Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
122
103 employees · 19 contractors · 46 on an average day Republic Nursing and Rehab
Nursing Home & Skilled Nursing · Republic, MO
ALM Inspection Grade
A-
ALM's inspection grade is 91 / 100, an A- — 8 points above the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 91 / 100, an A- — 8 points above the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
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.
5/5
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 Rehab
Nursing Home & Skilled Nursing · Republic, MO
ALM Inspection Grade
A-
ALM's inspection grade is 91 / 100, an A- — 8 points above the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 91 / 100, an A- — 8 points above the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
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.
5/5
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 Rehab accepts Medicare, Medicaid, and private pay.
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
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 156th out of 275 nursing homes we track 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.
3h 28m
This nursing home is ranked 156th out of 275 nursing homes we track 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.
3h 28mStandout metric: Registered nurse (RN) is +11% above Missouri average
3 of 6 metrics below Missouri average
Daily care time per resident, by role
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. 13 total: 12 of the facility's own employees and 1 agency contractor.
13 staff · 7.4-hour shifts
31m
↑ 11% · MO 28mThis facility: 31m per resident per day, 11% above the Missouri average of 28m (among Missouri facilities reporting a recent figure).
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. 13 total: 12 of the facility's own employees and 1 agency contractor.
13 staff · 7.4-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. All 14 are the facility's own employees; no agency contractors work in this role.
14 staff · 8.3-hour shifts
35m
↓ 15% · MO 41mThis facility: 35m per resident per day, 15% below the Missouri average of 41m (among Missouri facilities reporting a recent figure).
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. All 14 are the facility's own employees; no agency contractors work in this role.
14 staff · 8.3-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 40 are the facility's own employees; no agency contractors work in this role.
40 staff · 8.5-hour shifts
2h 22m
↑ 2% · MO 2h 20mThis facility: 2h 22m per resident per day, 2% above the Missouri average of 2h 20m (among Missouri facilities reporting a recent figure).
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. All 40 are the facility's own employees; no agency contractors work in this role.
40 staff · 8.5-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
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
↓ 4% · MO 2mThis facility: 2m per resident per day, 4% below the Missouri average of 2m (among Missouri facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
3h 8m
↑ 3% · MO 3h 3mThis facility: 3h 8m per resident per day, 3% above the Missouri average of 3h 3m (among Missouri facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
18m
↓ 9% · MO 20mThis facility: 18m per resident per day, 9% below the Missouri average of 20m (among Missouri facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
122
103 employees · 19 contractors · 46 on an average day
122 total staff / 115 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.06 : 1
↓ 32% · MO 1.57This facility: 1.06 staff per resident, 32% below the Missouri average of 1.57 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
122 staff ÷ 115 residents
See full Missouri ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.8 h
↓ 4% · MO 8.1 hThis facility: 7.8 h, 4% below the Missouri average of 8.1 h (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
32,723 staff hours this quarter
See full Missouri ranking →96.1% of staff hours were worked by the facility's own employees
Missouri average: 92.6% · Contractors this quarter: Respiratory Therapy Technician (5), Physical Therapy Assistant (4), Qualified Social Worker (3), Speech Language Pathologist (2), Registered Nurse (1), Physical Therapy Aide (1), Occupational Therapy Aide (1), Occupational Therapy Assistant (1), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
127
Rank #71 / 287Bed count — State benchmarked This nursing home is ranked 71st out of 287 nursing homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
127
Rank #71 / 287Bed count — State benchmarked This nursing home is ranked 71st out of 287 nursing homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #159 / 294Walk Score — State benchmarked This nursing home is ranked 159th out of 294 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #159 / 294Walk Score — State benchmarked This nursing home is ranked 159th out of 294 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
48
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #68 / 265Occupancy rate — State benchmarked This nursing home is ranked 68th out of 265 nursing homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 265. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #68 / 265Occupancy rate — State benchmarked This nursing home is ranked 68th out of 265 nursing homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 265. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
83%
This home usually has availability
Based on 105.4 residents and 127 beds. Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Higher than the Missouri average: 69.5%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
108
days
About This Community
Facility TypeSkilled Nursing Facility
CountyGreene
CMS Certification Number265326
Republic Nursing and Rehab is legally operated by N & R Of Christian Republic, LLC, and administered by Mr. Joshua Groce.
