Hartville Care Center

Nursing Home, Hospice Care & Skilled Nursing · Hartville, MO

CMS overall rating

649 West Rolla St, Hartville, MO 65667-8221 View map

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Hartville Care Center accepts Medicaid, Medicare, and private pay.

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Hartville Care Center accepts Medicaid, Medicare, and private pay.

Overview of Hartville Care Center

Located on West Rolla Street in Hartville, Missouri, Hartville Care Center is a skilled nursing home with 60 beds. It is operated by N & R Of Hartville, LLC, and administered by Matthew Allman. The home serves residents who need nursing care and rehabilitation following hospitalization or surgery, as well as those with longer-term care needs. It accepts Medicaid, Medicare, and private pay, so families have several coverage options.

The facility has been operating for 33 years and currently has 67% occupancy, with residents staying an average of 152 days. Daily nurse staffing takes approximately 3 hours and 23 minutes per resident, with registered nurses, licensed practical nurses, and nursing aides on staff 24 hours a day. This level of hands-on care supports a robust rehabilitation focus, and skilled nursing is available for those with ongoing medical needs.

Clinically, the home offers short-term rehabilitation, along with physical and occupational therapies to help residents regain strength and function. On-site medical services include a doctor on staff, regular physician visits, portable X-ray, and laboratory capabilities. Consultations from a dietitian, pharmacist, and specialists in eye care and podiatry are also available. There are behavioral health support and specialized care for residents with Alzheimer’s disease, and it offers hospice services for end-of-life care.

Residents can choose their meals from prepared dining options. The home also offers housekeeping and on-site laundry services, religious services, and a daily activities program. Amenities include individual room heating and cooling controls, access to satellite television, and on-site beauty and barber services. Transportation is arranged as needed. Hartville is in a car-dependent area, but the home provides arrangement services for residents and families who need local transportation.

State inspections focused on environmental sanitation, food safety procedures, documentation accuracy, and reporting protocols. These are common areas examined during nursing home inspections. The facility addresses all findings through its regulatory compliance and quality assurance processes.

Facility Direct Line (417) 741-6192

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 23m per day

vs avg

3 of 6 metrics below state avg

Standout metric Weekend RN is +73% 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.	44m per day	▲ 56% 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.	11m per day	▼ 74% 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 19m per day	■ Avg 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 51m per day	▼ 7% 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.	1m per day	▼ 26% 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.	35m per day	▲ 73% State avg: 20m per day · National avg: 28m per day

Capacity and availability

152 days

60-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

33 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 23 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

BBB Rating: A+ (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate

67%

Similar to the Missouri average: 66.6%

Occupied beds

40 / 60

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceJune 30, 2025

ExpirationJune 29, 2027

CountyWright

License Number052806

CMS Certification Number265593

Certification TypeMedicare / Medicaid

Hartville Care Center is legally operated by N & R Of Hartville, LLC, and administered by Matthew Allman.

Corporate EntityN & R OF HARTVILLE, LLC

Owner NameN & R Of Hartville, LLC

Skilled Nursing Facility

60 units

Total beds

60 units

Staffing

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

ContactNatasha N Cryer, Administrator (per BBB, record updated Jul 2026)

Accept Medicaid

Accept Medicare

Rehabilitation Services

Short-Term Rehab

Doctor on Staff

24-Hour Staffing

Skilled Nursing Care

Physical And Occupational Therapies

Dietitians

Behavioral And Alzheimer’s Care

Hospice

Pets not allowed

Professional Medical Care

Rehab Services

Complete Dining Services

Cna

Lpn & Rn Staffed 24 Hours/Day

Onsite Therapy & Restorative Services

Meals Prepared By Staff

Housekeeping & Onsite Laundry Services

Religious Services

Individual Heating & Cooling Units In Rooms

Satellite Television

Daily Activities Programs

Beautician/Barber Services

Onsite Physician Visits & Eye Care And Podiatry Services As Needed

Pharmacist Consultant

Transportation Arrangements

Portable X-Rays And Lab

Ombudsman Program

Assistance With Activities Of Daily Living

Religious Services

Since 2019 · 7 years of data 28 deficiencies 10 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 2019 vs. Missouri state average

Overall vs. MO average

Latest Inspection June 19, 2025 Routine

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.	28	35	This facility has 20% fewer total deficiencies than a typical Missouri assisted living residence (28 vs. MO avg 35).↓ 20% better
Deficiencies per year Average deficiencies per year since 2019.	4	5	This facility has 20% fewer deficiencies per year than a typical Missouri assisted living residence (4 vs. MO avg 5).↓ 20% better
Deficiencies per inspection Average deficiencies per inspection.	2.8	2.9	This facility has 3% fewer deficiencies per inspection than a typical Missouri assisted living residence (2.8 vs. MO avg 2.9).↓ 3% better

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.	10	12	This facility has had 17% fewer total inspections than the Missouri average (10 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 17% fewer

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

June 19, 2025 inspection found five deficiencies including undated oxygen equipment, food safety violations, incomplete injury documentation, unsanitary cooler floors, and pest presence in resident areas.
May 13, 2021 complaint investigation revealed failure to timely report and investigate physical and sexual abuse allegations involving Resident #5.
November 3, 2023 inspection cited four sanitation and food safety issues including unclean ice machine, improper dishwasher chemical testing, and missing hair coverings for kitchen staff.

