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Nixa Nursing &Amp; Rehab
Nursing Home, Hospice Care & Skilled Nursing · Nixa, MO
CMS overall rating Info 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.

Nixa Nursing &Amp; Rehab

Nursing Home, Hospice Care & Skilled Nursing · Nixa, MO
CMS overall rating Info 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.
1104 North Main St, Nixa, MO 65714-9316 View map Calculator: See prices in your area
Nixa Nursing &Amp; Rehab accepts Medicare, Medicaid, and private pay.
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Nixa Nursing &Amp; Rehab accepts Medicare, Medicaid, and private pay.

Overview of Nixa Nursing & Rehab

Located in Nixa, Missouri, Nixa Nursing & Rehab is a skilled nursing facility operated by N & R of Nixa, LLC and administered by Adam Knapp. Medicare, Medicaid, and private pay are accepted, giving families flexibility to cover care. The 82-bed community has an occupancy rate of 79%. Its moderate census allows the facility to provide personalized attention through its steady base of residents.

The facility focuses on rehabilitation and skilled nursing care, especially on post-acute recovery. Physical therapy, occupational therapy, and speech therapy are offered on-site. Residents are supported by on-staff doctors, and nursing care is available around the clock. Total nurse staffing averages 3 hours and 47 minutes per resident per day to provide consistent hands-on attention. Residents stay an average of 92 days, including short-term rehabilitation patients and those receiving longer-term skilled nursing support.

Beyond recovery care, the home has behavioral and Alzheimer’s care programs. There are also hospice services for residents needing end-of-life support. The facility provides pharmaceutical services, housekeeping, and laundry so residents won’t have to leave the facility for appointments. Residents can choose from semi-private and private room options for living arrangements.

Nixa Nursing & Rehab is in a moderately walkable neighborhood with a Walk Score of 63. Some errands can be accomplished on foot. However, most trips require driving. The home also offers transportation for residents who need to attend appointments and outings. Free CNA and CMT training classes are occasionally available to those interested in exploring the field.

State inspections identified deficiencies in medication management procedures, resident notification during hospital transfers, and infection control practices. Families touring the facility should ask how these areas are being managed and what steps are in place to address them.

Facility Direct Line (417) 725-1777
Facility Direct Line (417) 725-1777

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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.
3h 47m per day
Rank #125 / 280Nurse hours — State benchmarkedThis home is ranked 125th out of 280 homes in Missouri for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 280 Missouri facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

2 of 6 metrics below state avg

Standout metric Physical Therapist is +52% above state avg
Staff type Hours / Day / Resident vs state avg
Registered Nurse (RN) Info 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 ▼ 34% State avg: 28m per day · National avg: 41m per day
LPN / LVN Info 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. 41m per day ■ Avg State avg: 41m per day · National avg: 52m per day
Nurse Aide Info 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 17m per day ■ Avg State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 53m per day ▼ 5% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 3m per day ▲ 52% State avg: 2m per day · National avg: 4m per day
Weekend RN Info 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. 21m per day ▲ 5% State avg: 20m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
92 days
Bed community size
82-bed community Rank #263 / 452Bed count — State benchmarkedThis home is ranked 263rd out of 452 homes in Missouri for Bed Count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 63 / 100 Rank #141 / 563Walk Score — State benchmarkedThis home is ranked 141st out of 563 homes in Missouri for Walk Score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
79%
Rank #113 / 420Occupancy rate — State benchmarkedThis home is ranked 113th out of 420 homes in Missouri for Occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 420. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Missouri average: 66.6%
Occupied beds
65 / 82
Average occupied beds in Missouri homes 72 beds

License Details

Facility TypeSkilled Nursing Facility
StatusActive
IssuanceJanuary 13, 2026
ExpirationJanuary 12, 2028
CountyChristian
License Number053301
CMS Certification Number265322
Certification TypeMedicare / Medicaid

Ownership & Operating Entity

Nixa Nursing &Amp; Rehab is legally operated by N & R Of Nixa, LLC, and administered by Adam Knapp.

Corporate EntityN & R OF NIXA, LLC
Owner NameN & R Of Nixa, LLC

Type Of Units

Skilled Nursing Facility
82 units
Total beds
82 units

Therapy & Rehabilitation

4 services
Rehabilitation Services
Physical Therapy
Occupational Therapy
Speech Therapy

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Additional Services

3 services
Skilled Nursing Care
Behavioral And Alzheimer’s Care
Hospice

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Professional Medical Care
Rehab Services
Doctor On Call 24 Hours
Pharmaceutical Services
Housekeeping & Laundry
Semi-Private & Private Rooms
Free Cna & Cmt Classes
Specific ProgramsResident Transportation

Contact Nixa Nursing &Amp; Rehab

Inspection History

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.

