Above average — CMS composite of the measures below.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Daybreak Nursing Center during CMS and state inspections, most recent first.
Staff failed to provide required supervision during smoke breaks for two residents. One resident with dementia, stroke-related deficits, tremors, and seizures was supervised but was not wearing the smoking apron identified in the care plan, and ash fell near the resident's foot. Another resident with dementia, DM, and COPD was awakened for smoking, given two cigarettes, and then left alone while smoking in a wheelchair with eyes closed. CNA A, the ADON, DON, and Administrator all stated the resident should not have been left unsupervised after being awakened and that staff should remain with residents during smoking.
The facility failed to identify, assess, and provide supportive interventions for two residents with PTSD. One resident had PTSD, bipolar disorder, schizophrenia, MDD, and anxiety, with documented trauma, triggers, and behaviors, but the care plan did not address PTSD, past trauma, or triggers such as loud noises, fighting, yelling, or teasing. Another resident with schizoaffective disorder, PTSD, intellectual disabilities, and psychosis had repeated paranoid, aggressive, and self-injurious behaviors, and although a Trauma Informed Care Assessment documented trauma, the care plan did not include PTSD triggers with interventions. The facility also did not provide a PTSD policy.
Medication error rate exceeded the 5% threshold after an LPN failed to prime a Humalog KwikPen before giving insulin to three residents. Observations showed the LPN administered sliding-scale Humalog doses to residents with blood sugars of 398, 130, and 200 without following the manufacturer’s priming instructions, and the DON stated staff would expect the pen needle to be primed by dialing up and wasting 2 units.
The facility failed to maintain a safe, clean, and homelike environment, with observations of peeled paint, exposed sheetrock, and unaddressed maintenance issues in resident rooms. The shower room was found in disarray, with overflowing trash, grime, and personal items left inappropriately. Staff interviews revealed inconsistencies in reporting maintenance concerns, with some issues not being documented in the maintenance log.
The facility failed to provide adequate personal hygiene and bathing assistance to several residents. A resident missed numerous scheduled showers and nail care opportunities, resulting in greasy hair and untrimmed toenails. Another resident, dependent on staff for personal hygiene, was observed with unshaved facial hair despite expressing a desire for it to be shaved. A third resident did not receive adequate nail care, with missed opportunities documented over several months. Staff interviews revealed inconsistencies in completing shower sheets and nail care documentation.
The facility failed to store medications according to professional standards, with issues in labeling and temperature monitoring. The medication refrigerator's temperature was often undocumented or above recommended levels, and several opened medications were found undated and unlabeled. Interviews revealed lapses in staff adherence to expected practices.
The facility was found to have unsanitary conditions in food storage and preparation, including improperly stored and labeled food, unclean cookware, and poor hygiene practices by dietary staff. Observations included opened and undated food items, carbon buildup on baking sheets, and staff not wearing hair nets or changing gloves appropriately.
The facility failed to maintain an effective pest control program, leading to multiple resident reports of spider sightings, including potentially dangerous brown recluse spiders. Despite a policy for ongoing pest control and monthly treatments by a contracted company, residents continued to report spider sightings. Housekeeping and maintenance staff confirmed the issue, and traps were used in rooms, but the problem persisted.
Failure to Supervise Residents During Smoking
Penalty
Summary
The facility failed to ensure residents were kept free from possible accident hazards when staff did not properly monitor residents during scheduled smoke breaks. The facility policy stated that residents who required monitoring while smoking were to have direct supervision at all times, and the smoke schedule showed designated outside smoke breaks throughout the day. Surveyors observed that one resident with diagnoses including tremors, left-sided hemiplegia and hemiparesis, stroke, dementia, and seizures was supervised while smoking but was not wearing the smoking apron identified in the care plan for safety, and a cigarette ash fell near the resident's foot while the resident was not wearing socks or shoes. A second resident with diagnoses including dementia, DM, COPD, low back pain, and hypertension was observed during a smoke break sitting in a wheelchair with eyes closed and initially unsupervised. CNA A awakened the resident, gave the resident two cigarettes, lit one cigarette, and then walked away to supervise other residents, leaving the resident alone while smoking. Surveyors observed the resident take a puff without supervision, continue sitting with the lit cigarette and ash near the foot, and remain unsupervised until CNA A returned several minutes later. Interviews confirmed staff understood the resident should not have been left alone. CNA A stated the resident should not have been left unsupervised after being awakened and should have been moved to the area where staff were supervising other residents. The ADON, DON, and Administrator each stated staff should not leave a resident after lighting a cigarette, should stay to ensure the resident was safe to smoke, and should move the resident to the area where other residents were being monitored. The ADON also stated there needed to be two staff members supervising scheduled smoke breaks, and smoking aprons were provided to residents assessed to use them for safety.