Show Inspection Reports

Inspections since 2019

Total health inspections 3

State average N/A

Last Health inspection on Nov 2023

Total health citations

State average N/A

Citations per inspection

1.67

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 5 citations resulted from standard inspections.

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

0 serious citations State average: N/A

5 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 7 years)

Environmental moderate citation Nov 03, 2023

Corrected

Nutrition moderate citation Nov 03, 2023

Corrected

Abuse/Neglect moderate citation May 13, 2021

Corrected

Abuse/Neglect moderate citation May 13, 2021

Corrected

Total staff 63

Employees 42

Contractors 21

Staff to resident ratio 2.25 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 22

Average shift 7.3 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 14,727

Nursing staff breakdown

6.9 hours

9.9 hours

8 hours

Contractor staffing

1,090 contractor hours this quarter

Speech Language Pathologist: 5 Respiratory Therapy Technician: 5 Physical Therapy Assistant: 4 Physical Therapy Aide: 3 Qualified Social Worker: 1 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	15	0	15	5,263	92	100%	8
Medication Aide/Technician	5	0	5	2,673	92	100%	8.8
Registered Nurse	7	0	7	1,826	92	100%	6.9
Nurse Aide in Training	7	0	7	904	79	86%	6.9
Licensed Practical Nurse	2	0	2	670	56	61%	9.9
Clinical Nurse Specialist	2	0	2	517	60	65%	7.2
Dietitian	1	0	1	491	65	71%	7.5
Administrator	1	0	1	468	57	62%	8.2
Physical Therapy Aide	0	3	3	463	68	74%	6.5
Nurse Practitioner	1	0	1	420	58	63%	7.2
Dental Services Staff	1	0	1	405	53	58%	7.6
Speech Language Pathologist	0	5	5	363	60	65%	5.9
Respiratory Therapy Technician	0	5	5	94	39	42%	2.3
Qualified Social Worker	0	1	1	83	45	49%	1.8
Physical Therapy Assistant	0	4	4	54	28	30%	1.9
Occupational Therapy Aide	0	1	1	19	3	3%	6.3
Occupational Therapy Assistant	0	1	1	13	3	3%	4.3
Medical Director	0	1	1	2	1	1%	2

15 Certified Nursing Assistant

% of Days 100%

5 Medication Aide/Technician

% of Days 100%

7 Registered Nurse

% of Days 100%

7 Nurse Aide in Training

% of Days 86%

2 Licensed Practical Nurse

% of Days 61%

2 Clinical Nurse Specialist

% of Days 65%

1 Dietitian

% of Days 71%

1 Administrator

% of Days 62%

3 Physical Therapy Aide

% of Days 74%

1 Nurse Practitioner

% of Days 63%

1 Dental Services Staff

% of Days 58%

5 Speech Language Pathologist

% of Days 65%

5 Respiratory Therapy Technician

% of Days 42%

1 Qualified Social Worker

% of Days 49%

4 Physical Therapy Assistant

% of Days 30%

1 Occupational Therapy Aide

% of Days 3%

1 Occupational Therapy Assistant

% of Days 3%

1 Medical Director

% of Days 1%

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 6.6

39% better than State average

State average: 10.9

Functional decline score 14.5

25% better than State average

State average: 19.5

Long-stay resident measures

Average State avg: 2.7

Need for Help with Daily Activities Increased 10.5%

47% better than State average

State average: 19.8%

Walking Ability Worsened 13.0%

37% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 20.0%

10% worse than State average

State average: 18.1%

Falls with Major Injury 5.2%

29% worse than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 4.4%

12% better than State average

State average: 5.0%

Urinary Tract Infection 2.6%

In line with State average

State average: 2.7%

Lost Too Much Weight 0.0%

100% better than State average

State average: 5.6%

Depressive Symptoms 3.9%

70% better than State average

State average: 12.8%

Antipsychotic Use 20.0%

9% better than State average

State average: 22.0%

Pneumococcal Vaccine 97.4%

14% better than State average

State average: 85.2%

Influenza Vaccine 96.9%

7% better than State average

State average: 90.9%

Short-stay resident measures

Pneumococcal Vaccine 98.0%

47% better than State average

State average: 66.6%

Antipsychotic medication increase 2.5%

11% worse than State average

State average: 2.2%

Influenza Vaccine 95.6%

51% better than State average

State average: 63.5%

Breakdown by payment type

Medicare

34% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

39% of new residents, often for short stays.

Typical stay 9 - 10 months

Medicaid

27% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Total residents 28

Medicare

10.7% of residents

Medicaid

67.9% of residents

Private pay or other

21.4% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

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

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Hartville Care Center from 2011–2023, based on CMS SNF Cost Reports.

