What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities Finding and ranking the best nursing homes Finding and ranking the best memory care facilities Our concierge service helps seniors move into the perfect home for them Helping seniors use medicare, medicaid, and other government programs to pay for their homes Helping seniors avoid senior homes that have bad service or fraud Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

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Miller County Care and Rehabilitation Center

TUSCUMBIA, MO 65082-2100 View Map

Miller County Care and Rehabilitation Center is a Nursing Home in Missouri

Miller County Care and… is a Nursing Home in Missouri

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Overview of Miller County Care and Rehabilitation Center

Miller County Care and Rehabilitation Center is an 86-bed skilled nursing facility located in the beautiful Ozark rural countryside just outside of Tuscumbia, MO. The facility offers a rehabilitation unit, outpatient and inpatient therapy, and an Alzheimer’s & Dementia Special Care Unit. It is committed to providing professional care in a loving, home-like atmosphere.

(573) 369-2318

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.55/day

Overall rating

4/5

Health Inspection

4/5

Staffing

2/5

Quality Measures

4/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 86

This home usually has availability

Lower occupancy suggests more openings may be available.

71%

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Might be optimal for

Flexible care needs

How we assess these insights Show admissions and discharges

Breakdown by payment type

Medicare

27% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

49% of new residents, often for short stays.

Typical stay 6 - 7 months

Medicaid

23% of new residents, often for long-term daily care.

Typical stay 2 years

Finances and operations

Home revenue

$6.0M

Surplus of revenue

$991.2K

Governmental home County

Home revenue

$5,979,250.00

Surplus of revenue

$991,226.00

Payroll costs

$3.0M

50.5% of revenue

Other operating costs

$2.0M

Total costs $5.0M

86-bed community

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

About this community

Facility Type

SNF

Additional licensing details

CMS Certification Number: 265713

Certification type: Medicare/Medicaid

County: MILLER

Ownership & operating entity

Miller County Care and Rehabilitation Center is administrated by TIFFANY SHOWER.

Owner name: MILLER COUNTY NURSING HOME DISTRICT

Care Services

Accepts Medicaid

Accepts Medicare

Doctor on Staff

Nursing Services

Rehabilitation Services

Memory Care

Skilled Nursing

Licensed Nurses/CNAs

All Levels of Care

Skilled Nursing

Rehabilitation

Long Term Care

Alzheimer’s/Dementia Care

Amenities & Lifestyle

Rehabilitation unit

outpatient and inpatient therapy

Alzheimer’s & Dementia Special Care Unit

hospice services

Programs & Activities

Specific Programs

Alzheimer’s/Dementia Unit, Skilled Nursing, Long Term Care, Rehabilitation to Return Home, Private & Semi-Private

Pricing & Financial Information

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare Long-term care insurance

