Laverna Manor Health & Rehabilitation

Nursing Home, Memory Care & Skilled Nursing · Savannah, MO

CMS overall rating

904 South Hall Ave, Savannah, MO 64485-1952 View map

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Laverna Manor Health & Rehabilitation accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Laverna Manor Health & Rehabilitation accepts Medicare, Medicaid, and private pay.

Overview of Laverna Manor Health & Rehabilitation

Laverna Manor Health & Rehabilitation is a nursing home focused on short-term rehabilitation at South Hall Avenue in Savannah, Missouri. Owned by Kimberly Marshall and administered by Karen Fletchall, it’s a 120-bed community that currently operates at 46 percent occupancy. With an average stay length of about 196 days, the home takes Medicare, Medicaid, and private pay, making it accessible to families with different coverage options.

Staffing support includes 5 hours 37 minutes of total nursing care per resident day, alongside registered nurses, nurse aides, and LPN/LVN staff. The home’s location in a moderately walkable area, with a Walk Score of 53, means most visits need a quick drive, with some nearby errands doable on foot.

Medication management, fall prevention and resident safety, abuse prevention, and food service practices have been the concerns identified by state inspections.

To ensure resident protection and well-being, families considering Laverna Manor Health & Rehabilitation may want to ask about how it addresses the identified areas of concern and what safeguards are present.

Facility Direct Line (816) 324-3185 admissions@lavernamanorhr.com

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

5h 37m per day

vs avg

3 of 6 metrics below state avg

Standout metric Nurse Aide is +71% 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.	30m per day	▲ 8% 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.	39m per day	▼ 6% 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.	3h 58m per day	▲ 71% 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.	4h 35m per day	▲ 50% 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	▼ 62% 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.	19m per day	▼ 4% State avg: 20m per day · National avg: 28m per day

Capacity and availability

196 days

120-bed community

A larger shared setting that may offer more common spaces and organized community services.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 53 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

46%

Lower than the Missouri average: 66.6%

Occupied beds

55 / 120

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceMay 31, 2025

ExpirationMay 30, 2027

CountyAndrew

License Number052726

CMS Certification Number265787

Certification TypeMedicare / Medicaid

Laverna Manor Health & Rehabilitation is legally operated by Laverna Manor Health & Rehabilitation LLC, and administered by Karen Fletchall.

Corporate EntityLAVERNA MANOR HEALTH & REHABILITATION LLC

Owner NameLaverna Manor Health & Rehabilitation LLC

Skilled Nursing Facility

120 units

Total beds

120 units

Rehabilitation Services

Short-Term Rehab

Dedicated Alzheimer's Unit

Since 2018 · 8 years of data 142 deficiencies 25 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 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection December 12, 2025 Complaint Investigation

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.	142	35	This facility has 306% more total deficiencies than a typical Missouri assisted living residence (142 vs. MO avg 35).↑ 306% worse
Deficiencies per year Average deficiencies per year since 2018.	17.8	4.4	This facility has 305% more deficiencies per year than a typical Missouri assisted living residence (17.8 vs. MO avg 4.4).↑ 305% worse
Deficiencies per inspection Average deficiencies per inspection.	5.7	2.9	This facility has 97% more deficiencies per inspection than a typical Missouri assisted living residence (5.7 vs. MO avg 2.9).↑ 97% worse

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.	25	12	This facility has had 108% more total inspections than the Missouri average (25 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 108% more

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

December 12, 2025 inspection found three deficiencies including failure to investigate missing fentanyl patches and improper mechanical lift transfer causing resident injury.
Multiple substantiated abuse complaints from 2024 and 2025 showed failures to protect residents from physical and sexual abuse by other residents.
Food service inspections in 2024 repeatedly found unpalatable food served at unsafe temperatures, lack of menu posting, and poor food safety practices.

Show Inspection Reports

Inspections since 2022

Total health inspections 12

State average N/A

Last Health inspection on Aug 2025

Total health citations

State average N/A

Citations per inspection

5.42

State average N/A

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 4 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

3 critical citations State average: N/A

0 serious citations State average: N/A

61 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 4 years)

Abuse/Neglect critical citation Aug 11, 2025

Corrected

Abuse/Neglect moderate citation Jun 13, 2025

Corrected

Abuse/Neglect moderate citation May 05, 2025

Corrected

Abuse/Neglect moderate citation Oct 10, 2024

Corrected

Total staff 82

Employees 71

Contractors 11

Staff to resident ratio 1.44 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 36

