Republic Nursing and Rehab

Nursing Home
Overview of Republic Nursing and Rehab

Republic Nursing and Rehabilitation is a dedicated nursing home in Republic, MO, that offers medical care and rehabilitation. With its home-like atmosphere, the community ensures older adults find the right place to spend their retirement. 24-hour care, daily activities, and transportation services are also offered to enrich residents’ living experiences. The community also participated in Medicare and Medicaid, following high standards of care and striving to ease residents’ financial burdens.

Religious, pharmaceutical, and beauty and barber services are among the community’s offerings, dedicated to residents’ well-being. With private and semi-private living spaces, residents’ preferences are taken into consideration. Set in the quiet residential area of Republic, the community ensures a stress-free living. As one of Missouri’s trusted choices for nursing care, this nursing home goes above and beyond in providing exceptional care to help older adults live to their potential.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
4/5
Missouri average: 2.5/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
4/5
Missouri average: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
3/5
Missouri average: 2.2/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5
Missouri average: 2.7/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
3h 49m per day

This home provides 2% more nursing time per resident than the state average.

Missouri average: 3h 44m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 25m per day 28m per day 41m per day
LPN / LVN Info Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day. 27m per day 41m per day 52m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 12m per day 2h 20m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 2h 46m per day 3h 3m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 2m per day 2m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 16m per day 20m per day 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 127

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Missouri average
Occupancy rate 81.7%
Residents per day (avg) 109
Occupancy rate
81.7%
Residents per day (avg)
109

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

Breakdown by payment type

Medicare

20% of new residents, usually for short-term rehab.

Typical stay 21 days

Private pay

60% of new residents, often for short stays.

Typical stay 4 months

Medicaid

20% of new residents, often for long-term daily care.

Typical stay 2 years

Finances and operations

Proprietary home
Corporation
Home revenue
$8.3M
Operating loss
-$560.7K
Proprietary home Corporation
Home revenue
$8,279,535.00
Operating loss
$-560,717.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.2M
38.4% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.7M
Total costs $8.8M
Bed community size
127-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 48 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Facility Type
SNF

Additional licensing details

CMS Certification Number: 265326
County: GREENE

Ownership & operating entity

Republic Nursing and Rehab is legally operated by N & R OF CHRISTIAN REPUBLIC, LLC, and administrated by GROCE.

Corporate entity: N & R OF CHRISTIAN REPUBLIC, LLC

Care Services

Alzheimer's Certification

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

Housing options icon
Housing options icon

Housing Options: Private / Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Dining services icon
Dining services icon

Dining Services

Beauty services icon
Beauty services icon

Beauty Services

Transportation services icon
Transportation services icon

Transportation Services

Housekeeping icon
Housekeeping icon

Housekeeping Services

Rehabilitative support icon
Rehabilitative support icon

Rehabilitative Support

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Types of Care at Republic Nursing and Rehab

Nursing Home

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicare

Compare Nursing Homes around Greene County

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

Nursing Homes 24/7 care needed

Republic
127
No
48
LOVE, DARIUS
81.7%
$8,073,947.00
$3,180,559.00
39.4%
109.20
4/5
3.8230
4/5
3/5
4/5
-
23
-9%
+2%
+23%
Private / Semi-Private Rooms
Magnolia Square Nursing
SNF

Nursing Homes 24/7 care needed

Richfield
-
No
-
ALUMNO, MARTIN
78.7%
$10,686,326.00
$3,698,593.00
34.6%
94.10
2/5
3.9318
2/5
3/5
4/5
1
-
-
+6%
+12%
Private Rooms

