CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Missouri. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Ratliff Care Center is a 3-star Medicare and Medicaid certified nursing home in Cape Girardeau, Missouri with 46 certified beds. It has been operating since 2002. Its overall CMS rating is 3 out of 5.
Assure the security of all personal funds of residents deposited with the facility.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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.
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.
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Honor the resident's right to organize and participate in resident/family groups in the facility.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| RATLIFF ENTERPRISES LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | N/A | Dec 31, 1999 |
| RATLIFF REVOCABLE TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 13, 2019 |
| RATLIFF, EMMAGENE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 100% | Feb 13, 2019 |
| STRICKLAND, CHERYL | CORPORATE OFFICER | Individual | N/A | Feb 24, 2025 |
| CHOICE REHABILITATION LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Feb 24, 2025 |
| FORVIS MAZARS LLP | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jan 14, 2025 |
| RATLIFF REVOCABLE TRUST | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jan 14, 2025 |
| RATLIFF, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 14, 2025 |
| STRICKLAND, CHERYL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 24, 2025 |
| RATLIFF, EMMAGENE | TRUSTEE OF THE SNF | Individual | N/A | Feb 13, 2019 |
| CHOICE REHABILITATION LLC | ADP OF THE SNF | Organization | N/A | Feb 24, 2025 |
| RATLIFF ENTERPRISES LLC | ADP OF THE SNF | Organization | N/A | Jan 14, 2025 |
| RATLIFF REVOCABLE TRUST | ADP OF THE SNF | Organization | N/A | Feb 13, 2019 |
| PALEN, JAMES | ADP OF THE SNF | Individual | N/A | Jan 14, 2025 |
| RATLIFF, EMMAGENE | ADP OF THE SNF | Individual | N/A | Mar 19, 2024 |
| RATLIFF, MICHAEL | ADP OF THE SNF | Individual | N/A | Jan 14, 2025 |
| STRICKLAND, CHERYL | ADP OF THE SNF | Individual | N/A | Feb 24, 2025 |
| SWINDLE, AFTAN | ADP OF THE SNF | Individual | N/A | Jan 14, 2025 |
Compare CMS ratings and recorded fines for Ratliff Care Center and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.