Rocky Ridge Manor

Nursing Home, Hospice Care & Skilled Nursing · Mansfield, MO

CMS overall rating

3111 Highway A, Mansfield, MO 65704-8105 View map

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Rocky Ridge Manor accepts Medicare, Medicaid, and private pay.

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Rocky Ridge Manor accepts Medicare, Medicaid, and private pay.

Overview of Rocky Ridge Manor

Rocky Ridge Manor is a skilled nursing home in Mansfield, Missouri, that has operated on Highway A for nearly three decades. The 65-bed facility is operated by N & R Of Mansfield, LLC, owned by Denise Lynn Evans, and is administered by Hughie Gibson. It accepts Medicare, Medicaid, and private pay, providing families several ways to cover short-term rehabilitation and longer-term nursing care.

The home is 74% occupied. Most residents stay an average of 134 days, including post-acute rehabilitation and ongoing skilled nursing needs.

Clinically, Rocky Ridge Manor offers a full range of nursing and rehabilitation services. Licensed nurse staffing averages 4 hours and 2 minutes of total daily care per resident, with registered nurses, nurse aides, and licensed practical nurses on staff. The home offers physical and occupational therapies. There’s a doctor on staff who works with registered dietitians and provides specialized behavioral and Alzheimer’s care. Hospice services are also available for patients nearing the end of life.

The facility’s amenities and specialized services include a spa specialist, restorative therapy, in-house laundry, a vegetable garden, and free CNA and CMT continuing-education classes for staff. Dining is handled through comprehensive meal services that offer a variety of nutritious options to suit individual preferences. The home provides transportation for residents, and its goal is to maintain a homelike environment within its care setting.

Mansfield’s Walkability Score is 50 out of 100. Some errands can be accomplished on foot, but most trips will require a car. The surrounding area is moderately accessible for families, but it’s largely car-dependent.

Missouri Department of Health and Senior Services’ state inspections identified issues around reporting and investigation protocols, infection control practices, pain management, care plan documentation, and environmental cleanliness. Families evaluating the facility can ask and clarify these findings during a facility tour.

Facility Direct Line (417) 924-8116

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 2m per day

vs avg

5 of 6 metrics below state avg

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.	26m per day	▼ 8% 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.	19m per day	▼ 54% 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 21m per day	■ Avg State avg: 2h 19m per day · National avg: 2h 20m 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 52m per day	▼ 6% 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.	0m per day	▼ 89% 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.	18m per day	▼ 12% State avg: 20m per day · National avg: 28m per day

Capacity and availability

134 days

65-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

29 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 50 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

BBB Rating: A+ (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate

74%

Higher than the Missouri average: 66.6%

Occupied beds

48 / 65

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceDecember 21, 2024

ExpirationDecember 20, 2026

CountyWright

License Number052367

CMS Certification Number265494

Certification TypeMedicare / Medicaid

Rocky Ridge Manor is legally operated by N & R Of Mansfield, LLC, and administered by Hughie Gibson.

Corporate EntityN & R OF MANSFIELD, LLC

Owner NameN & R Of Mansfield, LLC

Skilled Nursing Facility

65 units

Total beds

65 units

Staffing

Key information about the people who lead and staff this community.

ContactGeorge Mathes, Co-Owner (per BBB, record updated Jul 2026)

Rehabilitation Services

Doctor on Staff

24-Hour Staffing

Skilled Nursing Care

Physical And Occupational Therapies

Dietitians

Behavioral And Alzheimer’s Care

Hospice

Pets not allowed

Professional Medical Care

Spa Specialist

Restorative Therapy

Rehab Services

In House Laundry

Complete Dining Services

Homelike Environment

Vegetable Garden

Free Cna & Cmt Classes

Since 2018 · 8 years of data 62 deficiencies 13 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, 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.

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection January 13, 2026 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	62	35	This facility has 77% more total deficiencies than a typical Missouri assisted living residence (62 vs. MO avg 35).↑ 77% worse
Deficiencies per year Average deficiencies per year since 2018.	7.8	4.4	This facility has 77% more deficiencies per year than a typical Missouri assisted living residence (7.8 vs. MO avg 4.4).↑ 77% worse
Deficiencies per inspection Average deficiencies per inspection.	4.8	2.9	This facility has 66% more deficiencies per inspection than a typical Missouri assisted living residence (4.8 vs. MO avg 2.9).↑ 66% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	13	12	This facility has had 8% more total inspections than the Missouri average (13 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 8% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

January 13, 2026 complaint inspection found failures to timely report abuse allegations and incomplete investigations, with accused staff not suspended during the process.
September 12, 2024 routine inspection cited 10 deficiencies including poor infection control, inadequate pain management, missing care plan updates, and unsanitary environment issues.
November 18, 2022 annual inspection found no health deficiencies during the facility survey.

Show Inspection Reports

Inspections since 2019

Total health inspections 5

State average N/A

Last Health inspection on Apr 2025

Total health citations

State average N/A

Citations per inspection

4.6

State average N/A

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

16 of 23 citations resulted from standard inspections; and 7 of 23 resulted from complaint investigations.

