Potosi Manor

Nursing Home & Assisted Living · Potosi, MO

CMS overall rating

307 South Highway 21, Potosi, MO 63664-9317 View map

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Potosi Manor accepts Medicaid, Medicare, and private pay.

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Potosi Manor accepts Medicaid, Medicare, and private pay.

Overview of Potosi Manor

Located on Highway 21 in Potosi, Missouri, Potosi Manor is a skilled nursing facility with 90 beds. Potosi Manor, Inc., operates the home, serving residents needing short-term rehabilitation, ongoing skilled nursing care, and specialized support. It accepts Medicare, Medicaid, and private pay, giving families many coverage options.

The facility has an occupancy rate of 69%. Most residents stay for an average of 110 days, including post-acute rehabilitation and longer-term care residents.

Daily staffing is provided by registered nurses, nursing aides, and licensed practical nurses. Total nursing care averages 3 hours and 33 minutes per resident each day. The facility offers comprehensive rehabilitation services, including physical and occupational therapy. It also offers behavioral and Alzheimer’s care.

On-site medical support includes a doctor on staff, IV therapy, pharmaceutical services, and hospice care, so residents won’t need medical appointments outside. The facility’s focus is on short-term rehabilitation programs, making it a great choice for patients recovering from surgery or hospitalization.

There are complete dining services with meals and snacks tailored to individual preferences, housekeeping and laundry, and support services including religious services and beauty and barber care. Van transportation is available. The surrounding neighborhood has a Walkability Score of 62 out of 100. Some errands can be done on foot, but most trips will involve a short drive.

State inspections identified areas for improvement related to staff training practices, sanitation, infection control, and environmental safety. Potosi Manor addresses operational standards in these areas.

Facility Direct Line (573) 438-3225

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

3h 33m per day

vs avg

4 of 6 metrics below 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	▼ 26% 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.	39m per day	▼ 5% 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 18m per day	■ Avg 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 4m per day	■ Avg 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	▼ 83% 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.	13m per day	▼ 35% State avg: 20m per day · National avg: 28m per day

Capacity and availability

110 days

90-bed community

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

9 years in operation

An established community with some operational experience and growing routines.

Walk Score: 62 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

BBB Rating: A+ (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate

69%

Similar to the Missouri average: 66.6%

Occupied beds

62 / 90

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceAugust 11, 2025

ExpirationAugust 10, 2027

CountyWashington

License Number052919

CMS Certification Number265681

Certification TypeMedicare / Medicaid

Potosi Manor is legally operated by Potosi Manor, Inc., and administered by Richard Bell.

Corporate EntityPOTOSI MANOR, INC

Owner NamePotosi Manor, Inc

Skilled Nursing Facility

90 units

Total beds

90 units

Accept Medicaid

Accept Medicare

Rehabilitation Services

Short-Term Rehab

Doctor on Staff

24-Hour Staffing

Skilled Nursing Care

Physical And Occupational Therapies

Dietitians

Behavioral And Alzheimer’s Care

Hospice

Medicare & Medicaid Approved

Religious Services

Since 2018 · 8 years of data 69 deficiencies 9 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 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection October 22, 2024 Complaint Investigation

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.	69	35	This facility has 97% more total deficiencies than a typical Missouri assisted living residence (69 vs. MO avg 35).↑ 97% worse
Deficiencies per year Average deficiencies per year since 2018.	8.6	4.4	This facility has 95% more deficiencies per year than a typical Missouri assisted living residence (8.6 vs. MO avg 4.4).↑ 95% worse
Deficiencies per inspection Average deficiencies per inspection.	7.7	2.9	This facility has 166% more deficiencies per inspection than a typical Missouri assisted living residence (7.7 vs. MO avg 2.9).↑ 166% 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.	9	12	This facility has had 25% fewer total inspections than the Missouri average (9 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 25% fewer

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

October 22, 2024 complaint investigation substantiated physical abuse during medication administration with immediate jeopardy corrected after staff termination and training.
October 11, 2024 routine inspection found seven deficiencies including nurse aide training delays, unsanitary food storage, poor infection control, and ineffective QAPI program implementation.
July 27, 2023 routine inspection identified nine deficiencies involving resident dignity, documentation errors, unsanitary kitchen, and unsafe environmental conditions without immediate jeopardy.

