Missouri rural hospital losses continue

Gabrielle Teiner

COLUMBIA, Mo. (KMIZ)

Missouri is the 18th largest state by population, with 161 licensed hospitals statewide.

In rural counties, their numbers are dropping.

According to the Department of Health and Senior Services, 12 Missouri hospitals in rural counties closed from 2014 to 2023.

“Minutes can mean the difference between life and death,” said Heidi Lucas, executive director for the Missouri Rural Healthcare Association. “If we lose more rural hospitals, which is a possibility, it’s just going to become worse, and it’s going to be a lot harder to continue to live in those rural areas if they don’t have the services that are needed.”

Since 2019, Mid-Missouri has lost at least three hospitals in rural counties such as Callaway, Audrain and Cooper. Boone Health has started the process of getting a hospital back into Audrain County, which residents and health care professionals in Mexico say is desperately needed.

“We really do need a hospital here in town,” said Mexico resident Angie Secrease. “Now you’ve got to drive to Jefferson City or you’ve got to drive to Columbia, it’s a 40-minute drive. Sometimes when you’re going to the ER, you’re waiting there for five or six hours.”

Rural hospitals can be classified as small rural hospitals, critical access hospitals and rural emergency hospitals.

Small rural hospitals

A small rural hospital is a hospital with no more than 49 available beds. These are small rural, non-federal hospitals that provide short-term and general acute care to communities. These hospitals can be for-profit, not-for-profit or tribal organizations.

Bates County Memorial Hospital in Butler, Cameron Regional Medical Center Inc. in Clinton County, Golden Valley Memorial Healthcare in Henry County and Moberly Regional Medical Center in Randolph County are some of the hospitals classified as small rural hospitals.

Critical access hospitals

A critical access hospital has at most 25 beds, must be more than 35 miles away from another hospital, and provides a limited scope of essential services to rural communities, like general acute care. They also must have an average length of stay of no more than 96 hours. These hospitals provide 24-hour emergency care.

Missouri has 35 critical access hospitals, 31 of which are located in rural counties.

Eligible hospitals are designated by the Centers for Medicare and Medicaid Services to lessen the financial vulnerability of rural hospitals, using a cost-based Medicare reimbursement method.

Rural emergency hospitals

A rural emergency hospital is a relatively new classification, starting in January 2023, according to Heidi Lucas with the Missouri Rural Health Association. The Centers for Medicare and Medicaid Services created the designation of rural emergency hospitals to maintain access to critical outpatient services in communities that may not be able to support a small rural hospital or a critical access hospital.

Rural emergency hospitals are required to provide 24-hour emergency and observation services and can choose to provide other outpatient services.

These hospitals receive enhanced Medicare payments for certain outpatient services and additional monthly payments. Hospitals that were eligible for conversion to rural emergency hospitals include critical access hospitals and rural acute care hospitals with 50 or fewer beds that were open on Dec. 27, 2020, or after. Facilities that close after Dec. 27, 2020, are eligible to reopen as a rural emergency hospital if they meet the conditions of participation.

There is one rural emergency hospital in Missouri — Parkland Health Center in Bonne Terre.

Watch ABC 17 News at 10 on Wednesday to learn more about how locals are working to get a hospital back in Audrain County.

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Construction of Versailles roundabout to begin May 5

Ryan Shiner

COLUMBIA, Mo. (KMIZ)

The construction of a roundabout in Versailles will begin on Monday, May 5 at the intersection of Highway 52 and Highway 5, according to a Monday press release from the Missouri Department of Transportation.

Work will take place 6 p.m.-6 a.m. Monday through Friday through mid-June, the release says. All work is weather-permitting.

The project is part of a $5,041,329.32 project to improve Highway 52, which includes expanding the road to three lanes and replacing culverts to address flooding concerns, the release says.

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Camden County man sentenced to 8 years in prison for child sex crimes

Ryan Shiner

COLUMBIA, Mo. (KMIZ)

A Camden County man was sentenced on Monday to eight years in prison for child sex crimes.

