Occupancy rate
48%
In line with Missouri averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
New Madrid Living Center
Nursing Home in Missouri
CMS overall rating
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.
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.
New Madrid Living Center
Nursing Home in Missouri
CMS overall rating
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.
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.
New Madrid Living Center is dedicated to providing comprehensive and quality long-term care services under physician supervision. The facility focuses on the physical, mental, and psychosocial well-being of its residents. It offers a variety of services including skilled nursing care, rehabilitation services, and resident transportation.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 68th out of 251 homes in Missouri.
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.
This home is ranked 68th out of 251 homes in Missouri.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.
4h 10m per day
vs Missouri avg
+10%
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
112
Avg. Length of Stay
152 days
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
21% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
41% of new residents, often for short stays.
Typical stay
4 - 5 months
Medicaid
38% of new residents, often for long-term daily care.
Typical stay
1 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$5.0M
Operating loss
-$229.8K
Privately-owned community
Operated by a business corporation.
Home revenue
$5.0M
Operating loss
-$229.8K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.0M
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
$5.3M
112-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy
In line with Missouri averageOccupied beds
54 / 112
Average residents
72 per day
Facility TypeSnf
CountyNew Madrid
CMS Certification Number265209
Certification TypeMedicare/Medicaid
New Madrid Living Center is legally operated by N & R Of New Madrid, Llc, and administrated by Thomas Ayers Jr.
Owner NameN & R OF NEW MADRID, LLC
Rehabilitation Services
Doctor on Staff
Skilled Nursing
24-Hour Staffing
Skilled Nursing Care
Physical And Occupational Therapies
Dietitians
Behavioral And Alzheimer’s Care
Activities
Hospice
Transportation
24/7 Professional Medical Care
Housekeeping & Laundry
Rehab Services
Specific ProgramsTransportation, 24/7 Professional Medical Care, Housekeeping & Laundry, Rehab Services
Food DescriptionThe facility offers a complete dining service where residents can select their meals based on individual preferences.
Meals IncludedYes
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.
5 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Show Inspection Reports
Latest inspection
Date
September 18, 2025
Other12 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Missouri average: 35 deficiencies
Health Inspection History
Inspections
Total health inspections
5
Missouri average 6.6
Last Health inspection on Oct 2024
Total health citations
11
Missouri average 36.5
Citations per inspection
2.2
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 11 citations resulted from standard inspections; and 4 of 11 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
2
2
100% worse than Missouri averageMissouri average: 1
0 critical citations
2 serious citations
9 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 10, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 10, 2024
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 10, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 10, 2024
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 08, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 08, 2024
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 06, 2023
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 06, 2023
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.
Compare Nursing Homes around Missouri The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
| Aberdeen Heights |
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. | Kirkwood | 38 | 92.6% | +39% | 5.18 | -32% | +39% | 0 | 9 | 2.3 | 0 | 34 | - | - | Ashfield Active Living And Wellness Communities, Inc. | $27.3M | $7.2M | 26.3% | 265841 | ||||
| New Madrid Living Center |
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. | New Madrid (Usa) | 112 | 52.9% | -21% | 4.17 | +15% | +12% | 1 | 11 | 2.2 | 2 | 58 | - | - | Ivie, Kimberly | $4.8M | $2.0M | 41.4% | 265209 | ||||
| Bertrand Nursing And Rehab Center |
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. | Bertrand | 60 | 78.8% | +18% | 3.65 | +42% | -2% | 0 | 10 | 3.3 | 0 | 54 | - | 5 | Chance, Don | $5.1M | $2.3M | 44.1% | 265678 | ||||
| Good Shepherd Care Community | - |
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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
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.
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.