Show Inspection Reports

Inspections since 2021

Total health inspections 4

State average N/A

Last Health inspection on Oct 2024

Total health citations

State average N/A

Citations per inspection

5.25

State average N/A

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

20 of 21 citations resulted from standard inspections; and 1 of 21 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

1 critical citation State average: N/A

0 serious citations State average: N/A

17 moderate citations State average: N/A

3 minor citations State average: N/A

Citations history (last 5 years)

Abuse/Neglect critical citation Oct 22, 2024

Corrected

Administration moderate citation Oct 11, 2024

Corrected

Administration moderate citation Oct 11, 2024

Corrected

Administration moderate citation Oct 11, 2024

Corrected

Total staff 77

Employees 65

Contractors 12

Staff to resident ratio 1.24 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 23

Average shift 8.1 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 17,078

Nursing staff breakdown

8.2 hours

9.9 hours

7.9 hours

Contractor staffing

458 contractor hours this quarter

Respiratory Therapy Technician: 4 Physical Therapy Assistant: 2 Occupational Therapy Aide: 2 Qualified Social Worker: 1 Speech Language Pathologist: 1 Occupational Therapy Assistant: 1 Physical Therapy Aide: 1

Staff by category


Certified Nursing Assistant	22	0	22	5,687	92	100%	7.9
Licensed Practical Nurse	9	0	9	3,025	92	100%	9.9
Medication Aide/Technician	8	0	8	2,917	92	100%	9.6
Nurse Aide in Training	14	0	14	2,170	92	100%	7.4
Registered Nurse	6	0	6	928	90	98%	8.2
Dental Services Staff	1	0	1	472	63	68%	7.5
Nurse Practitioner	1	0	1	427	61	66%	7
Administrator	1	0	1	427	57	62%	7.5
Dietitian	2	0	2	304	42	46%	7.1
Speech Language Pathologist	0	1	1	299	66	72%	4.5
Clinical Nurse Specialist	1	0	1	263	45	49%	5.8
Qualified Social Worker	0	1	1	35	26	28%	1.3
Occupational Therapy Aide	0	2	2	31	6	7%	5.1
Physical Therapy Assistant	0	2	2	28	12	13%	2.3
Respiratory Therapy Technician	0	4	4	27	27	29%	1
Physical Therapy Aide	0	1	1	23	12	13%	1.9
Occupational Therapy Assistant	0	1	1	16	3	3%	5.3

22 Certified Nursing Assistant

% of Days 100%

9 Licensed Practical Nurse

% of Days 100%

8 Medication Aide/Technician

% of Days 100%

14 Nurse Aide in Training

% of Days 100%

6 Registered Nurse

% of Days 98%

1 Dental Services Staff

% of Days 68%

1 Nurse Practitioner

% of Days 66%

1 Administrator

% of Days 62%

2 Dietitian

% of Days 46%

1 Speech Language Pathologist

% of Days 72%

1 Clinical Nurse Specialist

% of Days 49%

1 Qualified Social Worker

% of Days 28%

2 Occupational Therapy Aide

% of Days 7%

2 Physical Therapy Assistant

% of Days 13%

4 Respiratory Therapy Technician

% of Days 29%

1 Physical Therapy Aide

% of Days 13%

1 Occupational Therapy Assistant

% of Days 3%

View All Staffing Data

Total fines amount $14K

81% 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 $14K

State average $73K

Penalty History

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

1 penalty in the past 3 years

Oct 11, 2024 · $14K

Civil Money Penalty Oct 11, 2024

$14K

Last updated: Jan 2026

High-risk clinical events score 11.5

In line with State average

State average: 10.9

Functional decline score 19.4

In line with State average

State average: 19.5

Long-stay resident measures

Significantly below average State avg: 2.7

Need for Help with Daily Activities Increased 16.2%

18% better than State average

State average: 19.8%

Walking Ability Worsened 29.6%

44% worse than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 12.3%

32% better than State average

State average: 18.1%

Falls with Major Injury 1.4%

67% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 5.7%

13% worse than State average

State average: 5.0%

Urinary Tract Infection 0.9%

67% better than State average

State average: 2.7%

Lost Too Much Weight 4.5%

19% better than State average

State average: 5.6%

Depressive Symptoms 6.9%

47% better than State average

State average: 12.8%

Antipsychotic Use 22.8%

In line with State average

State average: 22.0%

Pneumococcal Vaccine 95.1%

12% better than State average

State average: 85.2%

Influenza Vaccine 100.0%

10% better than State average

State average: 90.9%

Short-stay resident measures

Pneumococcal Vaccine 46.7%

30% worse than State average

State average: 66.6%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 2.2%

Influenza Vaccine 62.5%

In line with State average

State average: 63.5%

Falls with major injury 11.1%

1343% worse than State average

State average: 0.8%

Successful return to home or community 44.1%

13% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

23% of new residents, usually for short-term rehab.

Typical stay 21 days

Private pay

45% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

32% of new residents, often for long-term daily care.

Typical stay 7 - 8 months

Total residents 62

Medicare

1.6% of residents

Medicaid

53.2% of residents

Private pay or other

45.2% 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 Potosi Manor from 2011–2023, based on CMS SNF Cost Reports.

