Brent B Tinnin Manor
Nursing Home, Adult Day Care, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Ellington, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Brent B Tinnin Manor

Nursing Home, Adult Day Care, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Ellington, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Brent B Tinnin Manor accepts Medicare, Medicaid, and private pay.

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 2018 · 8 years of data 104 deficiencies 11 inspections

Inspection Scorecard Info 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 2018 vs. Missouri state average
Overall vs. MO average 2 Worse Metrics worse than Missouri average:
• Total deficiencies (197% above)
• Deficiencies per inspection (228% above)
0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 10435 This facility has 197% more total deficiencies than a typical Missouri nursing home (104 vs. MO avg 35).↑ 197% worse
Deficiencies per inspection Info Average deficiencies per inspection. 9.52.9 This facility has 228% more deficiencies per inspection than a typical Missouri nursing home (9.5 vs. MO avg 2.9).↑ 228% worse

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

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all inspections conducted at this facility. 1112 This facility has had 8% fewer total inspections than the Missouri average (11 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 8% fewer

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

  • February 24, 2025 complaint investigation substantiated misappropriation of resident funds exceeding $12,000 by the former Administrator, with police investigation and prosecution intended.
  • March 19, 2025 routine inspection found 14 deficiencies including failures in resident fund security, employee background checks, hospice and wound care, nurse aide training, infection control, and vaccination documentation.
  • November 18, 2024 complaint investigation found failure to properly investigate resident-to-resident physical abuse and delayed reporting by Licensed Practical Nurse, violating abuse investigation protocols.

Health Inspection History

Inspections since 2022
Total health inspections 5

State average 6.6


Last Health inspection on Mar 2025

Total health citations
33 Rank #152 / 274Health citations — State benchmarkedThis home is ranked 152nd out of 274 homes in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 274 MO facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 36.5

Citations per inspection
6.6 Rank #196 / 274Citations per inspection — State benchmarkedThis home is ranked 196th out of 274 homes in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 274 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 5.67


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

31 of 33 citations resulted from standard inspections; and 2 of 33 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)
Critical health citations
0
100% better than State average

State average: 0.7


Serious health citations
0
100% better than State average

State average: 1

0 critical citations State average: 0.7

0 serious citations State average: 1

33 moderate citations State average: 33.6

0 minor citations State average: 1.2
Citations history (last 4 years)
Abuse/Neglect moderate citation Mar 19, 2025
Corrected

Administration moderate citation Mar 19, 2025
Corrected

Administration moderate citation Mar 19, 2025
Corrected

Administration moderate citation Mar 19, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 59
Employees 48
Contractors 11
Staff to resident ratio 1.48 : 1
13% fewer staff per resident than Missouri average
Missouri average ratio: 1.69 : 1 Missouri average ratio: 1.69 : 1See full Missouri ranking
Avg staff/day 17
Average shift 8.8 hours
9% better than Missouri average
Missouri average: 8.1 hours Missouri average shift: 8.1 hoursSee full Missouri ranking
Total staff hours (quarter) 13,820

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 5 RN Staff are full-time employees. No contractors work on this role. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 6 LPN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 16 CNA Staff are full-time employees. No contractors work on this role. 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