Since 2018 · 8 years of data 53 deficiencies 10 inspections

Inspection Scorecard Info 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 2018 vs. Missouri state average
Overall vs. MO average 3 Worse Metrics worse than Missouri average:
• Total deficiencies (51% above)
• Deficiencies per year (50% above)
• Deficiencies per inspection (83% above) 0 Better No metrics in this bucket.
Latest Inspection July 23, 2024 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This Facility MO Average vs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 53 35 This facility has 51% more total deficiencies than a typical Missouri assisted living residence (53 vs. MO avg 35).↑ 51% worse
Deficiencies per year Info Average deficiencies per year since 2018. 6.6 4.4 This facility has 50% more deficiencies per year than a typical Missouri assisted living residence (6.6 vs. MO avg 4.4).↑ 50% worse
Deficiencies per inspection Info Average deficiencies per inspection. 5.3 2.9 This facility has 83% more deficiencies per inspection than a typical Missouri assisted living residence (5.3 vs. MO avg 2.9).↑ 83% worse

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

This Facility MO Average vs. MO Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 10 12 This facility has had 17% fewer total inspections than the Missouri average (10 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 17% fewer

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

  • July 23, 2024 complaint inspection found 2 deficiencies for failing to timely report and investigate a resident's misappropriation allegation.
  • September 16, 2022 routine inspection found 3 deficiencies including medication errors with insulin pens and failure to post nurse staffing information.
  • September 26, 2019 routine inspection found 3 deficiencies for failing to notify residents and ombudsman of hospital transfers and improper glucometer disinfection.
Show Inspection Reports

Health Inspection History

Inspections since 2019
Total health inspections 3

State average N/A

Last Health inspection on Jul 2024

Total health citations
9 Rank #10 / 284Health citations — State benchmarkedThis home is ranked 10th out of 284 homes in Missouri for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 284 MO facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
3 Rank #23 / 284Citations per inspection — State benchmarkedThis home is ranked 23rd out of 284 homes in Missouri for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 284 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

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

All 9 citations resulted from standard inspections.

Breakdown of citation severity (last 7 years)
Critical health citations
0
In line with State average

State average: N/A

Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A
0 serious citations State average: N/A
8 moderate citations State average: N/A
1 minor citation State average: N/A
Citations history (last 7 years)
Abuse/Neglect moderate citation Jul 23, 2024
Corrected
Abuse/Neglect moderate citation Jul 23, 2024
Corrected
Quality of Care moderate citation Jul 23, 2024
Corrected
Nursing Services minor citation Sep 16, 2022
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 116
Employees 83
Contractors 33
Staff to resident ratio 1.73 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 38
Average shift 7.5 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 26,294

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 6 RN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 9 LPN Staff are full-time employees. No contractors work on this role. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 29 CNA Staff are full-time employees. No contractors work on this role. 29
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

10.5%

2,764 contractor hours this quarter

Speech Language Pathologist: 13 Respiratory Therapy Technician: 7 Physical Therapy Aide: 4 Physical Therapy Assistant: 4 Qualified Social Worker: 2 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Clinical Nurse Specialist: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant 29 0 29 8,568 92 100% 7.7
Licensed Practical Nurse 9 0 9 3,808 92 100% 9.2
Nurse Aide in Training 24 0 24 3,753 92 100% 6.5
Medication Aide/Technician 9 0 9 3,181 92 100% 8.6
Registered Nurse 6 0 6 1,582 79 86% 7.8
Speech Language Pathologist 0 13 13 957 80 87% 5.8
RN Director of Nursing 2 0 2 787 75 82% 6.6
Physical Therapy Aide 0 4 4 719 66 72% 6.9
Dental Services Staff 1 0 1 485 63 68% 7.7
Dietitian 1 0 1 464 62 67% 7.5
Nurse Practitioner 1 0 1 452 56 61% 8.1
Administrator 1 0 1 448 56 61% 8
Physical Therapy Assistant 0 4 4 373 68 74% 5.4
Respiratory Therapy Technician 0 7 7 343 67 73% 4.8
Qualified Social Worker 0 2 2 233 55 60% 4.2
Occupational Therapy Aide 0 1 1 81 13 14% 6.2
Clinical Nurse Specialist 0 1 1 36 5 5% 7.1
Occupational Therapy Assistant 0 1 1 24 6 7% 4
29 Certified Nursing Assistant
% of Days 100%
9 Licensed Practical Nurse
% of Days 100%
24 Nurse Aide in Training
% of Days 100%
9 Medication Aide/Technician
% of Days 100%
6 Registered Nurse
% of Days 86%
13 Speech Language Pathologist
% of Days 87%
2 RN Director of Nursing
% of Days 82%
4 Physical Therapy Aide
% of Days 72%
1 Dental Services Staff
% of Days 68%
1 Dietitian
% of Days 67%
1 Nurse Practitioner
% of Days 61%
1 Administrator
% of Days 61%
4 Physical Therapy Assistant
% of Days 74%
7 Respiratory Therapy Technician
% of Days 73%
2 Qualified Social Worker
% of Days 60%
1 Occupational Therapy Aide
% of Days 14%
1 Clinical Nurse Specialist
% of Days 5%
1 Occupational Therapy Assistant
% of Days 7%
View All Staffing Data

