We arrange tours, appointments, and even moving support so you don’t have to
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.
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.
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 203rd 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.
| 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 |
Higher than the Missouri average: 66.6%Granby House is legally operated by Granby #1, Inc., and administrated by Tara Spencer.
Key information about the people who lead and staff this community.
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.
| 88 | 35 | This facility has 151% more total deficiencies than a typical Missouri nursing home (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 nursing home (11 vs. MO avg 4.4).↑ 150% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 5.5 | 5 | This facility has 10% more deficiencies per inspection than a typical Missouri nursing home (5.5 vs. MO avg 5).↑ 10% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 16 | 7 | This facility has 129% more total inspections than a typical Missouri nursing home (16 vs. MO avg 7).↑ 129% 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.
22 of 27 citations resulted from standard inspections; and 5 of 27 resulted from complaint investigations.
100% better than Missouri averageMissouri average: 0.7
In line with Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
17% more staff per resident than Missouri average
0% compared with 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 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursAssists with medical care and medications.
All 7 LPN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
All 45 CNA Staff are full-time employees. No contractors work on this role.
45
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,556 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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 |
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
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.
22.8
108% worse than Missouri averageMissouri average: 10.9
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
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
45.4%
130% worse than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
52.5%
155% worse than Missouri averageMissouri average: 20.6%
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%
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
33% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
8.2%
64% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.1%
59% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
5.0%
9% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
1.2%
91% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
12.4%
43% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
17% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
6% better than Missouri averageMissouri average: 90.9%
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
99.3%
49% better than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
54% better than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
9.1%
86% worse than Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
12.9%
49% better than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.4%
60% better than Missouri averageMissouri average: 13.4%
Rate of successful return to home or community from a skilled nursing facility.
45.1%
11% 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.
25% of new residents, usually for short-term rehab.
69% of new residents, often for short stays.
7% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
46State-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.
Historical financial and operational data for Granby House 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 #236 / 286Payroll — State benchmarkedThis home is ranked 236th 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.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
0.0 miles from city center
Estimated distance in miles from Granby's city center to Granby House's address, calculated via Google Maps.
Add your location
Granby House is located in GRANBY, 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.
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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).
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Facility
50
MO AVG
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Rank
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Facility
5.01
MO AVG
3.74
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Facility
$41.3k
MO AVG
$76.9k
Rank
#222 / 283 | 16
Facility
16
MO AVG
36.5
Rank
#55 / 281 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#75 / 281 | 2 | 46 | A+ |
2
Facility
2
MO AVG
45
Rank
#545 / 563 | Holly Stevens | $20.9M
Facility
$20.9M
MO AVG
$8.4M
Rank
#17 / 286 | $12.2M
Facility
$12.2M
MO AVG
$3.3M
Rank
#6 / 286 | 58.6%
Facility
58.6%
MO AVG
45.6%
Rank
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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).
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Facility
90
MO AVG
97
Rank
#227 / 454 |
74.4%
Facility
74.4%
MO AVG
66.6%
Rank
#150 / 428 | +12% | 4.58
Facility
4.58
MO AVG
3.74
Rank
#43 / 276 | +49% | +23% | $12.6k
Facility
$12.6k
MO AVG
$76.9k
Rank
#167 / 283 | 9
Facility
9
MO AVG
36.5
Rank
#11 / 281 | 2.3
Facility
2.3
MO AVG
5.7
Rank
#11 / 281 | 1 | 70 | A+ |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | Jane Hull | $9.9M
Facility
$9.9M
MO AVG
$8.4M
Rank
#73 / 286 | $6.3M
Facility
$6.3M
MO AVG
$3.3M
Rank
#52 / 286 | 63%
Facility
63%
MO AVG
45.6%
Rank
#74 / 286 | 265583 | ||||
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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
Facility
60
MO AVG
97
Rank
#343 / 454 |
86.7%
Facility
86.7%
MO AVG
66.6%
Rank
#65 / 428 | +30% | 3.25
Facility
3.25
MO AVG
3.74
Rank
#203 / 276 | +29% | -13% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 27
Facility
27
MO AVG
36.5
Rank
#117 / 281 | 3.9
Facility
3.9
MO AVG
5.7
Rank
#72 / 281 | 1 | 54 | - |
45
Facility
45
MO AVG
45
Rank
#296 / 563 | Rebecca Massey | $6.0M
Facility
$6.0M
MO AVG
$8.4M
Rank
#153 / 286 | $2.2M
Facility
$2.2M
MO AVG
$3.3M
Rank
#236 / 286 | 36.4%
Facility
36.4%
MO AVG
45.6%
Rank
#270 / 286 | 265468 | ||||
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Facility
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MO AVG
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100.0%
Facility
100.0%
MO AVG
66.6%
Rank
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Facility
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MO AVG
3.74
Rank
#230 / 276 | -27% | -19% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 39
Facility
39
MO AVG
36.5
Rank
#183 / 281 | 6.5
Facility
6.5
MO AVG
5.7
Rank
#200 / 281 | - | 100 | A+ |
73
Facility
73
MO AVG
45
Rank
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Facility
$2.9M
MO AVG
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Rank
#264 / 286 | $2.4M
Facility
$2.4M
MO AVG
$3.3M
Rank
#221 / 286 | 81.6%
Facility
81.6%
MO AVG
45.6%
Rank
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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.
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.
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Facility
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MO AVG
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72.5%
Facility
72.5%
MO AVG
66.6%
Rank
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Facility
3.50
MO AVG
3.74
Rank
#168 / 276 | +4% | -6% | $334.9k
Facility
$334.9k
MO AVG
$76.9k
Rank
#277 / 283 | 87
Facility
87
MO AVG
36.5
Rank
#272 / 281 | 7.9
Facility
7.9
MO AVG
5.7
Rank
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50
Facility
50
MO AVG
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Rank
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Facility
$15.6M
MO AVG
$8.4M
Rank
#32 / 286 | $7.7M
Facility
$7.7M
MO AVG
$3.3M
Rank
#31 / 286 | 49.2%
Facility
49.2%
MO AVG
45.6%
Rank
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The legal owner and operator of Granby House is Granby #1, Inc..
Granby House has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to MO state health department records, Granby House's license number is 052324.
According to MO state health department records, Granby House's license expires on November 30, 2026.
Granby House's occupancy is 87%.
Tara Spencer is the administrator of Granby House.
Granby House has 60 beds.
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