Joshua Ginsberg, 44, of Roach, Missouri, pleaded guilty in February in Morgan County to two counts of sexual conduct involving a child younger than 15 years old. He is being held at the Morgan County Jail.

According to previous reporting, Ginsberg was originally charged with first-degree child molestation, sexual misconduct with a child younger than 15 years old and two counts of first-degree statutory sodomy with a child younger than 14 years old.

Previous reporting indicates that Ginsberg allegedly sexually abused the victim for six years.

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Man accused of trafficking stolen identities in Morgan County

Ryan Shiner

COLUMBIA, Mo. (KMIZ)

A man has been charged with six felonies after authorities claim he trafficked stolen identities.

Christian Blackmore, 31, of Sunrise Beach, has been charged with trafficking stolen identities, first-degree tampering with a vehicle, two counts of drug possession, one count of tampering with evidence, driving revoked and an infraction of displaying plates on the wrong vehicle.

An extradition order was filed on Tuesday, April 22 to bring Blackmore back to Arkansas.

The probable cause statement says that police saw Blackmore arriving to the Versailles Walmart in a vehicle on Sunday, April 20. He allegedly let a woman out of the vehicle to go into the store and then he went to a separate entrance of the building before going back to the main entrance, the statement says.

Blackmore was later seen running back to the van and picking up the woman at a different location, the statement says. The license plates on the van belonged to a different vehicle when they were looked up by law enforcement, the statement says.  The statement later says the Dodge Caravan was reported stolen.

Police pulled the vehicle over during a traffic stop and found numerous personal documents belonging to various people, including birth certificates, Social Security cards, driver’s licenses and state IDs, court documents say.

Court documents claim Blackmore’s license was suspended in Arkansas and that he has ties to a white supremacist group in Arkansas. The probable cause statement says he is affiliated with the “New Aryan Empire,” which has been associated with domestic terrorism.

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Family, police still searching for answers six months after Fulton homicide

Nia Hinson

FULTON, Mo. (KMIZ)

Roughly six months ago, Dominique Ford died after being shot in his apartment building, but the search for the killer remains ongoing.

According to an October press release from police, Ford was found with life-threatening injuries in the 1400 block of Mokane Road on Oct. 25. Police later said Ford died from his injuries after being rushed to a hospital. He was 27.

The family of Ford gathered Monday night in Veterans Park for a vigil as they continue searching for justice.

“We just want people to talk,” Ford’s mother Tacia Brandt said. “His life was cut way too short. There’s just no words to tell anybody. I can’t say you understand because people just don’t understand… So, I’m hopeful people understand I miss my son.”

Brandt said even months after her son was killed, she and her family are still left with the question: “Why Dominique?”

She said Ford had a normal day, went home and went to bed — where he was killed — something the family believed to be unusual describing him as a quiet man who kept to himself.

After months, the family remains adamant that someone knows what happened, and sending a message to the killer that they will someday be caught.

“My biggest frustration right now is that nobody has come forward to tell us who did this. Somebody knows who did,” Ford’s grandfather Cecil Brandt said. “Maybe they’re afraid because they figure well what happened to Dominique could happen them also but you know what, turn it around. What if it was their family?”

Family members and friends also gathered in December, where his mom and grandfather said they hoped people with information about what happened would come forward. Police said at the time that they were missing “one or two pieces” in the investigation.

Fulton Police Chief Bill Ladwig said at the time that the city also agreed to provide funding for evidence in the case to be sent to Virginia.

Ladwig told ABC 17 News on Monday that the investigation has moved forward some, but they’re still missing a couple key pieces. He said police have not yet received anything back from Virginia, but said those things usually take time.

Ladwig, said the biggest thing the community can do to help at this point is come forward with information.

“We live in this “do not snitch culture” until it happens to them, or their family,” Ladwig said. “We’re not just going to put this thing in a filing cabinet. We’re going to keep working on it until we have the answers.”

Ladwig also told ABC 17 News in December that police had evidence to believe the homicide was premeditated. Ladwig also said there was evidence of a forced entry into Ford’s building.

