Total health inspections
4
Missouri average 6.6
Last Health inspection on Feb 2024
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Hermitage Nursing &Amp; Rehab
Nursing Home · Missouri, MO
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Hermitage Nursing &Amp; Rehab
Nursing Home · Missouri, MO
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Hermitage Nursing &Amp; Rehab accepts Medicare, Medicaid, and private pay.
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
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 159th out of 256 homes in Missouri.
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.
This home is ranked 159th out of 256 homes in Missouri.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.
3h 27m per day
Rank #159 / 256Nurse hours — State benchmarkedThis home is ranked 159th out of 256 homes in Missouri.Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 256 Missouri SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Missouri avg
-9%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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 20m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
59.7%
Rank #195 / 262Occupancy rate — State benchmarkedThis home is ranked 195th out of 262 homes in Missouri.Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 262. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
138 days
Occupancy rate
59.7%
Rank #195 / 262Occupancy rate — State benchmarkedThis home is ranked 195th out of 262 homes in Missouri.Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 262. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
138 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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
$5.8M Rank #147 / 263Revenue — State benchmarkedThis home is ranked 147th out of 263 homes in Missouri.Shows this facility's annual revenue compared to the Missouri SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$14.6K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #149 / 263Payroll — State benchmarkedThis home is ranked 149th out of 263 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.
$3.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #149 / 263Payroll — State benchmarkedThis home is ranked 149th out of 263 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.6M
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 Rank #49 / 267Bed count — State benchmarkedThis home is ranked 49th out of 267 homes in Missouri.Shows this facility's certified or reported bed count compared to other Missouri SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score: 30 / 100 Rank #208 / 264Walk Score — State benchmarkedThis home is ranked 208th out of 264 homes in Missouri.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Facility TypeSnf
CountyHickory
CMS Certification Number265239
Certification TypeMedicare/Medicaid
Hermitage Nursing &Amp; Rehab is legally operated by N & R Of Hermitage, Llc, and administrated by Lisa Walker.
Owner NameN & R Of Hermitage, LLC
Rehabilitation Services
Doctor on Staff
24-Hour Staffing
Skilled Nursing Care
120 Beds
Professional Medical Care
Rehab Services
Doctor On Call 24 Hours
Pharmaceutical Services
Housekeeping & Laundry
Semi-Private & Private Rooms
Free Cna & Cmt Classes
Inspection History
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.
Inspection Scorecard
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.
Inspections
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 0 | 7 | This facility has 100% fewer total inspections than a typical Missouri nursing home (0 vs. MO avg 7). Click this badge to view the full Missouri ranking.↓ 100% better |
Health Inspection History
Inspections
Total health citations
14
Rank #38 / 261Health citations — State benchmarkedThis home is ranked 38th out of 261 homes in Missouri.Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 261 MO SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Missouri average 36.5
Citations per inspection
3.5
Rank #53 / 261Citations per inspection — State benchmarkedThis home is ranked 53rd out of 261 homes in Missouri.Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 261 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Missouri average 5.67
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 7 years)
Critical Health citations
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
1
Rank #1 / 119Serious citations (G–I) — State benchmarkedThis home is ranked 1st out of 119 homes in Missouri.Shows G–I scope serious health citations for this facility versus other Missouri SNFs. Lower counts rank better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
In line with Missouri averageMissouri average: 1
Citations history (last 7 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
Financial Assistance for
Nursing Home in Missouri
Hermitage Nursing &Amp; Rehab is located in HERMITAGE, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Places of interest near Hermitage Nursing &Amp; Rehab
0.0 miles from city center
Estimated distance in miles from Hermitage's city center to Hermitage Nursing &Amp; Rehab's address, calculated via Google Maps.
Calculate Travel Distance to Hermitage Nursing &Amp; Rehab
Add your location
Staffing Data
Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
Total staff
64
Employees
51
Contractors
13
Staff to resident ratio
1.07:1
38% worse than Missouri average
Avg staff/day
25
Average shift
8.1 hours
0% compared with Missouri average
Total staff hours (quarter)
18,343
Nursing staff breakdown
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
20
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Contractor staffing
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
4.6%
845 contractor hours this quarter
Respiratory Therapy Technician: 3
Qualified Social Worker: 3
Speech Language Pathologist: 2
Occupational Therapy Assistant: 2
Physical Therapy Aide: 1
Physical Therapy Assistant: 1
Occupational Therapy Aide: 1
Staff by category
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| 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 |
20 Certified Nursing Assistant
% of Days
100%
7 Medication Aide/Technician
% of Days
100%
6 Nurse Aide in Training
% of Days
92%
4 Licensed Practical Nurse
% of Days
100%
7 Registered Nurse
% of Days
97%
2 RN Director of Nursing
% of Days
68%
1 Nurse Practitioner
% of Days
67%
1 Administrator
% of Days
68%
1 Dietitian
% of Days
57%
1 Physical Therapy Aide
% of Days
68%
1 Dental Services Staff
% of Days
42%
2 Speech Language Pathologist
% of Days
71%
1 Clinical Nurse Specialist
% of Days
26%
1 Physical Therapy Assistant
% of Days
35%
3 Respiratory Therapy Technician
% of Days
26%
2 Occupational Therapy Assistant
% of Days
9%
3 Qualified Social Worker
% of Days
23%
1 Occupational Therapy Aide
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
60
Medicare
9
15% of residents
Medicaid
39
65% of residents
Private pay or other
12
20% of residents
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 Rank #184 / 263Federal fines — State benchmarkedThis home is ranked 184th out of 263 homes in Missouri.Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 263 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.
1 penalty in the past 3 years
May 24, 2023 · $17K
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
-$14.6K
↓ ~$14.6K vs 2022
Total Payroll
$3.2M
↑ ~$9.2K vs 2022
Profit Margin
-0.3%
↓ 0.3pp vs 2022
Guides for Better Senior Living
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Frequently Asked Questions about Hermitage Nursing &Amp; Rehab
Who is the owner of Hermitage Nursing &Amp; Rehab?
The legal owner and operator of Hermitage Nursing &Amp; Rehab is N & R Of Hermitage, Llc.
Is Hermitage Nursing &Amp; Rehab in a walkable area?
Hermitage Nursing &Amp; Rehab has a walk score of 30. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Who is the administrator of Hermitage Nursing &Amp; Rehab?
Lisa Walker is the administrator of Hermitage Nursing &Amp; Rehab.
How many beds does Hermitage Nursing &Amp; Rehab have?
Hermitage Nursing &Amp; Rehab has 120 beds.
Are there photos of Hermitage Nursing &Amp; Rehab?
Yes — there are 10 photos of Hermitage Nursing &Amp; Rehab in the photo gallery on this page.
What is the address of Hermitage Nursing &Amp; Rehab?
Hermitage Nursing &Amp; Rehab is located at 18599 FIRST STREET.
What is the phone number of Hermitage Nursing &Amp; Rehab?
(417) 745-2111 will put you in contact with the team at Hermitage Nursing &Amp; Rehab.
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