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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.
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.
Rolla Grand LLC operates Cedar Pointe, a 102-bed skilled nursing property managed by administrator Steve Szerzinski on White Columns Drive in Rolla, Missouri. The administrative team handles billing through traditional accounts, accepting private pay, Medicaid, and Medicare. Relatives planning visits will find an exceptionally pedestrian-friendly environment, as the local neighborhood carries a walkability score of 89 out of 100, letting visitors complete errands or walk to the building entirely on foot.
Records show 62 residents currently living at the property, which reflects a 61 percent occupancy rate. The average length of stay spans 323 days, indicating that the daily operational schedule is structured around permanent residential care alongside conventional post-hospital recovery tracks. To coordinate routine medical treatments and daily movement support, the 24-hour shift system averages 3 hours and 21 minutes of total nursing care per resident each day using a combined team of registered nurses, practical nurses, and aides.
State health department inspection records from the Missouri Department of Health and Senior Services track how the facility maintains regulatory standards. Public survey logs show that recent evaluations flagged specific procedural corrections regarding controlled substance records, care plan completeness, and daily staffing adequacy, meaning the home’s long-term cumulative citations-per-inspection rate is not zero.
Prospective residents can explore options for continuous skilled nursing oversight and short-term physical rehabilitation loops. The building layout features central dining spaces, standard therapy areas, and indoor lounges designed to manage routine medical care.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 184th out of 276 homes in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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.
| 13m per day | ▼ 54% State avg: 28m per day · National avg: 41m 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.
| 51m per day | ▲ 24% State avg: 41m per day · National avg: 52m 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 7m per day | ▼ 9% State avg: 2h 20m per day · National avg: 2h 21m 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.
| 2h 49m per day | ▼ 8% State avg: 3h 3m per day · National avg: 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.
| 1m per day | ▼ 45% State avg: 2m per day · National avg: 4m 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.
| 10m per day | ▼ 49% State avg: 20m per day · National avg: 29m per day |
Lower than the Missouri average: 66.6%Cedar Pointe is legally operated by Rolla Grand Llc, and administrated by Steve Szerzinski.
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.
This scorecard compares key inspection, citation, 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.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 122 | 35 | This facility has 249% more total deficiencies than a typical Missouri nursing home (122 vs. MO avg 35).↑ 249% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 15.3 | 4.4 | This facility has 248% more deficiencies per year than a typical Missouri nursing home (15.3 vs. MO avg 4.4).↑ 248% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 5.8 | 5 | This facility has 16% more deficiencies per inspection than a typical Missouri nursing home (5.8 vs. MO avg 5).↑ 16% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 21 | 7 | This facility has 200% more total inspections than a typical Missouri nursing home (21 vs. MO avg 7).↑ 200% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Missouri average 6.6
Last Health inspection on Apr 2025
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
30 of 40 citations resulted from standard inspections; and 10 of 40 resulted from complaint investigations.
43% worse than Missouri averageMissouri average: 0.7
100% better than Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
33% fewer staff per resident than Missouri average
22% better than Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
All 12 LPN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hoursHelps with daily care and mobility.
All 26 CNA Staff are full-time employees. No contractors work on this role.