Corporate EntityN & R OF CHRISTIAN REPUBLIC, LLC
Resident Council
Family Council
CNA Training Program
Housekeeping
Transportation
Beauty Services
Building TypeSingle-story
Room Types
Private
Semi-Private Rooms
CMS Health Inspection History
ALM Inspection Grade
91 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
8 points above the Missouri average for CMS-certified facilities (83/100)
Category breakdown
Citations
Strong
38 severity-weighted points (17 deficiencies) · 2× lower than the typical CMS-certified MO facility (median: 88)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Concern
45 days to fix issues · slower than the typical CMS-certified MO facility (median: 42)
Total health inspections
4
↓ 39% · MO 6.6This facility: 4, 39% below the Missouri average of 6.6 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
17
Rank #58 / 277Health citations — State benchmarked This nursing home is ranked 58th out of 277 nursing homes we track in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 277 MO facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 53% · MO 36.1This facility: 17, 53% below the Missouri average of 36.1 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
4.25
Rank #86 / 277Citations per inspection — State benchmarked This nursing home is ranked 86th out of 277 nursing homes we track in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 277 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 24% · MO 5.61This facility: 4.25, 24% below the Missouri average of 5.61 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
17 of 17 citations corrected
Critical
J–L
0
↓ 100% · MO 0.6This facility: 0, 100% below the Missouri average of 0.6 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · MO 1.1This facility: 0, 100% below the Missouri average of 1.1 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
17
↓ 49% · MO 33.3This facility: 17, 49% below the Missouri average of 33.3 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · MO 1.1This facility: 0, 100% below the Missouri average of 1.1 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Sep 18, 2025 · 1 citation (Nutrition, moderate), corrected
Most cited category: Quality of Life & Care, 6 of 17 citations · 7 categories in total
Citations history
Most recent first
Sep 18, 2025
1 citation
Nutrition moderate citation
Corrected
Corrected
Jul 24, 2024
2 citations
Resident Rights moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Mar 14, 2024
8 citations
Nutrition moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Feb 25, 2022
6 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Top deficiency categories
Share of 17 citations
Quality of Life & Care
6 deficiencies (35%)
Resident Assessment & Care Planning
3 deficiencies (18%)
Nutrition & Dietary
2 deficiencies (12%)
Abuse, Neglect & Exploitation
2 deficiencies (12%)
Environmental
2 deficiencies (12%)
Infection Control
1 deficiency (6%)
Resident Rights
1 deficiency (6%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 17 citations resulted from standard inspections; and 2 of 17 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
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 · Data as of Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Total fines
$0
MO avg $84KMissouri average: $83,906. Average among the 213 Missouri facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0
MO avg 1.79Missouri average: 1.79. Average among the 213 Missouri facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
MO avg 0.72Missouri average: 0.72. Average among the 213 Missouri facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Missouri average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 83% · MO 2.7This facility: 5.0, 83% above the MO average of 2.7 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
8.5
Score · lower is better
↓ 9% · MO 9.3This facility: 8.5, 9% below the MO average of 9.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
17.2
Score · lower is better
↑ 2% · MO 16.8This facility: 17.2, 2% above the MO average of 16.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 6 better, 2 worse, 3 near MO average
4 short-stay measures: 3 better, 1 compared with US only
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
16.9%
↓ 3% · MO 17.4This facility: 16.9, 3% below the MO average of 17.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
16.9%
↓ 3% · MO 17.4This facility: 16.9, 3% below the MO average of 17.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
19.3%
↑ 22% · MO 15.8This facility: 19.3, 22% above the MO average of 15.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
19.3%
↑ 22% · MO 15.8This facility: 19.3, 22% above the MO average of 15.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.3%
↓ 10% · MO 17.0This facility: 15.3, 10% below the MO average of 17.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.3%
↓ 10% · MO 17.0This facility: 15.3, 10% below the MO average of 17.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
2.2%
↓ 2% · MO 2.2This facility: 2.2, 2% below the MO average of 2.2 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
2.2%
↓ 2% · MO 2.2This facility: 2.2, 2% below the MO average of 2.2 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
↓ 52% · MO 4.0This facility: 1.9, 52% below the MO average of 4.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
↓ 52% · MO 4.0This facility: 1.9, 52% below the MO average of 4.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
1.7%
↓ 63% · MO 4.5This facility: 1.7, 63% below the MO average of 4.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
1.7%
↓ 63% · MO 4.5This facility: 1.7, 63% below the MO average of 4.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
2.6%
↓ 50% · MO 5.1This facility: 2.6, 50% below the MO average of 5.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
2.6%
↓ 50% · MO 5.1This facility: 2.6, 50% below the MO average of 5.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
1.6%
↓ 92% · MO 20.0This facility: 1.6, 92% below the MO average of 20.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
1.6%
