Total health inspections
3
Missouri average 6.6
Last Health inspection on Jul 2024
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Nixa Nursing &Amp; Rehab
Nursing Home
Nixa Nursing &Amp; Rehab
Nursing Home
Nixa Nursing & Rehab provides comprehensive and quality long-term care under physician supervision. The facility offers a wide range of services including skilled nursing care, rehabilitation services, and daily activities. It is committed to maintaining the highest practicable physical, mental, and psychosocial well-being of its residents.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
82
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
85.1%
Residents per day (avg)
76
Occupancy rate
85.1%
Residents per day (avg)
76
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
29% of new residents, usually for short-term rehab.
Typical stay
22 days
Private pay
26% of new residents, often for short stays.
Typical stay
7 - 8 months
Medicaid
45% of new residents, often for long-term daily care.
Typical stay
5 - 6 months
Finances and operations
Proprietary home
Corporation
Home revenue
$6.5M
Operating loss
-$260.9K
Proprietary home
Corporation
Home revenue
$6,533,761.00
Operating loss
$-260,889.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.8M
82-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:
265322
Certification type:
Medicare/Medicaid
County:
CHRISTIAN
Ownership & operating entity
Nixa Nursing &Amp; Rehab is administrated by ADAM KNAPP.
Owner name:
N & R OF NIXA, LLC
Safety & Compliance
Care Services
Doctor on Staff
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
About Us, Services, Calendar, Virtual Tour, Resident Transportation, Careers, Contact Us, Pay My Bill
Compare Nursing Homes around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
No
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34.30
5.1831
9
-
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
No
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
53.70
3.6515
10
-
+42%-2%+18%
Nixa Nursing &Amp; Rehab
+12%
+1%
+28%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 65714-9316
82
No
-
-
85.1%
$6,521,108.00
$2,530,350.00
38.8%
75.60
3.7793
9
-
+12%+1%+28%
Adair Village
-2%
+5%
-67%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 64735-1127
120
No
-
VOGT, MARK
21.7%
$2,609,859.00
$1,035,294.00
39.7%
51.50
3.9409
29
2
-2%+5%-67%
Good Shepherd Care Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Concordia
-
No
38
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Pets Allowed:
No
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34.30
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
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:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
Nixa Nursing &Amp; Rehab
Type of care:
SNF
AL
Community:
MO 65714-9316
Bed Count:
82
Pets Allowed:
No
CCN:
265322
Occupancy:
85.1%
Home Revenue:
$6,521,108.00
Payroll Costs:
$2,530,350.00
Payroll %:
38.8%
Avg Residents/Day:
75.60
Overall Rating:
Adj Nurse Hours:
3.7793
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
+12%
+12%
Staffing vs State Avg:
+1%
+1%
Occupancy vs State Avg:
+28%
+28%
Adair Village
Type of care:
SNF
AL
Community:
MO 64735-1127
Bed Count:
120
Pets Allowed:
No
Operator:
VOGT, MARK
CCN:
265347
Occupancy:
21.7%
Home Revenue:
$2,609,859.00
Payroll Costs:
$1,035,294.00
Payroll %:
39.7%
Avg Residents/Day:
51.50
Overall Rating:
Adj Nurse Hours:
3.9409
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
29
Severe Citations:
2
RN share vs State Avg:
-2%
-2%
Staffing vs State Avg:
+5%
+5%
Occupancy vs State Avg:
-67%
-67%Places of interest near Nixa Nursing &Amp; Rehab
0.0 miles from city center
NIXA, MO 65714-9316
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
113
Total Staff
85
Employees
28
Contractors
25,864
Total Hours (Quarter)
39
Avg Staff/Day
7.3
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 10 | 7.7 | Yes |
| Licensed Practical Nurse | 14 | 8.4 | Yes |
| Certified Nursing Assistant | 34 | 7.1 | No |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
89 staff
7.5hs shift avg
Physicians & Practitioners ⓘ
1 staff
7.8hs shift avg
Therapy Services ⓘ
20 staff
5.4hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
0 staff
0hs shift avg
Dietary Services ⓘ
1 staff
7.5hs shift avg
Other Services ⓘ
1 staff
7.6hs shift avg
Contractor Analysis
8.8%
of total hours from contractors
2,272 contractor hours this quarter
Licensed Practical Nurse: 2
Physical Therapy Aide: 2
Speech Language Pathologist: 8
Respiratory Therapy Technician: 4
Physical Therapy Assistant: 4
Registered Nurse: 6
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 34 | 0 | 34 | 9,904 | 91 | 100% | 7.1 |
| Licensed Practical Nurse | 12 | 2 | 14 | 4,211 | 91 | 100% | 8.4 |
| Medication Aide/Technician | 9 | 0 | 9 | 3,128 | 91 | 100% | 8.5 |
| Nurse Aide in Training | 20 | 0 | 20 | 2,683 | 86 | 95% | 6.9 |
| Registered Nurse | 4 | 6 | 10 | 1,049 | 79 | 87% | 7.7 |
| Speech Language Pathologist | 0 | 8 | 8 | 927 | 68 | 75% | 6.1 |
| RN Director of Nursing | 2 | 0 | 2 | 755 | 70 | 77% | 6.6 |
| Physical Therapy Aide | 0 | 2 | 2 | 596 | 61 | 67% | 6.6 |
| Nurse Practitioner | 1 | 0 | 1 | 514 | 66 | 73% | 7.8 |
| Dental Services Staff | 1 | 0 | 1 | 495 | 65 | 71% | 7.6 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Dietitian | 1 | 0 | 1 | 460 | 61 | 67% | 7.5 |
| Physical Therapy Assistant | 0 | 4 | 4 | 375 | 65 | 71% | 5.8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 192 | 66 | 73% | 2.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 74 | 10 | 11% | 7.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 6 | 7% | 4 |
Health Inspection History
Inspections
Total health citations
9
Citations per inspection
3
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 9 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
0 critical citations
0 serious citations
8 moderate citations
1 minor citation
Citations history (last 3 years)
Abuse/Neglect moderate citation
Jul 23, 2024
Corrected
Abuse/Neglect moderate citation
Jul 23, 2024
Corrected
Quality of Care moderate citation
Jul 23, 2024
Corrected
Nursing Services minor citation
Sep 16, 2022
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Part of: HEALTH SYSTEMS INC
Resident Census by Payment Source
67
Total Residents
Medicare
2
(3%)
ⓘ
Medicaid
44
(65.7%)
ⓘ
Private Pay/Other
21
(31.3%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.0
In line with Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.9
In line with Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
23.9%
Percent of long-stay residents whose need for help with daily activities has increased
23.9%
21% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
17.7%
Percent of long-stay residents whose ability to move independently worsened
17.7%
14% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.0%
17% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
19% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.4%
Percent of long-stay high risk residents with pressure ulcers
5.4%
8% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
5.3%
Percent of long-stay residents with a urinary tract infection
5.3%
94% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.2%
Percent of long-stay residents who lose too much weight
3.2%
42% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.2%
Percent of long-stay residents who have depressive symptoms
1.2%
91% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.5%
Percent of long-stay residents who received an antipsychotic medication
15.5%
30% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.4%
11% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
6% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
84.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
84.4%
27% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
23% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.9%
34% better than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Nixa Nursing &Amp; Rehab based on CMS SNF Cost Reports.
Occupancy Rate
85.1%
↑ 13.8pp vs 2022
Net Income
-$260,889
↑ ~$490K vs 2022
Total Payroll
$3,881,544
↑ ~$794K vs 2022
Profit Margin
-4.0%
↑ 11.4pp vs 2022
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