Granby House

Granby House is a Nursing Home in Missouri

Granby House is a Nursing Home in Missouri

Granby House

GRANBY, MO 64844-8336 View Map

Granby House is a Nursing Home in Missouri

Granby House is a Nursing Home in Missouri

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Overview of 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

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.25/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5

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.

Similar demand to the Missouri average
Occupancy rate 86.6%
Residents per day (avg) 54
Occupancy rate
86.6%
Residents per day (avg)
54

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

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 Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.6M
27.2% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.9M
Total costs $5.5M
Bed community size
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

Amenities & Lifestyle

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.
Bertrand Nursing And Rehab Center
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
5/5
3.6515
5/5
3/5
2/5
-
Granby House
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
1/5
3.2513
2/5
1/5
4/5
-
Advanced Care of St Joseph
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 64505-1872
180
No
-
NORTH 18TH STREET CONSULTING LLC
57.2%
$5,504,210.00
$2,303,058.00
41.8%
141.10
1/5
2.1152
2/5
1/5
4/5
1
Amberwood Estates Nursing and Rehabilitation
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 63121-1407
115
No
-
BERMUDA DRIVE CONSULTING LLC
81.7%
$5,482,532.00
$3,052,207.00
55.7%
79.70
1/5
1.7169
2/5
1/5
2/5
4
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
-
-
-
-
-
-
-
-
-
-
-
-

Places of interest near Granby House

Address 0.0 miles from city center

Address GRANBY, MO 64844-8336

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Address

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 Nurse78.6 No
Licensed Practical Nurse119.2 No
Certified Nursing Assistant358.9 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 Assistant350358,11991100%8.9
Licensed Practical Nurse110112,3308998%9.2
Nurse Aide in Training100102,25291100%8.8
Medication Aide/Technician4041,49091100%10
Registered Nurse7079698593%8.6
Administrator1015206571%8
Nurse Practitioner2025206774%7.8
Dental Services Staff1015056268%8.1
Dietitian1012473134%8
RN Director of Nursing2022211921%11.6
Clinical Nurse Specialist101881011%8.8
Medical Director011331112%3
Occupational Therapy Assistant0112133%7
Occupational Therapy Aide0112155%4.2
Occupational Therapist101611%5.5

Health Inspection History

Total Health inspections 7
6% above Missouri average
Missouri average: 6.6

Last Health inspection on Apr 2025

Total Health citations 27
26% below Missouri average
Missouri average: 36.5

3.86 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 22 citations
Complaint investigations 5 citations
Breakdown of citations
Critical Health citations 0
100% below Missouri average
Missouri average: 0.7
Serious Health citations 1
Near Missouri average
Missouri average: 1.0
Moderate Health citations 26

Minor Health citations 0
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

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 22.8
108% worse than Missouri average
Missouri average: 10.9
Functional decline score 39.8
104% worse than Missouri average
Missouri average: 19.5
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 45.4%
130% above Missouri average.

Walking Ability Worsened 52.5%
155% above Missouri average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 21.5%
18% above Missouri average.
Safety & clinical stability

Falls with Major Injury 2.7%
33% below Missouri average.

High Risk Residents with Pressure Ulcers 8.2%
64% above Missouri average.

Urinary Tract Infection 1.1%
59% below Missouri average.
Emotional & behavioral wellbeing

Depressive Symptoms 1.2%
91% below Missouri average.

Antipsychotic Use 12.4%
43% below Missouri average.
Preventive care

Pneumococcal Vaccine 100.0%
17% above Missouri average.

Influenza Vaccine 96.1%
6% above Missouri average.
Nutrition & physical health

Lost Too Much Weight 5.0%
9% below Missouri average.
Short-stay resident measures
Pneumococcal Vaccine 99.3%

49% better than Missouri average
Antipsychotic medication increase 1.0%

54% better than Missouri average
Influenza Vaccine 9.1%

86% worse than Missouri average

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Missouri Seniors

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Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+, Missouri resident, in approved facility.

~$1,215/month (individual).

$2,000 (individual).

Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

~$2,901/month (300% FBR, individual); QIT required.

$5,909.25 (individual), $11,818.45 (couple).

Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

~$1,690/month (individual, projected); spenddown allowed.

$5,909.25 (individual), $11,818.45 (couple).

Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled, Missouri resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based.

Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

Age 55+, unemployed, low-income, Missouri resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

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