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.
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.
Bertrand Nursing and Rehab Center is legally operated by Bertrand Nursing And Rehab Center LLC, and administered by Don Chance.
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.
State average 6.6
Last Health inspection on Jul 2025
State average 36.5
State average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 10 citations resulted from standard inspections.
State average: 0.7
State average: 1
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
29 contractor hours this quarter
| 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 |
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
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.
70% of new residents, usually for short-term rehab.
21% of new residents, often for short stays.
8% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
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.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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.
Coverage residents most often leave under.
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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Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Laclede Groves | NH AL IL MC SNF | St. Louis | 251
Facility
251
MO AVG
96
Rank
#3 / 450 |
40.9%
Facility
40.9%
MO AVG
66.5%
Rank
#365 / 407 | -39% | 5.27
Facility
5.27
MO AVG
3.74
Rank
#20 / 268 | +48% | +41% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 9
Facility
9
MO AVG
36.5
Rank
#10 / 274 | 4.5
Facility
4.5
MO AVG
5.7
Rank
#99 / 274 | - | 103 | - |
35
Facility
35
MO AVG
46
Rank
#353 / 545 | John Komlos | $24.9MFiscal year ending 12/2023
Facility
$24.9MFiscal year ending 12/2023
MO AVG
$7.4M
Rank
#3 / 251 | $27.4MFiscal year ending 12/2023
Facility
$27.4MFiscal year ending 12/2023
MO AVG
$3.9M
Rank
#2 / 251 | 109.9%Fiscal year ending 12/2023
Facility
109.9%Fiscal year ending 12/2023
MO AVG
54.9%
Rank
#1 / 251 | 265600 | ||||
| Linden Woods Village | NH AL IL SNF | Gladstone | 40
Facility
40
MO AVG
96
Rank
#415 / 450 |
85.0%
Facility
85.0%
MO AVG
66.5%
Rank
#73 / 407 | +28% | 4.20
Facility
4.20
MO AVG
3.74
Rank
#65 / 268 | +31% | +12% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 12
Facility
12
MO AVG
36.5
Rank
#27 / 274 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#71 / 274 | - | 34 | - |
53
Facility
53
MO AVG
46
Rank
#216 / 545 | Amanda Fizer | $8.5MFiscal year ending 12/2023
Facility
$8.5MFiscal year ending 12/2023
MO AVG
$7.4M
Rank
#67 / 251 | $3.8MFiscal year ending 12/2023
Facility
$3.8MFiscal year ending 12/2023
MO AVG
$3.9M
Rank
#93 / 251 | 44.8%Fiscal year ending 12/2023
Facility
44.8%Fiscal year ending 12/2023
MO AVG
54.9%
Rank
#207 / 251 | 265855 | ||||
| St. Clair Nursing Center | NH HOS MC SNF | St Clair | 79
Facility
79
MO AVG
96
Rank
#273 / 450 |
73.4%
Facility
73.4%
MO AVG
66.5%
Rank
#159 / 407 | +10% | 3.81
Facility
3.81
MO AVG
3.74
Rank
#116 / 268 | -19% | +2% | $12.7k
Facility
$12.7k
MO AVG
$76.9k
Rank
#170 / 276 | 7
Facility
7
MO AVG
36.5
Rank
#6 / 274 | 2.3
Facility
2.3
MO AVG
5.7
Rank
#10 / 274 | - | 58 | A+ |
48
Facility
48
MO AVG
46
Rank
#261 / 545 | St. Clair Nursing LLC | $5.7MFiscal year ending 12/2023
Facility
$5.7MFiscal year ending 12/2023
MO AVG
$7.4M
Rank
#125 / 251 | $3.1MFiscal year ending 12/2023
Facility
$3.1MFiscal year ending 12/2023
MO AVG
$3.9M
Rank
#131 / 251 | 55.5%Fiscal year ending 12/2023
Facility
55.5%Fiscal year ending 12/2023
MO AVG
54.9%
Rank
#105 / 251 | 265495 | ||||
| Farmington Presbyterian Manor | NH AL IL MC SNF | Farmington | 90
Facility
90
MO AVG
96
Rank
#225 / 450 |
74.4%
Facility
74.4%
MO AVG
66.5%
Rank
#147 / 407 | +12% | 4.33
Facility
4.33
MO AVG
3.74
Rank
#59 / 268 | +49% | +16% | $12.6k
Facility
$12.6k
MO AVG
$76.9k
Rank
#169 / 276 | 9
Facility
9
MO AVG
36.5
Rank
#10 / 274 | 2.3
Facility
2.3
MO AVG
5.7
Rank
#10 / 274 | 1 | 67 | A+ |
66
Facility
66
MO AVG
46
Rank
#113 / 545 | Jane Hull | $8.7MFiscal year ending 06/2024
Facility
$8.7MFiscal year ending 06/2024
MO AVG
$7.4M
Rank
#65 / 251 | $4.7MFiscal year ending 06/2024
Facility
$4.7MFiscal year ending 06/2024
MO AVG
$3.9M
Rank
#61 / 251 | 53.6%Fiscal year ending 06/2024
Facility
53.6%Fiscal year ending 06/2024
MO AVG
54.9%
Rank
#128 / 251 | 265583 | ||||
| Bertrand Nursing and Rehab Center | NH PC SNF | Bertrand | 60
Facility
60
MO AVG
96
Rank
#340 / 450 |
79.5%
Facility
79.5%
MO AVG
66.5%
Rank
#110 / 407 | +20% | - | +49% | - | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 10
Facility
10
MO AVG
36.5
Rank
#17 / 274 | 3.3
Facility
3.3
MO AVG
5.7
Rank
#32 / 274 | - | 48 | - |
7
Facility
7
MO AVG
46
Rank
#515 / 545 | Don Chance | $4.1MFiscal year ending 12/2023
Facility
$4.1MFiscal year ending 12/2023
MO AVG
$7.4M
Rank
#198 / 251 | $2.5MFiscal year ending 12/2023
Facility
$2.5MFiscal year ending 12/2023
MO AVG
$3.9M
Rank
#175 / 251 | 59.8%Fiscal year ending 12/2023
Facility
59.8%Fiscal year ending 12/2023
MO AVG
54.9%
Rank
#74 / 251 | 265678 |
Bertrand Nursing and Rehab Center has a walk score of 7. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to MO state health department records, Bertrand Nursing and Rehab Center's license number is 053110.
According to MO state health department records, Bertrand Nursing and Rehab Center's license expires on October 31, 2027.
Bertrand Nursing and Rehab Center's occupancy is 80%.
No, Bertrand Nursing and Rehab Center has a no-pet policy.
Bertrand Nursing and Rehab Center is registered as a for-profit in MO.
Don Chance is the administrator of Bertrand Nursing and Rehab Center.
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