Facility type
Snf
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Nursing Home
Hermitage Nursing &Amp; Rehab
Hermitage Nursing & Rehab provides comprehensive and quality long-term care under physician supervision. The facility is committed to meeting the needs of residents while promoting their physical, mental, and psychosocial well-being. It offers a variety of services including skilled nursing care, rehabilitation services, and daily activities.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
59.7%
Residents per day (avg)
61
Occupancy rate
59.7%
Residents per day (avg)
61
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
29% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
33% of new residents, often for short stays.
Typical stay
8 - 9 months
Medicaid
38% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$5.8M
Operating loss
-$14.6K
Privately-owned community
Operated by a business corporation.
Home revenue
$5,796,908.00
Operating loss
$-14,625.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.5M
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.
$3.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.8M
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
License details
County:
HICKORY
Additional licensing details
CMS Certification Number:
265239
Certification type:
Medicare/Medicaid
Ownership & operating entity
Hermitage Nursing &Amp; Rehab is administrated by LISA WALKER.
Owner name:
N & R OF HERMITAGE, LLC
Safety & Compliance
Care Services
Doctor on Staff
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing Care, Physical Therapy, Occupational Therapy, Speech Therapy, Daily Activities, Pharmaceutical Services, Housekeeping & Laundry, Free CNA & CMT Classes
Health Inspection History
Inspections
Total health inspections
4
Missouri average 6.6
Last Health inspection on Feb 2024
Total health citations
14
Citations per inspection
3.5
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 14 citations resulted from standard inspections; and 2 of 14 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
13 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Feb 01, 2024
Corrected
Nutrition moderate citation
Feb 01, 2024
Corrected
Pharmacy moderate citation
Feb 01, 2024
Corrected
Quality of Care moderate citation
Feb 01, 2024
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.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34
5.1831
-
9
-
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
54
3.6515
-
10
-
+42%-2%+18%
Hermitage Nursing &Amp; Rehab
+39%
-8%
-10%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 65668-9129
120
-
SPENCE, JAQUELYNE
59.7%
$5,511,293.00
$2,477,093.00
44.9%
61.40
3.4545
1
14
1
+39%-8%-10%
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
-
38
-
-
-
-
-
-
-
-
-
-
-
-
Abbey Senior Health
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63366-2299
55
-
-
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
Bertrand Nursing And Rehab Center
Type of care:
SNF
AL
Community:
Bertrand
Bed Count:
60
Operator:
CHANCE, DON
CCN:
265678
Occupancy:
78.8%
Home Revenue:
$5,145,452.00
Payroll Costs:
$2,268,233.00
Payroll %:
44.1%
Avg Residents/Day:
54
Overall Rating:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
Hermitage Nursing &Amp; Rehab
Type of care:
SNF
AL
Community:
MO 65668-9129
Bed Count:
120
Operator:
SPENCE, JAQUELYNE
CCN:
265239
Occupancy:
59.7%
Home Revenue:
$5,511,293.00
Payroll Costs:
$2,477,093.00
Payroll %:
44.9%
Avg Residents/Day:
61.40
Overall Rating:
Adj Nurse Hours:
3.4545
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
14
Severe Citations:
1
RN share vs State Avg:
+39%
+39%
Staffing vs State Avg:
-8%
-8%
Occupancy vs State Avg:
-10%
-10%
Places of interest near Hermitage Nursing &Amp; Rehab
0.0 miles from city center
HERMITAGE, MO 65668-9129
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
64
Total Staff
51
Employees
13
Contractors
18,343
Total Hours (Quarter)
25
Avg Staff/Day
8.1
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 7 | 9.7 | No |
| Licensed Practical Nurse | 4 | 8.1 | No |
| Certified Nursing Assistant | 20 | 8.3 | No |
Staff by Category
Administration ⓘ
1 staff
7.4hs shift avg
Nursing Staff ⓘ
46 staff
8.7hs shift avg
Physicians & Practitioners ⓘ
2 staff
8.4hs shift avg
Therapy Services ⓘ
10 staff
4.2hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
1.1hs shift avg
Dietary Services ⓘ
1 staff
8.5hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
4.6%
of total hours from contractors
845 contractor hours this quarter
Physical Therapy Aide: 1
Respiratory Therapy Technician: 3
Qualified Social Worker: 3
Speech Language Pathologist: 2
Physical Therapy Assistant: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 20 | 0 | 20 | 7,322 | 91 | 100% | 8.3 |
| Medication Aide/Technician | 7 | 0 | 7 | 2,910 | 91 | 100% | 8.9 |
| Nurse Aide in Training | 6 | 0 | 6 | 1,772 | 84 | 92% | 9.6 |
| Licensed Practical Nurse | 4 | 0 | 4 | 1,640 | 91 | 100% | 8.1 |
| Registered Nurse | 7 | 0 | 7 | 1,328 | 88 | 97% | 9.7 |
| RN Director of Nursing | 2 | 0 | 2 | 607 | 62 | 68% | 8.8 |
| Nurse Practitioner | 1 | 0 | 1 | 514 | 61 | 67% | 8.4 |
| Administrator | 1 | 0 | 1 | 461 | 62 | 68% | 7.4 |
| Dietitian | 1 | 0 | 1 | 441 | 52 | 57% | 8.5 |
| Physical Therapy Aide | 0 | 1 | 1 | 357 | 62 | 68% | 5.8 |
| Dental Services Staff | 1 | 0 | 1 | 303 | 38 | 42% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 300 | 65 | 71% | 4.5 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 202 | 24 | 26% | 8.4 |
| Physical Therapy Assistant | 0 | 1 | 1 | 66 | 32 | 35% | 2.1 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 60 | 24 | 26% | 2.5 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 26 | 8 | 9% | 3.3 |
| Qualified Social Worker | 0 | 3 | 3 | 22 | 21 | 23% | 1.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 14 | 2 | 2% | 7 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
60 residents
Residents by payment source
Medicare
9 residents (15%)
Medicaid
39 residents (65%)
Private pay or other
12 residents (20%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
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.
6.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.6
39% better than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.1
43% better 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
12.0%
Percent of long-stay residents whose need for help with daily activities has increased
12.0%
39% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
10.7%
Percent of long-stay residents whose ability to move independently worsened
10.7%
48% better 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
10.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.7%
41% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
48% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.6%
Percent of long-stay high risk residents with pressure ulcers
2.6%
48% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.4%
Percent of long-stay residents with a urinary tract infection
3.4%
26% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.6%
Percent of long-stay residents who lose too much weight
5.6%
In line with Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.5%
Percent of long-stay residents who have depressive symptoms
2.5%
80% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
34.0%
Percent of long-stay residents who received an antipsychotic medication
34.0%
54% worse than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.2%
13% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
8% 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
76.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.3%
15% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
8% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
51% better 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.
Penalties and fines
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 (Data as of Jan 2026)
Total fines amount
$17K
76% lower than Missouri averageMissouri average: $73K
Number of fines
1
59% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$17K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 24, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 24, 2023
$17K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Hermitage Nursing &Amp; Rehab based on CMS SNF Cost Reports.
Occupancy Rate
59.7%
↓ 2.2pp vs 2022
Net Income
-$14,625
↓ ~$15K vs 2022
Total Payroll
$3,181,597
↑ ~$9K vs 2022
Profit Margin
-0.3%
↓ 0.3pp vs 2022
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