Miller County Care and Rehabilitation Center

Nursing Home & Memory Care · Tuscumbia, MO

CMS overall rating

1157 Highway 17, Tuscumbia, MO 65082-2100 View map

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Miller County Care and Rehabilitation Center accepts Medicaid, Medicare, and private pay.

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Miller County Care and Rehabilitation Center accepts Medicaid, Medicare, and private pay.

Overview of Miller County Care and Rehabilitation Center

Miller County Nursing Home District and owner Linda Beckham oversee Miller County Care and Rehabilitation Center, an 86-bed nursing community located at 1157 Highway 17 in rural Tuscumbia, Missouri. The administrative office routes resident bills through typical payment setups, including private pay, Medicaid, and Medicare. Because the building sits in an entirely car-dependent rural location, visiting relatives will need a vehicle for all travel and local errands.

Data sheets report a 70 percent occupancy rate alongside an average length of stay of 184 days. This operational timeline shows that the everyday routine balances multi-month residential care with conventional short-term post-hospital therapy. To monitor physical needs and medical treatments, the 24-hour staffing framework provides an average of 3 hours and 33 minutes of total nursing care per resident each day, with an on-site doctor, registered nurses, practical nurses, and aides handling standard shift rotations.

Inspection logs note that recent surveys flagged specific procedural items regarding specialized resident screening reviews, physical mobility care planning, food service staffing competencies, and basic infection control steps, meaning the building’s cumulative citations-per-inspection rate is above zero.

Prospective families can explore an internal layout featuring a specialized Alzheimer’s and dementia unit, inpatient and outpatient therapy spaces, and hospice services. Living choices include standard private or semi-private room layouts backed by an around-the-clock clinical team.

Facility Direct Line (573) 369-2318

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 33m per day

vs avg

6 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	18m per day	▼ 35% State avg: 28m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	40m per day	▼ 4% State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	1h 9m per day	▼ 51% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	1h 49m per day	▼ 40% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	0m per day	▼ 92% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	13m per day	▼ 34% State avg: 20m per day · National avg: 28m per day

Capacity and availability

184 days

86-bed community

A larger shared setting that may offer more common spaces and organized community services.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 9 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

70%

Similar to the Missouri average: 66.6%

Occupied beds

60 / 86

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceJanuary 1, 2025

ExpirationDecember 31, 2026

CountyMiller

License Number052391

CMS Certification Number265713

Certification TypeMedicare / Medicaid

Miller County Care and Rehabilitation Center is legally operated by Miller County Nursing Home District, and administered by Tiffany Shower.

Corporate EntityMILLER COUNTY NURSING HOME DISTRICT

Owner NameMiller County Nursing Home District

Skilled Nursing Facility

86 units

Total beds

86 units

Accept Medicaid

Accept Medicare

Rehabilitation Services

Doctor on Staff

Dedicated Alzheimer's Unit

Alzheimer’s/Dementia Care

Rehabilitation Unit

Outpatient And Inpatient Therapy

Alzheimer’s & Dementia Special Care Unit

Hospice Services

Since 2022 · 4 years of data 38 deficiencies 3 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Missouri state average

Overall vs. MO average

Latest Inspection April 24, 2025 Annual Inspection

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	38	35	This facility has 9% more total deficiencies than a typical Missouri assisted living residence (38 vs. MO avg 35).↑ 9% worse
Deficiencies per year Average deficiencies per year since 2022.	9.5	8.8	This facility has 8% more deficiencies per year than a typical Missouri assisted living residence (9.5 vs. MO avg 8.8).↑ 8% worse
Deficiencies per inspection Average deficiencies per inspection.	12.7	5	This facility has 154% more deficiencies per inspection than a typical Missouri assisted living residence (12.7 vs. MO avg 5).↑ 154% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	3	7	This facility has 57% fewer total inspections than a typical Missouri assisted living residence (3 vs. MO avg 7).↓ 57% better

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

April 24, 2025 inspection found five deficiencies including failure to complete accurate mental health pre-admission screenings, inadequate resident contracture treatment, unqualified food service director, and unsafe food thawing.
February 23, 2024 complaint investigation substantiated failures to notify a physician of high blood sugar, provide ordered oxygen therapy, and maintain proper hand hygiene and water management to prevent infection.
November 17, 2022 routine inspection cited seven deficiencies including inconsistent life-sustaining treatment orders, lack of employee disqualification checks, unsafe wheelchair use, and multiple food safety and wound care lapses.

