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.
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Nursing Home in Missouri
CMS overall rating
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.
Nixa Nursing &Amp; Rehab
Nursing Home in Missouri
CMS overall rating
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.
Nixa Nursing &Amp; Rehab
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
Privately-owned community
Operated by a business corporation.
Home revenue
$6.5M
Operating loss
-$260.9K
Privately-owned community
Operated by a business corporation.
Home revenue
$6.5M
Operating loss
-$260.9K
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 TypeSnf
CountyCHRISTIAN
CMS Certification Number265322
Certification TypeMedicare/Medicaid
Nixa Nursing &Amp; Rehab is administrated by Adam Knapp.
Owner NameN & R OF NIXA, LLC
Rehabilitation Services
Physical Therapy
Occupational Therapy
Speech Therapy
Doctor on Staff
Skilled Nursing
24-Hour Staffing
Skilled Nursing Care
Behavioral And Alzheimer’s Care
Activities
Hospice
Professional Medical Care
Rehab Services
Doctor On Call 24 Hours
Daily Activities
Pharmaceutical Services
Housekeeping & Laundry
Semi-Private & Private Rooms
Free Cna & Cmt Classes
Specific ProgramsAbout Us, Services, Calendar, Virtual Tour, Resident Transportation, Careers, Contact Us, Pay My Bill
Health Inspection History
Inspections
Total health citations
9
Missouri average 36.5
Citations per inspection
3
Missouri average 5.67
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
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 23, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 23, 2024
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 23, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 23, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 23, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 23, 2024
Corrected
Nursing Services minor citation
Issues related to the availability and quality of nursing staff and the care they provide.
Sep 16, 2022
Issues related to the availability and quality of nursing staff and the care they provide.
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.
Compare Nursing Homes around Missouri The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
Aberdeen Heights
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).
AL
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.
Kirkwood
38
92.6%
+39%
5.18
+39%
0
9
2.3
0
34
-
-
Ashfield Active Living And Wellness Communities, Inc.
$27.3M
$7.2M
26.3%
265841
Bertrand Nursing And Rehab Center
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).
AL
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.
Bertrand
60
78.8%
+18%
3.65
-2%
0
10
3.3
0
54
-
5
Chance, Don
$5.1M
$2.3M
44.1%
265678
Nixa Nursing &Amp; Rehab
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).
AL
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.
Nixa
82
85.1%
+28%
3.78
+1%
0
9
3.0
0
76
-
-
-
$6.5M
$2.5M
38.8%
265322
Good Shepherd Care Community
AL
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.
HC
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.
IL
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.
MC
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.
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).
RC
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.
Concordia
-
-
-
-
-
0
0
0.0
0
-
-
38
-
-
-
-
-
Abbey Senior Health
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).
AL
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.
O'fallon
55
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
113
Employees
85
Contractors
28
Staff to resident ratio
1.69:1
0% compared with Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
39
Average shift
7.3 hours
10% worse than Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
25,864
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
34
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
8.8%
2,272 contractor hours this quarter
Speech Language Pathologist: 8
Registered Nurse: 6
Respiratory Therapy Technician: 4
Physical Therapy Assistant: 4
Licensed Practical Nurse: 2
Physical Therapy Aide: 2
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Staff by category
| 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 |
34 Certified Nursing Assistant
% of Days
100%
14 Licensed Practical Nurse
% of Days
100%
9 Medication Aide/Technician
% of Days
100%
20 Nurse Aide in Training
% of Days
95%
10 Registered Nurse
% of Days
87%
8 Speech Language Pathologist
% of Days
75%
2 RN Director of Nursing
% of Days
77%
2 Physical Therapy Aide
% of Days
67%
1 Nurse Practitioner
% of Days
73%
1 Dental Services Staff
% of Days
71%
1 Administrator
% of Days
66%
1 Dietitian
% of Days
67%
4 Physical Therapy Assistant
% of Days
71%
4 Respiratory Therapy Technician
% of Days
73%
1 Occupational Therapy Aide
% of Days
11%
1 Occupational Therapy Assistant
% of Days
7%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
67 residents
Residents by payment source
Medicare
2 residents (3%)
Medicaid
44 residents (65.7%)
Private pay or other
21 residents (31.3%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
-$260.9K
↑ ~$490.1K vs 2022
Total Payroll
$3.9M
↑ ~$794.3K vs 2022
Profit Margin
-4.0%
↑ 11.4pp vs 2022
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