Compare Nursing Homes around Missouri

Bertrand Nursing And Rehab Center

SNF

Bertrand

CHANCE, DON

78.8%

$5,145,452.00

$2,268,233.00

44.1%

53.70

5/5

3.6515

5/5

3/5

2/5

Miller County Care and Rehabilitation Center

SNF

MO 65082-2100

BECKHAM, LINDA

71.0%

$5,132,234.00

$3,017,143.00

58.8%

60.00

4/5

3.5463

4/5

2/5

4/5

Advanced Care of St Joseph

SNF

MO 64505-1872

180

NORTH 18TH STREET CONSULTING LLC

57.2%

$5,504,210.00

$2,303,058.00

41.8%

141.10

1/5

2.1152

2/5

1/5

4/5

Amberwood Estates Nursing and Rehabilitation

SNF

MO 63121-1407

115

BERMUDA DRIVE CONSULTING LLC

81.7%

$5,482,532.00

$3,052,207.00

55.7%

79.70

1/5

1.7169

2/5

1/5

2/5

Good Shepherd Care Community

Concordia

Bertrand Nursing And Rehab Center

Type of care: SNF AL

Community: Bertrand

Bed Count: 60

Pets Allowed: No

Operator: CHANCE, DON

CCN: 265678

Occupancy: 78.8%

Home Revenue: $5,145,452.00

Payroll Costs: $2,268,233.00

Payroll %: 44.1%

Avg Residents/Day: 53.70

Overall Rating: 5/5

Adj Nurse Hours: 3.6515

Health Insp Rating: 5/5

Staffing Rating: 3/5

QM Rating: 2/5

Miller County Care and Rehabilitation Center

Type of care: SNF AL

Community: MO 65082-2100

Bed Count: 86

Pets Allowed: No

Operator: BECKHAM, LINDA

CCN: 265713

Occupancy: 71.0%

Home Revenue: $5,132,234.00

Payroll Costs: $3,017,143.00

Payroll %: 58.8%

Avg Residents/Day: 60.00

Overall Rating: 4/5

Adj Nurse Hours: 3.5463

Health Insp Rating: 4/5

Staffing Rating: 2/5

QM Rating: 4/5

Advanced Care of St Joseph

Type of care: SNF AL

Community: MO 64505-1872

Bed Count: 180

Pets Allowed: No

Operator: NORTH 18TH STREET CONSULTING LLC

CCN: 265754

Occupancy: 57.2%

Home Revenue: $5,504,210.00

Payroll Costs: $2,303,058.00

Payroll %: 41.8%

Avg Residents/Day: 141.10

Overall Rating: 1/5

Adj Nurse Hours: 2.1152

Health Insp Rating: 2/5

Staffing Rating: 1/5

QM Rating: 4/5

Number of Fines: 1

Amberwood Estates Nursing and Rehabilitation

Type of care: SNF AL

Community: MO 63121-1407

Bed Count: 115

Pets Allowed: No

Operator: BERMUDA DRIVE CONSULTING LLC

CCN: 265719

Occupancy: 81.7%

Home Revenue: $5,482,532.00

Payroll Costs: $3,052,207.00

Payroll %: 55.7%

Avg Residents/Day: 79.70

Overall Rating: 1/5

Adj Nurse Hours: 1.7169

Health Insp Rating: 2/5

Staffing Rating: 1/5

QM Rating: 2/5

Number of Fines: 4

Good Shepherd Care Community

Type of care: AL HC IL MC

Community: Concordia

Pets Allowed: No

TUSCUMBIA, MO 65082-2100

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Total Staff

Employees

Contractors

19,605

Total Hours (Quarter)

Avg Staff/Day

8.3

Avg Shift (hrs)

Nursing Staff Breakdown

Role ⓘ	Count ⓘ	Avg Shift (hrs) ⓘ	Uses Contractors? ⓘ
Registered Nurse	6	9.6	No
Licensed Practical Nurse	14	9.4	No
Certified Nursing Assistant	32	9.1	No

Staff by Category

Administration

2 staff

6.9hs shift avg

Nursing Staff

52 staff

9.2hs shift avg

Physicians & Practitioners

1 staff

8.5hs shift avg

Therapy Services

14 staff

2.4hs shift avg

Activities & Recreation

0 staff

0hs shift avg

Social Services

1 staff

1.8hs shift avg

Dietary Services

7 staff

7.6hs shift avg

Other Services

1 staff

8hs shift avg

Contractor Analysis

2.9%

of total hours from contractors

574 contractor hours this quarter

Physical Therapy Assistant: 1 Physical Therapy Aide: 2 Respiratory Therapy Technician: 2 Speech Language Pathologist: 6 Qualified Social Worker: 1 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 2

Role ⓘ	Employees ⓘ	Contractors ⓘ	Total Staff ⓘ	Total Hours ⓘ	Days Worked ⓘ	% of Days ⓘ	Avg Shift (hrs) ⓘ
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

