Bertrand Nursing and Rehab Center

Nursing Home, Palliative Care & Skilled Nursing · Bertrand, MO

CMS overall rating

603 West Highway 62, Bertrand, MO 63823-9738 View map

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Bertrand Nursing and Rehab Center accepts Medicaid, Medicare, and private pay.

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Bertrand Nursing and Rehab Center accepts Medicaid, Medicare, and private pay.

Overview of Bertrand Nursing and Rehab Center

Bertrand Nursing and Rehab Center is a 60-bed skilled nursing facility at 603 West Highway 62 in Bertrand, Mississippi County, Missouri, administrated by Don Chance and privately operated. Established to focus on short-term rehabilitation and long-term care, it serves Medicare, Medicaid, and private-pay residents with an average census of 47 beds (79% occupancy) and typical stay of 185 days.

All 60 clinical and support staff are direct employees with zero contractor hours. Registered nurse time averages 24 minutes/resident/day, substantially above Missouri benchmarks. Licensed Practical Nurses contribute approximately 45 minutes daily. Certified Nursing Aides provide 2 hours 30 minutes/day, bringing total nursing care to 3 hours 39 minutes/day (just below the average of 3 hours 48 minutes).

Weekend total nursing reaches 2 hours 53 minutes/day, only 4% below Missouri’s average.

Long-stay residents show exceptional outcomes in preventing decline: functional decline scores stand at 14.1 (28% better than state average), need for increased assistance affects 14.0% (29% better than state), walking ability decline impacts 17.2% (16% better than state), and falls with major injury occur in 3.2% (22% better than state). Pressure ulcer prevention is also strong at 4.5% of high-risk residents affected (10% better than average). Conversely, weight loss in long-stay residents reaches 13.4%, more than double the average of 5.6%. Urinary tract infections occur in 3.9% of residents (44% worse than average of 2.7%).

Short-stay residents show a concerning 4.3% initiation rate for antipsychotic medications (94% worse than average of 2.2%). Vaccination rates are strong: influenza vaccination reaches 100% of long-stay residents (10% better than state), and pneumococcal coverage stands at 83.1% (near average).

Occupancy of 79% places the facility above the Missouri average of 66.6%. The facility carries payroll at 47.3% of revenue, below the 60-71% benchmark for well-operated facilities.

Regulatory compliance shows a clean recent record with no complaint investigations, enforcement actions, or penalties in the past three years. Three standard health inspections since April 2023 identified 10 total moderate citations with zero critical and zero serious violations. The most recent July 25, 2025 inspection cited deficiencies in psychotropic medication documentation, mobility rail maintenance inspections, infection control procedures during wound care, and bed equipment maintenance. All findings were classified as minimal harm or potential for actual harm affecting few residents.

Citations per inspection average 3.33, substantially better than Missouri’s average of 5.67, ranking Bertrand 31st among 261 Missouri nursing homes.

Bertrand offers short-term rehabilitation, palliative care, physical and speech therapy, occupational therapy, respiratory therapy, and dental services. An on-site nurse aide training program and active resident council support engagement. Religious services are available.

Medicare acceptance (70% of admissions), Medicaid coverage (8%), and private-pay options (21%) provide payer flexibility.

CMS assigned a 5/5 overall rating (90.1% above Missouri average), 5/5 for health inspection (72.4% above average), 5/5 for staffing (38.9% above average), and 2/5 for quality measures (28.3% below average).

Families should ask about corrective actions taken following the July 2025 medication documentation and infection control findings before placement.

Facility Direct Line (573) 683-4290

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 39m per day

vs avg

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.	29m 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.	33m 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 53m 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.	3h 26m 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.	10m 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.	16m per day

Capacity and availability

185 days

60-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 7 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

89%

Higher than the Missouri average: 66.6%

Occupied beds

54 / 60

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceNovember 1, 2025

ExpirationOctober 31, 2027

CountyMississippi

License Number053110

CMS Certification Number265678

Certification TypeMedicare / Medicaid

Bertrand Nursing and Rehab Center is legally operated by Bertrand Nursing And Rehab Center LLC, and administered by Don Chance.

Corporate EntityBERTRAND NURSING AND REHAB CENTER LLC

Owner NameBertrand Nursing And Rehab Center LLC

Skilled Nursing Facility

60 units

Total beds

60 units

Accept Medicaid

Accept Medicare

Rehabilitation Services

Short-Term Rehab

Doctor on Staff

24-Hour Staffing

Pets not allowed

Religious Services

Since 2023 · 3 years of data 0 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, 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.

Since 2023 vs. Missouri state average

Overall vs. MO average

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	0	12	This facility has had 100% fewer total inspections than the Missouri average (0 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 100% fewer

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on July 25, 2025, identified deficiencies related to psychotropic medication diagnoses, mobility rail assessments, medication error rates, infection control during wound care, and maintenance of bed equipment. Earlier inspections also noted issues with medication documentation, resident care planning, catheter care, environmental safety, and infection control practices. The main themes across reports involved medication management, resident safety measures, and infection control protocols. There were no complaint investigations or enforcement actions listed in the available reports. The facility’s inspection history shows recurring challenges in similar areas without a clear pattern of improvement or decline over time.

