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Nursing home

Baisch Nursing Center

De Soto, Missouri · Jefferson County

  • 3260 Baisch Drive, De Soto, MO 63020 · Directions
  • (636) 586‑2291
  • Medicare overall rating: 3 of 5 starsMedicare overall rating
  • Ownership: For profit – limited liability company
  • 40 health citations in its last 3 inspection cycles (most serious: level F). See the inspection record

Summary

Baisch Nursing Center is a Medicare-certified nursing home in De Soto, Missouri, with 61 certified beds. Medicare overall rating: 3 of 5 stars. Most recent standard health inspection: 2026-06-04, with 9 health deficiencies. Ownership: for profit – limited liability company. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 3 of 5 starsMedicare overall rating
61Certified beds
Health inspections: 4 of 5 starsHealth inspections

Quick answers

Where is Baisch Nursing Center?
3260 Baisch Drive, De Soto, MO 63020, in Jefferson County, Missouri.
What is the phone number of Baisch Nursing Center?
(636) 586-2291, as listed by Medicare (CMS).
What is the Medicare star rating of Baisch Nursing Center?
Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
Has Baisch Nursing Center been fined?
Medicare lists no fines for Baisch Nursing Center.
What did inspectors find at Baisch Nursing Center?
In its last three inspection cycles (January 26, 2024 to June 30, 2026), Medicare lists 40 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 3 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 4 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 1 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 2 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Not rated
Quality rating for people who stay a short time, usually to recover after a hospital stay. Medicare (CMS) does not show this rating for this provider. This happens, for example, when a provider is new or has too few patients or survey answers.
Long-stay residents
Long-stay residents: 2 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (January 26, 2024 to June 30, 2026), Baisch Nursing Center had 40 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 2.75 hours per resident per day; the Missouri average is 3.40 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: June 4, 2026 — 9 health citations

Inspections in this cycle: June 4, 2026 (standard health inspection); June 30, 2026 (complaint investigation).

Show 9 citations (levels A to F, no actual harm)
  • F0584 Level E June 30, 2026 · from a complaint · corrected July 29, 2026

    “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.”

  • F0567 Level D June 4, 2026 · corrected July 15, 2026

    “Honor the resident's right to manage his or her financial affairs.”

  • F0584 Level D June 4, 2026 · corrected July 15, 2026

    “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.”

  • F0628 Level D June 4, 2026 · corrected July 15, 2026

    “Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”

  • F0641 Level D June 4, 2026 · corrected July 15, 2026

    “Ensure each resident receives an accurate assessment.”

  • F0658 Level D June 4, 2026 · corrected July 15, 2026

    “Ensure services provided by the nursing facility meet professional standards of quality.”

  • F0700 Level D June 4, 2026 · corrected July 15, 2026

    “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.”

  • F0880 Level D June 4, 2026 · corrected July 15, 2026

    “Provide and implement an infection prevention and control program.”

  • F0909 Level D June 4, 2026 · corrected July 15, 2026

    “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.”

Previous cycle: February 28, 2025 — 11 health citations

Inspections in this cycle: February 28, 2025 (standard health inspection).

Show 11 citations (levels A to F, no actual harm)
  • F0584 Level D February 28, 2025 · corrected April 10, 2025

    “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.”

  • F0623 Level D February 28, 2025 · corrected April 10, 2025

    “Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”

  • F0625 Level D February 28, 2025 · corrected April 10, 2025

    “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.”

  • F0657 Level D February 28, 2025 · corrected April 10, 2025

    “Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”

  • F0728 Level D February 28, 2025 · corrected April 10, 2025

    “Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.”

  • F0755 Level D February 28, 2025 · corrected April 10, 2025

    “Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”

  • F0759 Level D February 28, 2025 · corrected April 10, 2025

    “Ensure medication error rates are not 5 percent or greater.”

  • F0761 Level D February 28, 2025 · corrected April 10, 2025

    “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.”

  • F0868 Level D February 28, 2025 · corrected April 10, 2025

    “Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”

  • F0880 Level D February 28, 2025 · corrected April 10, 2025

    “Provide and implement an infection prevention and control program.”

  • F0881 Level D February 28, 2025 · corrected April 10, 2025

    “Implement a program that monitors antibiotic use.”

Earlier cycle: January 26, 2024 — 20 health citations

Inspections in this cycle: January 26, 2024 (standard health inspection).

Show 20 citations (levels A to F, no actual harm)
  • F0838 Level F January 26, 2024 · corrected March 1, 2024

    “Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.”

