New Madrid Living Center

Nursing Home, Hospice Care & Skilled Nursing · New Madrid, MO

CMS overall rating

1050 Dawson Rd, New Madrid, MO 63869-1116 View map

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New Madrid Living Center accepts Medicare, Medicaid, and private pay.

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New Madrid Living Center accepts Medicare, Medicaid, and private pay.

Overview of New Madrid Living Center

Located at 1050 Dawson Rd in New Madrid, Missouri, New Madrid Living Center is a skilled nursing community with 112 beds. It offers long-term care, rehabilitation services, memory care, and 24-hour professional staffing on site, under private ownership. Kimberly Ivie operates the facility, and it accepts Medicare, Medicaid, and private pay.

CMS gives the community a 5-star overall rating, about 90.1% above the Missouri average. Health Inspection performance is about 72.4% above state peers. Total nurse staffing averages 4 hours and 10 minutes per resident per day, roughly 10% above Missouri’s average of 3 hours and 48 minutes. Nurse aide staffing exceeds averages, while RN and LPN staffing lag behind state averages, which is worth noting for residents with complex clinical needs.

The facility has averaged 4 deficiencies per year over the review period, about 27% below Missouri’s average of 5.5. Two substantiated complaints stand out in the record: an investigation in April 2024 confirmed that a resident sustained a fractured tibia/fibula when staff bypassed the required mechanical lift and delayed reporting the injury; another complaint in September 2023 was substantiated after staff failed to notify a guardian of a critical lab value, resulting in hospital admission for severe hypernatremia. There were no fines or Immediate Jeopardy findings in the available record.

The community’s occupancy rate is 48%, well below Missouri’s average of 66.6%, indicating current availability. Rehabilitation services, memory care, and secured living amenities are also available on site.

With an average resident stay of 152 days and capacity across skilled nursing and memory care, New Madrid Living Center suits residents seeking long-term placements in New Madrid County, including those transitioning from acute care who require ongoing skilled nursing support.

Facility Direct Line (573) 748-5622

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

4h 10m per day

vs avg

4 of 6 metrics below state avg

Standout metric Nurse Aide is +24% 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.	21m per day	▼ 25% 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.	38m per day	▼ 8% 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.	2h 52m per day	▲ 24% 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.	3h 27m per day	▲ 13% 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.	0m per day	▼ 100% 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.	11m per day	▼ 47% State avg: 20m per day · National avg: 28m per day

Capacity and availability

152 days

112-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: 28 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

48%

Lower than the Missouri average: 66.6%

Occupied beds

54 / 112

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceAugust 1, 2024

ExpirationJuly 31, 2026 Expires in 16 days

CountyNew Madrid

License Number052044

CMS Certification Number265209

Certification TypeMedicare / Medicaid

New Madrid Living Center is legally operated by N & R Of New Madrid, LLC, and administered by Tom Ayers.

Corporate EntityN & R OF NEW MADRID, LLC

Owner NameN & R Of New Madrid, LLC

Skilled Nursing Facility

112 units

Total beds

112 units

Rehabilitation Services

Doctor on Staff

24-Hour Staffing

Dedicated Alzheimer's Unit

Skilled Nursing Care

Physical And Occupational Therapies

Dietitians

Behavioral And Alzheimer’s Care

Hospice

Pets not allowed

Since 2023 · 3 years of data 57 deficiencies 13 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 2023 vs. Missouri state average

Overall vs. MO average

Latest Inspection September 18, 2025

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.	57	35	This facility has 63% more total deficiencies than a typical Missouri assisted living residence (57 vs. MO avg 35).↑ 63% worse
Deficiencies per year Average deficiencies per year since 2023.	19	11.7	This facility has 62% more deficiencies per year than a typical Missouri assisted living residence (19 vs. MO avg 11.7).↑ 62% worse
Deficiencies per inspection Average deficiencies per inspection.	4.4	2.9	This facility has 52% more deficiencies per inspection than a typical Missouri assisted living residence (4.4 vs. MO avg 2.9).↑ 52% 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.	13	12	This facility has had 8% more total inspections than the Missouri average (13 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 8% more

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

September 18, 2025 inspection found three documentation deficiencies involving code status, transfer notifications, and baseline care plans affecting a few residents.
April 8, 2024 complaint investigation substantiated failure to use a mechanical lift during transfer, causing a resident’s fractured tibia/fibula and lack of immediate injury reporting.
October 10, 2024 routine inspection identified inaccurate MDS coding for two residents and infection control lapses including improper PPE use and isolation precautions.