Show Inspection Reports

Inspections since 2022

Total health inspections 3

State average N/A

Last Health inspection on Apr 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 15 citations resulted from standard inspections.

Breakdown of citation severity (last 4 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

15 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 4 years)

Nutrition moderate citation Apr 24, 2025

Corrected

Nutrition moderate citation Apr 24, 2025

Corrected

Quality of Care moderate citation Apr 24, 2025

Corrected

Care Planning moderate citation Apr 24, 2025

Corrected

Total staff 114

Employees 102

Contractors 12

Staff to resident ratio 1.90 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 21

Average shift 8.1 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 15,692

Nursing staff breakdown

9.6 hours

9 hours

8.7 hours

Contractor staffing

485 contractor hours this quarter

Respiratory Therapy Technician: 3 Speech Language Pathologist: 2 Physical Therapy Aide: 2 Qualified Social Worker: 1 Physical Therapy Assistant: 1 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	37	0	37	6,215	92	100%	8.7
Licensed Practical Nurse	20	0	20	3,808	92	100%	9
Other Dietary Services Staff	11	0	11	1,519	92	100%	8
Registered Nurse	9	0	9	1,174	85	92%	9.6
Nurse Practitioner	3	0	3	601	58	63%	9.5
Dietitian	3	0	3	572	65	71%	7.2
Administrator	2	0	2	505	65	71%	7
Nurse Aide in Training	13	0	13	493	14	15%	8.2
Dental Services Staff	1	0	1	255	34	37%	7.5
Speech Language Pathologist	0	2	2	189	61	66%	3
Qualified Social Worker	0	1	1	90	48	52%	1.9
Physical Therapy Aide	0	2	2	87	44	48%	2
RN Director of Nursing	1	0	1	49	6	7%	8.1
Physical Therapy Assistant	0	1	1	49	26	28%	1.9
Occupational Therapy Assistant	0	1	1	29	8	9%	3.6
Occupational Therapy Aide	1	1	2	27	8	9%	3.3
Medical Director	1	1	2	16	3	3%	5.3
Respiratory Therapy Technician	0	3	3	15	11	12%	1.3