Breakdown of citation severity (last 7 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

22 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 7 years)

Abuse/Neglect moderate citation Apr 30, 2025

Corrected

Abuse/Neglect moderate citation Apr 30, 2025

Corrected

Resident Rights moderate citation Apr 30, 2025

Corrected

Abuse/Neglect serious citation Jan 15, 2025

Corrected

Total staff 78

Employees 42

Contractors 36

Staff to resident ratio 1.95 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 23

Average shift 7.5 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 15,766

Nursing staff breakdown

7.6 hours

8.1 hours

7.6 hours

Contractor staffing

2,141 contractor hours this quarter

Certified Nursing Assistant: 21 Registered Nurse: 6 Speech Language Pathologist: 2 Physical Therapy Aide: 2 Qualified Social Worker: 1 Physical Therapy Assistant: 1 Respiratory Therapy Technician: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	19	21	40	7,601	92	100%	7.6
Medication Aide/Technician	4	0	4	2,200	92	100%	10.9
Registered Nurse	4	6	10	1,474	92	100%	7.6
Licensed Practical Nurse	3	0	3	842	82	89%	8.1
Dental Services Staff	2	0	2	785	66	72%	6.7
Nurse Aide in Training	6	0	6	751	78	85%	6.1
RN Director of Nursing	1	0	1	566	74	80%	7.7
Nurse Practitioner	1	0	1	444	62	67%	7.2
Administrator	1	0	1	413	55	60%	7.5
Dietitian	1	0	1	331	47	51%	7
Physical Therapy Aide	0	2	2	218	66	72%	3.3
Speech Language Pathologist	0	2	2	60	46	50%	1.3
Physical Therapy Assistant	0	1	1	23	15	16%	1.5
Occupational Therapy Aide	0	1	1	20	3	3%	6.8
Respiratory Therapy Technician	0	1	1	17	14	15%	1.2
Occupational Therapy Assistant	0	1	1	16	3	3%	5.2
Qualified Social Worker	0	1	1	5	12	13%	0.4

40 Certified Nursing Assistant

% of Days 100%

4 Medication Aide/Technician

% of Days 100%

10 Registered Nurse

% of Days 100%

3 Licensed Practical Nurse

% of Days 89%

2 Dental Services Staff

% of Days 72%

6 Nurse Aide in Training

% of Days 85%

1 RN Director of Nursing

% of Days 80%

1 Nurse Practitioner

% of Days 67%

1 Administrator

% of Days 60%

1 Dietitian

% of Days 51%

2 Physical Therapy Aide

% of Days 72%

2 Speech Language Pathologist

% of Days 50%

1 Physical Therapy Assistant

% of Days 16%

1 Occupational Therapy Aide

% of Days 3%

1 Respiratory Therapy Technician

% of Days 15%

1 Occupational Therapy Assistant

% of Days 3%

1 Qualified Social Worker

% of Days 13%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 6.7

39% better than State average

State average: 10.9

Functional decline score 12.8

34% better than State average

State average: 19.5

Long-stay resident measures

Average State avg: 2.7

Need for Help with Daily Activities Increased 8.3%

58% better than State average

State average: 19.8%

Walking Ability Worsened 14.9%

28% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 15.1%

17% better than State average

State average: 18.1%

Falls with Major Injury 8.1%

99% worse than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 2.3%

55% better than State average

State average: 5.0%

Urinary Tract Infection 1.2%

58% better than State average

State average: 2.7%

Lost Too Much Weight 0.0%

100% better than State average

State average: 5.6%

Depressive Symptoms 8.2%

36% better than State average

State average: 12.8%

Antipsychotic Use 27.3%

24% worse than State average

State average: 22.0%

Pneumococcal Vaccine 48.3%

43% worse than State average

State average: 85.2%

Influenza Vaccine 93.8%

In line with State average

State average: 90.9%

Short-stay resident measures

Pneumococcal Vaccine 18.4%

72% worse than State average

State average: 66.6%

Breakdown by payment type

Medicare

7% of new residents, usually for short-term rehab.

Typical stay 27 days

Private pay

36% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

57% of new residents, often for long-term daily care.

Typical stay 6 - 7 months

Total residents 40

Medicaid

97.5% of residents

Private pay or other

2.5% of residents

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.