Failure to Address PTSD Triggers and Trauma-Informed Supports
Penalty
Summary
The facility failed to identify, assess, and provide supportive interventions for two residents with PTSD. The report states the facility did not provide a PTSD policy. For one resident, the medical record showed diagnoses including bipolar disorder, PTSD, schizophrenia, major depressive disorder, anxiety disorder, and craniosynostosis. The resident’s PASARR documented chronic PTSD, bipolar disorder, MDD, triggers related to being picked on and seeing others being picked on, a history of abuse, and an altercation with another resident after becoming upset about rude and aggressive behavior toward staff. The resident’s behavioral notes also showed incidents in which the resident held open the back door to the smoke area and later unintentionally knocked another resident’s hat and glasses off while on a smoke break. Although a Trauma Informed Care Assessment documented physical and sexual assault or abuse, the care plan addressed mood diagnoses and monitoring for depression symptoms but did not address PTSD, the resident’s past trauma, or triggers that could lead to behaviors. During interview, the resident stated PTSD was related to being picked on in school and physically abused by family members, and identified loud noises, fighting, yelling, and teasing about the forehead as upsetting. For the second resident, the medical record showed diagnoses including schizoaffective disorder bipolar type, PTSD, intellectual disabilities, substance abuse in remission, dependent personality disorder, unspecified dementia, unspecified psychosis, and anxiety. The PASARR documented PTSD, poor impulse control when demands were not met, and suicidal ideations and attempts due to stress. Behavioral notes described repeated paranoid and distressed statements, including beliefs that scanners through the TV and radio were talking to the resident, a request to go to the mental hospital, yelling and cursing in the Administrator’s office, and a self-inflicted injury with a thumbtack. A Trauma Informed Care Assessment documented that the resident experienced an event that was unusually or especially frightening, horrible, or traumatic, but the report states the resident’s PTSD triggers with interventions were not included on the care plan as expected by facility staff.
Medication Error Rate Exceeded Due to Insulin Pen Administration Errors
Penalty
Summary
The facility failed to maintain a medication error rate of less than five percent, with 28 medication administration opportunities and three errors, resulting in a 10.71% error rate for three residents. The deficiency involved insulin administration using Humalog KwikPen devices. The facility’s policy titled, Insulin Administration, last revised March 2025, did not address insulin administration using an insulin pen, while the manufacturer instructions for Humalog/lispro Kwik Pen and Fiasp/Novolog/insulin aspart Flex Pen both required priming the pen before administration. For Resident #15, Resident #31, and Resident #59, LPN D administered Humalog insulin subcutaneously according to sliding scale orders but failed to prime the Humalog KwikPen before each injection. The observations showed 16 units given for a blood sugar of 398, 4 units given for a blood sugar of 130, and 4 units given for a blood sugar of 200. During interviews, LPN D stated he/she wasted 2-3 units, removed the needle, and then dialed up the prescribed units, while another LPN said he/she wasted 2 units to prime the pen needle. The DON stated she would expect staff to dial up 2 units of insulin and waste them to prime the needle of the insulin pen.
Facility Fails to Maintain Safe and Homelike Environment
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment for its residents, as evidenced by multiple observations of environmental deficiencies. Several rooms had areas of peeled paint and exposed sheetrock, particularly around the beds and windows. Additionally, a resident expressed dissatisfaction with the condition of their room door, which had deep scrapes and was missing a door cover. The maintenance log did not reflect any concerns being addressed, indicating a lack of proactive maintenance and repair efforts. The shower room near the Director of Nursing's office was found in a state of disarray, with an overflowing trash can, used gloves on the floor, stained areas on the toilet lid and shower curtain, a broken shower drain, and a buildup of grime and dirt. There were also personal items such as a soiled washcloth and an open bag of potato chips left inappropriately in the area. Interviews with staff revealed inconsistencies in reporting maintenance issues, with some staff not always documenting concerns and others verbally reporting them without ensuring they were logged. The Maintenance Supervisor and Director of Operations expected staff to document issues in the maintenance log, but this was not consistently done.