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).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Concordia | 20 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 38 | Good Shepherd Nursing Home District | - | - | - | - |
| Abbey Senior Health | - |
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. | O'fallon | 10 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | Mount Carmel Communities - O'fallon, Llc | - | - | - | - |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
89
Employees
67
Contractors
22
Staff to resident ratio
1.51:1
12% worse than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
30
Average shift
7 hours
14% worse than Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
19,115
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
29
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
6.8%
1,291 contractor hours this quarter
Physical Therapy Assistant: 5
Licensed Practical Nurse: 3
Speech Language Pathologist: 3
Occupational Therapy Aide: 2
Feeding Assistant: 2
Qualified Social Worker: 2
Respiratory Therapy Technician: 2
Physical Therapy Aide: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 29 | 0 | 29 | 9,392 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 9 | 3 | 12 | 3,051 | 91 | 100% | 7.3 |
| Registered Nurse | 8 | 0 | 8 | 1,399 | 86 | 95% | 7.6 |
| Nurse Aide in Training | 9 | 0 | 9 | 1,375 | 84 | 92% | 6.7 |
| RN Director of Nursing | 1 | 0 | 1 | 590 | 64 | 70% | 9.2 |
| Medication Aide/Technician | 7 | 0 | 7 | 571 | 85 | 93% | 3.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 460 | 59 | 65% | 7.8 |
| Dietitian | 1 | 0 | 1 | 449 | 59 | 65% | 7.6 |
| Administrator | 1 | 0 | 1 | 436 | 55 | 60% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 434 | 57 | 63% | 7.6 |
| Speech Language Pathologist | 0 | 3 | 3 | 401 | 63 | 69% | 5.7 |
| Physical Therapy Aide | 0 | 1 | 1 | 384 | 58 | 64% | 6.6 |
| Physical Therapy Assistant | 0 | 5 | 5 | 74 | 34 | 37% | 2.1 |
| Occupational Therapy Aide | 0 | 2 | 2 | 58 | 7 | 8% | 8.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 17 | 6 | 7% | 2.8 |
| Qualified Social Worker | 0 | 2 | 2 | 10 | 5 | 5% | 2 |
| Feeding Assistant | 0 | 2 | 2 | 10 | 7 | 8% | 1.4 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 3 | 2 | 2% | 1.4 |
29 Certified Nursing Assistant
% of Days
100%
12 Licensed Practical Nurse
% of Days
100%
8 Registered Nurse
% of Days
95%
9 Nurse Aide in Training
% of Days
92%
1 RN Director of Nursing
% of Days
70%
7 Medication Aide/Technician
% of Days
93%
1 Clinical Nurse Specialist
% of Days
65%
1 Dietitian
% of Days
65%
1 Administrator
% of Days
60%
1 Nurse Practitioner
% of Days
63%
3 Speech Language Pathologist
% of Days
69%
1 Physical Therapy Aide
% of Days
64%
5 Physical Therapy Assistant
% of Days
37%
2 Occupational Therapy Aide
% of Days
8%
1 Occupational Therapy Assistant
% of Days
7%
2 Qualified Social Worker
% of Days
5%
2 Feeding Assistant
% of Days
8%
1 Medical Director
% of Days
3%
2 Respiratory Therapy Technician
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
59
Medicare
5
8.5% of residents
Medicaid
36
61% of residents
Private pay or other
18
30.5% 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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.6
58% better than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
6.6
66% better than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.7%
Percent of long-stay residents whose need for help with daily activities has increased
8.7%
56% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
5.1%
Percent of long-stay residents whose ability to move independently worsened
5.1%
75% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.1%
67% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
12% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.5%
Percent of long-stay high risk residents with pressure ulcers
3.5%
30% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
8.1%
Percent of long-stay residents with a urinary tract infection
8.1%
196% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.1%
Percent of long-stay residents who lose too much weight
2.1%
63% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
23.7%
Percent of long-stay residents who received an antipsychotic medication
23.7%
8% worse than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
17% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
49% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
15% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
58% 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.
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
$9K
88% lower than Missouri averageMissouri average: $73K
Number of fines
1
59% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
Fines amount comparison
Fines amount comparison
This facility
$9K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 8, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 8, 2024
$9K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for New Madrid Living Center based on CMS SNF Cost Reports.
Occupancy Rate
52.9%
↑ 1.8pp vs 2022
Net Income
-$229.8K
↑ ~$75.9K vs 2022
Total Payroll
$2.7M
↑ ~$124.6K vs 2022
Profit Margin
-4.8%
↑ 1.8pp vs 2022
Loading trend charts...
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