Financial Trends

Historical financial and operational data for Rocky Ridge Manor from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 46.4% ↑ 1.3pp vs 2022

Net Patient Income -$985.4K ↓ ~$216.0K vs 2022

Payroll Costs $1.4M ↑ ~$113.8K vs 2022

Operating Margin -50.3% ↓ 10.0pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	64.6%	54.4%	47.4%	68.7%	67.7%	67.9%	70.7%	67.8%	63.8%	61.0%	59.5%	45.1%	46.4%
Beds	65	65	65	65	65	65	65	65	65	65	65	65	65
Net Income	$22,437	-$95,629	-$459,258	$13,409	$103,341	$38,670	$55,338	$57,960	-$31,403	$280,877	$56,163	-$671,477	-$901,180
Gross Revenue	$2,888,869	$2,247,912	$2,073,768	$3,073,938	$2,870,549	$2,913,734	$2,875,997	$2,990,854	$2,887,053	$2,936,614	$2,597,331	$1,876,162	$2,119,233
Operating Expenses	$2,459,013	$2,191,261	$2,296,764	$2,524,560	$2,518,292	$2,579,659	$2,624,524	$2,579,377	$2,674,889	$2,930,223	$2,779,573	$2,680,258	$2,944,352
Net Patient Income	$18,340	-$99,760	-$465,249	$643	$86,789	$28,156	$44,219	$45,528	-$45,482	-$269,886	-$266,440	-$769,320	-$985,350
Net Patient Revenue	$2,477,353	$2,091,501	$1,831,515	$2,525,203	$2,605,081	$2,607,815	$2,668,743	$2,624,905	$2,629,407	$2,660,337	$2,513,133	$1,910,938	$1,959,002
Payroll Costs	$974,454	$923,247	$943,114	$1,106,571	$1,115,153	$1,142,187	$1,213,102	$1,130,340	$1,212,499	$1,297,504	$1,269,330	$1,323,316	$1,437,113
Operating Margin %	0.7%	-4.8%	-25.4%	0.0%	3.3%	1.1%	1.7%	1.7%	-1.7%	-10.1%	-10.6%	-40.3%	-50.3%
Medicare %	9.6%	7.0%	6.3%	6.8%	4.9%	3.6%	2.6%	3.3%	2.8%	3.3%	1.7%	0.0%	1.4%
Medicaid %	48.1%	52.9%	58.1%	65.2%	81.9%	79.2%	86.0%	86.7%	87.3%	87.9%	90.9%	92.7%	85.0%
Private %	42.3%	40.1%	35.6%	28.0%	13.2%	17.2%	11.4%	10.0%	9.9%	8.7%	7.4%	7.3%	13.6%
Net Patient Revenue/Day	$162	$162	$163	$155	$162	$161	$159	$163	$174	$183	$178	$179	$178
Cost/Day	$161	$169	$204	$155	$157	$160	$157	$160	$177	$202	$197	$251	$268
Avg Length of Stay	89.1 days	182.1 days	173.1 days	152.4 days	155.9 days	197.0 days	209.6 days	233.1 days	145.6 days	157.7 days	158.6 days	254.7 days	134.2 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$2.0M

Net patient income

-$985.4K

For-profit Individual

Net patient revenue

$2.0M

Net patient income

-$985.4K

Other income

$84.2K

Payroll costs

$1.4M 73.4% of net patient revenue

Other operating costs

$1.5M

Total costs

$2.9M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (57% of admissions), and a typical Medicaid stay runs around 6 - 7 months.

Coverage residents most often arrive under.

Medicare 7%

Private pay 36%

Medicaid 57%

Coverage residents most often leave under.

Medicare 6%

Private pay 30%

Medicaid 63%

0.0 miles from city center Estimated distance in miles from Mansfield's city center to Rocky Ridge Manor's address, calculated via Google Maps.

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


Laclede Groves	NH AL IL MC	St. Louis	-	251	-	35	-
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Heisinger Bluffs	NH AL IL MC RC SNF	Jefferson City	-	111	-	32	1 Bed / 2 Bed / 3 Bed
Rocky Ridge Manor	NH HOS SNF	A Mansfield	-	65	A+	50	-

Nursing Home Explorer

Who is the owner of Rocky Ridge Manor?

Rocky Ridge Manor is legally operated by N & R Of Mansfield, LLC, and administered by Hughie Gibson.

Is Rocky Ridge Manor in a walkable area?

Rocky Ridge Manor has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Rocky Ridge Manor?

According to MO state health department records, Rocky Ridge Manor's license number is 052367.

When does Rocky Ridge Manor's license expire?

According to MO state health department records, Rocky Ridge Manor's license expires on December 20, 2026.

What is the occupancy rate at Rocky Ridge Manor?

Rocky Ridge Manor's occupancy is 74%.

Are pets allowed at Rocky Ridge Manor?

No, Rocky Ridge Manor has a no-pet policy.

Does Rocky Ridge Manor operate as a for-profit or non-profit?

Rocky Ridge Manor is registered as a for-profit in MO.

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Rocky Ridge Manor

Overview of Rocky Ridge Manor

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Staffing

Leadership

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Additional Policies & Features

Amenities & Lifestyle

Contact Rocky Ridge Manor

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

40 Certified Nursing Assistant

4 Medication Aide/Technician

10 Registered Nurse

3 Licensed Practical Nurse

2 Dental Services Staff

6 Nurse Aide in Training

1 RN Director of Nursing

1 Nurse Practitioner

1 Administrator

1 Dietitian

2 Physical Therapy Aide

2 Speech Language Pathologist

1 Physical Therapy Assistant

1 Occupational Therapy Aide

1 Respiratory Therapy Technician

1 Occupational Therapy Assistant

1 Qualified Social Worker

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Places of interest near Rocky Ridge Manor

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