Missouri average 6.6
Last Health inspection on Aug 2025

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Medicalodges Nevada is a 100-bed skilled nursing facility at 1210 West Ashland Street, Nevada, Missouri, Vernon County. Kayla Shuey is the administrator; Medicalodges, Inc., operates the facility under the ownership of Susan Houser. The facility is 100% employee-owned and primarily serves short-stay rehabilitation residents, though it also accepts long-term private pay and Medicaid admissions.
The facility carries a 2-star CMS overall rating. Health Inspection performance is 24% below Missouri average, and Staffing is 31% below state average. Quality Measures, however, are rated 85.2% above state average. Current occupancy is 39.8%, with 45 residents occupying 100 beds and an average stay of 188 days, indicating a predominantly short-stay rehabilitation model.
Financially, the facility is operating at a loss of $533.3 thousand against $3.2 million in revenue, a margin of -16.9%, with payroll consuming 63.5% of gross revenue.
Nursing staffing is a mixed picture. Weekend RN coverage is actually 5% above state average at 21 minutes per resident per day, and LPN staffing is a genuine strength at 1 hour 3 minutes per day (54% above state average of 41 minutes). Certified Nursing Aides average 2 hours 50 minutes per resident per day, 22% above state average. Total nursing care reaches 5 hours 10 minutes per resident per day, 36% above state average.
However, weekday RN hours are 26 minutes per resident per day, 7% below state average of 28 minutes. Weekend nursing total of 3 hours 32 minutes per day runs 16% above state average, suggesting weekend staffing is actually adequate despite concerns about daytime RN presence.
Quality outcomes reveal conflicting patterns. Long-stay residents experience hospitalizations at 1.96 per 1,000 days (6% better than state) and emergency department visits at 1.24 per 1,000 days (47% better than state)—notably low. Yet walking ability declined in 25.7% of long-stay residents, 25% worse than state average. Weight loss affects 8.9% (60% worse than state average of 5.6%), pressure ulcers occur in 6.1% of high-risk residents (21% worse than state), and bowel or bladder incontinence affects 22.1% of low-risk residents (22% worse than state).
On the positive side, depressive symptoms appear in only 5.9% (54% better than state), urinary tract infections are 1.4% (50% better than state), and falls with major injury are 2.0% (51% better than state). Vaccination rates are 86.9% for pneumococcal and 92.5% for influenza, both in line with state benchmarks.
Inspections from August 2019 through August 2025 include eight health surveys and complaint investigations with 27 total citations, all of moderate severity, and zero critical or serious citations. This is 3.38 citations per inspection versus Missouri average of 5.67 (41% better). However, the inspection record reveals a recurring pattern of deficiencies across multiple years. August 2019 found inadequate activities programming and improper side rail assessments.
June 2022 cited infection control gaps and staffing documentation. June 2024 health inspection identified 16 deficiencies covering medication management, pharmacy oversight, nursing documentation, and administrator licensing. A concurrent complaint investigation the same month cited 8 additional deficiencies. Subsequent complaint investigations in September 2023, December 2024, April 2025, and August 2025 repeatedly address administrator licensing compliance and infection prevention.
The administrator’s license expired and was not renewed in a timely manner, constituting a governance failure that has triggered multiple complaint reviews.
The facility’s low occupancy (39.8%) and operating loss of $533.3 thousand suggest financial strain, though payroll as a percentage of revenue is reasonable at 63.5%. The facility is moderately walkable (Walk Score 59) and offers Medicare rehabilitation, Medicaid long-term care, and private pay services with access to Missouri financial assistance programs.
Families evaluating Medicalodges Nevada should ask directly about corrective actions taken following the April 2025 infection control citation and verify current administrator license status.
Medicalodges Nevada is legally operated by Medicalodges, Inc., and administrated by Kayla Shuey.
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.
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
| 0 | 7 | This facility has 100% fewer total inspections than a typical Missouri nursing home (0 vs. MO avg 7).↓ 100% better |
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsMissouri average 6.6
Last Health inspection on Aug 2025
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 27 citations resulted from standard inspections; 5 of 27 resulted from complaint investigations; and 8 of 27 came from combined inspections (standard and complaint).
Missouri average: 0.7
Missouri average: 1
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
No contractors work on this role.
Assists with medical care and medications.
No contractors work on this role.
Helps with daily care and mobility.
No contractors work on this role.
Total hours from contractors
484 contractor hours this quarter
| Certified Nursing Assistant | 22 | 0 | 22 | 5,067 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 7 | 0 | 7 | 2,585 | 92 | 100% | 9 |
| Nurse Aide in Training | 12 | 0 | 12 | 1,563 | 79 | 86% | 9 |
| Medication Aide/Technician | 13 | 0 | 13 | 1,058 | 80 | 87% | 7.1 |
| Nurse Practitioner | 2 | 0 | 2 | 856 | 67 | 73% | 8.5 |
| Registered Nurse | 2 | 0 | 2 | 809 | 66 | 72% | 11.6 |
| Administrator | 1 | 0 | 1 | 612 | 60 | 65% | 10.2 |
| RN Director of Nursing | 1 | 0 | 1 | 566 | 67 | 73% | 8.4 |
| Dental Services Staff | 1 | 0 | 1 | 456 | 63 | 68% | 7.2 |
| Dietitian | 1 | 0 | 1 | 367 | 54 | 59% | 6.8 |
| Physical Therapy Aide | 0 | 3 | 3 | 163 | 61 | 66% | 2.6 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 111 | 48 | 52% | 2.3 |
| Qualified Social Worker | 0 | 2 | 2 | 81 | 49 | 53% | 1.7 |
| Speech Language Pathologist | 0 | 2 | 2 | 53 | 24 | 26% | 2 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 35 | 5 | 5% | 7 |
| Physical Therapy Assistant | 0 | 4 | 4 | 27 | 20 | 22% | 1.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 26 | 8 | 9% | 3.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 22 | 6 | 7% | 3.7 |
| Medical Director | 0 | 1 | 1 | 2 | 2 | 2% | 1 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
25% of new residents, usually for short-term rehab.
75% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Medicalodges Nevada based on CMS SNF Cost Reports.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
0.0 miles from city center
Estimated distance in miles from Nevada's city center to Medicalodges Nevada's address, calculated via Google Maps.
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Medicalodges Nevada is located in Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
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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).
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The legal owner and operator of Medicalodges Nevada is Medicalodges, Inc..
Medicalodges Nevada has a walk score of 59. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MO state health department records, Medicalodges Nevada's license number is 053207.
According to MO state health department records, Medicalodges Nevada's license expires on December 3, 2027.
Kayla Shuey is the administrator of Medicalodges Nevada.
Medicalodges Nevada has 100 beds.
Medicalodges Nevada is located at 1210 W ASHLAND ST.
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