Show Inspection Reports

Inspections since 2021

Total health inspections 5

State average N/A

Last Health inspection on Oct 2024

Total health citations

State average N/A

Citations per inspection

2.2

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

7 of 11 citations resulted from standard inspections; and 4 of 11 resulted from complaint investigations.

Breakdown of citation severity (last 5 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

0 critical citations State average: N/A

2 serious citations State average: N/A

9 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 5 years)

Infection Control moderate citation Oct 10, 2024

Corrected

Care Planning moderate citation Oct 10, 2024

Corrected

Quality of Care serious citation Apr 08, 2024

Corrected

Quality of Care serious citation Sep 06, 2023

Corrected

Total staff 82

Employees 70

Contractors 12

Staff to resident ratio 1.39 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 33

Average shift 7 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 21,126

Nursing staff breakdown

7.4 hours

7.1 hours

Contractor staffing

1,147 contractor hours this quarter

Speech Language Pathologist: 2 Qualified Social Worker: 2 Feeding Assistant: 2 Physical Therapy Aide: 1 Licensed Practical Nurse: 1 Occupational Therapy Assistant: 1 Physical Therapy Assistant: 1 Medical Director: 1 Occupational Therapy Aide: 1

Staff by category


Certified Nursing Assistant	36	0	36	11,329	92	100%	7.1
Licensed Practical Nurse	7	1	8	2,709	92	100%	7.4
Medication Aide/Technician	10	0	10	2,412	92	100%	6.8
Registered Nurse	8	0	8	970	89	97%	7.4
Nurse Aide in Training	4	0	4	716	74	80%	7.4
Clinical Nurse Specialist	1	0	1	478	61	66%	7.8
RN Director of Nursing	1	0	1	473	60	65%	7.9
Dietitian	1	0	1	471	60	65%	7.8
Administrator	1	0	1	366	55	60%	6.7
Physical Therapy Aide	0	1	1	361	59	64%	6.1
Nurse Practitioner	1	0	1	311	49	53%	6.3
Speech Language Pathologist	0	2	2	259	58	63%	4.5
Qualified Social Worker	0	2	2	194	55	60%	3.5
Occupational Therapy Aide	0	1	1	37	4	4%	9.1
Physical Therapy Assistant	0	1	1	18	18	20%	1
Occupational Therapy Assistant	0	1	1	15	6	7%	2.6
Feeding Assistant	0	2	2	6	2	2%	3
Medical Director	0	1	1	2	3	3%	0.7

