Granby House

Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Granby, MO

CMS overall rating

301 South Main, Granby, MO 64844-8336 View map

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Granby House accepts Medicare, Medicaid, and private pay.

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Granby House accepts Medicare, Medicaid, and private pay.

Overview of Granby House

Located on South Main in Granby, Missouri, Granby House is a skilled nursing home operated by Granby #1, Inc., owned by Rebecca Massey, with Tara Spencer serving as administrator. The 60-bed home has been operating for 39 years. It accepts Medicare, Medicaid, and private pay, giving families several ways to arrange coverage for short-term rehabilitation and longer-term nursing care.

Residents stay for an average of 153 days. The facility has a current occupancy rate of 87%, with steady demand for its services. With its number of beds, Granby House offers a mid-sized community setting. The neighborhood is somewhat walkable, with a Walk Score of 45. Some errands are within walking distance, but most trips require a car.

Rehabilitation services are available within a 24-hour nursing care environment. Daily nurse staffing averages 3 hours and 15 minutes per resident. Registered nurses, nurse aides, and licensed practical nurses work together to provide hands-on care, supervision, and support throughout the day. This staffing structure helps residents recovering from surgery, illness, or a hospital stay, as well as those who need longer-term skilled nursing care.

State inspections identified themes involving resident safety systems, facility maintenance and sanitation, and staff training readiness. Families should take a tour of the home and ask staff about these areas. Granby House’s long tenure in the community and stable occupancy suggest a facility with established ties and consistent operations.

For families considering Granby House, visiting the facility is a good way to assess the setting, see the rooms available, and get a clear sense of the daily care routines and environment. Its location in the heart of Granby and decades of operation make it a great option for local and regional families seeking skilled nursing care.

Facility Direct Line (417) 472-6271 adm@granbyhouse.net

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 15m per day

vs avg

4 of 6 metrics below state avg

Standout metric Physical Therapist is +10% above state avg

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.	16m per day	▼ 41% 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.	36m per day	▼ 12% 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 24m per day	▲ 4% State avg: 2h 19m per day · National avg: 2h 20m 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 41m per day	▼ 12% 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.	2m per day	▲ 10% 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	▼ 50% State avg: 20m per day · National avg: 28m per day

Capacity and availability

153 days

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.

Walk Score: 45 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

87%

Higher than the Missouri average: 66.6%

Occupied beds

52 / 60

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceDecember 1, 2024

ExpirationNovember 30, 2026

CountyNewton

License Number052324

CMS Certification Number265468

Certification TypeMedicare / Medicaid

Granby House is legally operated by Granby #1, Inc., and administered by Tara Spencer.

Corporate EntityGRANBY #1, INC

Owner NameGranby #1, Inc

Skilled Nursing Facility

60 units

Total beds

60 units

Staffing

Key information about the people who lead and staff this community.

ContactJohn Anderson, Administrator (per BBB, record updated Jul 2026)

Rehabilitation Services

24-Hour Staffing

Pets not allowed

Since 2018 · 8 years of data 88 deficiencies 16 inspections

Inspection Scorecard 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

Latest Inspection April 24, 2025 Plan Of Correction

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	88	35	This facility has 151% more total deficiencies than a typical Missouri assisted living residence (88 vs. MO avg 35).↑ 151% worse
Deficiencies per year Average deficiencies per year since 2018.	11	4.4	This facility has 150% more deficiencies per year than a typical Missouri assisted living residence (11 vs. MO avg 4.4).↑ 150% worse
Deficiencies per inspection Average deficiencies per inspection.	5.5	2.9	This facility has 90% more deficiencies per inspection than a typical Missouri assisted living residence (5.5 vs. MO avg 2.9).↑ 90% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	16	12	This facility has had 33% more total inspections than the Missouri average (16 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 33% more

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

April 24, 2025 inspection found one deficiency for failing to provide residents reasonable phone access with privacy at the nurses' station.
February 25, 2025 complaint investigation substantiated harm from resident elopement due to disabled front door alarm and incomplete incident investigation, citing three deficiencies.
June 27, 2024 routine inspection identified 12 deficiencies including infection control failures, staff training delays, unsanitary kitchen conditions, and ineffective pest control.