Average shift 8.8 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 29,262

Nursing staff breakdown

9.9 hours

9.5 hours

Contractor staffing

1,126 contractor hours this quarter

Speech Language Pathologist: 3 Physical Therapy Assistant: 2 Physical Therapy Aide: 2 Qualified Social Worker: 2 Respiratory Therapy Technician: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	35	0	35	14,808	92	100%	9.5
Medication Aide/Technician	11	0	11	5,580	92	100%	9.8
Licensed Practical Nurse	10	0	10	3,320	92	100%	9.5
Registered Nurse	7	0	7	1,661	84	91%	9.9
Speech Language Pathologist	0	3	3	602	66	72%	4.8
Other Dietary Services Staff	1	0	1	517	64	70%	8.1
Administrator	1	0	1	504	63	68%	8
Clinical Nurse Specialist	1	0	1	499	60	65%	8.3
Nurse Practitioner	1	0	1	440	55	60%	8
Dietitian	2	0	2	411	54	59%	7.6
Mental Health Service Worker	1	0	1	387	53	58%	7.3
Physical Therapy Aide	0	2	2	252	54	59%	4.6
Qualified Social Worker	0	2	2	116	42	46%	2.8
Respiratory Therapy Technician	0	1	1	65	36	39%	1.8
Physical Therapy Assistant	0	2	2	58	19	21%	3.1
Occupational Therapy Assistant	0	1	1	34	4	4%	8.5
Medical Director	1	0	1	9	8	9%	1.1

35 Certified Nursing Assistant

% of Days 100%

11 Medication Aide/Technician

% of Days 100%

10 Licensed Practical Nurse

% of Days 100%

7 Registered Nurse

% of Days 91%

3 Speech Language Pathologist

% of Days 72%

1 Other Dietary Services Staff

% of Days 70%

1 Administrator

% of Days 68%

1 Clinical Nurse Specialist

% of Days 65%

1 Nurse Practitioner

% of Days 60%

2 Dietitian

% of Days 59%

1 Mental Health Service Worker

% of Days 58%

2 Physical Therapy Aide

% of Days 59%

2 Qualified Social Worker

% of Days 46%

1 Respiratory Therapy Technician

% of Days 39%

2 Physical Therapy Assistant

% of Days 21%

1 Occupational Therapy Assistant

% of Days 4%

1 Medical Director

% of Days 9%

View All Staffing Data

Total fines amount $87K

19% higher than State average

State average: $73K

Number of fines 3

23% more fines than State average

State average: 2.4

Payment Denials 1

45% more payment denials than State average

State average: 0.7

Fines amount comparison

This facility $87K

State average $73K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Aug 11, 2025

$39K

Civil Money Penalty Jul 25, 2024

$30K

Last updated: Jan 2026

High-risk clinical events score 3.3

70% better than State average

State average: 10.9

Functional decline score 8.1

58% better than State average

State average: 19.5

Long-stay resident measures

Significantly above average State avg: 2.7

Need for Help with Daily Activities Increased 2.7%

86% better than State average

State average: 19.8%

Walking Ability Worsened 7.3%

64% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 14.3%

21% better than State average

State average: 18.1%

Falls with Major Injury 2.3%

42% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 2.5%

49% better than State average

State average: 5.0%

Urinary Tract Infection 2.4%

12% better than State average

State average: 2.7%

Lost Too Much Weight 1.3%

76% better than State average

State average: 5.6%

Depressive Symptoms 6.0%

53% better than State average

State average: 12.8%

Antipsychotic Use 14.2%

36% better than State average

State average: 22.0%

Pneumococcal Vaccine 100.0%

17% better than State average

State average: 85.2%

Influenza Vaccine 94.7%

In line with State average

State average: 90.9%

Hospitalizations per 1,000 days 1.94

7% better than State average

State average: 2.08

ED visits per 1,000 days 1.28

46% better than State average

State average: 2.35

Short-stay resident measures

Below average State avg: 2.1

Pneumococcal Vaccine 98.3%

48% better than State average

State average: 66.6%

Antipsychotic medication increase 1.6%

28% better than State average

State average: 2.2%

Influenza Vaccine 8.8%

86% worse than State average

State average: 63.5%

Falls with major injury 2.8%

261% worse than State average

State average: 0.8%

Ability to care for self at discharge 48.0%

11% worse than State average

State average: 53.7%

Successful return to home or community 63.6%

26% better than State average

State average: 50.6%

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

Total residents 57

Medicare

10.5% of residents

Medicaid

50.9% of residents

Private pay or other

38.6% of residents

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.

Financial Trends

Historical financial and operational data for Laverna Manor Health & Rehabilitation from 2011–2023, based on CMS SNF Cost Reports.

