Total health inspections
12
Missouri average 6.6
Last Health inspection on Aug 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Nursing Home in Missouri
CMS overall rating
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.
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.
Laverna Manor Health & Rehabilitation
Nursing Home in Missouri
CMS overall rating
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.
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.
Laverna Manor Health & Rehabilitation
Laverna Manor Health & Rehabilitation focuses on improving the lives of residents through personalized care. The facility offers short-term rehabilitation and long-term care, ensuring a safe and therapeutic environment. The dedicated staff is committed to enhancing the health and quality of life for each resident.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
46.3%
Residents per day (avg)
61
Occupancy rate
46.3%
Residents per day (avg)
61
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
21% of new residents, usually for short-term rehab.
Typical stay
26 days
Private pay
61% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
18% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Home revenue
$3.5M
Operating loss
-$173.4K
Privately-owned community
Home revenue
$3.5M
Operating loss
-$173.4K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.2M
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.
$2.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.6M
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Facility TypeSnf
CountyANDREW
CMS Certification Number265787
Certification TypeMedicare/Medicaid
Laverna Manor Health & Rehabilitation is administrated by Karen Fletchall.
Owner NameLAVERNA MANOR HEALTH & REHABILITATION LLC
Rehabilitation Services
Short-Term Rehab
Skilled Nursing
Specific ProgramsMedical Services, Nonmedical Services, Our Expertise, Specialized Care
Health Inspection History
Inspections
Total health citations
65
Missouri average 36.5
Citations per inspection
5.42
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
47 of 65 citations resulted from standard inspections; 17 of 65 resulted from complaint investigations; and 1 of 65 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
3
3
329% worse than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
3 critical citations
0 serious citations
61 moderate citations
1 minor citation
Citations history (last 3 years)
Abuse/Neglect critical citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 11, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 11, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 13, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 13, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 05, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 05, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 10, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 10, 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.
Filter by care type
Aberdeen Heights
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.
Kirkwood
38
92.6%
+39%
5.18
+39%
0
9
2.3
0
34
-
-
Ashfield Active Living And Wellness Communities, Inc.
$27.3M
$7.2M
26.3%
265841
Bertrand Nursing And Rehab Center
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.
Bertrand
60
78.8%
+18%
3.65
-2%
0
10
3.3
0
54
-
5
Chance, Don
$5.1M
$2.3M
44.1%
265678
Laverna Manor Health & Rehabilitation
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.
Savannah
120
46.3%
-31%
5.62
+50%
3
65
5.4
3
61
-
-
Marshall, Kimberly
$3.5M
$1.2M
35.1%
265787
Good Shepherd Care Community
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.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
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.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
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).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Concordia
-
-
-
-
-
0
0
0.0
0
-
-
38
-
-
-
-
-
Abbey Senior Health
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.
O'fallon
55
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
99
Employees
83
Contractors
16
Staff to resident ratio
1.74:1
0% compared with Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
36
Average shift
9 hours
11% better than Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
29,370
Nursing staff breakdown
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 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
41
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
8.2%
2,404 contractor hours this quarter
Physical Therapy Aide: 5
Speech Language Pathologist: 3
Qualified Social Worker: 2
Respiratory Therapy Technician: 1
Physical Therapy Assistant: 1
Registered Nurse: 1
Certified Nursing Assistant: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 40 | 1 | 41 | 14,444 | 91 | 100% | 9.2 |
| Medication Aide/Technician | 13 | 0 | 13 | 5,534 | 91 | 100% | 9.7 |
| Licensed Practical Nurse | 11 | 0 | 11 | 3,358 | 91 | 100% | 11 |
| Registered Nurse | 6 | 1 | 7 | 1,085 | 84 | 92% | 9 |
| Nurse Aide in Training | 3 | 0 | 3 | 888 | 50 | 55% | 10.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 805 | 64 | 70% | 8.3 |
| Speech Language Pathologist | 0 | 3 | 3 | 717 | 65 | 71% | 5.7 |
| Nurse Practitioner | 2 | 0 | 2 | 520 | 65 | 71% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 514 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 449 | 56 | 62% | 8 |
| Physical Therapy Aide | 0 | 5 | 5 | 340 | 58 | 64% | 5.7 |
| Administrator | 1 | 0 | 1 | 288 | 36 | 40% | 8 |
| Dietitian | 1 | 0 | 1 | 119 | 16 | 18% | 7.4 |
| Qualified Social Worker | 0 | 2 | 2 | 77 | 36 | 40% | 2.1 |
| Physical Therapy Assistant | 0 | 1 | 1 | 76 | 26 | 29% | 2.9 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 63 | 44 | 48% | 1.4 |
| Occupational Therapy Aide | 1 | 1 | 2 | 55 | 14 | 15% | 3.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 35 | 5 | 5% | 7.1 |
| Medical Director | 1 | 0 | 1 | 5 | 4 | 4% | 1.1 |
41 Certified Nursing Assistant
% of Days
100%
13 Medication Aide/Technician
% of Days
100%
11 Licensed Practical Nurse
% of Days
100%
7 Registered Nurse
% of Days
92%
3 Nurse Aide in Training
% of Days
55%
2 Clinical Nurse Specialist
% of Days
70%
3 Speech Language Pathologist
% of Days
71%
2 Nurse Practitioner
% of Days
71%
1 Other Dietary Services Staff
% of Days
70%
1 Mental Health Service Worker
% of Days
62%
5 Physical Therapy Aide
% of Days
64%
1 Administrator
% of Days
40%
1 Dietitian
% of Days
18%
2 Qualified Social Worker
% of Days
40%
1 Physical Therapy Assistant
% of Days
29%
1 Respiratory Therapy Technician
% of Days
48%
2 Occupational Therapy Aide
% of Days
15%
1 Occupational Therapy Assistant
% of Days
5%
1 Medical Director
% of Days
4%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
57 residents
Residents by payment source
Medicare
6 residents (10.5%)
Medicaid
29 residents (50.9%)
Private pay or other
22 residents (38.6%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
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.
3.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
3.3
70% 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.
8.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.1
58% 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
2.7%
Percent of long-stay residents whose need for help with daily activities has increased
2.7%
86% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
7.3%
Percent of long-stay residents whose ability to move independently worsened
7.3%
64% 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
14.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.3%
21% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
42% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.5%
Percent of long-stay high risk residents with pressure ulcers
2.5%
49% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.4%
Percent of long-stay residents with a urinary tract infection
2.4%
12% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.3%
Percent of long-stay residents who lose too much weight
1.3%
76% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
6.0%
Percent of long-stay residents who have depressive symptoms
6.0%
53% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
14.2%
Percent of long-stay residents who received an antipsychotic medication
14.2%
36% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
17% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.7%
In line with Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.3%
48% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
28% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
8.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
8.8%
86% worse 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
$87K
19% higher than Missouri averageMissouri average: $73K
Number of fines
3
23% more 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.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
45% more payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$87K
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.
Aug 11, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 11, 2025
$39K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 25, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 25, 2024
$30K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 10, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 10, 2023
$18K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 10, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 10, 2023
19 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Laverna Manor Health & Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
46.3%
↓ 4.4pp vs 2022
Net Income
-$173.4K
↑ ~$738.1K vs 2022
Total Payroll
$1.5M
↓ ~$1.7M vs 2022
Profit Margin
-5.0%
↑ 12.3pp vs 2022
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