Total Health inspections
4
39% below Missouri average
Missouri average:
6.6
Last Health inspection on Feb 2024
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Hermitage Nursing &Amp; Rehab
Hermitage Nursing &Amp; Rehab is a Nursing Home in Missouri
Hermitage Nursing &Amp; Rehab is a Nursing Home in Missouri
Hermitage Nursing &Amp; Rehab
Hermitage Nursing &Amp; Rehab is a Nursing Home in Missouri
Hermitage Nursing &Amp; Rehab is a Nursing Home in Missouri
Hermitage Nursing & Rehab provides comprehensive and quality long-term care under physician supervision. The facility is committed to meeting the needs of residents while promoting their physical, mental, and psychosocial well-being. It offers a variety of services including skilled nursing care, rehabilitation services, and daily activities.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
59.7%
Residents per day (avg)
61
Occupancy rate
59.7%
Residents per day (avg)
61
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
29% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
33% of new residents, often for short stays.
Typical stay
8 - 9 months
Medicaid
38% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Proprietary home
Corporation
Home revenue
$5.8M
Operating loss
-$14.6K
Proprietary home
Corporation
Home revenue
$5,796,908.00
Operating loss
$-14,625.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.8M
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Facility Type
SNF
Additional licensing details
CMS Certification Number:
265239
Certification type:
Medicare/Medicaid
County:
HICKORY
Ownership & operating entity
Hermitage Nursing &Amp; Rehab is administrated by LISA WALKER.
Owner name:
N & R OF HERMITAGE, LLC
Safety & Compliance
Care Services
Doctor on Staff
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing Care, Physical Therapy, Occupational Therapy, Speech Therapy, Daily Activities, Pharmaceutical Services, Housekeeping & Laundry, Free CNA & CMT Classes
Compare Nursing Homes around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Bertrand Nursing And Rehab Center
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
No
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
53.70
5/5
3.6515
5/5
3/5
2/5
-
Hermitage Nursing &Amp; Rehab
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 65668-9129
120
No
-
SPENCE, JAQUELYNE
59.7%
$5,511,293.00
$2,477,093.00
44.9%
61.40
5/5
3.4545
4/5
2/5
5/5
1
Advanced Care of St Joseph
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 64505-1872
180
No
-
NORTH 18TH STREET CONSULTING LLC
57.2%
$5,504,210.00
$2,303,058.00
41.8%
141.10
1/5
2.1152
2/5
1/5
4/5
1
Amberwood Estates Nursing and Rehabilitation
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63121-1407
115
No
-
BERMUDA DRIVE CONSULTING LLC
81.7%
$5,482,532.00
$3,052,207.00
55.7%
79.70
1/5
1.7169
2/5
1/5
2/5
4
Good Shepherd Care Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Concordia
-
No
38
-
-
-
-
-
-
-
-
-
-
-
-
Places of interest near Hermitage Nursing &Amp; Rehab
0.0 miles from city center
HERMITAGE, MO 65668-9129
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
64
Total Staff
51
Employees
13
Contractors
18,343
Total Hours (Quarter)
25
Avg Staff/Day
8.1
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 7 | 9.7 | No |
| Licensed Practical Nurse | 4 | 8.1 | No |
| Certified Nursing Assistant | 20 | 8.3 | No |
Staff by Category
Administration ⓘ
1 staff
7.4hs shift avg
Nursing Staff ⓘ
46 staff
8.7hs shift avg
Physicians & Practitioners ⓘ
2 staff
8.4hs shift avg
Therapy Services ⓘ
10 staff
4.2hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
1.1hs shift avg
Dietary Services ⓘ
1 staff
8.5hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
4.6%
of total hours from contractors
845 contractor hours this quarter
Physical Therapy Aide: 1
Respiratory Therapy Technician: 3
Qualified Social Worker: 3
Speech Language Pathologist: 2
Physical Therapy Assistant: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 20 | 0 | 20 | 7,322 | 91 | 100% | 8.3 |