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

Occupancy Rate 46.3% ↓ 4.4pp vs 2022

Net Patient Income -$173.8K ↑ ~$749.3K vs 2022

Payroll Costs $1.4M ↓ ~$486.0K vs 2022

Operating Margin -7.5% ↑ 11.4pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	83.2%	88.0%	86.1%	84.0%	83.5%	76.9%	80.4%	82.5%	78.8%	68.4%	61.3%	50.7%	46.3%
Beds	120	120	120	120	120	120	120	120	120	120	120	120	120
Net Income	$844,711	$196,447	$131,460	$592,311	-$164,281	-$158,570	$233,574	$387,625	$559,748	$1,650,542	$1,438,356	-$911,456	-$173,399
Gross Revenue	$7,565,149	$8,118,425	$8,897,849	$9,131,341	$8,926,530	$8,316,259	$8,669,673	$8,164,329	$8,174,165	$7,019,316	$5,973,827	$5,268,328	$3,450,093
Operating Expenses	$6,686,841	$7,307,091	$6,908,128	$6,804,333	$7,127,805	$6,659,213	$6,717,385	$6,150,200	$6,894,777	$6,362,969	$5,375,226	$5,809,166	$2,485,294
Net Patient Income	$822,582	$177,695	$112,866	$562,903	-$195,164	-$177,481	$227,091	$386,473	$527,124	$61,722	$184,580	-$923,086	-$173,764
Net Patient Revenue	$7,509,423	$7,484,786	$7,020,994	$7,367,236	$6,932,641	$6,481,732	$6,944,476	$6,536,673	$7,421,901	$6,424,691	$5,559,806	$4,886,080	$2,311,530
Payroll Costs	$3,768,814	$4,021,913	$3,894,639	$3,875,348	$4,050,592	$3,529,046	$3,473,024	$3,272,809	$3,742,636	$3,329,055	$2,551,315	$1,866,219	$1,380,226
Operating Margin %	11.0%	2.4%	1.6%	7.6%	-2.8%	-2.7%	3.3%	5.9%	7.1%	1.0%	3.3%	-18.9%	-7.5%
Medicare %	15.1%	14.9%	13.7%	16.1%	12.5%	8.8%	10.9%	10.1%	7.8%	10.0%	6.9%	8.6%	3.2%
Medicaid %	44.8%	48.9%	55.5%	54.1%	52.2%	59.4%	69.9%	67.0%	66.7%	67.8%	66.8%	58.1%	59.7%
Private %	40.0%	36.2%	30.8%	29.8%	35.3%	31.8%	19.2%	22.9%	25.5%	22.2%	26.2%	33.3%	37.1%
Net Patient Revenue/Day	$206	$194	$186	$200	$190	$192	$197	$198	$198	$214	$207	$220	$226
Cost/Day	$183	$189	$183	$185	$195	$197	$191	$186	$184	$212	$200	$262	$243
Avg Length of Stay	74.5 days	76.9 days	82.9 days	75.4 days	88.2 days	111.0 days	138.6 days	118.6 days	186.3 days	137.8 days	191.9 days	143.2 days	196.4 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

-$173.8K

For-profit Corporation

Net patient revenue

$2.3M

Net patient income

-$173.8K

Other income

$365

Payroll costs

$1.4M 59.7% of net patient revenue

Other operating costs

$1.1M

Total costs

$2.5M

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (61% of admissions), and a typical private pay stay runs around 3 - 4 months.

Coverage residents most often arrive under.

Medicare 21%

Private pay 61%

Medicaid 18%

Coverage residents most often leave under.

Medicare 19%

Private pay 38%

Medicaid 42%

0.0 miles from city center Estimated distance in miles from Savannah's city center to Laverna Manor Health & Rehabilitation'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.


Country Meadows	NH AL IL MC	Park Hills	-	87	A+	37	-
Ignite Medical Resort Blue Springs	NH PC SNF	Blue Springs	-	90	-	68	-
Avalon Memory Care	NH MC	Saint Louis	-	30	-	26	-
Breeze Park – Lutheran Senior Services	NH AL IL MC	Weldon Spring	-	50	A+	2	1 Bed / 2 Bed
Laverna Manor Health & Rehabilitation	NH MC SNF	Savannah	-	120	-	53	-

Nursing Home Explorer

Who is the owner of Laverna Manor Health & Rehabilitation?

Laverna Manor Health & Rehabilitation is legally operated by Laverna Manor Health & Rehabilitation LLC, and administered by Karen Fletchall.

Is Laverna Manor Health & Rehabilitation in a walkable area?

Laverna Manor Health & Rehabilitation has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Laverna Manor Health & Rehabilitation?

According to MO state health department records, Laverna Manor Health & Rehabilitation's license number is 052726.

When does Laverna Manor Health & Rehabilitation's license expire?

According to MO state health department records, Laverna Manor Health & Rehabilitation's license expires on May 30, 2027.

What is the occupancy rate at Laverna Manor Health & Rehabilitation?

Laverna Manor Health & Rehabilitation's occupancy is 46%.

Does Laverna Manor Health & Rehabilitation operate as a for-profit or non-profit?

Laverna Manor Health & Rehabilitation is registered as a for-profit in MO.

Who is the administrator of Laverna Manor Health & Rehabilitation?

Karen Fletchall is the administrator of Laverna Manor Health & Rehabilitation.

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Laverna Manor Health & Rehabilitation

Overview of Laverna Manor Health & Rehabilitation

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Therapy & Rehabilitation

Memory & Specialized Care

Amenities & Lifestyle

Contact Laverna Manor Health & Rehabilitation

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 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

35 Certified Nursing Assistant

11 Medication Aide/Technician

10 Licensed Practical Nurse

7 Registered Nurse

3 Speech Language Pathologist

1 Other Dietary Services Staff

1 Administrator

1 Clinical Nurse Specialist

1 Nurse Practitioner

2 Dietitian

1 Mental Health Service Worker

2 Physical Therapy Aide

2 Qualified Social Worker

1 Respiratory Therapy Technician

2 Physical Therapy Assistant

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

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

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Primarily short stays

Admissions

Discharges

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