New Madrid Living Center

New Madrid Living Center is a Nursing Home in Missouri

New Madrid Living Center is a Nursing Home in Missouri

New Madrid Living Center

NEW MADRID, MO 63869-1116 View Map

New Madrid Living Center is a Nursing Home in Missouri

New Madrid Living Center is a Nursing Home in Missouri

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Overview of New Madrid Living Center
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.
(573) 748-5622

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 4.17/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
5/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
5/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
3/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 112

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Missouri average
Occupancy rate 52.9%
Residents per day (avg) 58
Occupancy rate
52.9%
Residents per day (avg)
58

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

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

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

Proprietary home
Corporation
Home revenue
$5.0M
Operating loss
-$229.8K
Proprietary home Corporation
Home revenue
$5,047,464.00
Operating loss
$-229,842.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.0M
39.2% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.3M
Total costs $5.3M
Bed community size
112-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: 265209
Certification type: Medicare/Medicaid
County: NEW MADRID

Ownership & operating entity

New Madrid Living Center is administrated by TOM AYERS.

Owner name: N & R OF NEW MADRID, LLC

Safety & Compliance

Care Services

Doctor on Staff
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing

All Levels of Care

Skilled Nursing Care
Physical and Occupational Therapies
Dietitians
Behavioral and Alzheimer’s Care
Activities
Hospice

Amenities & Lifestyle

Transportation
24/7 Professional Medical Care
Housekeeping & Laundry
Daily Activities
Rehab Services

Programs & Activities

Specific Programs
Transportation, 24/7 Professional Medical Care, Housekeeping & Laundry, Daily Activities, Rehab Services

Dining & Nutrition

Food Description
The facility offers a complete dining service where residents can select their meals based on individual preferences.
Meals Included
Yes

Compare Nursing Homes around Missouri

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
New Madrid Living Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 63869-1116
112
No
-
IVIE, KIMBERLY
52.9%
$4,774,232.00
$1,976,942.00
41.4%
57.80
5/5
4.1689
5/5
3/5
4/5
1
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
-
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 New Madrid Living Center

Address 0.0 miles from city center

Address NEW MADRID, MO 63869-1116

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

89
Total Staff
67
Employees
22
Contractors
19,115
Total Hours (Quarter)
30
Avg Staff/Day
7
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse87.6 No
Licensed Practical Nurse127.3 Yes
Certified Nursing Assistant297.5 No
Staff by Category
Administration
2 staff
7.6hs shift avg
Nursing Staff
68 staff
7.2hs shift avg
Physicians & Practitioners
2 staff
7.7hs shift avg
Therapy Services
14 staff
5.3hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
2 staff
2hs shift avg
Dietary Services
1 staff
7.6hs shift avg
Other Services
0 staff
0hs shift avg
Contractor Analysis
6.8%
of total hours from contractors
1,291 contractor hours this quarter
Licensed Practical Nurse: 3 Speech Language Pathologist: 3 Physical Therapy Aide: 1 Physical Therapy Assistant: 5 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 2 Medical Director: 1 Feeding Assistant: 2 Qualified Social Worker: 2 Respiratory Therapy Technician: 2
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant290299,39291100%7.5
Licensed Practical Nurse93123,05191100%7.3
Registered Nurse8081,3998695%7.6
Nurse Aide in Training9091,3758492%6.7
RN Director of Nursing1015906470%9.2
Medication Aide/Technician7075718593%3.6
Clinical Nurse Specialist1014605965%7.8
Dietitian1014495965%7.6
Administrator1014365560%7.9
Nurse Practitioner1014345763%7.6
Speech Language Pathologist0334016369%5.7
Physical Therapy Aide0113845864%6.6
Physical Therapy Assistant055743437%2.1
Occupational Therapy Aide0225878%8.3
Occupational Therapy Assistant0111767%2.8
Qualified Social Worker0221055%2
Feeding Assistant0221078%1.4
Medical Director011333%1
Respiratory Therapy Technician022322%1.4

Health Inspection History

Total Health inspections 5
24% below Missouri average
Missouri average: 6.6

Last Health inspection on Oct 2024

Total Health citations 11
70% below Missouri average
Missouri average: 36.5

2.2 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 7 citations
Complaint investigations 4 citations
Breakdown of citations
Critical Health citations 0
100% below Missouri average
Missouri average: 0.7
Serious Health citations 2
100% above Missouri average
Missouri average: 1.0
Moderate Health citations 9

Minor Health citations 0
Citations history (last 3 years)
Infection Control moderate citation Oct 10, 2024
Corrected

Care Planning moderate citation Oct 10, 2024
Corrected

Quality of Care serious citation Apr 08, 2024
Corrected

Quality of Care serious citation Sep 06, 2023
Corrected

Facility Characteristics

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

Ownership: For-Profit Corporation
Part of: HEALTH SYSTEMS INC
Resident Census by Payment Source
59 Total Residents
Medicare 5 (8.5%)
Medicaid 36 (61%)
Private Pay/Other 18 (30.5%)
Specialized Care Beds
22 Total Specialty Beds
19.6% of Bed Capacity
22
Alzheimer's / Dementia Beds
19.6%
Programs & Services
Residents' Group
Nurse Aide Training
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

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 4.6
58% better than Missouri average
Missouri average: 10.9
Functional decline score 6.6
66% better than Missouri average
Missouri average: 19.5
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 8.7%
56% below Missouri average.

Walking Ability Worsened 5.1%
75% below Missouri average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 6.1%
67% below Missouri average.
Safety & clinical stability

Falls with Major Injury 3.6%
12% below Missouri average.

High Risk Residents with Pressure Ulcers 3.5%
30% below Missouri average.

Urinary Tract Infection 8.1%
196% above Missouri average.
Emotional & behavioral wellbeing

Depressive Symptoms 0.0%
100% below Missouri average.

Antipsychotic Use 23.7%
8% above Missouri average.
Preventive care

Pneumococcal Vaccine 100.0%
17% above Missouri average.

Influenza Vaccine 100.0%
10% above Missouri average.
Nutrition & physical health

Lost Too Much Weight 2.1%
63% below Missouri average.
Short-stay resident measures
Pneumococcal Vaccine 99.1%

49% better than Missouri average
Antipsychotic medication increase 1.9%

15% better than Missouri average
Influenza Vaccine 100.0%

58% 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 $9K
This home paid 88% 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 Apr 8, 2024
$9K

Last updated: Jan 2026

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Financial Aid for Missouri Seniors

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Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+, Missouri resident, in approved facility.

~$1,215/month (individual).

$2,000 (individual).

Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

~$2,901/month (300% FBR, individual); QIT required.

$5,909.25 (individual), $11,818.45 (couple).

Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

~$1,690/month (individual, projected); spenddown allowed.

$5,909.25 (individual), $11,818.45 (couple).

Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled, Missouri resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based.

Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

Age 55+, unemployed, low-income, Missouri resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

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