Nixa Nursing &Amp; Rehab
Nursing Home, Hospice Care & Skilled Nursing · Nixa, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Nixa Nursing &Amp; Rehab

Nursing Home, Hospice Care & Skilled Nursing · Nixa, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Nixa Nursing &Amp; Rehab accepts Medicare, Medicaid, and private pay.

Inspection History

In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.

Since 2018 · 8 years of data 53 deficiencies 10 inspections

Inspection Scorecard Info 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 2018 vs. Missouri state average
Overall vs. MO average 2 Worse Metrics worse than Missouri average:
• Total deficiencies (51% above)
• Deficiencies per inspection (83% above)
0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 5335 This facility has 51% more total deficiencies than a typical Missouri nursing home (53 vs. MO avg 35).↑ 51% worse
Deficiencies per inspection Info Average deficiencies per inspection. 5.32.9 This facility has 83% more deficiencies per inspection than a typical Missouri nursing home (5.3 vs. MO avg 2.9).↑ 83% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all inspections conducted at this facility. 1012 This facility has had 17% fewer total inspections than the Missouri average (10 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 17% fewer

Health Inspection History

Inspections since 2019
Total health inspections 3

State average 6.6


Last Health inspection on Jul 2024

Total health citations
9 Rank #10 / 274Health citations — State benchmarkedThis home is ranked 10th out of 274 homes in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 274 MO facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 36.5

Citations per inspection
3 Rank #23 / 274Citations per inspection — State benchmarkedThis home is ranked 23rd out of 274 homes in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 274 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State 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 7 years)
Critical health citations
0
100% better than State average

State average: 0.7


Serious health citations
0
100% better than State average

State average: 1

0 critical citations State average: 0.7

0 serious citations State average: 1

8 moderate citations State average: 33.6

1 minor citation State average: 1.2
Citations history (last 7 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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 116
Employees 83
Contractors 33
Staff to resident ratio 1.73 : 1
0% compared with Missouri average
Missouri average ratio: 1.69 : 1 Missouri average ratio: 1.69 : 1See full Missouri ranking
Avg staff/day 38
Average shift 7.5 hours
7% worse than Missouri average
Missouri average: 8.1 hours Missouri average shift: 8.1 hoursSee full Missouri ranking
Total staff hours (quarter) 26,294

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 6 RN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 9 LPN Staff are full-time employees. No contractors work on this role. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 29 CNA Staff are full-time employees. No contractors work on this role. 29
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

10.5%

2,764 contractor hours this quarter

Speech Language Pathologist: 13 Respiratory Therapy Technician: 7 Physical Therapy Aide: 4 Physical Therapy Assistant: 4 Qualified Social Worker: 2 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Clinical Nurse Specialist: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant290298,56892100%7.7
Licensed Practical Nurse9093,80892100%9.2
Nurse Aide in Training240243,75392100%6.5
Medication Aide/Technician9093,18192100%8.6
Registered Nurse6061,5827986%7.8
Speech Language Pathologist013139578087%5.8
RN Director of Nursing2027877582%6.6
Physical Therapy Aide0447196672%6.9
Dental Services Staff1014856368%7.7
Dietitian1014646267%7.5
Nurse Practitioner1014525661%8.1
Administrator1014485661%8
Physical Therapy Assistant0443736874%5.4
Respiratory Therapy Technician0773436773%4.8
Qualified Social Worker0222335560%4.2
Occupational Therapy Aide011811314%6.2
Clinical Nurse Specialist0113655%7.1
Occupational Therapy Assistant0112467%4
29 Certified Nursing Assistant
% of Days 100%
9 Licensed Practical Nurse
% of Days 100%
24 Nurse Aide in Training
% of Days 100%
9 Medication Aide/Technician
% of Days 100%
6 Registered Nurse
% of Days 86%
13 Speech Language Pathologist
% of Days 87%
2 RN Director of Nursing
% of Days 82%
4 Physical Therapy Aide
% of Days 72%
1 Dental Services Staff
% of Days 68%
1 Dietitian
% of Days 67%
1 Nurse Practitioner
% of Days 61%
1 Administrator
% of Days 61%
4 Physical Therapy Assistant
% of Days 74%
7 Respiratory Therapy Technician
% of Days 73%
2 Qualified Social Worker
% of Days 60%
1 Occupational Therapy Aide
% of Days 14%
1 Clinical Nurse Specialist
% of Days 5%
1 Occupational Therapy Assistant
% of Days 7%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info 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 average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 18.9
In line with Missouri average