Police also released surveillance video of someone they called a person of interest.

A previous post from police also shows a photo of a vehicle that is believed to be a Hyundai Tucson between the model years of 2009-24. Police said they believe it is the suspect’s vehicle.

Columbia’s new administrator for the Office of Violence Prevention, D’Markus Thomas-Brown attended the vigil on Monday night in what he said was an attempt to expand the message of crime prevention and healing.

He said he plans to work with the City of Fulton to help spread that message and hold people accountable.

“We see violence travel from Fulton to Columbia, to Jeff City, Moberly and so even though we’re working in Columbia, we know that violence and acts and those who are moving around don’t really take to those bounds either so we appreciate the comradery and the collaboration,” Thomas-Brown said.

Anyone with information is encouraged to call the Fulton Police Department or Crimestoppers to remain anonynmous.

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Criminal investigation into former Sedalia councilman includes possible sexual harassment of youth, sheriff says

Ryan Shiner

COLUMBIA, Mo. (KMIZ)

The criminal investigation into Sedalia councilman who resigned last week may include sexual harassment of a juvenile, according to a Monday email from Pettis County Sheriff Brad Anders.

Former Ward 1 Councilman Tom Oldham stepped down on Thursday after “serious allegations” were brought against him, the City of Sedalia wrote in a Friday social media post. The city did not elaborate on the allegations in the post or in communications with ABC 17 News.

Anders said on Friday that the investigation “involves the extraction of data from electronic devices,” so there is no timeline for when possible charges could be filed.

Anders wrote on Monday that the initial complaint involved harassing a youth.

“Initial complaint was harassment of a juvenile including a possible sexual variable. Investigation will take time with data dumps and forensic analysis,” he wrote.

Oldham was recently reelected to his seat during the April 8 election. He defeated Albert Reine Jr. 312 votes to 236.

A city spokesperson told ABC 17 News in a Friday email that the city will follow a state statute allowing the mayor to make an appointment to the seat. Whoever is selected will “serve until the next available regular municipal April election,” the statute says.  

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Plane crash disaster training prepares EMS at Columbia Regional Airport

Haley Swaino

COLUMBIA, Mo. (KMIZ)

Firefighters and medics used a bus to simulate a plane with injured passengers during a drill Monday at Columbia Regional Airport.

The triennial training allows emergency personnel to respond to a simulated plane crash.

A Go COMO Transit bus simulating an aircraft arrived on the COU tarmac Monday morning carrying dozens of volunteer crash victims. Some had special makeup done to resemble their assigned injuries.

“There’s a lot going on when we get called to these incidents,” Columbia Fire Department Capt. Wayne Cummins said. “Obviously, we have to peel back all the layers once we get here and figure out where the priorities are. And once we get all the agencies working together, it gets organized pretty quick.”

“Victims” treated the simulation like a real emergency by acting as if they had broken bones or were dead. During the exercise, emergency responders triaged patients based on their simulated injuries.

“We have maybe people that were not injured that were able to walk away from the scene, all the way to the practice of dealing with a fatality of a disaster,” Airport Manager Mike Parks said. “So we take it all the way through that scenario for them (emergency responders) to practice with their triage.”

Some victims were taken away by ambulances back to the airport parking lot, some boarded into an MU Health Care EMS helicopter that did not fly them away from the scene.

“What the FAA (Federal Aviation Administration) requires is we try to get as close as we can to the number of volunteers that we would have for the average aircraft that’s used at the airport,” Parks said. “That way, it ensures that we have enough victims to be able to practice with all emergency responders.”

The FAA requires airport’s complete the full-scale emergency exercise every three years to maintain certification.

Parks said while conducting the exercise allows emergency service partners to collaborate in-person, it is not the only time the community discusses emergency preparedness at the airport.

“We’re always communicating,” Parks said. “We always have annual discussions about emergencies and how we would respond.”