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

Occupancy Rate 47.7% ↓ 2.3pp vs 2022

Net Patient Income -$451.4K ↑ ~$64.3K vs 2022

Payroll Costs $1.4M ↑ ~$44.2K vs 2022

Operating Margin -19.3% ↑ 4.6pp vs 2022

Metric	2011	2012	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	79.6%	75.1%	67.5%	60.5%	66.2%	65.1%	62.9%	48.9%	44.5%	44.7%	50.1%	47.7%
Beds	60	60	60	60	60	60	60	60	60	60	60	60
Net Income	$114,364	-$5,137	-$14,085	-$36,193	-$118,165	$1,191	-$121,883	-$491,523	-$306,902	-$153,979	-$343,473	-$439,450
Gross Revenue	$2,944,659	$2,963,954	$3,373,687	$3,240,296	$3,564,077	$3,363,440	$3,214,023	$2,382,507	$2,206,322	$2,150,974	$2,274,388	$2,503,366
Operating Expenses	$2,717,174	$2,773,595	$2,748,344	$2,716,306	$2,952,227	$2,856,745	$2,842,284	$2,620,473	$2,748,120	$2,536,063	$2,676,617	$2,793,680
Net Patient Income	$108,682	-$13,963	-$19,573	-$44,105	-$124,983	-$5,671	-$134,127	-$499,267	-$773,221	-$373,075	-$515,705	-$451,440
Net Patient Revenue	$2,825,856	$2,759,632	$2,728,771	$2,672,201	$2,827,244	$2,851,074	$2,708,157	$2,121,206	$1,974,899	$2,162,988	$2,160,912	$2,342,240
Payroll Costs	$1,317,757	$1,343,088	$1,177,957	$1,165,368	$1,258,867	$1,298,939	$1,266,554	$1,271,424	$1,291,512	$1,285,088	$1,375,910	$1,420,148
Operating Margin %	3.9%	-0.5%	-0.7%	-1.7%	-4.4%	-0.2%	-5.0%	-23.5%	-39.2%	-17.3%	-23.9%	-19.3%
Medicare %	6.1%	6.3%	9.1%	11.2%	7.0%	7.5%	5.5%	4.2%	6.2%	5.1%	3.0%	6.2%
Medicaid %	77.3%	75.2%	69.9%	64.9%	68.5%	63.5%	49.8%	61.0%	65.3%	66.2%	60.5%	51.8%
Private %	16.6%	18.6%	21.0%	24.0%	24.4%	29.0%	44.7%	34.8%	28.5%	28.8%	36.5%	42.1%
Net Patient Revenue/Day	$162	$167	$185	$202	$194	$200	$197	$198	$202	$221	$197	$224
Cost/Day	$156	$168	$186	$205	$203	$200	$206	$245	$281	$259	$244	$267
Avg Length of Stay	355.9 days	279.7 days	164.3 days	152.4 days	223.8 days	190.2 days	208.7 days	109.2 days	105.2 days	139.8 days	166.2 days	151.5 days

Finances and operations

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

Net patient revenue

$2.3M

Net patient income

-$451.4K

For-profit Corporation

Net patient revenue

$2.3M

Net patient income

-$451.4K

Other income

$12.0K

Payroll costs

$1.4M 60.6% of net patient revenue

Other operating costs

$1.4M

Total costs

$2.8M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under private pay (39% of admissions), and a typical private pay stay runs around 9 - 10 months.

Coverage residents most often arrive under.

Medicare 34%

Private pay 39%

Medicaid 27%

Coverage residents most often leave under.

Medicare 13%

Private pay 42%

Medicaid 45%

0.0 miles from city center Estimated distance in miles from Hartville's city center to Hartville Care Center's address, calculated via Google Maps.

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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 Hartville Care Center?

Hartville Care Center is legally operated by N & R Of Hartville, LLC, and administered by Matthew Allman.

Is Hartville Care Center in a walkable area?

Hartville Care Center has a walk score of 23. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Hartville Care Center?

According to MO state health department records, Hartville Care Center's license number is 052806.

When does Hartville Care Center's license expire?

According to MO state health department records, Hartville Care Center's license expires on June 29, 2027.

What is the occupancy rate at Hartville Care Center?

Hartville Care Center's occupancy is 67%.

Are pets allowed at Hartville Care Center?

No, Hartville Care Center has a no-pet policy.

Does Hartville Care Center operate as a for-profit or non-profit?

Hartville Care Center is registered as a for-profit in MO.

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Hartville Care Center

Overview of Hartville Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Staffing

Leadership

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Additional Policies & Features

Amenities & Lifestyle

Contact Hartville Care Center

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

15 Certified Nursing Assistant

5 Medication Aide/Technician

7 Registered Nurse

7 Nurse Aide in Training

2 Licensed Practical Nurse

2 Clinical Nurse Specialist

1 Dietitian

1 Administrator

3 Physical Therapy Aide

1 Nurse Practitioner

1 Dental Services Staff

5 Speech Language Pathologist

5 Respiratory Therapy Technician

1 Qualified Social Worker

4 Physical Therapy Assistant

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

1 Medical Director

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

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Places of interest near Hartville Care Center

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