Missouri average: 19.5

Long-stay resident measures
Significantly below average Missouri avg: 2.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 23.9%
21% worse than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 17.7%
14% better than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 15.0%
17% better than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.8%
19% worse than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.4%
8% worse than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 5.3%
94% worse than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.2%
42% better than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.2%
91% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.5%
30% better than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.4%
11% better than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.1%
6% better than Missouri average

Missouri average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 3.98
91% worse than Missouri average

Missouri average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.40
In line with Missouri average

Missouri average: 2.35

Short-stay resident measures
Below average Missouri avg: 2.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 84.4%
27% better than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.7%
23% better than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 84.9%
34% better than Missouri average

Missouri average: 63.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 24.1%
5% better than Missouri average

Missouri average: 25.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 25.4%
90% worse than Missouri average

Missouri average: 13.4%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.9%
140% worse than Missouri average

Missouri average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 34.2%
36% worse than Missouri average

Missouri average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 55.3%
9% better than Missouri average

Missouri average: 50.6%

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 67
Medicare
2
3% of residents
Medicaid
44
65.7% of residents
Private pay or other
21
31.3% 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.

Finances and operations

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

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.0M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$273.5K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.0M Rank #116 / 251Net patient revenue — State benchmarkedThis home is ranked 116th out of 251 homes in Missouri. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$273.5K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$12.7K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #148 / 251Payroll costs — State benchmarkedThis home is ranked 148th out of 251 homes in Missouri. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.
$2.8M 47.2% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #190 / 251Payroll % of net patient revenue — State benchmarkedThis home is ranked 190th out of 251 homes in Missouri. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.3M

Who this home usually serves

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 Medicaid (45% of admissions), and a typical Medicaid stay runs around 5 - 6 months.

Admissions
185 total

Coverage residents most often arrive under.

Medicare 29%
Private pay 26%
Medicaid 45%
Discharges
278 total

Coverage residents most often leave under.

Medicare 19%
Private pay 50%
Medicaid 31%

Places of interest near Nixa Nursing &Amp; Rehab

Address 0.0 miles from city center Info Estimated distance in miles from Nixa's city center to Nixa Nursing &Amp; Rehab's address, calculated via Google Maps.

Calculate Travel Distance to Nixa Nursing &Amp; Rehab

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Address

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Frequently Asked Questions about Nixa Nursing &Amp; Rehab

Who is the owner of Nixa Nursing &Amp; Rehab?

Nixa Nursing &Amp; Rehab is legally operated by N & R Of Nixa, LLC, and administered by Adam Knapp.

Is Nixa Nursing &Amp; Rehab in a walkable area?

Nixa Nursing &Amp; Rehab has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Nixa Nursing &Amp; Rehab?

According to MO state health department records, Nixa Nursing &Amp; Rehab's license number is 053301.

When does Nixa Nursing &Amp; Rehab's license expire?

According to MO state health department records, Nixa Nursing &Amp; Rehab's license expires on January 12, 2028.

What is the occupancy rate at Nixa Nursing &Amp; Rehab?

Nixa Nursing &Amp; Rehab's occupancy is 79%.

Are pets allowed at Nixa Nursing &Amp; Rehab?

No, Nixa Nursing &Amp; Rehab has a no-pet policy.

Does Nixa Nursing &Amp; Rehab operate as a for-profit or non-profit?

Nixa Nursing &Amp; Rehab is registered as a for-profit in MO.

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