↓ 92% · MO 20.0This facility: 1.6, 92% below the MO average of 20.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
26.1%
↑ 11% · MO 23.5This facility: 26.1, 11% above the MO average of 23.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
26.1%
↑ 11% · MO 23.5This facility: 26.1, 11% above the MO average of 23.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
80.5%
↓ 4% · MO 84.0This facility: 80.5, 4% below the MO average of 84.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
80.5%
↓ 4% · MO 84.0This facility: 80.5, 4% below the MO average of 84.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.2%
↑ 7% · MO 90.8This facility: 97.2, 7% above the MO average of 90.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.2%
↑ 7% · MO 90.8This facility: 97.2, 7% above the MO average of 90.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 4 measures
Daily care & independence
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
52.3%
↑ 3% · US 50.6This facility: 52.3, 3% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
52.3%
↑ 3% · US 50.6This facility: 52.3, 3% above the US average of 50.6 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
↓ 68% · MO 2.1This facility: 0.7, 68% below the MO average of 2.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
↓ 68% · MO 2.1This facility: 0.7, 68% below the MO average of 2.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.3%
↑ 31% · MO 65.8This facility: 86.3, 31% above the MO average of 65.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.3%
↑ 31% · MO 65.8This facility: 86.3, 31% above the MO average of 65.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.4%
↑ 45% · MO 61.5This facility: 89.4, 45% above the MO average of 61.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.4%
↑ 45% · MO 61.5This facility: 89.4, 45% above the MO average of 61.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Republic Nursing and Rehab’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 270 Missouri nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Losing money on care, but less than last year
−4.2% operating margin
+5.9 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($0.0M) trims the net loss to −$0.3M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Payroll in line with Missouri homes
54.7% payroll share of revenue
MO average 55.0%Rank #119 / 270Payroll % of net patient revenue — State benchmarked This nursing home is ranked 119th out of 270 nursing homes we track in Missouri for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.9M while revenue rose $0.6M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Missouri homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | MO median | Compared with MO homesRank in MO | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $8.2M | +$0.6M | Trend 20172024 | MO median $6.2M | Rank in MO Rank #95 / 270Net patient revenue — State benchmarked This nursing home is ranked 95th out of 270 nursing homes we track in Missouri for net patient revenue. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 65% of homes | Above MO median Higher net patient revenue than 65% of MO homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $8.5M | +$0.2M | Trend 20172024 | MO median $6.5M | Rank in MO Rank #92 / 270Operating expenses — State benchmarked This nursing home is ranked 92nd out of 270 nursing homes we track in Missouri for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Missouri homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 66% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.3M | +$0.4M | Trend 20172024 | MO median −$0.1M | Rank in MO Rank #175 / 270Net patient income — State benchmarked This nursing home is ranked 175th out of 270 nursing homes we track in Missouri for net patient income. Shows net patient revenue minus operating expenses, compared with other Missouri homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 35% of homes | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −4.2% | +5.9 pts | Trend 20172024 | MO median −1.4% | Rank in MO Rank #160 / 270Operating margin — State benchmarked This nursing home is ranked 160th out of 270 nursing homes we track in Missouri for operating margin. Shows net patient income as a share of net patient revenue, compared with other Missouri homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 41% of homes | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | MO median $0.0M | Rank in MO Rank #216 / 264Other income — State benchmarked This nursing home is ranked 216th out of 264 nursing homes we track in Missouri for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Missouri homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 18% of homes | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$0.3M | +$0.2M | Trend — | MO median $0.0M | Rank in MO Rank #194 / 270Net income — State benchmarked This nursing home is ranked 194th out of 270 nursing homes we track in Missouri for net income. Shows the bottom line after other income, compared with other Missouri homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 28% of homes | Loss The bottom line is below zero even after other income. |
Staffing spend
Staff spending in line with Missouri homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | MO median | Compared with MO homesRank in MO | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $4.5M | +$0.9M | Trend 20172024 | MO median $3.5M | Rank in MO Rank #89 / 270Payroll costs — State benchmarked This nursing home is ranked 89th out of 270 nursing homes we track in Missouri for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 67% of homes | Above MO median Higher payroll than 67% of MO homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 54.7% | +7.4 pts | Trend 20172024 | MO median 52.4% | Rank in MO Rank #119 / 270Payroll % of net patient revenue — State benchmarked This nursing home is ranked 119th out of 270 nursing homes we track in Missouri for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 56% of homes | Near MO average The MO average is 55.0% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · MO benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Missouri payroll average.
