Big Bend Retreat
Nursing Home, Adult Day Care, Assisted Living, Residential Care, Respite Care & Skilled Nursing · Slater, MO
Big Bend Retreat
Nursing Home, Adult Day Care, Assisted Living, Residential Care, Respite Care & Skilled Nursing · Slater, MO
Overview of Big Bend Retreat
Big Bend Retreat is a 10-bed intermediate care facility at 620 North Emmerson, Slater, Saline County, Missouri. Emily Hahn administers the facility, operated by Big Bend Retreat, Inc. The facility emphasizes personalized care in a small, intimate residential setting.
The facility maintains a clean inspection record with zero reported state inspections and zero documented deficiencies or violations. No citations, penalties, or enforcement actions appear in state records. This aligns with typical regulatory patterns for very small rural intermediate care facilities.
Big Bend Retreat provides 24-hour staffing with residential care, adult daycare, and respite care services. Home-style meals are prepared daily for residents. No state or federal operational data is available regarding staff-to-resident ratios, occupancy rates, or clinical outcomes. Administrative hours are listed as Monday through Friday 8:00 AM to 4:00 PM, though 24-hour staffing is claimed.
As an intermediate care facility, Big Bend Retreat operates under a different regulatory framework than skilled nursing facilities, providing personalized residential care with supporting services for a small census. Located at or near Slater city center, the facility is in a low-walkability area with Walk Score 33. Most errands require transportation.
The facility’s small 10-bed capacity may allow for intimate staff-resident relationships. Services emphasize respite care and adult daycare flexibility for temporary or part-time stays.
Families evaluating Big Bend Retreat should contact directly for details about staffing credentials, admission requirements, care scope, and current availability.
Capacity and availability
Residents per day
5
70-bed community Rank #302 / 450Bed count — State benchmarkedThis home is ranked 302nd out of 450 homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 33 / 100 Rank #366 / 545Walk Score — State benchmarkedThis home is ranked 366th out of 545 homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Facility TypeICF, Residential Care Facility
StatusActive
IssuanceFebruary 14, 2026
ExpirationFebruary 13, 2028
CountySaline
License Number053381, 053382
Big Bend Retreat is legally operated by Big Bend Retreat, Inc., and administered by Emily Hahn.
Corporate EntityBIG BEND RETREAT, INC
Owner NameBig Bend Retreat, Inc
ICF
60 units
Residential Care Facility
10 units
Total beds
70 units
Respite Care
24-Hour Staffing
Pets not allowed
Specific ProgramsAdult Daycare/Respite Care
Touring HoursMon-Friday 8:00AM - 4:00PM
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.
Since 2019 · 7 years of data
These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability.
11 deficiencies
5 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 2019 vs. Missouri state average
Overall vs. MO average
0 Worse
No metrics in this bucket.
2 Better
Metrics better than Missouri average:
• Total deficiencies (69% below)
• Deficiencies per inspection (24% below)
• Total deficiencies (69% below)
• Deficiencies per inspection (24% below)
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 11 | 35 | This facility has 69% fewer total deficiencies than a typical Missouri nursing home (11 vs. MO avg 35).↓ 69% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.2 | 2.9 | This facility has 24% fewer deficiencies per inspection than a typical Missouri nursing home (2.2 vs. MO avg 2.9).↓ 24% better |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 5 | 12 | This facility has had 58% fewer total inspections than the Missouri average (5 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 58% fewer |
Places of interest near Big Bend Retreat
0.0 miles from city center
Estimated distance in miles from Slater's city center to Big Bend Retreat's address, calculated via Google Maps.