Show Inspection Reports

Inspections since 2023

Total health inspections 3

State average N/A

Last Health inspection on Jul 2025

Total health citations

State average N/A

Citations per inspection

3.33

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 10 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

10 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Abuse/Neglect moderate citation Jul 25, 2025

Corrected

Environmental moderate citation Jul 25, 2025

Corrected

Infection Control moderate citation Jul 25, 2025

Corrected

Pharmacy moderate citation Jul 25, 2025

Corrected

Total staff 78

Employees 75

Contractors 3

Staff to resident ratio 1.53 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 36

Average shift 7 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 23,164

Nursing staff breakdown

7.7 hours

7.6 hours

7.2 hours

Contractor staffing

29 contractor hours this quarter

Medical Director: 2 Feeding Assistant: 1

Staff by category


Certified Nursing Assistant	47	0	47	14,189	92	100%	7.2
Licensed Practical Nurse	6	0	6	2,730	92	100%	7.6
Registered Nurse	9	0	9	1,860	88	96%	7.7
Respiratory Therapy Technician	2	0	2	818	91	99%	5.5
Administrator	2	0	2	604	67	73%	8
Speech Language Pathologist	2	0	2	536	68	74%	4.4
Qualified Social Worker	2	0	2	504	68	74%	5.9
Nurse Practitioner	1	0	1	484	65	71%	7.4
Dental Services Staff	1	0	1	464	58	63%	8
Physical Therapy Aide	1	0	1	449	61	66%	7.4
Dietitian	1	0	1	397	61	66%	6.5
Physical Therapy Assistant	1	0	1	101	38	41%	2.7
Feeding Assistant	0	1	1	24	11	12%	2.2
Medical Director	0	2	2	5	4	4%	1.3

47 Certified Nursing Assistant

% of Days 100%

6 Licensed Practical Nurse

% of Days 100%

9 Registered Nurse

% of Days 96%

2 Respiratory Therapy Technician

% of Days 99%

2 Administrator

% of Days 73%

2 Speech Language Pathologist

% of Days 74%

2 Qualified Social Worker

% of Days 74%

1 Nurse Practitioner

% of Days 71%

1 Dental Services Staff

% of Days 63%

1 Physical Therapy Aide

% of Days 66%

1 Dietitian

% of Days 66%

1 Physical Therapy Assistant

% of Days 41%

1 Feeding Assistant

% of Days 12%

2 Medical Director

% of Days 4%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 10.5

In line with State average

State average: 10.9

Functional decline score 14.1

28% better than State average

State average: 19.5

Long-stay resident measures

Need for Help with Daily Activities Increased 14.0%

29% better than State average

State average: 19.8%

Walking Ability Worsened 17.2%

16% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 11.1%

39% better than State average

State average: 18.1%

Falls with Major Injury 3.2%

22% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 4.5%

10% better than State average

State average: 5.0%

Urinary Tract Infection 3.9%

44% worse than State average

State average: 2.7%

Lost Too Much Weight 13.4%

141% worse than State average

State average: 5.6%

Depressive Symptoms 6.4%

50% better than State average

State average: 12.8%

Antipsychotic Use 23.0%

5% worse than State average

State average: 22.0%

Pneumococcal Vaccine 83.1%

In line with State average

State average: 85.2%

Influenza Vaccine 100.0%

10% better than State average

State average: 90.9%

Short-stay resident measures

Pneumococcal Vaccine 72.0%

8% better than State average

State average: 66.6%

Antipsychotic medication increase 4.3%

94% worse than State average

State average: 2.2%

Influenza Vaccine 87.9%

38% better than State average

State average: 63.5%

Breakdown by payment type

Medicare

70% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

21% of new residents, often for short stays.

Typical stay 11 - 12 months

Medicaid

8% of new residents, often for long-term daily care.

Typical stay 4 years

Total residents 51

Medicare

11.8% of residents

Medicaid

60.8% of residents

Private pay or other

27.5% 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.

Financial Trends

Historical financial and operational data for Bertrand Nursing and Rehab Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 78.8% ↑ 5.8pp vs 2022

