actual harm August 23, 2023 From a complaint

Resident not protected from abuse or neglect

The home did not protect a resident from abuse or neglect by anyone.

The home fixed this on October 3, 2023.

Medicare’s wording

Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm April 15, 2021

Pain

A resident’s pain was not properly treated.

The home fixed this on September 24, 2021.

Medicare’s wording

Federal tag F697Provide safe, appropriate pain management for a resident who requires such services.

Actual harm April 15, 2021

Nutrition

A resident did not get enough food or fluids to stay healthy.

The home fixed this on July 5, 2021.

Medicare’s wording

Federal tag F692Provide enough food/fluids to maintain a resident's health.

Immediate jeopardy April 15, 2021

Accidents and supervision

The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.

The home fixed this on September 28, 2021.

Medicare’s wording

Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm April 15, 2021

Resident not protected from abuse or neglect

The home did not protect a resident from abuse or neglect by anyone.

The home fixed this on August 4, 2021.

Medicare’s wording

Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Everything on record

Immediate jeopardy 10 Has caused, or was likely to cause, serious injury, harm, impairment or death
Actual harm 15 A resident was hurt
Potential for harm 100 Could have caused harm. No one was hurt. The most common kind.
No harm4Rule was broken but no resident was put at risk. Usually paperwork or procedure.

485 of the 487 nursing homes in Missouri have fewer findings of harm or immediate jeopardy on record than this one.

Medicare has blocked payment for new admissions at this home 5 times, for 104 days in total. The most recent block lasted 39 days and started January 24, 2026.

What these levels mean

Immediate jeopardy The most serious finding there is. Medicare’s words: noncompliance that has caused, or is likely to cause, serious injury, harm, impairment, or death. About 2 in every 100 findings nationally.

Actual harm A resident was really hurt, not just put at risk. About 3 in every 100 findings.

The letter is Medicare’s own code for how many residents were involved. Immediate jeopardy covers J, K and L. Actual harm covers G, H and I. The later the letter, the more residents were affected.

The plain-English line under each finding describes the rule the inspector cited. It is not an account of what happened. Medicare’s own wording of the rule is printed with it, and the full inspection report is the record of the incident.

This home has 16 findings under three federal tags that are counted together, and they do not all mean abuse: F600 is abuse or neglect, F602 is the wrongful use of a resident’s belongings or money, and F603 is involuntary seclusion. Medicare also publishes a separate abuse warning icon, which is narrower and time-limited, and this home also carries it.

What you can do

Numbers only go so far. These are two things most families do not know they can do.

Ask for today’s staffing sheet

Every nursing home must post how many nurses are working each shift, keep 18 months of it, and show it to you on request. Ask for today’s, then last Saturday’s. Weekends are when staffing thins out.

Call the ombudsman before you decide

Every state has a free, confidential long-term care ombudsman. You can ask how many complaints a specific home has had and what they were about. You can find your state’s office through its department of aging.

Where this comes from

Inspection findings, staffing hours, fines and star ratings on this page are published by the Centers for Medicare & Medicaid Services, a federal agency, and are current as of August 1, 2026. We reload after each monthly release, and the footer of every page shows both the release date and the date we loaded it. The federal ID for this home is 265330.

What these numbers do not say

Fines can be appealed and reduced. The amount shown is what CMS had recorded as of this release. Medicare’s penalties file covers a rolling window of the last few years rather than a home’s whole history, so this is what Medicare publishes today and not everything this home has ever been fined. The year beside the figure above is the earliest fine Medicare still lists for it.

The level of care residents here are expected to need, and the gap, are not Medicare figures. We work them out from this home’s own Medicare case-mix score using the published CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is a research benchmark, not a legal limit.

Inspection findings are recorded by state inspectors on behalf of Medicare. Staffing hours come from payroll records the home files with Medicare, and Medicare audits a sample of them. Star ratings partly reflect quality measures the home reports about itself, which is why we show inspections and staffing separately rather than only the star.