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Compare Nursing Homes around the area
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.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Aberdeen Heights | NH AL HOS IL MC SNF | Kirkwood | 91
Facility
91
MO AVG
96
Rank
#219 / 450 |
37.4%
Facility
37.4%
MO AVG
66.5
Rank
#380 / 407 | -44% | 5.52
Facility
5.52
MO AVG
3.74
Rank
#18 / 268 | -52% | +48% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 9
Facility
9
MO AVG
36.5
Rank
#10 / 274 | 2.3
Facility
2.3
MO AVG
5.7
Rank
#10 / 274 | - | 34 | - |
89
Facility
89
MO AVG
46
Rank
#29 / 545 | Ashfield Active Living And Wellness Communities, Inc | $23.4MFiscal year ending 06/2024
Facility
$23.4MFiscal year ending 06/2024
MO AVG
$7.4M
Rank
#4 / 251 | $8.1MFiscal year ending 06/2024
Facility
$8.1MFiscal year ending 06/2024
MO AVG
$3.9M
Rank
#10 / 251 | 34.7%Fiscal year ending 06/2024
Facility
34.7%Fiscal year ending 06/2024
MO AVG
54.9%
Rank
#248 / 251 | 265841 | ||||
| Ignite Medical Resort Blue Springs | NH PC SNF | Blue Springs | 90
Facility
90
MO AVG
96
Rank
#225 / 450 |
98.9%
Facility
98.9%
MO AVG
66.5
Rank
#5 / 407 | +49% | 3.02
Facility
3.02
MO AVG
3.74
Rank
#216 / 268 | +136% | -19% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 16
Facility
16
MO AVG
36.5
Rank
#51 / 274 | 3.2
Facility
3.2
MO AVG
5.7
Rank
#30 / 274 | - | 89 | - |
68
Facility
68
MO AVG
46
Rank
#92 / 545 | Ignite Ind LLC | $14.2MFiscal year ending 12/2023
Facility
$14.2MFiscal year ending 12/2023
MO AVG
$7.4M
Rank
#14 / 251 | $5.1MFiscal year ending 12/2023
Facility
$5.1MFiscal year ending 12/2023
MO AVG
$3.9M
Rank
#50 / 251 | 36.2%Fiscal year ending 12/2023
Facility
36.2%Fiscal year ending 12/2023
MO AVG
54.9%
Rank
#245 / 251 | 265880 | ||||
| Golden Age Living Center | NH SNF | Stover | 61
Facility
61
MO AVG
96
Rank
#338 / 450 |
86.9%
Facility
86.9%
MO AVG
66.5
Rank
#55 / 407 | +31% | 5.56
Facility
5.56
MO AVG
3.74
Rank
#13 / 268 | +8% | +49% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 6
Facility
6
MO AVG
36.5
Rank
#4 / 274 | 1.5
Facility
1.5
MO AVG
5.7
Rank
#1 / 274 | - | 53 | - |
38
Facility
38
MO AVG
46
Rank
#340 / 545 | Golden Age Nursing Home District | $4.2MFiscal year ending 06/2024
Facility
$4.2MFiscal year ending 06/2024
MO AVG
$7.4M
Rank
#194 / 251 | $3.3MFiscal year ending 06/2024
Facility
$3.3MFiscal year ending 06/2024
MO AVG
$3.9M
Rank
#127 / 251 | 78.5%Fiscal year ending 06/2024
Facility
78.5%Fiscal year ending 06/2024
MO AVG
54.9%
Rank
#9 / 251 | 265655 | ||||
| Good Shepherd Care Center | NH HOS PC RC SNF | Versailles | 164
Facility
164
MO AVG
96
Rank
#38 / 450 |
29.9%
Facility
29.9%
MO AVG
66.5
Rank
#397 / 407 | -55% | 4.89
Facility
4.89
MO AVG
3.74
Rank
#26 / 268 | -5% | +31% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 10
Facility
10
MO AVG
36.5
Rank
#17 / 274 | 5.0
Facility
5.0
MO AVG
5.7
Rank
#121 / 274 | - | 49 | - |
46
Facility
46
MO AVG
46
Rank
#282 / 545 | Good Shepherd Care Center | $5.4MFiscal year ending 06/2024
Facility
$5.4MFiscal year ending 06/2024
MO AVG
$7.4M
Rank
#136 / 251 | $3.1MFiscal year ending 06/2024
Facility
$3.1MFiscal year ending 06/2024
MO AVG
$3.9M
Rank
#136 / 251 | 56.6%Fiscal year ending 06/2024
Facility
56.6%Fiscal year ending 06/2024
MO AVG
54.9%
Rank
#97 / 251 | 265528 |
Frequently Asked Questions about Big Bend Retreat
Is Big Bend Retreat in a walkable area?
Big Bend Retreat has a walk score of 33. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of Big Bend Retreat?
According to MO state health department records, Big Bend Retreat's license number is 053381, 053382.
When does Big Bend Retreat's license expire?
According to MO state health department records, Big Bend Retreat's license expires on February 13, 2028.
Are pets allowed at Big Bend Retreat?
No, Big Bend Retreat has a no-pet policy.
Who is the administrator of Big Bend Retreat?
Emily Hahn is the administrator of Big Bend Retreat.
How many beds does Big Bend Retreat have?
Big Bend Retreat has 70 beds.
Has Big Bend Retreat had any deficiencies?
Big Bend Retreat has had 11 reported deficiencies since 2019 according to records from Missouri Dept. of Health and Senior Services (DHSS).
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