Mercer County, Missouri · Nursing home
Pearl's II Eden for Elders
4 of 5 overall from CMS
611 North College, Princeton, MO 64673
At a glance
- Overall rating 4 of 5 Above the state average of 2.5
- Nurse time per resident, per day 3.64 hours Above the state average of 3.43
- Nursing staff who left in a year 41.5% Below the state average of 56.0%
- Health citations, last 3 inspection cycles 38 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 55.3% of 60 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Pearl's II Eden for Elders is a 60-bed nursing home in Princeton, Missouri (Mercer County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 3.64 nurse staffing hours per resident per day, above the Missouri average of 3.43. CMS lists no fines in the past three years.
- Certified beds
- 60
- Residents per day (average)
- 33.2
- Certified since
- 2005 (21 yrs)
For profit - Limited Liability company Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Pearl's II Eden for Elders
Chosen from this home's public data.
- About 55.3% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
- Can we visit at a mealtime and again on a weekend?General
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 Missouri average 2.5
- Health inspections 4 of 5 Missouri average 2.8
- Staffing 4 of 5 Missouri average 2.2
- Quality measures 2 of 5 Missouri average 2.7
The vertical line marks the Missouri average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.64 h Missouri average 3.43
- Nurse aides 2.35 h Missouri average 2.29
- Licensed practical nurses 0.78 h Missouri average 0.68
- Registered nurses 0.51 h Missouri average 0.46
- All staff, weekends 3.37 h Missouri average 3.01
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Missouri average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover41.5%
- Missouri average56.0%
- Registered nurse turnover20.0%
- Missouri average47.8%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Missouri and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 17.8% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.2% | 5.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 1.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 2.3% | 2.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 18.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 8.2% | 4.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 67.9% | 84.1% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 8.7% | 17.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.4% | 25.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.9% | 90.9% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.5% | 4.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.2% | 17.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 25.0% | 23.5% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.26 | 2.11 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.53 | 2.33 | 1.78 |
Short-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 35.4% | 65.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 10.0% | 2.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 63.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 26.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 13.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 38 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Aug 7, 2025 | 1 | 1 |
| Aug 1, 2024 | 20 | 7 |
| Jun 14, 2023 | 17 | 12 |
Missouri homes averaged 11.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (38)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 25, 2025)
-
FPotential for more than minimal harm, widespread
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services · Deficient, Provider has date of correction (Sep 12, 2024)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · Deficient, Provider has date of correction (Sep 12, 2024)
-
EPotential for more than minimal harm, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 12, 2024)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 12, 2024)
Show 25 more
-
EPotential for more than minimal harm, pattern
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 12, 2024)
-
EPotential for more than minimal harm, pattern
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.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 12, 2024)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · Deficient, Provider has date of correction (Sep 12, 2024)
-
EPotential for more than minimal harm, pattern
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.
Nursing and Physician Services · Deficient, Provider has date of correction (Sep 12, 2024)
-
EPotential for more than minimal harm, pattern
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Sep 12, 2024)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Sep 12, 2024)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 12, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 12, 2024)
-
DPotential for more than minimal harm, isolated
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights · Deficient, Provider has date of correction (Sep 12, 2024)
-
DPotential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 12, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 12, 2024)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 12, 2024)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 12, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 12, 2024)
-
DPotential for more than minimal harm, isolated
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 12, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (Sep 12, 2024)
-
EPotential for more than minimal harm, pattern
Assure the security of all personal funds of residents deposited with the facility.
Resident Rights · Deficient, Provider has date of correction (Jul 21, 2023)
-
EPotential for more than minimal harm, pattern
The resident has the right to receive notices in a format and a language he or she understands.
Resident Rights · Deficient, Provider has date of correction (Jul 21, 2023)
-
EPotential for more than minimal harm, pattern
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights · Deficient, Provider has date of correction (Jul 21, 2023)
-
EPotential for more than minimal harm, pattern
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights · Deficient, Provider has date of correction (Jul 21, 2023)
-
EPotential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 21, 2023)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 21, 2023)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 21, 2023)
-
EPotential for more than minimal harm, pattern
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 21, 2023)
-
EPotential for more than minimal harm, pattern
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services · Deficient, Provider has date of correction (Jul 21, 2023)
Showing the 30 most recent of 38.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Missouri homes averaged 0.8 fines and $37,425 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Missouri
- Size427 of 487 by certified beds
- Missouri average residents per day73.0
- ChainNone listed
- Resident or family councilResident
- Homes in Mercer County1
Common questions
What is the CMS star rating for Pearl's II Eden for Elders?
Pearl's II Eden for Elders has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 4 and quality measures is 2.
How many beds does Pearl's II Eden for Elders have?
Pearl's II Eden for Elders has 60 certified beds. It averages 33.2 residents per day, about 55.3% of its certified beds.
How much nursing care do residents get at Pearl's II Eden for Elders?
The home reports 3.64 hours of nurse staffing per resident per day, including 0.51 hours from registered nurses. The Missouri average is 3.43 hours and 0.46 hours from registered nurses.
Has Pearl's II Eden for Elders been fined?
CMS lists no fines for this home in the past three years.
Does Pearl's II Eden for Elders accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Eastview Manor Care Center 90beds 91.2%in use 2.12nurse hours a day
- 1 of 5 Sunnyview Nursing Home & Apartments 94beds 56.6%in use 4.46nurse hours a day
- 5 of 5 Lamoni Specialty Care 43beds 74.2%in use 3.63nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Mercer County
Who to call in Missouri
These offices serve residents of every nursing home in Missouri.
- Long-term care ombudsman Missouri Long-Term Care Ombudsman Program 800-309-3282 (Email: LTCOmbudsman@health.mo.gov) An advocate for residents and their families.
- File a complaint about a nursing home Adult Abuse and Neglect Hotline (long-term care facility complaints) 1-800-392-0210 (7 days a week, 7 a.m. to 8 p.m. Relay Missouri 1-800-735-2966. Reports can also be made online (moapss.health.mo.gov, linked from Health.Mo.Gov/abuse).) The state agency that inspects nursing homes.
Missouri staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 265796. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.