36 Certified Nursing Assistant

% of Days 100%

8 Licensed Practical Nurse

% of Days 100%

10 Medication Aide/Technician

% of Days 100%

8 Registered Nurse

% of Days 97%

4 Nurse Aide in Training

% of Days 80%

1 Clinical Nurse Specialist

% of Days 66%

1 RN Director of Nursing

% of Days 65%

1 Dietitian

% of Days 65%

1 Administrator

% of Days 60%

1 Physical Therapy Aide

% of Days 64%

1 Nurse Practitioner

% of Days 53%

2 Speech Language Pathologist

% of Days 63%

2 Qualified Social Worker

% of Days 60%

1 Occupational Therapy Aide

% of Days 4%

1 Physical Therapy Assistant

% of Days 20%

1 Occupational Therapy Assistant

% of Days 7%

2 Feeding Assistant

% of Days 2%

1 Medical Director

% of Days 3%

View All Staffing Data

Total fines amount $9K

88% lower than State average

State average: $73K

Number of fines 1

59% fewer fines than State average

State average: 2.4

Payment Denials 0

100% fewer payment denials than State average

State average: 0.7

Fines amount comparison

This facility $9K

State average $73K

Penalty History

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

1 penalty in the past 3 years

Apr 8, 2024 · $9K

Civil Money Penalty Apr 8, 2024

$9K

Last updated: Jan 2026

High-risk clinical events score 4.6

58% better than State average

State average: 10.9

Functional decline score 6.6

66% better than State average

State average: 19.5

Long-stay resident measures

Above average State avg: 2.7

Need for Help with Daily Activities Increased 8.7%

56% better than State average

State average: 19.8%

Walking Ability Worsened 5.1%

75% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 6.1%

67% better than State average

State average: 18.1%

Falls with Major Injury 3.6%

12% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 3.5%

30% better than State average

State average: 5.0%

Urinary Tract Infection 8.1%

196% worse than State average

State average: 2.7%

Lost Too Much Weight 2.1%

63% better than State average

State average: 5.6%

Depressive Symptoms 0.0%

100% better than State average

State average: 12.8%

Antipsychotic Use 23.7%

8% worse than State average

State average: 22.0%

Pneumococcal Vaccine 100.0%

17% better than State average

State average: 85.2%

Influenza Vaccine 100.0%

10% better than State average

State average: 90.9%

Hospitalizations per 1,000 days 1.41

32% better than State average

State average: 2.08

ED visits per 1,000 days 1.83

22% better than State average

State average: 2.35

Short-stay resident measures

Significantly above average State avg: 2.1

Pneumococcal Vaccine 99.1%

49% better than State average

State average: 66.6%

Antipsychotic medication increase 1.9%

15% better than State average

State average: 2.2%

Influenza Vaccine 100.0%

58% better than State average

State average: 63.5%

Re-hospitalized after SNF stay 18.2%

28% better than State average

State average: 25.3%

Emergency department visits 0.0%

100% better than State average

State average: 13.4%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 68.0%

27% better than State average

State average: 53.7%

Successful return to home or community 52.9%

5% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

21% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

41% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

38% of new residents, often for long-term daily care.

Typical stay 1 years

Total residents 59

Medicare

8.5% of residents

Medicaid

61% of residents

Private pay or other

30.5% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

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 New Madrid Living Center from 2011–2023, based on CMS SNF Cost Reports.

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

Occupancy Rate 52.9% ↑ 1.8pp vs 2022

Net Patient Income -$503.1K ↓ ~$28.1K vs 2022

Payroll Costs $2.2M ↑ ~$85.8K vs 2022

Operating Margin -12.4% ↓ 1.0pp vs 2022

Metric	2011	2012	2013	2014	2015	2017	2018	2019	2020	2021	2022	2023
Occupancy %	82.2%	79.3%	74.4%	77.3%	78.3%	72.3%	69.1%	72.1%	59.8%	52.4%	51.1%	52.9%
Beds	112	112	112	112	112	112	112	112	112	112	112	112
Net Income	$453,280	$296,234	-$191,782	$6,346	$49,347	$42,862	$260,085	$268,652	$386,921	$138,624	-$305,758	-$229,842
Gross Revenue	$6,620,802	$6,061,853	$5,413,229	$5,796,373	$6,208,586	$6,606,430	$6,496,525	$6,489,763	$5,713,857	$4,980,468	$4,649,109	$4,774,232
Operating Expenses	$5,191,676	$5,076,042	$5,056,756	$5,261,149	$5,404,403	$5,383,556	$5,084,765	$5,459,852	$5,604,988	$4,585,428	$4,638,142	$4,554,962
Net Patient Income	$430,862	$208,710	-$209,612	-$32,166	$42,686	$35,105	$254,061	$258,806	-$630,218	-$249,156	-$474,943	-$503,074
Net Patient Revenue	$5,622,538	$5,284,752	$4,847,144	$5,228,983	$5,447,089	$5,418,661	$5,338,826	$5,718,658	$4,974,770	$4,336,272	$4,163,199	$4,051,888
Payroll Costs	$2,337,198	$2,247,301	$2,310,146	$2,393,987	$2,465,234	$2,479,714	$2,248,814	$2,509,696	$2,587,362	$2,002,963	$2,154,042	$2,239,856
Operating Margin %	7.7%	4.0%	-4.3%	-0.6%	0.8%	0.7%	4.8%	4.5%	-12.7%	-5.8%	-11.4%	-12.4%
Medicare %	13.3%	11.5%	8.6%	8.6%	10.0%	10.1%	10.5%	7.1%	10.1%	7.3%	7.0%	5.3%
Medicaid %	0.0%	0.0%	0.0%	0.0%	0.0%	72.2%	68.6%	75.4%	77.2%	78.4%	73.9%	71.7%
Private %	86.7%	88.5%	91.4%	91.4%	90.0%	17.7%	21.0%	17.5%	12.8%	14.2%	19.0%	22.9%
Net Patient Revenue/Day	$167	$163	$159	$165	$170	$183	$189	$194	$203	$203	$199	$187
Cost/Day	$155	$156	$166	$166	$169	$182	$180	$185	$229	$214	$222	$211
Avg Length of Stay	273.1 days	285.1 days	232.1 days	290.0 days	230.4 days	164.2 days	201.6 days	141.0 days	103.4 days	129.8 days	135.7 days	152.0 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$4.1M