View All Staffing Data

Total Health inspections 3

55% below Missouri average

Missouri average: 6.6

Last Health inspection on Apr 2025

Total Health citations 15

59% below Missouri average

Missouri average: 36.5

5 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 15 citations

Complaint investigations 0 citations

Breakdown of citations

Critical Health citations 0

100% below Missouri average

Missouri average: 0.7

Serious Health citations 0

100% below Missouri average

Missouri average: 1.0

Moderate Health citations 15

Minor Health citations 0

Citations history (last 3 years)

Nutrition moderate citation Apr 24, 2025

Corrected

Nutrition moderate citation Apr 24, 2025

Corrected

Quality of Care moderate citation Apr 24, 2025

Corrected

Care Planning moderate citation Apr 24, 2025

Corrected

Ownership: Non-Profit - Other Nonprofit

Resident Census by Payment Source

60 Total Residents

Medicare 5 (8.3%)

Medicaid 45 (75%)

Private Pay/Other 10 (16.7%)

Specialized Care Beds

12 Total Specialty Beds

14% of Bed Capacity

Alzheimer's / Dementia Beds

14%

Programs & Services

Residents' Group

Nurse Aide Training

Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Active Resident Council

High-risk clinical events score 10.3

6% better than Missouri average

Missouri average: 10.9

Functional decline score 21.0

8% worse than Missouri average

Missouri average: 19.5

Long-Stay Resident Measures

Need for Help with Daily Activities Increased 26.7%

35% above Missouri average.

Walking Ability Worsened 13.8%

33% below Missouri average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 22.5%

24% above Missouri average.

Falls with Major Injury 2.9%

27% below Missouri average.

High Risk Residents with Pressure Ulcers 4.0%

20% below Missouri average.

Urinary Tract Infection 3.4%

24% above Missouri average.

Depressive Symptoms 2.9%

77% below Missouri average.

Antipsychotic Use 27.4%

24% above Missouri average.

Pneumococcal Vaccine 99.6%

17% above Missouri average.

Influenza Vaccine 100.0%

10% above Missouri average.

Lost Too Much Weight 3.9%

30% below Missouri average.

Short-stay resident measures

Pneumococcal Vaccine 98.7%

48% better than Missouri average

Antipsychotic medication increase 11.1%

401% worse than Missouri average

Financial Trends

Historical financial and operational data for Miller County Care and Rehabilitation Center based on CMS SNF Cost Reports.

Occupancy Rate 71.0% ↑ 8.2pp vs 2022

Net Income $991,226 ↑ ~$991K vs 2022

Total Payroll $3,689,040 ↓ ~$162K vs 2022

Profit Margin 19.3% ↑ 19.3pp vs 2022

Loading trend charts...

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	79.1%	76.7%	93.1%	94.2%	91.1%	70.5%	70.8%	76.2%	68.0%	62.9%	62.8%	71.0%
Beds	88	88	79	79	79	86	86	86	86	86	86	86
Net Income	$59,928	-$434,641	-$86,292	$290,227	$4,437	-$248,545	-$418,567	$70,336	$104,080	-$145,204	$332	$991,226
Gross Revenue	$3,962,975	$3,555,257	$4,154,597	$4,447,281	$4,464,820	$4,456,650	$4,113,257	$4,485,042	$3,996,364	$3,766,620	$3,997,059	$5,132,234
Operating Expenses	$5,011,668	$4,872,643	$5,050,376	$5,076,131	$5,283,224	$5,402,872	$5,254,290	$5,022,406	$5,180,374	$5,144,639	$5,189,495	$5,077,362
Net Patient Revenue	$4,387,878	$3,754,196	$4,211,292	$4,579,048	$4,595,946	$4,439,083	$4,109,602	$4,361,412	$4,062,150	$4,108,567	$4,241,988	$5,221,572
Total Payroll	$3,522,268	$3,416,751	$3,593,461	$3,297,835	$3,287,776	$3,625,522	$3,684,001	$3,582,473	$3,355,718	$3,836,193	$3,851,425	$3,689,040
Profit Margin %	1.5%	-12.2%	-2.1%	6.5%	0.1%	-5.6%	-10.2%	1.6%	2.6%	-3.9%	0.0%	19.3%
Medicare %	10.6%	10.6%	7.3%	4.7%	6.0%	5.7%	6.1%	5.2%	5.8%	8.4%	8.1%	5.2%
Medicaid %	42.6%	50.9%	62.9%	58.9%	59.7%	32.2%	69.3%	67.5%	72.3%	67.2%	62.2%	60.3%
Private %	46.8%	38.5%	29.8%	36.4%	34.2%	62.2%	24.6%	27.2%	22.0%	24.5%	29.6%	34.4%
Revenue/Day	$172	$166	$168	$169	$174	$201	$185	$182	$190	$208	$215	$234
Cost/Day	$197	$216	$201	$187	$201	$244	$236	$210	$243	$260	$263	$228
Avg Length of Stay	141.8 days	153.2 days	230.0 days	226.4 days	292.7 days	433.6 days	390.1 days	487.9 days	735.9 days	238.0 days	180.8 days	184.2 days

