About Pinnacle Point Wellness & Rehabilitation

Pinnacle Point Wellness & Rehabilitation is a nursing home in Riverside, Missouri. Its capacity is 180 beds, above the Missouri median of 97 for nursing homes. It is run by a for-profit operator and is part of D&N, LLC. It is Medicare certified. Its public inspection record shows 38 citations, the most recent on April 30, 2026. CMS also lists 3 fines or payment denials against it. Nurse staffing averages 3.67 hours per resident per day. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

2.0

Staffing

1.0

Quality measures

3.0

CMS Care Compare, October 2026.

Inspection history (38)

Records from November 2023 to April 2026.

October 15, 2024
Tag F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 29, 2024.
October 15, 2024
Tag F0760
Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 29, 2024.
October 15, 2024
Tag F0685
Assist a resident in gaining access to vision and hearing services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 29, 2024.
October 15, 2024
Tag F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 29, 2024.
October 15, 2024
Tag F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 29, 2024.
October 15, 2024
Tag F0692
Provide enough food/fluids to maintain a resident's health.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 29, 2024.
October 15, 2024
Tag F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 29, 2024.
October 15, 2024
Tag F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 29, 2024.
October 15, 2024
Tag F0700
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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 29, 2024.
October 15, 2024
Tag F0558
Reasonably accommodate the needs and preferences of each resident.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 29, 2024.
October 15, 2024
Tag F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 29, 2024.
October 15, 2024
Tag F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 29, 2024.
October 15, 2024
Tag F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 29, 2024.
April 19, 2024
Tag F0759
Ensure medication error rates are not 5 percent or greater.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 9, 2024.
February 29, 2024
Tag F0839
Employ staff that are licensed, certified, or registered in accordance with state laws.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 4, 2024.
November 20, 2023
Tag F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 27, 2024.
November 20, 2023
Tag F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 27, 2024.
November 20, 2023
Tag F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity J: isolated, immediate jeopardy. Corrected January 1, 2024.

See the source data on data.cms.gov

Penalties (3)

Total fines: $52,878

April 19, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting June 4, 2024, lasting 13 days (triggered by inspection on April 19, 2024).
November 20, 2023 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting January 2, 2024, lasting 62 days (triggered by inspection on November 20, 2023).
November 20, 2023 · Fine
CMS recorded a civil money penalty of $52,878 against this nursing home on November 20, 2023.

See the source data on data.cms.gov

Staffing

3.67 nurse hours per resident per day in Q2 2026, down from 4.03 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit - Limited Liability company

Parent company: D&N, LLC

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Missouri.

Nursing Homes

Missouri median$6,741/mo

Missouri cost breakdown

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