Net Patient Income -$106.7K ↓ ~$117.1K vs 2022

Payroll Costs $2.5M ↑ ~$258.7K vs 2022

Operating Margin -2.6% ↓ 2.9pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	61.0%	50.8%	50.9%	71.1%	81.0%	81.7%	78.6%	76.8%	77.1%	77.2%	74.6%	73.0%	78.8%
Beds	60	60	60	60	64	64	64	64	64	60	60	60	60
Net Income	-$45,068	-$89,549	-$4,155	$27,623	$134,930	$10,338	$463,996	$32,389	-$42,427	$20,460	$719,826	$109,166	-$59,579
Gross Revenue	$2,481,632	$2,360,955	$2,247,539	$2,516,706	$3,695,110	$3,144,027	$4,015,552	$4,020,722	$4,392,587	$4,440,409	$4,586,345	$4,796,747	$5,145,452
Operating Expenses	$2,092,625	$1,999,744	$2,003,857	$2,220,776	$3,082,585	$3,315,825	$3,555,742	$3,169,067	$3,429,427	$3,764,248	$3,851,937	$3,822,339	$4,214,921
Net Patient Income	-$55,251	-$95,678	-$12,554	$27,623	$134,682	$10,322	$459,810	$26,198	-$49,618	-$396,679	-$184,126	$10,444	-$106,656
Net Patient Revenue	$2,037,374	$1,904,066	$1,991,303	$2,248,399	$3,217,267	$3,326,147	$4,015,552	$3,195,265	$3,379,809	$3,367,569	$3,667,811	$3,832,783	$4,108,265
Payroll Costs	$888,193	$816,482	$824,705	$1,122,581	$1,666,492	$1,888,832	$1,961,087	$1,853,554	$2,106,675	$1,996,265	$2,092,344	$2,197,630	$2,456,287
Operating Margin %	-2.7%	-5.0%	-0.6%	1.2%	4.2%	0.3%	11.5%	0.8%	-1.5%	-11.8%	-5.0%	0.3%	-2.6%
Medicare %	11.0%	14.5%	10.4%	10.8%	10.9%	14.7%	13.8%	16.5%	17.6%	23.8%	25.6%	28.7%	20.1%
Medicaid %	68.9%	59.7%	66.8%	69.8%	74.3%	65.1%	62.8%	60.7%	56.8%	43.9%	43.5%	43.1%	49.9%
Private %	20.1%	25.8%	22.8%	19.4%	14.8%	20.2%	23.4%	22.8%	25.6%	32.3%	30.9%	28.1%	30.0%
Net Patient Revenue/Day	$152	$171	$179	$144	$175	$174	$219	$178	$188	$199	$224	$240	$238
Cost/Day	$157	$179	$180	$143	$168	$173	$194	$177	$191	$222	$236	$239	$244
Avg Length of Stay	80.5 days	128.3 days	71.0 days	288.2 days	247.8 days	180.4 days	255.2 days	154.6 days	137.4 days	265.0 days	177.6 days	140.2 days	185.5 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$4.1M

Net patient income

-$106.7K

For-profit Corporation

Net patient revenue

$4.1M

Net patient income

-$106.7K

Other income

$47.1K

Payroll costs

$2.5M 59.8% of net patient revenue

Other operating costs

$1.8M

Total costs

$4.2M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (70% of admissions), and a typical Medicare stay runs around 2 - 3 months.

Coverage residents most often arrive under.

Medicare 70%

Private pay 21%

Medicaid 8%

Coverage residents most often leave under.

Medicare 59%

Private pay 20%

Medicaid 20%

0.0 miles from city center Estimated distance in miles from Bertrand's city center to Bertrand Nursing and Rehab Center's address, calculated via Google Maps.

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Laclede Groves	NH AL IL MC	St. Louis	-	251	-	35	-
Republic Nursing and Rehab	NH SNF	Republic	-	127	-	48	Private / Semi-Private Rooms
Chaffee Nursing Center	NH HOS SNF	Chaffee	-	71	-	25	Studio
Heisinger Bluffs	NH AL IL MC RC SNF	Jefferson City	-	111	-	32	1 Bed / 2 Bed / 3 Bed
Bertrand Nursing and Rehab Center	NH PC SNF	Bertrand	-	60	-	7	-

Nursing Home Explorer

Is Bertrand Nursing and Rehab Center in a walkable area?

Bertrand Nursing and Rehab Center has a walk score of 7. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Bertrand Nursing and Rehab Center?

According to MO state health department records, Bertrand Nursing and Rehab Center's license number is 053110.

When does Bertrand Nursing and Rehab Center's license expire?

According to MO state health department records, Bertrand Nursing and Rehab Center's license expires on October 31, 2027.

What is the occupancy rate at Bertrand Nursing and Rehab Center?

Bertrand Nursing and Rehab Center's occupancy is 89%.

Are pets allowed at Bertrand Nursing and Rehab Center?

No, Bertrand Nursing and Rehab Center has a no-pet policy.

Does Bertrand Nursing and Rehab Center operate as a for-profit or non-profit?

Bertrand Nursing and Rehab Center is registered as a for-profit in MO.

Who is the administrator of Bertrand Nursing and Rehab Center?

Don Chance is the administrator of Bertrand Nursing and Rehab Center.

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Bertrand Nursing and Rehab Center

Overview of Bertrand Nursing and Rehab Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Amenities & Lifestyle

Contact Bertrand Nursing and Rehab Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, 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.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

47 Certified Nursing Assistant

6 Licensed Practical Nurse

9 Registered Nurse

2 Respiratory Therapy Technician

2 Administrator

2 Speech Language Pathologist

2 Qualified Social Worker

1 Nurse Practitioner

1 Dental Services Staff

1 Physical Therapy Aide

1 Dietitian

1 Physical Therapy Assistant

1 Feeding Assistant

2 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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