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

General: Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025): ~$2,829/month (300% FBR, individual).

Asset Limits: $2,000 (individual), $3,000 (couple).

MO Specifics: Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

General: Age 65+, Missouri resident, in approved facility.

Income Limits: ~$1,215/month (individual).

Asset Limits: $2,000 (individual).

MO Specifics: Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

General: Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

Income Limits (2025): ~$2,901/month (300% FBR, individual); QIT required.

Asset Limits: $5,909.25 (individual), $11,818.45 (couple).

MO Specifics: Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

General: Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

Income Limits (2025): ~$1,690/month (individual, projected); spenddown allowed.

Asset Limits: $5,909.25 (individual), $11,818.45 (couple).

MO Specifics: Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

General: Age 65+ or disabled, Missouri resident, Medicare Part A/B.

Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits: $9,430 (individual), $14,130 (couple).

MO Specifics: Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

General: Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year individual).

Asset Limits: Not assessed; need-based.

MO Specifics: Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

General: Age 55+, unemployed, low-income, Missouri resident.

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

MO Specifics: Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits: ~$155,356 (net worth limit).

MO Specifics: High veteran demand in rural/urban areas.

Miller County Care and Rehabilitation Center

Miller County Care and Rehabilitation Center is a Nursing Home in Missouri

Miller County Care and… is a Nursing Home in Missouri

Miller County Care and Rehabilitation Center

Miller County Care and Rehabilitation Center is a Nursing Home in Missouri

Miller County Care and… is a Nursing Home in Missouri

Quality ratings

Capacity and availability

Smaller home

This home usually has availability

Who this home usually serves

Mix of rehab and long-term care

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

About this community

Additional licensing details

Ownership & operating entity

Care Services

All Levels of Care

Amenities & Lifestyle

Programs & Activities

Pricing & Financial Information

Access & Eligibility

Payment & Funding Options

Compare Nursing Homes around Missouri

Places of interest near Miller County Care and Rehabilitation Center

Calculate Travel Distance to Miller County Care and Rehabilitation Center

Staffing Data

Nursing Staff Breakdown

Staff by Category

Contractor Analysis

Health Inspection History

Breakdown of citations

Citations history (last 3 years)

Facility Characteristics

Resident Census by Payment Source

Specialized Care Beds

Programs & Services

Family Engagement

Quality of care over time

Long-Stay Resident Measures

Daily care & independence

Safety & clinical stability

Emotional & behavioral wellbeing

Preventive care

Nutrition & physical health

Short-stay resident measures

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Guides for Better Senior Living

Eldertainment

Financial Aid for Missouri Seniors

Aged and Disabled Waiver

Missouri Supplemental Nursing Care (SNC)

Structured Family Caregiving Waiver (SFCW)

MO HealthNet Aged, Blind, and Disabled (ABD)

Medicare Savings Program (MSP)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Senior Community Service Employment Program (SCSEP)

VA Aid and Attendance (A&A) and Housebound Benefits

Touring Checklist for Senior Living

Location

Community Spaces and Overall Environment

Services

Staffing

Accommodations

Finances

Other Notes

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