37 Certified Nursing Assistant

% of Days 100%

20 Licensed Practical Nurse

% of Days 100%

11 Other Dietary Services Staff

% of Days 100%

9 Registered Nurse

% of Days 92%

3 Nurse Practitioner

% of Days 63%

3 Dietitian

% of Days 71%

2 Administrator

% of Days 71%

13 Nurse Aide in Training

% of Days 15%

1 Dental Services Staff

% of Days 37%

2 Speech Language Pathologist

% of Days 66%

1 Qualified Social Worker

% of Days 52%

2 Physical Therapy Aide

% of Days 48%

1 RN Director of Nursing

% of Days 7%

1 Physical Therapy Assistant

% of Days 28%

1 Occupational Therapy Assistant

% of Days 9%

2 Occupational Therapy Aide

% of Days 9%

2 Medical Director

% of Days 3%

3 Respiratory Therapy Technician

% of Days 12%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 10.3

6% better than State average

State average: 10.9

Functional decline score 21.0

8% worse than State average

State average: 19.5

Long-stay resident measures

Below average State avg: 2.7

Need for Help with Daily Activities Increased 26.7%

35% worse than State average

State average: 19.8%

Walking Ability Worsened 13.8%

33% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 22.5%

24% worse than State average

State average: 18.1%

Falls with Major Injury 2.9%

27% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 4.0%

20% better than State average

State average: 5.0%

Urinary Tract Infection 3.4%

24% worse than State average

State average: 2.7%

Lost Too Much Weight 3.9%

30% better than State average

State average: 5.6%

Depressive Symptoms 2.9%

77% better than State average

State average: 12.8%

Antipsychotic Use 27.4%

24% worse than State average

State average: 22.0%

Pneumococcal Vaccine 99.6%

17% better than State average

State average: 85.2%

Influenza Vaccine 100.0%

10% better than State average

State average: 90.9%

Hospitalizations per 1,000 days 1.33

36% better than State average

State average: 2.08

ED visits per 1,000 days 1.16

51% better than State average

State average: 2.35

Short-stay resident measures

Significantly above average State avg: 2.1

Pneumococcal Vaccine 98.7%

48% better than State average

State average: 66.6%

Antipsychotic medication increase 11.1%

401% worse than State average

State average: 2.2%

Re-hospitalized after SNF stay 0.0%

100% better than State average

State average: 25.3%

Emergency department visits 0.0%

100% better than State average

State average: 13.4%

Falls with major injury 4.2%

442% worse than State average

State average: 0.8%

Ability to care for self at discharge 68.2%

27% better than State average

State average: 53.7%

Successful return to home or community 52.7%

In line with State average

State average: 50.6%

Breakdown by payment type

Medicare

27% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

49% of new residents, often for short stays.

Typical stay 6 - 7 months

Medicaid

23% of new residents, often for long-term daily care.

Typical stay 2 years

Total residents 60

Medicare

8.3% of residents

Medicaid

75% of residents

Private pay or other

16.7% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Miller County Care and Rehabilitation Center from 2012–2023, based on CMS SNF Cost Reports.

Occupancy Rate 71.0% ↑ 8.2pp vs 2022

Net Patient Income $144.2K ↑ ~$1.1M vs 2022

Payroll Costs $3.4M ↓ ~$156.1K vs 2022

Operating Margin 2.8% ↑ 25.1pp vs 2022

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	79.1%	76.7%	93.1%	94.2%	91.1%	70.5%	70.8%	76.2%	68.0%	62.9%	62.8%	71.0%
Beds	88	88	79	79	79	86	86	86	86	86	86	86
Net Income	$59,928	-$434,641	-$86,292	$290,227	$4,437	-$248,545	-$418,567	$70,336	$104,080	-$145,204	$332	$991,226
Gross Revenue	$3,962,975	$3,555,257	$4,154,597	$4,447,281	$4,464,820	$4,456,650	$4,113,257	$4,485,042	$3,996,364	$3,766,620	$3,997,059	$5,132,234
Operating Expenses	$5,011,668	$4,872,643	$5,050,376	$5,076,131	$5,283,224	$5,402,872	$5,254,290	$5,022,406	$5,180,374	$5,144,639	$5,189,495	$5,077,362
Net Patient Income	-$623,790	-$1,118,447	-$839,084	-$497,083	-$687,278	-$963,789	-$1,144,688	-$660,994	-$1,118,224	-$1,036,072	-$947,507	$144,210
Net Patient Revenue	$4,387,878	$3,754,196	$4,211,292	$4,579,048	$4,595,946	$4,439,083	$4,109,602	$4,361,412	$4,062,150	$4,108,567	$4,241,988	$5,221,572
Payroll Costs	$2,986,162	$2,996,874	$3,223,953	$3,297,835	$3,287,776	$2,992,164	$2,992,495	$3,093,042	$3,355,718	$3,611,355	$3,602,254	$3,446,153
Operating Margin %	-14.2%	-29.8%	-19.9%	-10.9%	-15.0%	-21.7%	-27.9%	-15.2%	-27.5%	-25.2%	-22.3%	2.8%
Medicare %	10.6%	10.6%	7.3%	4.7%	6.0%	5.7%	6.1%	5.2%	5.8%	8.4%	8.1%	5.2%
Medicaid %	42.6%	50.9%	62.9%	58.9%	59.7%	32.2%	69.3%	67.5%	72.3%	67.2%	62.2%	60.3%
Private %	46.8%	38.5%	29.8%	36.4%	34.2%	62.2%	24.6%	27.2%	22.0%	24.5%	29.6%	34.4%
Net Patient Revenue/Day	$172	$166	$168	$169	$174	$201	$185	$182	$190	$208	$215	$234
Cost/Day	$197	$216	$201	$187	$201	$244	$236	$210	$243	$260	$263	$228
Avg Length of Stay	141.8 days	153.2 days	230.0 days	226.4 days	292.7 days	433.6 days	390.1 days	487.9 days	735.9 days	238.0 days	180.8 days	184.2 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 09/2023.