| Medication Aide/Technician | 7 | 0 | 7 | 2,910 | 91 | 100% | 8.9 |
| Nurse Aide in Training | 6 | 0 | 6 | 1,772 | 84 | 92% | 9.6 |
| Licensed Practical Nurse | 4 | 0 | 4 | 1,640 | 91 | 100% | 8.1 |
| Registered Nurse | 7 | 0 | 7 | 1,328 | 88 | 97% | 9.7 |
| RN Director of Nursing | 2 | 0 | 2 | 607 | 62 | 68% | 8.8 |
| Nurse Practitioner | 1 | 0 | 1 | 514 | 61 | 67% | 8.4 |
| Administrator | 1 | 0 | 1 | 461 | 62 | 68% | 7.4 |
| Dietitian | 1 | 0 | 1 | 441 | 52 | 57% | 8.5 |
| Physical Therapy Aide | 0 | 1 | 1 | 357 | 62 | 68% | 5.8 |
| Dental Services Staff | 1 | 0 | 1 | 303 | 38 | 42% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 300 | 65 | 71% | 4.5 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 202 | 24 | 26% | 8.4 |
| Physical Therapy Assistant | 0 | 1 | 1 | 66 | 32 | 35% | 2.1 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 60 | 24 | 26% | 2.5 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 26 | 8 | 9% | 3.3 |
| Qualified Social Worker | 0 | 3 | 3 | 22 | 21 | 23% | 1.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 14 | 2 | 2% | 7 |
Health Inspection History
Total Health citations
14
62% below Missouri average
Missouri average:
36.5
3.5 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
12 citations
Complaint investigations
2 citations
Breakdown of citations
Critical Health citations
0
100% below Missouri average
Missouri average:
0.7
Serious Health citations
1
Near Missouri average
Missouri average:
1.0
Moderate Health citations
13
Minor Health citations
0
Citations history (last 3 years)
Infection Control moderate citation
Feb 01, 2024
Corrected
Nutrition moderate citation
Feb 01, 2024
Corrected
Pharmacy moderate citation
Feb 01, 2024
Corrected
Quality of Care moderate citation
Feb 01, 2024
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
60
Total Residents
Medicare
9
(15%)
ⓘ
Medicaid
39
(65%)
ⓘ
Private Pay/Other
12
(20%)
ⓘ
Programs & Services
Residents' Group
ⓘ
CCRC
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
6.6
39% better than Missouri average
Missouri average:
10.9
Functional decline score
11.1
43% better than Missouri average
Missouri average:
19.5
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
12.0%
39% below Missouri average.
Walking Ability Worsened
10.7%
48% below Missouri average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
10.7%
41% below Missouri average.
Safety & clinical stability
Falls with Major Injury
2.1%
48% below Missouri average.
High Risk Residents with Pressure Ulcers
2.6%
48% below Missouri average.
Urinary Tract Infection
3.4%
26% above Missouri average.
Emotional & behavioral wellbeing
Depressive Symptoms
2.5%
80% below Missouri average.
Antipsychotic Use
34.0%
54% above Missouri average.
Preventive care
Pneumococcal Vaccine
96.2%
13% above Missouri average.
Influenza Vaccine
98.4%
8% above Missouri average.
Nutrition & physical health
Lost Too Much Weight
5.6%
1% above Missouri average.Short-stay resident measures
Pneumococcal Vaccine
76.3%
15% better than Missouri average
Antipsychotic medication increase
2.0%
8% better than Missouri average
Influenza Vaccine
96.0%
51% better than Missouri average 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 (Data as of Jan 2026)
Total fines amount
$17K
This home paid 76% less in fines than the state average.
Missouri average:
$73K
Number of Fines
1
This home received 59% fewer fines than the state average.
Missouri average:
2.4
Payment Denials
0
This home had 100% fewer payment denials than the state average.
Missouri average:
0.7
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
May 24, 2023
$17K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Hermitage Nursing &Amp; Rehab based on CMS SNF Cost Reports.
Occupancy Rate
59.7%
↓ 2.2pp vs 2022
Net Income
-$14,625
↓ ~$15K vs 2022
Total Payroll
$3,181,597
↑ ~$9K vs 2022
Profit Margin
-0.3%
↓ 0.3pp vs 2022
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