Show Inspection Reports

Inspections since 2019

Total health inspections 7

State average N/A

Last Health inspection on Apr 2025

Total health citations

State average N/A

Citations per inspection

3.86

State average N/A

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 7 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

26 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 7 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

Total staff 91

Employees 77

Contractors 14

Staff to resident ratio 1.98 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 27

Average shift 7.8 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 19,442

Nursing staff breakdown

7.8 hours

9.5 hours

8.4 hours

Contractor staffing

1,556 contractor hours this quarter

Speech Language Pathologist: 4 Physical Therapy Aide: 2 Respiratory Therapy Technician: 2 Physical Therapy Assistant: 2 Qualified Social Worker: 1 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	45	0	45	9,933	92	100%	8.4
Licensed Practical Nurse	7	0	7	2,971	92	100%	9.5
Medication Aide/Technician	5	0	5	1,285	89	97%	10.2
Registered Nurse	9	0	9	847	85	92%	7.8
Nurse Aide in Training	6	0	6	800	66	72%	8.1
Speech Language Pathologist	0	4	4	539	67	73%	5.2
Administrator	1	0	1	528	66	72%	8
Nurse Practitioner	1	0	1	528	66	72%	8
Dietitian	1	0	1	483	59	64%	8.2
Dental Services Staff	1	0	1	475	62	67%	7.7
Physical Therapy Aide	0	2	2	436	65	71%	6.2
Respiratory Therapy Technician	0	2	2	184	54	59%	3.4
Physical Therapy Assistant	0	2	2	179	60	65%	3
Qualified Social Worker	0	1	1	136	56	61%	2.4
Medical Director	0	1	1	39	13	14%	3
RN Director of Nursing	1	0	1	37	3	3%	12.4
Occupational Therapy Aide	0	1	1	22	3	3%	7.3
Occupational Therapy Assistant	0	1	1	21	3	3%	7

45 Certified Nursing Assistant

% of Days 100%

7 Licensed Practical Nurse

% of Days 100%

5 Medication Aide/Technician

% of Days 97%

9 Registered Nurse

% of Days 92%

6 Nurse Aide in Training

% of Days 72%

4 Speech Language Pathologist

% of Days 73%

1 Administrator

% of Days 72%

1 Nurse Practitioner

% of Days 72%

1 Dietitian

% of Days 64%

1 Dental Services Staff

% of Days 67%

2 Physical Therapy Aide

% of Days 71%

2 Respiratory Therapy Technician

% of Days 59%

2 Physical Therapy Assistant

% of Days 65%

1 Qualified Social Worker

% of Days 61%

1 Medical Director

% of Days 14%

1 RN Director of Nursing

% of Days 3%

1 Occupational Therapy Aide

% of Days 3%

1 Occupational Therapy Assistant

% of Days 3%

View All Staffing Data

No penalties in the past 3 years

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

High-risk clinical events score 22.8

108% worse than State average

State average: 10.9

Functional decline score 39.8

104% worse than State average

State average: 19.5

Long-stay resident measures

Below average State avg: 2.7

Need for Help with Daily Activities Increased 45.4%

130% worse than State average

State average: 19.8%

Walking Ability Worsened 52.5%

155% worse than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 21.5%

18% worse than State average

State average: 18.1%

Falls with Major Injury 2.7%

33% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 8.2%

64% worse than State average

State average: 5.0%

Urinary Tract Infection 1.1%

59% better than State average

State average: 2.7%

Lost Too Much Weight 5.0%

9% better than State average

State average: 5.6%

Depressive Symptoms 1.2%

91% better than State average

State average: 12.8%

Antipsychotic Use 12.4%

43% better than State average

State average: 22.0%

Pneumococcal Vaccine 100.0%

17% better than State average

State average: 85.2%

Influenza Vaccine 96.1%

6% better than State average

State average: 90.9%

Short-stay resident measures

Significantly above average State avg: 2.1

Pneumococcal Vaccine 99.3%

49% better than State average

State average: 66.6%

Antipsychotic medication increase 1.0%

54% better than State average

State average: 2.2%

Influenza Vaccine 9.1%

86% worse than State average

State average: 63.5%

Re-hospitalized after SNF stay 12.9%

49% better than State average

State average: 25.3%

Emergency department visits 5.4%

60% better than State average

State average: 13.4%

Successful return to home or community 45.1%

11% worse than State average

State average: 50.6%

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

Total residents 46

Medicare

8.7% of residents

Medicaid

87% of residents

Private pay or other

4.3% of residents

Programs & Services

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Financial Trends

Historical financial and operational data for Granby House from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 86.6% ↑ 2.4pp vs 2022

