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1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Ellington #1, Inc and owner Patricia Craig run Brent B Tinnin Manor, a 60-bed nursing home located on South Main Street in Ellington, Missouri. The community accommodates typical payment channels, processing bills through Medicare, Medicaid, and private pay. Walking around the local neighborhood is moderately convenient, as the location scores a 45 out of 100 on the walkability scale, meaning some basic errands can be handled on foot while longer trips require a vehicle.
At present, 40 residents live at the property, which works out to a 67 percent occupancy rate during its first year of business. People stay here for an average of 293 days, a length of time that indicates the daily routine is split between short-term medical rehab and multi-month residential stays. To keep up with daily clinical tasks and mobility needs, the nursing team provides an average of 2 hours and 54 minutes of daily care per resident, dividing duties among registered nurses, practical nurses, and aides.
Official evaluation summaries show that recent surveys cited specific compliance issues concerning resident fund security, employee training records, infection control standards, vaccine documentation, and abuse reporting rules, meaning the home’s long-term cumulative citations-per-inspection rate is not zero.
Families can check out the campus setup to see how the local clinical team manages physical rehabilitation and daily recovery targets. The building is designed to handle routine medical checkups and long-term care needs in a centralized environment.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 236th out of 276 homes in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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.
| 36m per day | ▲ 28% 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.
| 31m per day | ▼ 24% 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.
| 2h 2m per day | ▼ 12% 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.
| 2h 31m per day | ▼ 18% 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 | ▼ 75% 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.
| 18m per day | ▼ 8% State avg: 20m per day · National avg: 28m per day |
Similar to the Missouri average: 66.6%Brent B Tinnin Manor is legally operated by Ellington #1, Inc., and administrated by Bob King.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
This scorecard compares key inspection, citation, 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
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 104 | 35 | This facility has 197% more total deficiencies than a typical Missouri nursing home (104 vs. MO avg 35).↑ 197% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 13 | 4.4 | This facility has 195% more deficiencies per year than a typical Missouri nursing home (13 vs. MO avg 4.4).↑ 195% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 9.5 | 5 | This facility has 90% more deficiencies per inspection than a typical Missouri nursing home (9.5 vs. MO avg 5).↑ 90% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 11 | 7 | This facility has 57% more total inspections than a typical Missouri nursing home (11 vs. MO avg 7).↑ 57% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Missouri average 6.6
Last Health inspection on Mar 2025
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
31 of 33 citations resulted from standard inspections; and 2 of 33 resulted from complaint investigations.
100% better than Missouri averageMissouri average: 0.7
100% better than Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
13% fewer staff per resident than Missouri average
9% better than Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 5 RN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursAssists with medical care and medications.
All 6 LPN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursHelps with daily care and mobility.
All 16 CNA Staff are full-time employees. No contractors work on this role.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
563 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 16 | 0 | 16 | 4,917 | 92 | 100% | 9.7 |
| Licensed Practical Nurse | 6 | 0 | 6 | 1,926 | 91 | 99% | 9.8 |
| Nurse Aide in Training | 14 | 0 | 14 | 1,896 | 90 | 98% | 9.4 |
| Registered Nurse | 5 | 0 | 5 | 1,695 | 88 | 96% | 9.2 |
| Medication Aide/Technician | 3 | 0 | 3 | 755 | 70 | 76% | 10.4 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dietitian | 1 | 0 | 1 | 521 | 63 | 68% | 8.3 |
| Dental Services Staff | 1 | 0 | 1 | 491 | 62 | 67% | 7.9 |
| Speech Language Pathologist | 0 | 3 | 3 | 372 | 64 | 70% | 5.7 |
| Physical Therapy Aide | 0 | 2 | 2 | 101 | 53 | 58% | 1.9 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 31 | 15 | 16% | 2 |
| Medical Director | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 16 | 7 | 8% | 2.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 14 | 3 | 3% | 4.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.7
35% worse than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.5
41% worse than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
25.8%
30% worse than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
28.7%
39% worse than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.0%
55% worse than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
48% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
8.6%
71% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.1%
60% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
8.4%
51% worse than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
5.1%
60% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
46.6%
112% worse than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.8%
12% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
83.0%
9% worse than Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.10
In line with Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
5.53
135% worse than Missouri averageMissouri average: 2.35
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.9%
15% better than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
11.5%
421% worse than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
10.0%
84% worse than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
33% of new residents, usually for short-term rehab.
23% of new residents, often for short stays.
44% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
40Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Brent B Tinnin Manor from 2011–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #276 / 286Payroll — State benchmarkedThis home is ranked 276th out of 286 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (44% of admissions), and a typical Medicaid stay runs around 1 - 2 years.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Ellington's city center to Brent B Tinnin Manor's address, calculated via Google Maps.