26
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
184 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 26 | 0 | 26 | 8,485 | 92 | 100% | 11.2 |
| Licensed Practical Nurse | 12 | 0 | 12 | 5,760 | 92 | 100% | 10.7 |
| Physical Therapist | 12 | 0 | 12 | 3,805 | 92 | 100% | 8.3 |
| Medication Aide/Technician | 6 | 0 | 6 | 3,033 | 91 | 99% | 11.6 |
| Nurse Aide in Training | 7 | 0 | 7 | 2,838 | 92 | 100% | 10.9 |
| Registered Nurse | 4 | 0 | 4 | 945 | 79 | 86% | 8.9 |
| Occupational Therapy Aide | 1 | 0 | 1 | 573 | 67 | 73% | 8.6 |
| Administrator | 2 | 0 | 2 | 548 | 65 | 71% | 8.2 |
| Other Dietary Services Staff | 2 | 0 | 2 | 528 | 76 | 83% | 6.6 |
| Nurse Practitioner | 1 | 0 | 1 | 515 | 63 | 68% | 8.2 |
| Dietitian | 2 | 0 | 2 | 491 | 59 | 64% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 398 | 59 | 64% | 6.7 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 123 | 50 | 54% | 2.5 |
| Physical Therapy Assistant | 0 | 1 | 1 | 52 | 21 | 23% | 2.5 |
| Speech Language Pathologist | 0 | 1 | 1 | 6 | 4 | 4% | 1.4 |
| Physical Therapy Aide | 0 | 1 | 1 | 4 | 2 | 2% | 1.9 |
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 (Data as of Jan 2026)
70% lower than Missouri averageMissouri average: $73K
59% fewer fines than Missouri averageMissouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
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.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.1
29% worse than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.5
10% worse than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
22.8%
15% worse than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
24.5%
19% worse than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.2%
5% better than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
8.2%
104% worse than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
6.5%
29% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
9.4%
245% worse than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
8.5%
52% worse than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
9.8%
23% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
37.4%
70% worse than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
16% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
3.50
68% worse than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
4.35
85% worse than Missouri averageMissouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
66.7%
In line with Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
10.3%
366% worse than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
61.8%
In line with Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.2%
8% worse than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.7%
20% better than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
39.3%
22% worse than Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
30% of new residents, usually for short-term rehab.
44% of new residents, often for short stays.
26% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
70Residents 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Cedar Pointe based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #166 / 286Payroll — State benchmarkedThis home is ranked 166th out of 286 homes in Missouri. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
0.0 miles from city center
Estimated distance in miles from Rolla's city center to Cedar Pointe's address, calculated via Google Maps.
Add your location
Cedar Pointe is located in ROLLA, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Aurora Health and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Rolla | 116
Facility
116
MO AVG
97
Rank
#149 / 454 |
64.7%
Facility
64.7%
MO AVG
66.6%
Rank
#234 / 428 | -3% | 2.58
Facility
2.58
MO AVG
3.74
Rank
#253 / 276 | +84% | -31% | $64.9k
Facility
$64.9k
MO AVG
$76.9k
Rank
#235 / 283 | 59
Facility
59
MO AVG
36.5
Rank
#245 / 281 | 5.4
Facility
5.4
MO AVG
5.7
Rank
#158 / 281 | 2 | 72 |
89
Facility
89
MO AVG
45
Rank
#29 / 563 | Iraj Alipour | $5.8M
Facility
$5.8M
MO AVG
$8.4M
Rank
#162 / 286 | $2.7M
Facility
$2.7M
MO AVG
$3.3M
Rank
#196 / 286 | 47.2%
Facility
47.2%
MO AVG
45.6%
Rank
#206 / 286 | 265844 | ||||
| Cedar Pointe |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Rolla | 102
Facility
102
MO AVG
97
Rank
#169 / 454 |
60.8%
Facility
60.8%
MO AVG
66.6%
Rank
#259 / 428 | -9% | 3.36
Facility
3.36
MO AVG
3.74
Rank
#184 / 276 | -35% | -10% | $0
Facility
$0
MO AVG
$76.9k
Rank
#200 / 283 | 40
Facility
40
MO AVG
36.5
Rank
#185 / 281 | 4.4
Facility
4.4
MO AVG
5.7
Rank
#96 / 281 | 1 | 74 |
89
Facility
89
MO AVG
45
Rank
#29 / 563 | Rolla Grand LLC | $4.8M
Facility
$4.8M
MO AVG
$8.4M
Rank
#212 / 286 | $3.2M
Facility
$3.2M
MO AVG
$3.3M
Rank
#166 / 286 | 66.1%
Facility
66.1%
MO AVG
45.6%
Rank
#56 / 286 | 265279 |
The legal owner and operator of Cedar Pointe is Rolla Grand Llc.
Cedar Pointe has a walk score of 89. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to MO state health department records, Cedar Pointe's license number is 052824.
According to MO state health department records, Cedar Pointe's license expires on June 30, 2027.
Cedar Pointe's occupancy is 61%.
Steve Szerzinski is the administrator of Cedar Pointe.
Cedar Pointe has 102 beds.
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