Penalties and fines

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.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 11.0
In line with State average

State average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 18.9
In line with State average

State average: 19.5

Long-stay resident measures
Significantly below average State avg: 2.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 23.9%
21% worse than State average

State average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 17.7%
14% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 15.0%
17% better than State average

State average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.8%
19% worse than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.4%
8% worse than State average

State average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 5.3%
94% worse than State average

State average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.2%
42% better than State average

State average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.2%
91% better than State average

State average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.5%
30% better than State average

State average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.4%
11% better than State average

State average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.1%
6% better than State average

State average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 3.98
91% worse than State average

State average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.40
In line with State average

State average: 2.35

Short-stay resident measures
Below average State avg: 2.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 84.4%
27% better than State average

State average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.7%
23% better than State average

State average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 84.9%
34% better than State average

State average: 63.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 24.1%
5% better than State average

State average: 25.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 25.4%
90% worse than State average

State average: 13.4%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.9%
140% worse than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 34.2%
36% worse than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 55.3%
9% better than State average

State average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

29% of new residents, usually for short-term rehab.

Typical stay 22 days

Private pay

26% of new residents, often for short stays.

Typical stay 7 - 8 months

Medicaid

45% of new residents, often for long-term daily care.

Typical stay 5 - 6 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 67
Medicare
2
3% of residents
Medicaid
44
65.7% of residents
Private pay or other
21
31.3% 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.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.0M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$273.5K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.0M Rank #146 / 290Revenue — State benchmarkedThis home is ranked 146th out of 290 homes in Missouri for Revenue. Shows this facility's annual revenue compared to the Missouri average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$273.5K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$12.7K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #139 / 290Payroll — State benchmarkedThis home is ranked 139th out of 290 homes in Missouri for Payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.8M 47.2% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #100 / 290Payroll % — State benchmarkedThis home is ranked 100th out of 290 homes in Missouri for Payroll %. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–72% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.3M
How we calculate these figures

This home is administered by Adam Knapp.

This home is owned by N & R Of Nixa, LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 265322

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicaid (45% of admissions), and a typical Medicaid stay runs around 5 - 6 months.

Admissions
185 total

Coverage residents most often arrive under.

Medicare 29%
Private pay 26%
Medicaid 45%
Discharges
278 total

Coverage residents most often leave under.

Medicare 19%
Private pay 50%
Medicaid 31%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Nixa Nursing &Amp; Rehab

Address 0.0 miles from city center Info Estimated distance in miles from Nixa's city center to Nixa Nursing &Amp; Rehab's address, calculated via Google Maps.

Calculate Travel Distance to Nixa Nursing &Amp; Rehab

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Address

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Frequently Asked Questions about Nixa Nursing &Amp; Rehab

Who is the owner of Nixa Nursing &Amp; Rehab?

Nixa Nursing &Amp; Rehab is legally operated by N & R Of Nixa, LLC, and administered by Adam Knapp.

Is Nixa Nursing &Amp; Rehab in a walkable area?

Nixa Nursing &Amp; Rehab has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Nixa Nursing &Amp; Rehab?

According to MO state health department records, Nixa Nursing &Amp; Rehab's license number is 053301.

When does Nixa Nursing &Amp; Rehab's license expire?

According to MO state health department records, Nixa Nursing &Amp; Rehab's license expires on January 12, 2028.

What is the occupancy rate at Nixa Nursing &Amp; Rehab?

Nixa Nursing &Amp; Rehab's occupancy is 79%.

Are pets allowed at Nixa Nursing &Amp; Rehab?

No, Nixa Nursing &Amp; Rehab has a no-pet policy.

Does Nixa Nursing &Amp; Rehab operate as a for-profit or non-profit?

Nixa Nursing &Amp; Rehab is registered as a for-profit in MO.

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Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

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