Deficiencies in Personal Hygiene and Bathing Assistance
Penalty
Summary
The facility failed to provide adequate personal hygiene and bathing assistance to several residents, as observed and documented in the report. Resident #2, who required substantial assistance for bathing due to paralysis and weakness, missed numerous scheduled showers and nail care opportunities over a period of three months. Despite being scheduled for showers three times a week, the resident only received one shower in August, none in September, and only one in October. Observations showed the resident with greasy hair and untrimmed toenails, and the resident expressed an inability to wash certain body parts independently and a desire for more frequent showers and nail care. Resident #10, who was dependent on staff for personal hygiene due to a history of stroke, was observed with facial hair on the chin and upper lip over several days. The resident expressed a desire to have the facial hair shaved, but staff did not fulfill this request. This indicates a failure to provide the necessary personal hygiene assistance as outlined in the resident's care plan, which required extensive to full assistance for personal hygiene tasks. Resident #57, who was severely impaired and dependent on staff for all activities of daily living, also did not receive adequate nail care. The resident's shower sheets indicated that nail care was missed on all scheduled opportunities from August to October. Observations showed the resident with untrimmed nails and flaky dry skin. Interviews with staff revealed inconsistencies in completing shower sheets and nail care documentation, with some staff forgetting to document or perform these tasks. The Director of Nursing expected proper documentation and completion of these tasks, highlighting a gap between expectations and actual care provided.
Medication Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to store medications in accordance with accepted professional standards of practice, which had the potential to affect all residents residing in the facility. The facility's policy on medication labeling and storage, dated 2001, did not address checking and maintaining appropriate refrigerator temperatures or labeling over-the-counter medications with an opened date. A review of the Medication Refrigerator Temperature Log from August to October 2024 revealed that the medication refrigerator's temperature was frequently not documented, and when it was, the temperatures were often above the recommended 41 degrees. During an observation, several opened medications, including Byetta injection pen and various over-the-counter medications, were found undated and unlabeled on the medication cart. Interviews with the Assistant Director of Nursing (ADON) and the Director of Nursing (DON) revealed that nurses sometimes forgot to write an open date on medications, and the evening nurse responsible for checking refrigerator temperatures had not been doing so consistently. The DON expected staff to adhere to these practices, but the deficiencies in labeling and temperature monitoring were evident.
Sanitation and Hygiene Deficiencies in Food Storage and Preparation
Penalty
Summary
The facility failed to maintain sanitary conditions in food storage and preparation areas, which could lead to cross-contamination and food-borne illnesses. Observations revealed several issues: an opened and undated bag of elbow pasta, three bags of cereal, and graham cracker crumbs were improperly stored in the dry food storage room. Additionally, two large baking sheets were found with black carbon buildup. In the kitchen's freezers, multiple bags of frozen items were unlabeled and undated, indicating a lack of proper food labeling and dating practices. Further observations highlighted poor hygiene practices among the dietary staff. Staff members were seen not wearing hair nets while preparing food. A dietary aide was observed knocking skillets onto the floor and returning them to the shelf without cleaning them. The same aide also failed to change gloves and perform hand hygiene after touching various surfaces before handling food. These actions were contrary to the expectations stated by the Dietary Manager, who emphasized the importance of proper food storage, cleanliness of cookware, and adherence to hygiene protocols.
Deficiency in Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program, as evidenced by multiple resident reports of spider sightings within the facility. The facility's pest control policy, revised in May 2008, mandates an ongoing program to keep the building free of insects and rodents, with services provided by a contracted pest control company. However, the most recent pest control invoices lacked details on areas of concern or treatments provided. Interviews with residents revealed sightings of spiders, including potentially dangerous brown recluse spiders, in their rooms. One resident reported a spider crawling on their back during a staff-assisted change, although they were not bitten. Housekeeping staff confirmed resident complaints about spiders and mentioned the use of traps in rooms, but were unsure of the spider species. The Maintenance Supervisor acknowledged a spider issue approximately 1.5 months prior, with an outside vendor treating the facility for over two hours. Despite this, reports of spiders persisted. The Administrator stated that the pest control company sprays the facility monthly and that maintenance and housekeeping staff check rooms and place safe spider traps when residents report sightings.
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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 Sikeston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bertrand Nursing And Rehab Center | 7.9 mi | ★★★★★ | 0 | 0 |
| Sikeston Convalescent Center | 8.7 mi | ★★★★★ | 9 | 0 |
| Clearview Nursing Center | 9 mi | ★★★★★ | 14 | 0 |
| Hunter Acres Caring Center | 9.4 mi | ★★★★★ | 0 | 0 |
| Delta South Nursing & Rehabilitation | 9.9 mi | ★★★★★ | 8 | 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 July 2026) and official state health department websites.