Occupancy rate
87%
In line with Missouri averagePrimarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Nursing Home in Missouri
CMS overall rating
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.
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.
Granby House
Nursing Home in Missouri
CMS overall rating
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.
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.
Granby House
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
Privately-owned community
Operated by a business corporation.
Home revenue
$6.0M
Profit
$434.8K
Privately-owned community
Operated by a business corporation.
Home revenue
$6.0M
Profit
$434.8K
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.
39 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy
In line with Missouri averageOccupied beds
52 / 60
Average residents
72 per day
Facility TypeSnf
CountyNEWTON
CMS Certification Number265468
Certification TypeMedicare/Medicaid
Granby House is administrated by Tara Spencer.
Owner NameGRANBY #1, INC
Staffing
Key information about the people who lead and staff this community.
ContactJohn Anderson
Rehabilitation Services
24-Hour Staffing
Specific Programs24-Hour Nursing Care, Professional staff, Transportation Services, Additional Services
Health Inspection History
Inspections
Total health inspections
7
Missouri average 6.6
Last Health inspection on Apr 2025
Total health citations
27
Missouri average 36.5
Citations per inspection
3.86
Missouri average 5.67
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
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Apr 24, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Apr 24, 2025
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 25, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 25, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 30, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 30, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jan 30, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
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.
Compare Nursing Homes around Missouri The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
Aberdeen Heights
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.
Kirkwood
38
92.6%
+39%
5.18
+39%
0
9
2.3
0
34
-
Ashfield Active Living And Wellness Communities, Inc.
$27.3M
$7.2M
26.3%
265841
Bertrand Nursing And Rehab Center
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.
Bertrand
60
78.8%
+18%
3.65
-2%
0
10
3.3
0
54
5
Chance, Don
$5.1M
$2.3M
44.1%
265678
Granby House
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.
Granby
60
86.6%
+30%
3.25
-13%
0
27
3.9
1
54
-
Massey, Rebecca
$5.9M
$1.6M
27.4%
265468
Good Shepherd Care Community
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.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
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).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Concordia
-
-
-
-
-
0
0
0.0
0
-
38
-
-
-
-
-
Abbey Senior Health
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.
O'fallon
55
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
79
Employees
76
Contractors
3
Staff to resident ratio
1.72:1
0% compared with Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
22
Average shift
8.7 hours
7% better than Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
17,340
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
35
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.4%
75 contractor hours this quarter
Medical Director: 1
Occupational Therapy Assistant: 1
Occupational Therapy Aide: 1
Staff by category
| 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 |
35 Certified Nursing Assistant
% of Days
100%
11 Licensed Practical Nurse
% of Days
98%
10 Nurse Aide in Training
% of Days
100%
4 Medication Aide/Technician
% of Days
100%
7 Registered Nurse
% of Days
93%
1 Administrator
% of Days
71%
2 Nurse Practitioner
% of Days
74%
1 Dental Services Staff
% of Days
68%
1 Dietitian
% of Days
34%
2 RN Director of Nursing
% of Days
21%
1 Clinical Nurse Specialist
% of Days
11%
1 Medical Director
% of Days
12%
1 Occupational Therapy Assistant
% of Days
3%
1 Occupational Therapy Aide
% of Days
5%
1 Occupational Therapist
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
46 residents
Residents by payment source
Medicare
4 residents (8.7%)
Medicaid
40 residents (87%)
Private pay or other
2 residents (4.3%)
Programs & Services
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
$434.8K
↑ ~$309.9K vs 2022
Total Payroll
$2.2M
↑ ~$218.6K vs 2022
Profit Margin
7.3%
↑ 4.7pp vs 2022
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