Places of interest near Republic Nursing and Rehab

Address 1.5 miles from city center

Address 901 State Hwy 174, Republic, MO 65738

Calculate Travel Distance to Republic Nursing and Rehab

Add your location

Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

127
Total Staff
104
Employees
23
Contractors
35,095
Total Hours (Quarter)
51
Avg Staff/Day
7.6
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse97 No
Licensed Practical Nurse158.2 No
Certified Nursing Assistant418 No
Staff by Category
Administration
1 staff
7.2hs shift avg
Nursing Staff
94 staff
7.8hs shift avg
Physicians & Practitioners
3 staff
7.6hs shift avg
Therapy Services
22 staff
5.4hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
1.7hs shift avg
Dietary Services
3 staff
7.9hs shift avg
Other Services
3 staff
7.4hs shift avg
Contractor Analysis
4.1%
of total hours from contractors
1,448 contractor hours this quarter
Respiratory Therapy Technician: 5 Qualified Social Worker: 1 Speech Language Pathologist: 6 Physical Therapy Aide: 4 Occupational Therapy Aide: 1 Physical Therapy Assistant: 5 Occupational Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant4104114,79091100%8
Medication Aide/Technician140144,56691100%8.1
Licensed Practical Nurse150153,76191100%8.2
Registered Nurse9092,91791100%7
Nurse Aide in Training140142,22991100%6.7
Dental Services Staff3031,4547684%7.4
Dietitian2021,0097178%7.8
Clinical Nurse Specialist2029937380%7.7
RN Director of Nursing1015566268%9
Administrator1014916875%7.2
Physical Therapy Aide0444676470%5.7
Nurse Practitioner1014455965%7.5
Other Dietary Services Staff1014355459%8.1
Respiratory Therapy Technician0553996470%5.7
Speech Language Pathologist0663565965%5.9
Occupational Therapy Aide011871213%7.3
Physical Therapy Assistant055683033%2.1
Qualified Social Worker011372224%1.7
Occupational Therapy Assistant0113467%5.7

Health Inspection History

Inspections
Total health inspections 5

Missouri average 6.6


Last Health inspection on Jul 2024

Total health citations 23
Citations per inspection
4.6

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

20 of 23 citations resulted from standard inspections; and 3 of 23 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Missouri average

Missouri average: 0.7


Serious Health citations More info 0
100% better than Missouri average

Missouri average: 1

0 critical citations More info Missouri average: 0.7

0 serious citations More info Missouri average: 1

23 moderate citations More info Missouri average: 33.6

0 minor citations More info Missouri average: 1.2
Citations history (last 3 years)
Infection Control moderate citation Jul 24, 2024
Corrected

Resident Rights moderate citation Jul 24, 2024
Corrected

Environmental moderate citation Mar 14, 2024
Corrected

Nutrition moderate citation Mar 14, 2024
Corrected

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
82 Total Residents
Medicaid 72 (87.8%)
Private Pay/Other 10 (12.2%)
Specialized Care Beds
20 Total Specialty Beds
15.7% of Bed Capacity
20
Alzheimer's / Dementia Beds
15.7%
Programs & Services
Residents' Group
Nurse Aide Training
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

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. 12.1
11% worse than 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. 24.0
23% worse than Missouri average

Missouri average: 19.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 23.1%
17% worse than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 27.5%
33% worse 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 21.3%
18% worse 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 5.0%
24% 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 2.2%
57% better than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.5%
45% better than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.9%
47% better than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 3.3%
74% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 17.0%
23% better than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 64.7%
24% worse than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.0%
In line with Missouri average

Missouri average: 90.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 43.5%
35% worse than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.9%
33% worse than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 46.6%
27% worse than Missouri average

Missouri average: 63.5%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 52.3%
In line with Missouri average

Missouri average: 50.6%

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Missouri Seniors

Get financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+, Missouri resident, in approved facility.

~$1,215/month (individual).

$2,000 (individual).

Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

~$2,901/month (300% FBR, individual); QIT required.

$5,909.25 (individual), $11,818.45 (couple).

Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

~$1,690/month (individual, projected); spenddown allowed.

$5,909.25 (individual), $11,818.45 (couple).

Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled, Missouri resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based.

Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

Age 55+, unemployed, low-income, Missouri resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today
Tour Icon
Planning a tour? Check our touring checklist.
Chat Icon
Thinking of living here? We can help you speak to a current resident