Overview of Medicalodges Nevada Medicalodges Nevada is a 100-bed skilled nursing facility at 1210 West Ashland Street, Nevada, Missouri, Vernon County. Kayla Shuey is the administrator; Medicalodges, Inc., operates the facility under the ownership of Susan Houser. The facility is 100% employee-owned and primarily serves short-stay rehabilitation residents, though it also accepts long-term private pay and Medicaid admissions.
The facility carries a 2-star CMS overall rating. Health Inspection performance is 24% below Missouri average, and Staffing is 31% below state average. Quality Measures, however, are rated 85.2% above state average. Current occupancy is 39.8%, with 45 residents occupying 100 beds and an average stay of 188 days, indicating a predominantly short-stay rehabilitation model.
Financially, the facility is operating at a loss of $533.3 thousand against $3.2 million in revenue, a margin of -16.9%, with payroll consuming 63.5% of gross revenue.
Nursing staffing is a mixed picture. Weekend RN coverage is actually 5% above state average at 21 minutes per resident per day, and LPN staffing is a genuine strength at 1 hour 3 minutes per day (54% above state average of 41 minutes). Certified Nursing Aides average 2 hours 50 minutes per resident per day, 22% above state average. Total nursing care reaches 5 hours 10 minutes per resident per day, 36% above state average.
However, weekday RN hours are 26 minutes per resident per day, 7% below state average of 28 minutes. Weekend nursing total of 3 hours 32 minutes per day runs 16% above state average, suggesting weekend staffing is actually adequate despite concerns about daytime RN presence.
Quality outcomes reveal conflicting patterns. Long-stay residents experience hospitalizations at 1.96 per 1,000 days (6% better than state) and emergency department visits at 1.24 per 1,000 days (47% better than state)—notably low. Yet walking ability declined in 25.7% of long-stay residents, 25% worse than state average. Weight loss affects 8.9% (60% worse than state average of 5.6%), pressure ulcers occur in 6.1% of high-risk residents (21% worse than state), and bowel or bladder incontinence affects 22.1% of low-risk residents (22% worse than state).
On the positive side, depressive symptoms appear in only 5.9% (54% better than state), urinary tract infections are 1.4% (50% better than state), and falls with major injury are 2.0% (51% better than state). Vaccination rates are 86.9% for pneumococcal and 92.5% for influenza, both in line with state benchmarks.
Inspections from August 2019 through August 2025 include eight health surveys and complaint investigations with 27 total citations, all of moderate severity, and zero critical or serious citations. This is 3.38 citations per inspection versus Missouri average of 5.67 (41% better). However, the inspection record reveals a recurring pattern of deficiencies across multiple years. August 2019 found inadequate activities programming and improper side rail assessments.
June 2022 cited infection control gaps and staffing documentation. June 2024 health inspection identified 16 deficiencies covering medication management, pharmacy oversight, nursing documentation, and administrator licensing. A concurrent complaint investigation the same month cited 8 additional deficiencies. Subsequent complaint investigations in September 2023, December 2024, April 2025, and August 2025 repeatedly address administrator licensing compliance and infection prevention.
The administrator’s license expired and was not renewed in a timely manner, constituting a governance failure that has triggered multiple complaint reviews.
The facility’s low occupancy (39.8%) and operating loss of $533.3 thousand suggest financial strain, though payroll as a percentage of revenue is reasonable at 63.5%. The facility is moderately walkable (Walk Score 59) and offers Medicare rehabilitation, Medicaid long-term care, and private pay services with access to Missouri financial assistance programs.
Families evaluating Medicalodges Nevada should ask directly about corrective actions taken following the April 2025 infection control citation and verify current administrator license status.