  • F0867 Level F January 26, 2024 · corrected March 1, 2024

    “Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.”

  • F0868 Level F January 26, 2024 · corrected April 1, 2024

    “Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”

  • F0881 Level F January 26, 2024 · corrected April 1, 2024

    “Implement a program that monitors antibiotic use.”

  • F0882 Level F January 26, 2024 · corrected April 1, 2024

    “Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.”

  • F0570 Level E January 26, 2024 · corrected March 1, 2024

    “Assure the security of all personal funds of residents deposited with the facility.”

  • F0607 Level E January 26, 2024 · corrected March 1, 2024

    “Develop and implement policies and procedures to prevent abuse, neglect, and theft.”

  • F0578 Level D January 26, 2024 · corrected March 1, 2024

    “Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.”

  • F0604 Level D January 26, 2024 · corrected March 1, 2024

    “Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”

  • F0623 Level D January 26, 2024 · corrected March 1, 2024

    “Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”

  • F0625 Level D January 26, 2024 · corrected March 1, 2024

    “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.”

  • F0636 Level D January 26, 2024 · corrected March 1, 2024

    “Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.”

  • F0640 Level D January 26, 2024 · corrected March 1, 2024

    “Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.”

  • F0695 Level D January 26, 2024 · corrected March 1, 2024

    “Provide safe and appropriate respiratory care for a resident when needed.”

  • F0698 Level D January 26, 2024 · corrected March 1, 2024

    “Provide safe, appropriate dialysis care/services for a resident who requires such services.”

  • F0758 Level D January 26, 2024 · corrected March 1, 2024

    “Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.”

  • F0759 Level D January 26, 2024 · corrected March 1, 2024

    “Ensure medication error rates are not 5 percent or greater.”

  • F0880 Level D January 26, 2024 · corrected March 21, 2024

    “Provide and implement an infection prevention and control program.”

  • F0947 Level D January 26, 2024 · corrected March 1, 2024

    “Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”

  • F0577 Level C January 26, 2024 · corrected March 1, 2024

    “Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (11)
  • K0311 Level F June 4, 2026 · corrected July 15, 2026

    “Have an enclosure around a vertical opening shaft.”

  • K0353 Level E June 4, 2026 · corrected July 15, 2026

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0374 Level E June 4, 2026 · corrected July 15, 2026

    “Install smoke barrier doors that can resist smoke for at least 20 minutes.”

  • K0321 Level F February 28, 2025 · corrected April 10, 2025

    “Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”

  • K0741 Level F February 28, 2025 · corrected April 10, 2025

    “Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”

  • K0911 Level F February 28, 2025 · corrected April 10, 2025

    “Meet requirements for the installation and maintenance of electrical systems.”

  • K0923 Level F February 28, 2025 · corrected April 10, 2025

    “Have proper medical gas storage and administration areas.”

  • K0271 Level F January 26, 2024 · corrected March 1, 2024

    “Have exits that are accessible at all times.”

  • K0293 Level F January 26, 2024 · corrected March 1, 2024

    “Have properly located and lighted "Exit" signs.”

  • K0321 Level F January 26, 2024 · corrected March 1, 2024

    “Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”

  • K0345 Level F January 26, 2024 · corrected March 1, 2024

    “Have approved installation, maintenance and testing program for fire alarm systems.”

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeMissouriNational
Registered nurse (RN) hours per resident per day0.330.460.69
Licensed practical nurse (LPN) hours per resident per day0.100.680.86
Nurse aide hours per resident per day2.322.262.35
Total nurse staff hours per resident per day2.753.403.90
Total nurse staff hours per resident per day on the weekend2.612.963.43
RN hours per resident per day on the weekend0.280.320.48

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Legal business name: Desoto Investment Group LLC.

Owners and managers Medicare lists (4)
NameRoleShareSince
Krisley Properties LLCDirect owner80%August 31, 2016
North Star Equity Group LLCDirect owner10%August 31, 2016
Coulter, TerrenceDirect owner10%August 31, 2016
North Star Equity Group LLCManagement company (operational or managerial control)NOT APPLICABLEAugust 31, 2016

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds61
Average residents per day51.5
Takes part inMedicare and Medicaid
OwnershipFor profit – limited liability company
Legal business nameDesoto Investment Group LLC
First approved by Medicare/Medicaid2001-03-01
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address3260 Baisch Drive, De Soto, MO 63020
CountyJefferson County
StateMissouri
Phone(636) 586‑2291
CMS Certification Number265714
Name in Medicare recordsBAISCH NURSING CENTER
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13