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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 107th out of 239 homes in Missouri.| Staff type | Hours / day | vs state avg |
|---|---|---|
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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.
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25m per day | ▼ 11% 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.
|
27m per day | ▼ 34% State avg: 41m per day · National avg: 52m per day |
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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.
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2h 12m per day | ▼ 6% State avg: 2h 20m per day · National avg: 2h 21m per day |
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Total Nursing (Weekend)
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.
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2h 44m per day | ▼ 10% 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.
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2m per day | ■ Avg State avg: 2m per day · National avg: 4m per day |
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RN (Weekend)
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.
|
16m per day | ▼ 20% State avg: 20m per day · National avg: 29m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
20% of new residents, usually for short-term rehab.
60% of new residents, often for short stays.
20% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #94 / 245Payroll — state benchmarkedThis home is ranked 94th out of 245 homes in Missouri.Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Missouri average: 66.6%
Republic Nursing and Rehab is legally operated by N & R Of Christian Republic, Llc, and administrated by Mr JOSHUA GROCE.
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Dining Services
Beauty Services
Transportation Services
Housekeeping Services
Rehabilitative Support
Social and Recreational Activities
On-site Medical Care and Health Services
Ways to qualify for care at this community, including accepted programs.
This facility is certified for eligible Medicare services.
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.
The data displayed corresponds to the last 8 years.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Missouri average: 35 deficiencies
The most recent inspection on July 24, 2024, identified deficiencies related to timely physician notification of a resident’s condition change and infection control practices during wound care and medication administration. Earlier inspections showed a pattern of various issues including resident abuse, medication misappropriation, care planning, safety measures, and environmental cleanliness. The main themes across reports involved lapses in resident care communication, infection control, abuse prevention, and medication security. Complaint investigations included substantiated findings of resident abuse and medication misappropriation, while other complaints were not listed as substantiated. The inspection history shows ongoing challenges with compliance in multiple areas without a clear pattern of sustained improvement.
Missouri average 6.6
Last Health inspection on Jul 2024
Missouri average 36.5
Missouri average 5.67
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.
100% better than Missouri average
Missouri average: 0.7
0
100% better than Missouri average
Missouri average: 1
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 24, 2024
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jul 24, 2024
Corrected
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Mar 14, 2024
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 14, 2024
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.
Republic Nursing and Rehab is located in Republic, Missouri.
Here are the financial assistance programs available to residents in Missouri.
1.5 miles from city center
Estimated distance in miles from Republic's city center to Republic Nursing and Rehab's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
10% worse than Missouri average
Missouri average ratio: 1.71:1
6% worse than Missouri average
Missouri average: 8.1 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
No contractors work on this role.
Total hours from contractors
1,448 contractor hours this quarter
| Certified Nursing Assistant | 41 | 0 | 41 | 14,790 | 91 | 100% | 8 |
| Medication Aide/Technician | 14 | 0 | 14 | 4,566 | 91 | 100% | 8.1 |
| Licensed Practical Nurse | 15 | 0 | 15 | 3,761 | 91 | 100% | 8.2 |
| Registered Nurse | 9 | 0 | 9 | 2,917 | 91 | 100% | 7 |
| Nurse Aide in Training | 14 | 0 | 14 | 2,229 | 91 | 100% | 6.7 |
| Dental Services Staff | 3 | 0 | 3 | 1,454 | 76 | 84% | 7.4 |
| Dietitian | 2 | 0 | 2 | 1,009 | 71 | 78% | 7.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 993 | 73 | 80% | 7.7 |
| RN Director of Nursing | 1 | 0 | 1 | 556 | 62 | 68% | 9 |
| Administrator | 1 | 0 | 1 | 491 | 68 | 75% | 7.2 |
| Physical Therapy Aide | 0 | 4 | 4 | 467 | 64 | 70% | 5.7 |
| Nurse Practitioner | 1 | 0 | 1 | 445 | 59 | 65% | 7.5 |
| Other Dietary Services Staff | 1 | 0 | 1 | 435 | 54 | 59% | 8.1 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 399 | 64 | 70% | 5.7 |
| Speech Language Pathologist | 0 | 6 | 6 | 356 | 59 | 65% | 5.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 87 | 12 | 13% | 7.3 |
| Physical Therapy Assistant | 0 | 5 | 5 | 68 | 30 | 33% | 2.1 |
| Qualified Social Worker | 0 | 1 | 1 | 37 | 22 | 24% | 1.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 34 | 6 | 7% | 5.7 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
82
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Percent of long-stay residents whose ability to move independently worsened
27.5%
33% worse than Missouri average
Missouri average: 20.6%
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%
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
24% worse than Missouri average
Missouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
2.2%
57% better than Missouri average
Missouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.5%
45% better than Missouri average
Missouri average: 2.7%
Percent of long-stay residents who lose too much weight
2.9%
47% better than Missouri average
Missouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
3.3%
74% better than Missouri average
Missouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
17.0%
23% better than Missouri average
Missouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
64.7%
24% worse than Missouri average
Missouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.0%
In line with Missouri average
Missouri average: 90.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
43.5%
35% worse than Missouri average
Missouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
33% worse than Missouri average
Missouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
46.6%
27% worse than Missouri average
Missouri average: 63.5%
Rate of successful return to home or community from a skilled nursing facility.
52.3%
In line with Missouri average
Missouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
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| Republic Nursing and 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). |
Republic | 127 | 81.7% | +23% | 3.82 | -9% | +2% | 0 | 23 | 4.6 | - | 109 | 48 | Love, Darius | $8.3M | $3.2M | 38.4% | 265326 | ||||
| Magnolia Square Nursing |
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). |
Springfield (Southwest Carrollton) | - | 78.7% | +18% | 3.93 | - | +5% | 1 | - | - | - | 94 | 48 | Alumno, Martin | $10.7M | $3.7M | 34.6% | 265731 |
Historical financial and operational data for Republic Nursing and Rehab based on CMS SNF Cost Reports.
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Republic Nursing and Rehab is in the Republic neighborhood of Republic.
The legal owner and operator of Republic Nursing and Rehab is N & R Of Christian Republic, Llc.
Republic Nursing and Rehab has a walk score of 48. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Mr JOSHUA GROCE is the administrator of Republic Nursing and Rehab.
Republic Nursing and Rehab has 127 beds.
Republic Nursing and Rehab is located at 901 State Hwy 174, Republic, MO 65738.
(417) 732-1822 will put you in contact with the team at Republic Nursing and Rehab.
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