4.1%

563 contractor hours this quarter

Speech Language Pathologist: 3 Physical Therapy Aide: 2 Respiratory Therapy Technician: 2 Medical Director: 1 Physical Therapy Assistant: 1 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant160164,91792100%9.7
Licensed Practical Nurse6061,9269199%9.8
Nurse Aide in Training140141,8969098%9.4
Registered Nurse5051,6958896%9.2
Medication Aide/Technician3037557076%10.4
Administrator1015286672%8
Nurse Practitioner1015286672%8
Dietitian1015216368%8.3
Dental Services Staff1014916267%7.9
Speech Language Pathologist0333726470%5.7
Physical Therapy Aide0221015358%1.9
Respiratory Therapy Technician022311516%2
Medical Director0112433%8
Physical Therapy Assistant0111678%2.3
Occupational Therapy Aide0111433%4.7
Occupational Therapy Assistant011633%2
16 Certified Nursing Assistant
% of Days 100%
6 Licensed Practical Nurse
% of Days 99%
14 Nurse Aide in Training
% of Days 98%
5 Registered Nurse
% of Days 96%
3 Medication Aide/Technician
% of Days 76%
1 Administrator
% of Days 72%
1 Nurse Practitioner
% of Days 72%
1 Dietitian
% of Days 68%
1 Dental Services Staff
% of Days 67%
3 Speech Language Pathologist
% of Days 70%
2 Physical Therapy Aide
% of Days 58%
2 Respiratory Therapy Technician
% of Days 16%
1 Medical Director
% of Days 3%
1 Physical Therapy Assistant
% of Days 8%
1 Occupational Therapy Aide
% of Days 3%
1 Occupational Therapy Assistant
% of Days 3%

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

No penalties in the past 3 years

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

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 14.7
35% worse than Missouri average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 27.5
41% worse than Missouri average

Missouri average: 19.5

Long-stay resident measures
Significantly below average Missouri avg: 2.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 25.8%
30% worse than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 28.7%
39% worse than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 28.0%
55% worse than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.1%
48% better than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.6%
71% worse than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.1%
60% better than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.4%
51% worse than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 5.1%
60% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 46.6%
112% worse than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.8%
12% better than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 83.0%
9% worse than Missouri average

Missouri average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.10
In line with Missouri average

Missouri average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 5.53
135% worse than Missouri average

Missouri average: 2.35

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 76.9%
15% better than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 11.5%
421% worse than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 10.0%
84% worse than Missouri average

Missouri average: 63.5%

Breakdown by payment type

Medicare

33% of new residents, usually for short-term rehab.

Typical stay 29 days

Private pay

23% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

44% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Facility Characteristics

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

Total residents 40
Medicare
1
2.5% of residents
Medicaid
39
97.5% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

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

For-profit
Individual
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.3M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$283.3K
For-profit Individual
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.3M Rank #238 / 277Revenue — State benchmarkedThis home is ranked 238th out of 277 homes in Missouri for revenue. Shows this facility's annual revenue compared to the Missouri average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$283.3K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$72.4K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #271 / 277Payroll — State benchmarkedThis home is ranked 271st out of 277 homes in Missouri for payroll. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$1.3M 38.3% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #267 / 277Payroll % — State benchmarkedThis home is ranked 267th out of 277 homes in Missouri for payroll %. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–72% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.7M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$3.0M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

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

New residents most often arrive under Medicaid (44% of admissions), and a typical Medicaid stay runs around 1 - 2 years.

Admissions
73 total

Coverage residents most often arrive under.

Medicare 33%
Private pay 23%
Medicaid 44%
Discharges
62 total

Coverage residents most often leave under.

Medicare 16%
Private pay 23%
Medicaid 61%

Places of interest near Brent B Tinnin Manor

Address 0.0 miles from city center Info Estimated distance in miles from Ellington's city center to Brent B Tinnin Manor's address, calculated via Google Maps.

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Frequently Asked Questions about Brent B Tinnin Manor

Who is the owner of Brent B Tinnin Manor?

Brent B Tinnin Manor is legally operated by Ellington #1, Inc., and administered by Bob King.

Is Brent B Tinnin Manor in a walkable area?

Brent B Tinnin Manor has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Brent B Tinnin Manor?

According to MO state health department records, Brent B Tinnin Manor's license number is 052668.

When does Brent B Tinnin Manor's license expire?

According to MO state health department records, Brent B Tinnin Manor's license expires on April 30, 2027.

What is the occupancy rate at Brent B Tinnin Manor?

Brent B Tinnin Manor's occupancy is 67%.

How long has Brent B Tinnin Manor been in business?

Brent B Tinnin Manor has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Brent B Tinnin Manor?

No, Brent B Tinnin Manor has a no-pet policy.

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