% of net patient revenue
Payroll share Operating margin MO payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $6.8M | $6.6M | $6.7M | $6.2M | $6.5M | $7.6M | $7.6M | $8.2M |
| Operating expenses | $6.8M | $6.7M | $6.8M | $6.9M | $6.6M | $7.9M | $8.4M | $8.5M |
| Net patient income | −$0.0M | −$0.1M | −$0.0M | −$0.7M | −$0.1M | −$0.2M | −$0.8M | −$0.3M |
| Operating margin | −0.2% | −1.7% | −0.6% | −11.5% | −1.1% | −3.1% | −10.1% | −4.2% |
| Net income | $0.0M | −$0.1M | −$0.0M | $0.4M | $0.6M | −$0.1M | −$0.6M | −$0.3M |
| Payroll costs | $3.2M | $3.1M | $3.2M | $3.3M | $3.1M | $3.6M | $3.6M | $4.5M |
| Payroll share of revenue | 47.3% | 47.0% | 47.1% | 53.9% | 47.3% | 47.5% | 47.3% | 54.7% |
| Beds | 127 | 127 | 127 | 127 | 127 | 127 | 127 | 127 |
| Gross revenue | $8.0M | $7.7M | $7.6M | $6.7M | $7.4M | $8.2M | $8.1M | $8.1M |
| Salaries | $2.8M | $2.7M | $2.7M | $2.9M | $2.7M | $3.2M | $3.2M | $4.0M |
| Wage-related costs | $0.4M | $0.4M | $0.4M | $0.4M | $0.4M | $0.4M | $0.4M | $0.5M |
| Contract labor | $0.6M | $0.6M | $0.6M | $0.5M | $0.6M | $1.2M | $1.6M | $0.9M |
| Other operating costs | $3.6M | $3.6M | $3.6M | $3.6M | $3.5M | $4.2M | $4.8M | $4.0M |
| Net patient revenue per day | $185 | $193 | $203 | $201 | $206 | $203 | $201 | $224 |
| Cost per day | $185 | $196 | $205 | $225 | $208 | $209 | $221 | $234 |
| Average length of stay | 164.9 days | 198.1 days | 77.4 days | 81.0 days | 89.0 days | 132.6 days | 114.0 days | 108.3 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
202 admissions · FY2024
Residents admitted during the year.
Medicare
19 · 9%
Medicaid
72 · 36%
Private pay & other
111 · 55%
Resident snapshot
115 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
0 · 0%
Medicaid
89 · 77%
Private pay & other
26 · 23%
Leaving
336 discharges · FY2024
Residents discharged during the year.
Medicare
12 · 4%
Medicaid
164 · 49%
Private pay & other
160 · 48%
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.
Places of interest near Republic Nursing and Rehab
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.
Calculate Travel Distance to Republic Nursing and Rehab
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Financial Assistance for
Nursing Home in Missouri
Republic Nursing and Rehab is located in Republic, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Know before you visit
Frequently Asked Questions about Republic Nursing and Rehab
Quick answers from public records and the community's own listing.01 Who is the owner of Republic Nursing and Rehab?
Republic Nursing and Rehab is legally operated by N & R Of Christian Republic, LLC, and administered by Mr. Joshua Groce.
02 Is Republic Nursing and Rehab in a walkable area?
Republic Nursing and Rehab has a walk score of 48. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
03 What is the occupancy rate at Republic Nursing and Rehab?
Republic Nursing and Rehab's occupancy is 83%.
04 Are pets allowed at Republic Nursing and Rehab?
No, Republic Nursing and Rehab has a no-pet policy.
05 Does Republic Nursing and Rehab operate as a for-profit or non-profit?
Republic Nursing and Rehab is registered as a for-profit in MO.
06 Who is the administrator of Republic Nursing and Rehab?
Mr. Joshua Groce is the administrator of Republic Nursing and Rehab.
07 What is the overall rating for Republic Nursing and Rehab?
Republic Nursing and Rehab received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
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