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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.
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.
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 124th out of 276 homes in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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.
| 25m per day | ▼ 10% 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 | ▼ 35% 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 0m per day | ▼ 14% State avg: 2h 20m per day · National avg: 2h 21m 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.
| 2h 34m per day | ▼ 16% 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.
| 2m per day | ▲ 20% 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.
| 15m per day | ▼ 27% State avg: 20m per day · National avg: 29m per day |
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.
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.
This scorecard compares key inspection, citation, 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
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 64 | 35 | This facility has 83% more total deficiencies than a typical Missouri nursing home (64 vs. MO avg 35).↑ 83% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 8 | 4.4 | This facility has 82% more deficiencies per year than a typical Missouri nursing home (8 vs. MO avg 4.4).↑ 82% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4 | 5 | This facility has 20% fewer deficiencies per inspection than a typical Missouri nursing home (4 vs. MO avg 5).↓ 20% better |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 16 | 7 | This facility has 129% more total inspections than a typical Missouri nursing home (16 vs. MO avg 7).↑ 129% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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 averageMissouri average: 0.7
100% better than Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
16% fewer staff per resident than Missouri average
7% worse than Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 12 RN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursAssists with medical care and medications.
All 15 LPN Staff are full-time employees. No contractors work on this role.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursHelps with daily care and mobility.
All 43 CNA Staff are full-time employees. No contractors work on this role.
43
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,297 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 43 | 0 | 43 | 14,209 | 92 | 100% | 7.8 |
| Medication Aide/Technician | 10 | 0 | 10 | 4,315 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 15 | 0 | 15 | 3,954 | 92 | 100% | 8 |
| Registered Nurse | 12 | 0 | 12 | 2,844 | 92 | 100% | 6.9 |
| Nurse Aide in Training | 12 | 0 | 12 | 2,111 | 85 | 92% | 6.9 |
| Clinical Nurse Specialist | 2 | 1 | 3 | 987 | 72 | 78% | 7.4 |
| Dietitian | 2 | 0 | 2 | 964 | 71 | 77% | 7.7 |
| Dental Services Staff | 2 | 0 | 2 | 907 | 70 | 76% | 7.2 |
| Administrator | 2 | 0 | 2 | 701 | 66 | 72% | 7.5 |
| RN Director of Nursing | 1 | 0 | 1 | 620 | 64 | 70% | 9.7 |
| Other Dietary Services Staff | 1 | 0 | 1 | 501 | 63 | 68% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 475 | 60 | 65% | 7.9 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 413 | 68 | 74% | 6.1 |
| Physical Therapy Aide | 0 | 1 | 1 | 405 | 60 | 65% | 6.7 |
| Speech Language Pathologist | 0 | 3 | 3 | 240 | 65 | 71% | 3.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 86 | 12 | 13% | 7.2 |
| Physical Therapy Assistant | 0 | 3 | 3 | 79 | 47 | 51% | 1.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 34 | 7 | 8% | 4.9 |
| Qualified Social Worker | 0 | 2 | 2 | 9 | 11 | 12% | 0.8 |
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.
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 averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.0
23% worse than Missouri averageMissouri 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 averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
27.5%
33% worse than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.3%
18% worse than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
24% worse than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
2.2%
57% better than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.5%
45% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
2.9%
47% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
3.3%
74% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
17.0%
23% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
64.7%
24% worse than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.0%
In line with Missouri averageMissouri average: 90.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
43.5%
35% worse than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
33% worse than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
46.6%
27% worse than Missouri averageMissouri average: 63.5%
Rate of successful return to home or community from a skilled nursing facility.
52.3%
In line with Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
82Residents 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.
Historical financial and operational data for Republic Nursing and Rehab based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #73 / 286Payroll — State benchmarkedThis home is ranked 73rd out of 286 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Beauty Services
Transportation Services
Housekeeping Services
Rehabilitative Support
Social and Recreational Activities
On-site Medical Care and Health Services
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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.
Add your location
Republic Nursing and Rehab is located in Republic, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| 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
Facility
127
MO AVG
97
Rank
#82 / 454 |
74.0%
Facility
74.0%
MO AVG
66.6%
Rank
#158 / 428 | +11% | 3.82
Facility
3.82
MO AVG
3.74
Rank
#124 / 276 | +34% | +2% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 23
Facility
23
MO AVG
36.5
Rank
#95 / 281 | 4.6
Facility
4.6
MO AVG
5.7
Rank
#106 / 281 | - | 94 |
48
Facility
48
MO AVG
45
Rank
#262 / 563 | Darius Love | $8.3M
Facility
$8.3M
MO AVG
$8.4M
Rank
#98 / 286 | $5.2M
Facility
$5.2M
MO AVG
$3.3M
Rank
#73 / 286 | 62.8%
Facility
62.8%
MO AVG
45.6%
Rank
#75 / 286 | 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) | 120
Facility
120
MO AVG
97
Rank
#89 / 454 |
78.7%
Facility
78.7%
MO AVG
66.6%
Rank
#122 / 428 | +18% | 3.93
Facility
3.93
MO AVG
3.74
Rank
#111 / 276 | -55% | +5% | $26.2k
Facility
$26.2k
MO AVG
$76.9k
Rank
#198 / 283 | 8
Facility
8
MO AVG
36.5
Rank
#9 / 281 | 1.6
Facility
1.6
MO AVG
5.7
Rank
#2 / 281 | 1 | 93 |
48
Facility
48
MO AVG
45
Rank
#262 / 563 | Martin Alumno | $10.7M
Facility
$10.7M
MO AVG
$8.4M
Rank
#65 / 286 | $4.6M
Facility
$4.6M
MO AVG
$3.3M
Rank
#88 / 286 | 43.1%
Facility
43.1%
MO AVG
45.6%
Rank
#241 / 286 | 265731 |
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.
Republic Nursing and Rehab's occupancy is 74%.
Mr JOSHUA GROCE is the administrator of Republic Nursing and Rehab.
Republic Nursing and Rehab has 127 beds.
Yes — there are 6 photos of Republic Nursing and Rehab in the photo gallery on this page.
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