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

Occupancy Rate 61.1% ↑ 13.1pp vs 2022

Net Patient Income -$213.9K ↑ ~$167.6K vs 2022

Payroll Costs $1.7M ↑ ~$403.3K vs 2022

Operating Margin -5.3% ↑ 5.9pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	75.6%	70.0%	73.9%	77.7%	67.5%	72.8%	65.7%	63.1%	62.3%	56.5%	44.1%	48.0%	61.1%
Beds	90	90	90	90	90	90	90	90	90	90	90	90	90
Net Income	$594,392	$399,348	$547,732	$907,594	$474,027	$514,003	$212,771	$25,940	$544,297	$732,877	$58,700	-$241,119	-$104,967
Gross Revenue	$5,423,820	$5,532,612	$5,644,085	$6,308,736	$5,632,785	$5,650,436	$5,282,734	$5,738,439	$5,290,858	$4,440,713	$3,271,181	$3,520,308	$4,435,056
Operating Expenses	$4,042,140	$4,348,096	$4,168,727	$4,399,398	$4,233,229	$4,260,047	$4,291,169	$4,378,211	$4,107,056	$4,016,542	$3,299,341	$3,797,112	$4,287,789
Net Patient Income	$580,870	$389,589	$533,757	$889,722	$460,019	$498,269	$200,139	$12,051	$533,436	$24,335	-$222,555	-$381,510	-$213,865
Net Patient Revenue	$4,623,010	$4,737,685	$4,702,484	$5,289,120	$4,693,248	$4,758,316	$4,491,308	$4,390,262	$4,640,492	$4,040,877	$3,076,786	$3,415,602	$4,073,924
Payroll Costs	$1,648,575	$1,570,829	$1,622,730	$1,694,434	$1,633,878	$1,676,736	$1,687,397	$1,590,475	$1,594,221	$1,505,215	$1,179,524	$1,283,704	$1,687,010
Operating Margin %	12.6%	8.2%	11.4%	16.8%	9.8%	10.5%	4.5%	0.3%	11.5%	0.6%	-7.2%	-11.2%	-5.3%
Medicare %	12.1%	12.7%	11.5%	13.0%	13.1%	10.4%	10.5%	14.6%	11.6%	9.3%	5.5%	5.5%	4.9%
Medicaid %	57.3%	62.2%	67.4%	63.1%	65.8%	65.6%	70.3%	67.2%	67.5%	63.8%	67.6%	73.8%	71.3%
Private %	30.5%	25.2%	21.2%	24.0%	21.1%	24.0%	19.2%	18.3%	20.9%	26.9%	26.9%	20.7%	23.8%
Net Patient Revenue/Day	$186	$205	$194	$207	$212	$198	$208	$212	$227	$217	$212	$217	$203
Cost/Day	$163	$189	$172	$172	$191	$178	$199	$211	$201	$216	$228	$241	$213
Avg Length of Stay	104.0 days	162.4 days	133.4 days	110.5 days	131.2 days	160.9 days	144.0 days	269.2 days	112.4 days	116.4 days	113.3 days	111.9 days	109.8 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

-$213.9K

For-profit Corporation

Net patient revenue

$4.1M

Net patient income

-$213.9K

Other income

$108.9K

Payroll costs

$1.7M 41.4% of net patient revenue

Other operating costs

$2.6M

Total costs

$4.3M

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.

New residents most often arrive under private pay (45% of admissions), and a typical private pay stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 23%

Private pay 45%

Medicaid 32%

Coverage residents most often leave under.

Medicare 16%

Private pay 39%

Medicaid 44%

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Heisinger Bluffs	NH AL IL MC RC SNF	Jefferson City	-	111	-	32	1 Bed / 2 Bed / 3 Bed
Laclede Groves	NH AL IL MC	St. Louis	-	251	-	35	-
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Camelot Nursing & Rehab Center	NH AL SNF	Farmington (Sleepy Hollow Run)	-	97	-	55	Shared Rooms
Potosi Manor	NH AL	Potosi	-	90	A+	62	-

Nursing Home Explorer

Is Potosi Manor in a walkable area?

Potosi Manor has a walk score of 62. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Potosi Manor?

According to MO state health department records, Potosi Manor's license number is 052919.

When does Potosi Manor's license expire?

According to MO state health department records, Potosi Manor's license expires on August 10, 2027.

What is the occupancy rate at Potosi Manor?

Potosi Manor's occupancy is 69%.

Does Potosi Manor operate as a for-profit or non-profit?

Potosi Manor is registered as a for-profit in MO.

Who is the administrator of Potosi Manor?

Richard Bell is the administrator of Potosi Manor.

How many beds does Potosi Manor have?

Potosi Manor has 90 beds.

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Potosi Manor

Overview of Potosi Manor

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Amenities & Lifestyle

Contact Potosi Manor

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

22 Certified Nursing Assistant

9 Licensed Practical Nurse

8 Medication Aide/Technician

14 Nurse Aide in Training

6 Registered Nurse

1 Dental Services Staff

1 Nurse Practitioner

1 Administrator

2 Dietitian

1 Speech Language Pathologist

1 Clinical Nurse Specialist

1 Qualified Social Worker

2 Occupational Therapy Aide

2 Physical Therapy Assistant

4 Respiratory Therapy Technician

1 Physical Therapy Aide

1 Occupational Therapy Assistant

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

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Potosi Manor

Calculate Travel Distance to Potosi Manor

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