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Nursing Home in Greene County

CMS overall rating Info 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.

Republic Nursing and Rehab

Nursing Home in Greene County

CMS overall rating Info 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.

Republic Nursing and Rehab

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 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.
4/5
Missouri average: 2.6/5
Health Inspection Info 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.
4/5
Missouri average: 2.9/5
Staffing Info 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.
3/5
Missouri average: 2.2/5
Quality Measures Info 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.
4/5
Missouri average: 2.8/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 49m per day

This home provides 1% more nursing time per resident than the Missouri average.

Missouri average: 3h 48m 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
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 74%
Residents per day (avg) 109
Occupancy rate
74%
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

Privately-owned community
Operated by a business corporation.
Home revenue
$8.3M
Operating loss
-$560.7K
Privately-owned community Operated by a business corporation.
Home revenue
$8.3M
Operating loss
-$560.7K
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

Occupancy

Occupancy rate
74%
In line with Missouri average
Occupied beds
94 / 127
Average residents 72 per day

License Details

Facility TypeSnf
CountyGREENE

Additional Licensing Details

CMS Certification Number265326

Ownership & Operating Entity

Republic Nursing and Rehab is legally operated by N & R Of Christian Republic, Llc, and administrated by Groce.

Corporate EntityN & R OF CHRISTIAN REPUBLIC, LLC

Memory & Specialized Care

1 service
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

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.

5 visits/inspections

3 visits/inspections triggered by complaints

2 routine inspections

Results

5 with issues

0 without issues

Latest inspection

Date July 24, 2024
Complaint Investigation

23 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Missouri average: 35 deficiencies

Health Inspection History

Inspections
Total health inspections 5

Missouri average 6.6


Last Health inspection on Jul 2024

Total health citations 23

Missouri average 36.5

Citations per inspection
4.6

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.

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 Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jul 24, 2024
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Jul 24, 2024
Corrected

Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Mar 14, 2024
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Mar 14, 2024
Corrected

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.

2 facilities compared · CMS & MO Dept. of Health data · Updated Apr 2026

Filter by care type
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
0
109
-
48
Love, Darius
$8.1M
$3.2M
39.4%
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).

Richfield
-
78.7%
+12%
3.93
-
+6%
1
0
0.0
0
94
-
-
Alumno, Martin
$10.7M
$3.7M
34.6%
265731

Places of interest near Republic Nursing and Rehab

Address 1.5 miles from city center

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 127
Employees 104
Contractors 23
Staff to resident ratio 1.55:1
10% worse than Missouri average

Missouri average ratio: 1.71:1

Avg staff/day 51
Average shift 7.6 hours
6% worse than Missouri average

Missouri average: 8.1 hours

Total staff hours (quarter) 35,095
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 15
Average shift length Info 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.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 41
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

4.1%

1,448 contractor hours this quarter

Speech Language Pathologist: 6 Respiratory Therapy Technician: 5 Physical Therapy Assistant: 5 Physical Therapy Aide: 4 Qualified Social Worker: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1
Staff by category
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
41 Certified Nursing Assistant
% of Days 100%
14 Medication Aide/Technician
% of Days 100%
15 Licensed Practical Nurse
% of Days 100%
9 Registered Nurse
% of Days 100%
14 Nurse Aide in Training
% of Days 100%
3 Dental Services Staff
% of Days 84%
2 Dietitian
% of Days 78%
2 Clinical Nurse Specialist
% of Days 80%
1 RN Director of Nursing
% of Days 68%
1 Administrator
% of Days 75%
4 Physical Therapy Aide
% of Days 70%
1 Nurse Practitioner
% of Days 65%
1 Other Dietary Services Staff
% of Days 59%
5 Respiratory Therapy Technician
% of Days 70%
6 Speech Language Pathologist
% of Days 65%
1 Occupational Therapy Aide
% of Days 13%
5 Physical Therapy Assistant
% of Days 33%
1 Qualified Social Worker
% of Days 24%
1 Occupational Therapy Assistant
% of Days 7%

Facility Characteristics

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

Total census
82 residents
Residents by payment source
Medicaid
72 residents (87.8%)
Private pay or other
10 residents (12.2%)
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.

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
Above average Missouri avg: 3.1 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 23.1%
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

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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.

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