Net patient income

-$503.1K

For-profit Corporation

Net patient revenue

$4.1M

Net patient income

-$503.1K

Other income

$273.2K

Payroll costs

$2.2M 55.3% of net patient revenue

Other operating costs

$2.3M

Total costs

$4.6M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under private pay (41% of admissions), and a typical private pay stay runs around 4 - 5 months.

Coverage residents most often arrive under.

Medicare 21%

Private pay 41%

Medicaid 38%

Coverage residents most often leave under.

Medicare 6%

Private pay 39%

Medicaid 55%

0.0 miles from city center Estimated distance in miles from New Madrid's city center to New Madrid Living Center'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.


Laclede Groves	NH AL IL MC	St. Louis	-	251	-	35	-
Republic Nursing and Rehab	NH SNF	Republic	-	127	-	48	Private / Semi-Private Rooms
Chaffee Nursing Center	NH HOS SNF	Chaffee	-	71	-	25	Studio
Heisinger Bluffs	NH AL IL MC RC SNF	Jefferson City	-	111	-	32	1 Bed / 2 Bed / 3 Bed
New Madrid Living Center	NH HOS SNF	New Madrid	-	112	-	28	-

Nursing Home Explorer

What neighborhood is New Madrid Living Center in?

New Madrid Living Center is in the USA neighborhood of NEW MADRID.

Who is the owner of New Madrid Living Center?

New Madrid Living Center is legally operated by N & R Of New Madrid, LLC, and administered by Tom Ayers.

Is New Madrid Living Center in a walkable area?

New Madrid Living Center has a walk score of 28. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of New Madrid Living Center?

According to MO state health department records, New Madrid Living Center's license number is 052044.

When does New Madrid Living Center's license expire?

According to MO state health department records, New Madrid Living Center's license expires on July 31, 2026.

What is the occupancy rate at New Madrid Living Center?

New Madrid Living Center's occupancy is 48%.

Are pets allowed at New Madrid Living Center?

No, New Madrid Living Center has a no-pet policy.

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New Madrid Living Center

Overview of New Madrid Living Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Therapy & Rehabilitation

Staffing & Medical

Memory & Specialized Care

Additional Services

Additional Policies & Features

Amenities & Lifestyle

Contact New Madrid Living Center

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 2021

Breakdown of citation severity (last 5 years)

Citations history (last 5 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

36 Certified Nursing Assistant

8 Licensed Practical Nurse

10 Medication Aide/Technician

8 Registered Nurse

4 Nurse Aide in Training

1 Clinical Nurse Specialist

1 RN Director of Nursing

1 Dietitian

1 Administrator

1 Physical Therapy Aide

1 Nurse Practitioner

2 Speech Language Pathologist

2 Qualified Social Worker

1 Occupational Therapy Aide

1 Physical Therapy Assistant

1 Occupational Therapy Assistant

2 Feeding 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

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Places of interest near New Madrid Living Center

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