CCN 265676 · Miller County, Missouri
St Elizabeth Care Center
649 South Walnut, Saint Elizabeth, MO 65075
St Elizabeth Care Center is a 63-bed for-profit nursing home in Saint Elizabeth, Missouri, first certified for Medicare or Medicaid in 1997. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 59.2 residents a day, about 94% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $2.2 million in May 2009 (223(f) refinance or purchase), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 63
- Average residents per day
- 59.2 (94.0% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Mma Healthcare of St Elizabeth Inc
- Certified since
- Aug 1, 1997
- Chain or affiliated group
- Reliant Care Management (34 facilities, chain average 1.2 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Missouri median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 163 at 1, 91 at 2, 97 at 3, 76 at 4, 53 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 2 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 1.70 | 3.36 | 3.68 |
| RN hours per resident per day | 0.29 | 0.39 | 0.58 |
| Weekend nurse hours per resident per day | 1.51 | ||
| Nursing staff turnover | 51.2% | 56.1% | 44.9% |
| Occupancy (residents / beds) | 94.0% | 74.2% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 7 (Feb 27, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). St Elizabeth Care Center meets that part today: 2 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Richard J Destefane Revocable Living TrustOrganization | Direct Ownership Interest | 100% | 03/01/2018 |
| Reliant Care Management Company LLCOrganization | Operational / Managerial Control | n/a | 04/02/2013 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| May 28, 2009 | 223(f) refinance or purchaseHUD project name: St. Elizabeth Care Center, 63 beds. Lender at endorsement: Love Funding Corp | $2,192,600 | Ended Oct 30, 2012Prepayment | 08522033 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.