Total health inspections
7
Missouri average 6.6
Last Health inspection on Apr 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Granby House
Nursing Home
Granby House
Nursing Home
Granby House is a small rural facility that offers modern services. It prides itself on small-town hospitality where residents can find success in a healing, inviting environment. The facility provides 24-hour nursing care and transportation services.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
60
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
86.6%
Residents per day (avg)
54
Occupancy rate
86.6%
Residents per day (avg)
54
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
25% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
69% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
7% of new residents, often for long-term daily care.
Typical stay
5 years
Finances and operations
Proprietary home
Corporation
Home revenue
$6.0M
Profit
$434.8K
Proprietary home
Corporation
Home revenue
$5,982,046.00
Profit
$434,796.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.5M
60-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Facility Type
SNF
Additional licensing details
CMS Certification Number:
265468
Certification type:
Medicare/Medicaid
County:
NEWTON
Ownership & operating entity
Granby House is administrated by TARA SPENCER.
Owner name:
GRANBY #1, INC
Care Services
Nursing Services
Rehabilitation Services
Licensed Nurses/CNAs
24-Hour Staffing
Programs & Activities
Specific Programs
24-Hour Nursing Care, Professional staff, Transportation Services, Additional Services
Compare Nursing Homes around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
No
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34.30
5.1831
9
-
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
No
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
53.70
3.6515
10
-
+42%-2%+18%
Adair Village
-2%
+5%
-67%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 64735-1127
120
No
-
VOGT, MARK
21.7%
$2,609,859.00
$1,035,294.00
39.7%
51.50
3.9409
29
2
-2%+5%-67%
Granby House
+14%
-13%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 64844-8336
60
No
-
MASSEY, REBECCA
86.6%
$5,930,052.00
$1,624,566.00
27.4%
53.50
3.2513
27
1
+14%-13%+30%
Good Shepherd Care Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Concordia
-
No
38
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Pets Allowed:
No
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34.30
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
Bertrand Nursing And Rehab Center
Type of care:
SNF
AL
Community:
Bertrand
Bed Count:
60
Pets Allowed:
No
Operator:
CHANCE, DON
CCN:
265678
Occupancy:
78.8%
Home Revenue:
$5,145,452.00
Payroll Costs:
$2,268,233.00
Payroll %:
44.1%
Avg Residents/Day:
53.70
Overall Rating:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
Adair Village
Type of care:
SNF
AL
Community:
MO 64735-1127
Bed Count:
120
Pets Allowed:
No
Operator:
VOGT, MARK
CCN:
265347
Occupancy:
21.7%
Home Revenue:
$2,609,859.00
Payroll Costs:
$1,035,294.00
Payroll %:
39.7%
Avg Residents/Day:
51.50
Overall Rating:
Adj Nurse Hours:
3.9409
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
29
Severe Citations:
2
RN share vs State Avg:
-2%
-2%
Staffing vs State Avg:
+5%
+5%
Occupancy vs State Avg:
-67%
-67%
Granby House
Type of care:
SNF
AL
Community:
MO 64844-8336
Bed Count:
60
Pets Allowed:
No
Operator:
MASSEY, REBECCA
CCN:
265468
Occupancy:
86.6%
Home Revenue:
$5,930,052.00
Payroll Costs:
$1,624,566.00
Payroll %:
27.4%
Avg Residents/Day:
53.50
Overall Rating:
Adj Nurse Hours:
3.2513
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
27
Severe Citations:
1
RN share vs State Avg:
+14%
+14%
Staffing vs State Avg:
-13%
-13%
Occupancy vs State Avg:
+30%
+30%Places of interest near Granby House
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GRANBY, MO 64844-8336
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
79
Total Staff
76
Employees
3
Contractors
17,340
Total Hours (Quarter)
22
Avg Staff/Day
8.7
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 7 | 8.6 | No |
| Licensed Practical Nurse | 11 | 9.2 | No |
| Certified Nursing Assistant | 35 | 8.9 | No |
Staff by Category
Administration ⓘ
2 staff
7.3hs shift avg
Nursing Staff ⓘ
69 staff
9hs shift avg
Physicians & Practitioners ⓘ
3 staff
7.9hs shift avg
Therapy Services ⓘ
3 staff
5.3hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
0 staff
0hs shift avg
Dietary Services ⓘ
1 staff
8hs shift avg
Other Services ⓘ
1 staff
8.1hs shift avg
Contractor Analysis
0.4%
of total hours from contractors
75 contractor hours this quarter
Medical Director: 1
Occupational Therapy Assistant: 1
Occupational Therapy Aide: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 35 | 0 | 35 | 8,119 | 91 | 100% | 8.9 |
| Licensed Practical Nurse | 11 | 0 | 11 | 2,330 | 89 | 98% | 9.2 |
| Nurse Aide in Training | 10 | 0 | 10 | 2,252 | 91 | 100% | 8.8 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,490 | 91 | 100% | 10 |
| Registered Nurse | 7 | 0 | 7 | 969 | 85 | 93% | 8.6 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 520 | 67 | 74% | 7.8 |
| Dental Services Staff | 1 | 0 | 1 | 505 | 62 | 68% | 8.1 |
| Dietitian | 1 | 0 | 1 | 247 | 31 | 34% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 221 | 19 | 21% | 11.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 88 | 10 | 11% | 8.8 |
| Medical Director | 0 | 1 | 1 | 33 | 11 | 12% | 3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 21 | 3 | 3% | 7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 21 | 5 | 5% | 4.2 |
| Occupational Therapist | 1 | 0 | 1 | 6 | 1 | 1% | 5.5 |
Health Inspection History
Inspections
Total health citations
27
Citations per inspection
3.86
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 27 citations resulted from standard inspections; and 5 of 27 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
1
1
In line with Missouri averageMissouri average: 1
0 critical citations
1 serious citation
26 moderate citations
0 minor citations
Citations history (last 3 years)
Resident Rights moderate citation
Apr 24, 2025
Corrected
Quality of Care serious citation
Feb 25, 2025
Corrected
Infection Control moderate citation
Jan 30, 2025
Corrected
Care Planning moderate citation
Jan 30, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Part of: GRANBY 1 INC
Resident Census by Payment Source
46
Total Residents
Medicare
4
(8.7%)
ⓘ
Medicaid
40
(87%)
ⓘ
Private Pay/Other
2
(4.3%)
ⓘ
Programs & Services
Nurse Aide Training
ⓘ
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
22.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
22.8
108% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
39.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
39.8
104% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
45.4%
Percent of long-stay residents whose need for help with daily activities has increased
45.4%
130% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
52.5%
Percent of long-stay residents whose ability to move independently worsened
52.5%
155% worse than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.5%
18% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
33% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.2%
Percent of long-stay high risk residents with pressure ulcers
8.2%
64% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.1%
Percent of long-stay residents with a urinary tract infection
1.1%
59% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.0%
Percent of long-stay residents who lose too much weight
5.0%
9% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.2%
Percent of long-stay residents who have depressive symptoms
1.2%
91% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
12.4%
Percent of long-stay residents who received an antipsychotic medication
12.4%
43% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
17% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
6% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
49% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
54% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
9.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
9.1%
86% worse than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Granby House based on CMS SNF Cost Reports.
Occupancy Rate
86.6%
↑ 2.4pp vs 2022
Net Income
$434,796
↑ ~$310K vs 2022
Total Payroll
$2,177,626
↑ ~$219K vs 2022
Profit Margin
7.3%
↑ 4.7pp vs 2022
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