Net patient revenue

$5.2M

Net patient income

$144.2K

Nonprofit Other Nonprofit

Net patient revenue

$5.2M

Net patient income

$144.2K

Other income

$847.0K

Payroll costs

$3.4M 66% of net patient revenue

Other operating costs

$1.6M

Total costs

$5.1M

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under private pay (49% of admissions), and a typical private pay stay runs around 6 - 7 months.

Coverage residents most often arrive under.

Medicare 27%

Private pay 49%

Medicaid 23%

Coverage residents most often leave under.

Medicare 15%

Private pay 45%

Medicaid 40%

0.0 miles from city center Estimated distance in miles from Tuscumbia's city center to Miller County Care and Rehabilitation Center's address, calculated via Google Maps.

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Miller County Care and Rehabilitation Center	NH MC	Tuscumbia	-	86	-	9	-
Breeze Park – Lutheran Senior Services	NH AL IL MC	Weldon Spring	-	50	A+	2	1 Bed / 2 Bed
John Knox Village	NH AL HC IL MC RC	Lee's Summit	-	408	A+	58	1 Bed / 2 Bed
Ignite Medical Resort Blue Springs	NH PC	Blue Springs	-	90	-	68	-
Moore-Few Care Center	NH HC MC PC RC	-	-	108	-	39	Private Suites

Nursing Home Explorer

Who is the owner of Miller County Care and Rehabilitation Center?

Miller County Care and Rehabilitation Center is legally operated by Miller County Nursing Home District, and administered by Tiffany Shower.

Is Miller County Care and Rehabilitation Center in a walkable area?

Miller County Care and Rehabilitation Center has a walk score of 9. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Miller County Care and Rehabilitation Center?

According to MO state health department records, Miller County Care and Rehabilitation Center's license number is 052391.

When does Miller County Care and Rehabilitation Center's license expire?

According to MO state health department records, Miller County Care and Rehabilitation Center's license expires on December 31, 2026.

What is the occupancy rate at Miller County Care and Rehabilitation Center?

Miller County Care and Rehabilitation Center's occupancy is 70%.

Does Miller County Care and Rehabilitation Center operate as a for-profit or non-profit?

Miller County Care and Rehabilitation Center is registered as a non-profit in MO.

Who is the administrator of Miller County Care and Rehabilitation Center?

Tiffany Shower is the administrator of Miller County Care and Rehabilitation Center.

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Miller County Care and Rehabilitation Center

Overview of Miller County Care and Rehabilitation Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Memory & Specialized Care

Additional Services

Amenities & Lifestyle

Contact Miller County Care and Rehabilitation Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

37 Certified Nursing Assistant

20 Licensed Practical Nurse

11 Other Dietary Services Staff

9 Registered Nurse

3 Nurse Practitioner

3 Dietitian

2 Administrator

13 Nurse Aide in Training

1 Dental Services Staff

2 Speech Language Pathologist

1 Qualified Social Worker

2 Physical Therapy Aide

1 RN Director of Nursing

1 Physical Therapy Assistant

1 Occupational Therapy Assistant

2 Occupational Therapy Aide

2 Medical Director

3 Respiratory Therapy Technician

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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