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3/5
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.
3/5
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.
Located in rural Hermitage, Missouri, Hermitage Nursing & Rehab is a skilled nursing facility operated by N & R of Hermitage, LLC, under the ownership of Jaquelyne Spence, with Shawnna Wood serving as the administrator. Medicare, Medicaid, and private pay are accepted, offering families multiple ways to cover rehabilitation and longer-term nursing care. The 120-bed facility has an occupancy rate of 50%, making it a newer option in the area with room for growth.
Rehabilitation and medical support are central parts of the home’s care program. Total nursing care averages 3 hours and 27 minutes per resident each day, providing consistent hands-on support across a team of registered nurses, nurse aides, and licensed practical nurses.
A doctor is on call 24 hours a day, and clinical support is available around the clock through the facility’s 24-hour staffing. Professional rehabilitation services and on-site pharmaceutical services are also available. Residents stay an average of 138 days, including those in short-term rehabilitation following hospital discharge and those in longer-term care.
Residents can choose from semi-private and private room options. Housekeeping and laundry services are provided daily. The home also offers free CNA and CMT (Certified Medical Technician) classes for staff, a sign of investment in ongoing professional development.
The home’s location in Hermitage has a Walk Score of 30, so some local services are within walking distance; however, most errands and appointments require transportation. The quiet rural setting may appeal to families looking for a calmer environment rather than a busier suburban or urban location.
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 168th 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.
| 25m per day | ▼ 10% 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.
| 26m per day | ▼ 36% 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 4m per day | ▼ 10% 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 14m per day | ▼ 27% State avg: 3h 3m per day · National avg: 3h 27m 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.
| 1m per day | ▼ 78% State avg: 3m 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.
| 27m per day | ▲ 36% State avg: 20m per day · National avg: 29m per day |
Lower than the Missouri average: 66.6%Hermitage Nursing &Amp; Rehab is legally operated by N & R Of Hermitage, Llc, and administrated by Shawnna Wood.
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.
| 31 | 35 | This facility has 11% fewer total deficiencies than a typical Missouri nursing home (31 vs. MO avg 35).↓ 11% better |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 3.9 | 4.4 | This facility has 11% fewer deficiencies per year than a typical Missouri nursing home (3.9 vs. MO avg 4.4).↓ 11% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.4 | 5 | This facility has 52% fewer deficiencies per inspection than a typical Missouri nursing home (2.4 vs. MO avg 5).↓ 52% better |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 13 | 7 | This facility has 86% more total inspections than a typical Missouri nursing home (13 vs. MO avg 7).↑ 86% worse |
Missouri average 6.6
Last Health inspection on Feb 2024
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.
12 of 14 citations resulted from standard inspections; and 2 of 14 resulted from complaint investigations.
100% better than Missouri averageMissouri average: 0.7
In line with Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
45% fewer staff per resident than Missouri average
0% compared with 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 6 RN 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.
9.6 hoursAssists with medical care and medications.
All 5 LPN 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.
8.7 hoursHelps with daily care and mobility.
All 19 CNA Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
873 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 19 | 0 | 19 | 7,169 | 92 | 100% | 8.2 |
| Nurse Aide in Training | 6 | 0 | 6 | 2,584 | 91 | 99% | 10.5 |
| Medication Aide/Technician | 5 | 0 | 5 | 2,144 | 90 | 98% | 8.5 |
| Registered Nurse | 6 | 0 | 6 | 1,854 | 92 | 100% | 9.6 |
| Licensed Practical Nurse | 5 | 0 | 5 | 1,699 | 79 | 86% | 8.7 |
| RN Director of Nursing | 2 | 0 | 2 | 813 | 64 | 70% | 8.2 |
| Nurse Practitioner | 1 | 0 | 1 | 519 | 65 | 71% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 506 | 64 | 70% | 7.9 |
| Speech Language Pathologist | 0 | 1 | 1 | 475 | 65 | 71% | 7.3 |
| Administrator | 1 | 0 | 1 | 472 | 67 | 73% | 7 |
| Physical Therapy Aide | 0 | 2 | 2 | 247 | 62 | 67% | 4 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 59 | 19 | 21% | 3.1 |
| Physical Therapy Assistant | 0 | 1 | 1 | 45 | 26 | 28% | 1.7 |
| Occupational Therapy Aide | 0 | 2 | 2 | 22 | 3 | 3% | 7.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 21 | 3 | 3% | 6.8 |
| Qualified Social Worker | 0 | 2 | 2 | 5 | 3 | 3% | 1.7 |
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)
76% lower than Missouri averageMissouri average: $73K
59% fewer fines than Missouri averageMissouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
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.