Net Patient Income $382.8K ↑ ~$357.4K vs 2022

Payroll Costs $1.8M ↑ ~$154.3K vs 2022

Operating Margin 8.7% ↑ 8.1pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	75.8%	77.8%	77.7%	83.4%	81.4%	81.3%	78.5%	76.3%	73.5%	72.6%	80.6%	84.3%	86.6%
Beds	60	60	60	60	60	60	60	60	60	60	60	60	60
Net Income	$100,744	$139,249	$179,637	$182,545	$184,730	$102,296	$78,346	$242,347	$118,204	$594,198	$311,729	$124,913	$434,796
Gross Revenue	$2,846,574	$3,230,517	$3,368,967	$3,546,719	$3,440,074	$3,567,733	$3,544,913	$3,524,312	$3,344,673	$3,215,751	$3,725,329	$4,727,955	$5,930,052
Operating Expenses	$2,612,145	$2,775,597	$2,839,014	$3,036,677	$2,945,926	$3,080,362	$3,044,998	$2,880,082	$2,881,998	$3,039,876	$3,096,757	$3,658,099	$3,998,451
Net Patient Income	$92,137	$123,877	$158,473	$171,915	$175,272	$95,315	$70,287	$216,537	$110,829	-$99,761	$259,761	$25,361	$382,802
Net Patient Revenue	$2,704,282	$2,899,474	$2,997,487	$3,208,592	$3,121,198	$3,175,677	$3,115,285	$3,096,619	$2,992,827	$2,940,115	$3,356,518	$3,683,460	$4,381,253
Payroll Costs	$1,185,904	$1,229,426	$1,254,993	$1,335,299	$1,454,593	$1,575,553	$1,524,244	$1,364,723	$1,359,442	$1,471,937	$1,376,949	$1,625,614	$1,779,867
Operating Margin %	3.4%	4.3%	5.3%	5.4%	5.6%	3.0%	2.3%	7.0%	3.7%	-3.4%	7.7%	0.7%	8.7%
Medicare %	10.4%	8.8%	10.1%	7.5%	6.8%	5.8%	7.0%	7.4%	4.2%	2.1%	2.9%	4.9%	5.0%
Medicaid %	75.9%	76.3%	72.3%	69.1%	72.9%	70.6%	64.4%	65.2%	66.4%	73.1%	87.1%	80.6%	76.5%
Private %	13.7%	14.9%	17.6%	23.5%	20.4%	23.7%	28.5%	27.4%	29.3%	24.7%	9.9%	14.5%	18.5%
Net Patient Revenue/Day	$163	$170	$176	$176	$175	$178	$181	$185	$186	$184	$190	$200	$231
Cost/Day	$157	$163	$167	$166	$165	$173	$177	$172	$179	$191	$175	$198	$211
Avg Length of Stay	140.6 days	144.7 days	132.9 days	190.3 days	13.3 days	95.4 days	152.2 days	165.5 days	156.2 days	201.9 days	229.3 days	190.3 days	153.0 days

Finances and operations

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

Net patient revenue

$4.4M

Net patient income

$382.8K

For-profit Corporation

Net patient revenue

$4.4M

Net patient income

$382.8K

Other income

$52.0K

Payroll costs

$1.8M 40.6% of net patient revenue

Other operating costs

$2.2M

Total costs

$4.0M

TYPE OF STAY

Primarily short stays

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

Most new residents arrive under private pay (69% of admissions), and a typical private pay stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 25%

Private pay 69%

Medicaid 7%

Coverage residents most often leave under.

Medicare 13%

Private pay 65%

Medicaid 23%

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


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Nursing Home Explorer

Who is the owner of Granby House?

Granby House is legally operated by Granby #1, Inc., and administered by Tara Spencer.

Is Granby House in a walkable area?

Granby House 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 Granby House?

According to MO state health department records, Granby House's license number is 052324.

When does Granby House's license expire?

According to MO state health department records, Granby House's license expires on November 30, 2026.

What is the occupancy rate at Granby House?

Granby House's occupancy is 87%.

Are pets allowed at Granby House?

No, Granby House has a no-pet policy.

Does Granby House operate as a for-profit or non-profit?

Granby House is registered as a for-profit in MO.

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Granby House

Overview of Granby House

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Staffing

Leadership

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Amenities & Lifestyle

Contact Granby House

Inspection History

Inspection Scorecard 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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

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

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

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

45 Certified Nursing Assistant

7 Licensed Practical Nurse

5 Medication Aide/Technician

9 Registered Nurse

6 Nurse Aide in Training

4 Speech Language Pathologist

1 Administrator

1 Nurse Practitioner

1 Dietitian

1 Dental Services Staff

2 Physical Therapy Aide

2 Respiratory Therapy Technician

2 Physical Therapy Assistant

1 Qualified Social Worker

1 Medical Director

1 RN Director of Nursing

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Nurse Aide Training

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Primarily short stays

Admissions

Discharges

Places of interest near Granby House

Calculate Travel Distance to Granby House

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