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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.
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.
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
May offer a more intimate, personalized care environment.
Lower occupancy suggests more openings may be available.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
27% of new residents, usually for short-term rehab.
49% of new residents, often for short stays.
23% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Miller County Care and Rehabilitation Center is administrated by Tiffany Shower.
Ways to qualify for care at this community, including accepted programs and payment options.
This facility is certified for eligible Medicaid services.
This facility is certified for eligible Medicare services.
Missouri average 6.6
Last Health inspection on Apr 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.
All 15 citations resulted from standard inspections.
0
100% better than Missouri average
Missouri average: 0.7
0
100% better than Missouri average
Missouri average: 1
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 24, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 24, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 24, 2025
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 24, 2025
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.
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).
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.
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).
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.
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).
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.
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.
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.
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.
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.
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).
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.
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).
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.
0.0 miles from city center
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
24% worse than Missouri average
Missouri average ratio: 1.71:1
0% compared with Missouri average
Missouri average: 8.1 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
No contractors work on this role.
Total hours from contractors
574 contractor hours this quarter
| Certified Nursing Assistant | 32 | 0 | 32 | 10,171 | 91 | 100% | 9.1 |
| Licensed Practical Nurse | 14 | 0 | 14 | 4,091 | 91 | 100% | 9.4 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,674 | 91 | 100% | 7.8 |
| Registered Nurse | 6 | 0 | 6 | 1,127 | 88 | 97% | 9.6 |
| Nurse Practitioner | 1 | 0 | 1 | 539 | 63 | 69% | 8.5 |
| Dental Services Staff | 1 | 0 | 1 | 506 | 63 | 69% | 8 |
| Dietitian | 1 | 0 | 1 | 464 | 66 | 73% | 7 |
| Administrator | 1 | 0 | 1 | 459 | 65 | 71% | 7.1 |
| Speech Language Pathologist | 0 | 6 | 6 | 204 | 62 | 68% | 3.1 |
| Physical Therapy Aide | 0 | 2 | 2 | 124 | 52 | 57% | 2.4 |
| Qualified Social Worker | 0 | 1 | 1 | 83 | 45 | 49% | 1.8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 72 | 42 | 46% | 1.7 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 43 | 33 | 36% | 1.3 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 18 | 4 | 4% | 4.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 16 | 3 | 3% | 5.3 |
| Medical Director | 0 | 1 | 1 | 15 | 4 | 4% | 3.6 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.3
6% better than Missouri average
Missouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.0
8% worse than Missouri average
Missouri average: 19.5
Percent of long-stay residents whose need for help with daily activities has increased
26.7%
35% worse than Missouri average
Missouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
13.8%
33% better than Missouri average
Missouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.5%
24% worse than Missouri average
Missouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
27% better than Missouri average
Missouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
4.0%
20% better than Missouri average
Missouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
3.4%
24% worse than Missouri average
Missouri average: 2.7%
Percent of long-stay residents who lose too much weight
3.9%
30% better than Missouri average
Missouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
2.9%
77% better than Missouri average
Missouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
27.4%
24% worse than Missouri average
Missouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
17% better than Missouri average
Missouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri average
Missouri average: 90.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
48% better than Missouri average
Missouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
11.1%
401% worse than Missouri average
Missouri average: 2.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Historical financial and operational data for Miller County Care and Rehabilitation Center based on CMS SNF Cost Reports.
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