6.6
39% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.1
43% better than Missouri averageMissouri average: 19.5
Percent of long-stay residents whose need for help with daily activities has increased
12.0%
39% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
10.7%
48% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.7%
41% better 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
2.6%
48% better than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
3.4%
26% worse than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
5.6%
In line with Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
2.5%
80% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
34.0%
54% worse than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.2%
13% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
8% better than Missouri averageMissouri average: 90.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.3%
15% better than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
8% better than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
51% better 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.
29% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
38% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
60Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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 Hermitage Nursing &Amp; Rehab from 2012–2023, 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 #167 / 286Payroll — State benchmarkedThis home is ranked 167th 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 (38% 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 Hermitage's city center to Hermitage Nursing &Amp; Rehab's address, calculated via Google Maps.
Add your location
Hermitage Nursing &Amp; Rehab is located in HERMITAGE, 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.
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Facility
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MO AVG
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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
Facility
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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 | ||||
| StoneBridge Senior Living Oak Tree |
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 | ||||
| Hermitage Nursing &Amp; Rehab |
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
120
MO AVG
97
Rank
#89 / 454 |
50.0%
Facility
50.0%
MO AVG
66.6%
Rank
#335 / 428 | -25% | 3.45
Facility
3.45
MO AVG
3.74
Rank
#168 / 276 | +39% | -8% | $17.5k
Facility
$17.5k
MO AVG
$76.9k
Rank
#194 / 283 | 14
Facility
14
MO AVG
36.5
Rank
#41 / 281 | 3.5
Facility
3.5
MO AVG
5.7
Rank
#57 / 281 | 1 | 63 | - |
30
Facility
30
MO AVG
45
Rank
#386 / 563 | Jaquelyne Spence | $5.8M
Facility
$5.8M
MO AVG
$8.4M
Rank
#163 / 286 | $3.2M
Facility
$3.2M
MO AVG
$3.3M
Rank
#167 / 286 | 54.9%
Facility
54.9%
MO AVG
45.6%
Rank
#141 / 286 | 265239 | ||||
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Facility
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MO AVG
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#424 / 454 |
100.0%
Facility
100.0%
MO AVG
66.6%
Rank
#1 / 428 | +50% | 3.03
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3.03
MO AVG
3.74
Rank
#230 / 276 | -27% | -19% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 39
Facility
39
MO AVG
36.5
Rank
#183 / 281 | 6.5
Facility
6.5
MO AVG
5.7
Rank
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73
Facility
73
MO AVG
45
Rank
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Facility
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MO AVG
$8.4M
Rank
#264 / 286 | $2.4M
Facility
$2.4M
MO AVG
$3.3M
Rank
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Facility
81.6%
MO AVG
45.6%
Rank
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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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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
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MO AVG
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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 Hermitage Nursing &Amp; Rehab is N & R Of Hermitage, Llc.
Hermitage Nursing &Amp; Rehab has a walk score of 30. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to MO state health department records, Hermitage Nursing &Amp; Rehab's license number is 051996.
According to MO state health department records, Hermitage Nursing &Amp; Rehab's license expires on July 13, 2026.
Hermitage Nursing &Amp; Rehab's occupancy is 50%.
Shawnna Wood is the administrator of Hermitage Nursing &Amp; Rehab.
Hermitage Nursing &Amp; Rehab has 120 beds.
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