Add your location
Brent B Tinnin Manor is located in ELLINGTON, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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Facility
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MO AVG
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#390 / 454 |
74.9%
Facility
74.9%
MO AVG
66.6%
Rank
#146 / 428 | +12% | 5.01
Facility
5.01
MO AVG
3.74
Rank
#31 / 276 | -16% | +34% | $41.3k
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$41.3k
MO AVG
$76.9k
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#222 / 283 | 16
Facility
16
MO AVG
36.5
Rank
#55 / 281 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#75 / 281 | 2 | 46 | A+ |
2
Facility
2
MO AVG
45
Rank
#545 / 563 | Holly Stevens | $20.9M
Facility
$20.9M
MO AVG
$8.4M
Rank
#17 / 286 | $12.2M
Facility
$12.2M
MO AVG
$3.3M
Rank
#6 / 286 | 58.6%
Facility
58.6%
MO AVG
45.6%
Rank
#105 / 286 | 265767 | ||||
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Jefferson City | 42
Facility
42
MO AVG
97
Rank
#413 / 454 |
71.4%
Facility
71.4%
MO AVG
66.6%
Rank
#173 / 428 | +7% | - | -60% | - | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 21
Facility
21
MO AVG
36.5
Rank
#80 / 281 | 3.5
Facility
3.5
MO AVG
5.7
Rank
#57 / 281 | 1 | 32 | - |
27
Facility
27
MO AVG
45
Rank
#414 / 563 | Ricky Doerhoff | $5.0M
Facility
$5.0M
MO AVG
$8.4M
Rank
#203 / 286 | $2.3M
Facility
$2.3M
MO AVG
$3.3M
Rank
#231 / 286 | 46.9%
Facility
46.9%
MO AVG
45.6%
Rank
#208 / 286 | 265819 | ||||
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AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
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Facility
38
MO AVG
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100.0%
Facility
100.0%
MO AVG
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Rank
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Facility
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MO AVG
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#230 / 276 | -27% | -19% | $0
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MO AVG
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Rank
#1 / 283 | 39
Facility
39
MO AVG
36.5
Rank
#183 / 281 | 6.5
Facility
6.5
MO AVG
5.7
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#200 / 281 | - | 100 | A+ |
73
Facility
73
MO AVG
45
Rank
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MO AVG
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Rank
#264 / 286 | $2.4M
Facility
$2.4M
MO AVG
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Rank
#221 / 286 | 81.6%
Facility
81.6%
MO AVG
45.6%
Rank
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| Brent B Tinnin Manor |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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Facility
60
MO AVG
97
Rank
#343 / 454 |
66.7%
Facility
66.7%
MO AVG
66.6%
Rank
#210 / 428 | 0% | 2.91
Facility
2.91
MO AVG
3.74
Rank
#236 / 276 | +10% | -22% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 33
Facility
33
MO AVG
36.5
Rank
#156 / 281 | 6.6
Facility
6.6
MO AVG
5.7
Rank
#204 / 281 | - | 40 | - |
45
Facility
45
MO AVG
45
Rank
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Facility
$4.0M
MO AVG
$8.4M
Rank
#238 / 286 | $1.4M
Facility
$1.4M
MO AVG
$3.3M
Rank
#276 / 286 | 35.4%
Facility
35.4%
MO AVG
45.6%
Rank
#271 / 286 | 265472 | ||||
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AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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Facility
102
MO AVG
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Rank
#169 / 454 |
72.5%
Facility
72.5%
MO AVG
66.6%
Rank
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Facility
3.50
MO AVG
3.74
Rank
#168 / 276 | +4% | -6% | $334.9k
Facility
$334.9k
MO AVG
$76.9k
Rank
#277 / 283 | 87
Facility
87
MO AVG
36.5
Rank
#272 / 281 | 7.9
Facility
7.9
MO AVG
5.7
Rank
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50
Facility
50
MO AVG
45
Rank
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Facility
$15.6M
MO AVG
$8.4M
Rank
#32 / 286 | $7.7M
Facility
$7.7M
MO AVG
$3.3M
Rank
#31 / 286 | 49.2%
Facility
49.2%
MO AVG
45.6%
Rank
#186 / 286 | 265834 |
The legal owner and operator of Brent B Tinnin Manor is Ellington #1, Inc..
Brent B Tinnin Manor has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to MO state health department records, Brent B Tinnin Manor's license number is 052668.
According to MO state health department records, Brent B Tinnin Manor's license expires on April 30, 2027.
Brent B Tinnin Manor's occupancy is 67%.
Bob King is the administrator of Brent B Tinnin Manor.
Brent B Tinnin Manor has 60 beds.
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