The City of Columbia partnered with the Boone County Office of Emergency Management, local law enforcement and fire department agencies, health care providers and the Salvation Army for Monday’s exercise. Emergency responders arrived on the simulated scene in staggered times, as they would during a real emergency.

“We don’t want people driving all the way from Columbia or down in the southern part of the county out here,” Parks said. “So what we do is we stage the emergency responders in a nearby parking lot and then we time it out with a simulated response time from their agency’s headquarters.”

Cummins said the way the exercise is set up helps agencies maintain a sense of accuracy on what response to a Columbia air crash would look like.

“The order of arrival, the dispatch, how we handle the objectives on the scene were very much realistic,” Cummins said.

Initial units set up and organized the command’s response to the scene. Cummins said it takes a lot to come together and assess a scene of this nature, so being prepared is key.

“It was a good opportunity for us (all agencies) to train together and operate together under these conditions,” Cummins said.

All agencies closed out the exercise with a private after-action discussion.

“We’re going to go over everything that went on out there today, the goods, the bads, things that could have been better,” Cummins said. “And we’re going to collaborate together, all agencies, to discuss that and make sure that, God forbid this happened for real, that we could be better prepared and ready to do it if we really have to.”

According to data from the National Transportation Safety Board, there have been at least 250 U.S. aviation incidents in the first quarter of 2025 alone, 37 of which were fatal.

In Mid-Missouri, private aircraft crashes are far more common than commercial plane crashes. The last crash at COU was in July 2011, when the pilot of a small plane couldn’t get his plane’s landing gear down. He was not hurt.

The last deadly crash in Columbia happened in September 2009 when a pilot of a small plane crashed just after takeoff in bad weather.

April 16 marked the one-year anniversary of a deadly plane crash in southern Boone County.

It is also nearing the first anniversary of a May plane crash that happened near the Butler Memorial Airport in Butler, Missouri. Six people were forced to parachute out of the small plane.

A deadly mid-air collision in Virginia in January involved an American Airlines passenger plane and a Black Hawk military helicopter near the Ronald Reagan Washington National Airport.

The same model of airplane involved in the crash — CRJ 700s — fly in and out of the Columbia Regional Airport. American Airlines CRJ 700 planes are used for some flights by Skywest between Columbia and Dallas.

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$2 million lottery ticket sold in Sturgeon

Ryan Shiner

COLUMBIA, Mo. (KMIZ)

Someone purchased a lottery ticket in Sturgeon that led to a $2 million prize, according to a Monday press release from the Missouri Lottery.

The ticket – that matched all six numbers on Saturday night’s drawing — was bought at Prenger Foods at 105 West Smith St. It is the first Lottery-made millionaire of the year, the release says. The numbers were 2, 6, 8, 10, 16 and 28.

It’s the second large prize in Boone County, with another person winning $100,000 on a scratcher ticket last month at a Columbia QuikTrip, the release says.

The release says that prizes of $600 or more can be claimed by appointment at any of the Lottery’s four offices in Jefferson City, St. Louis, Kansas City and Springfield. The winner has until Oct. 23 to claim their prize.

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WATCH: Mizzou women’s basketball coach gives offseason update

Matthew Sanders

COLUMBIA, Mo. (KMIZ)

Mizzou women’s basketball coach Kellie Harper took questions from reporters Monday afternoon along with star player Grace Slaughter.

Harper has signed several players since being hired last month to lead the women’s team after the departure of Robin Pingeton.

Watch the news conference live in the media player.

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QUESTION OF THE DAY: Should Columbia continue to pick up curbside recycling without recycling it?

Matthew Sanders

The recycling plant at the Columbia landfill remains offline after a tornado hit it on Easter Sunday, and it’s unclear when the facility will operate again.

Meanwhile, the city government is searching for solutions to meet the demand for the service. Last week, the City of Columbia said it would resume picking up curbside recycling. However, the material isn’t going to be recycled.

Instead, it will go into the landfill.

City leaders say they want to keep residents in the rhythm of putting out recycling and that they don’t want to make households’ trash burden too great.

Should the city continue picking up recyclables separately? Let us know by voting in the poll.

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