Tipton Oak Manor

Nursing Home, Hospice Care, Memory Care & Skilled Nursing · Tipton, MO

CMS overall rating

601 West Morgan St, Tipton, MO 65081-8214 View map

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Tipton Oak Manor accepts Medicaid, Medicare, and private pay.

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Tipton Oak Manor accepts Medicaid, Medicare, and private pay.

Overview of Tipton Oak Manor

Located at 601 West Morgan Street in Tipton, Missouri, Tipton Oak Manor is a skilled nursing facility that provides comprehensive nursing care and rehabilitation. The home is operated by N & R of Tipton, LLC, owned by Tiffany Sponcier and administered by Christin Petree. It accepts Medicaid, Medicare, and private pay, offering families multiple ways to cover short-term rehab and ongoing care.

The 66-bed home operates at 71% occupancy. Residents stay an average of 127 days, including post-acute rehabilitation and longer-term care placements. Daily nurse staffing averages 3 hours and 50 minutes per resident. A doctor is on staff, and licensed professional staffing works 24 hours a day to support medical oversight and resident safety.

Rehabilitation is a major focus of the home’s care program, supported by contract providers for physical, occupational, and speech therapy. There’s respite care for families who need temporary support. Residents with memory impairment have access to a dedicated Alzheimer’s Special Care Unit.

The facility pays attention to residents’ meals and social life. They receive various nutritious meals and snacks tailored to their individual preferences and dietary needs. Residents can participate in creative activities, religious services, arts and crafts, family and resident socials, parties, and outings. Transportation can also be arranged for residents and visiting family members when needed.

The facility is in a Moderately Walkable residential area of Tipton with a Walk Score of 53. Some errands can be done on foot, while most require transportation. Contract services for laboratory work, pharmacy, and X-ray imaging are available on-site so residents won’t have to leave the facility for routine testing and diagnostic work.

Facility Direct Line (660) 433-5574

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Missouri state averages

Total nursing care / resident

3h 50m per day

This facility Missouri avg (3h 44m per day)

vs Missouri avg

+3%

5 of 6 metrics below state avg

Standout metric Nurse Aide is +5% above 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.	18m per day	▼ 36% 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.	21m per day	▼ 49% 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 26m per day	▲ 5% 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 42m per day	▼ 11% 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	▼ 100% 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.	12m per day	▼ 42% State avg: 20m per day · National avg: 28m per day

Capacity and availability

127 days

66-bed community

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

Walk Score: 53 / 100

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

About this community

Occupancy

Occupancy rate

71%

Higher than the Missouri average: 66.6%

Occupied beds

47 / 66

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceApril 1, 2026

ExpirationMarch 31, 2028

CountyMoniteau

License Number053488

CMS Certification Number265748

Certification TypeMedicare / Medicaid

Tipton Oak Manor is legally operated by N & R Of Tipton, LLC, and administered by Christin Petree.

Corporate EntityN & R OF TIPTON, LLC

Owner NameN & R Of Tipton, LLC

Skilled Nursing Facility

66 units

Total beds

66 units

Accept Medicaid

Accept Medicare

Rehabilitation Services

Respite Care

Short-Term Rehab

Doctor on Staff

24-Hour Staffing

Dedicated Alzheimer's Unit

Skilled Nursing Care

Physical And Occupational Therapies

Dietitians

Behavioral And Alzheimer’s Care

Hospice

Pets not allowed

66 Snf

Professional Medical Care

Medicare & Medicaid Approved

Warm

Friendly And Response Setting

24 Hour Licensed Professional Care

Rehab Services

Creative Activities

Complete Dining Services

Family/Resident Socials

Parties

Outings

Movies

Religious Services

Arts & Crafts

Alzheimer’s Special Care Unit

Healthcare Plan Team

Transportation Available

Contract Services – Therapy

Lab

Pharmaceutical And X-Ray

Since 2018 · 8 years of data 59 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

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.	59	35	This facility has 69% more total deficiencies than a typical Missouri nursing home (59 vs. MO avg 35).↑ 69% worse
Deficiencies per inspection Average deficiencies per inspection.	4.5	2.9	This facility has 55% more deficiencies per inspection than a typical Missouri nursing home (4.5 vs. MO avg 2.9).↑ 55% 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 inspections conducted at this facility.	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

Show Inspection Reports

Inspections since 2023

Total health inspections 2

State average 6.6

Last Health inspection on Aug 2024

Total health citations

State average 36.5

Citations per inspection

8.5

State average 5.67

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 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)

Critical health citations

100% better than State average

State average: 0.7

Serious health citations

100% better than State average

State average: 1

0 critical citations State average: 0.7

0 serious citations State average: 1

14 moderate citations State average: 33.6

3 minor citations State average: 1.2

Citations history (last 3 years)

Infection Control moderate citation Aug 01, 2024

Corrected

Nursing Services minor citation Aug 01, 2024

Corrected

Pharmacy moderate citation Aug 01, 2024

Corrected

Care Planning moderate citation Aug 01, 2024

Corrected

Total staff 109

Employees 41

Contractors 68

Staff to resident ratio 2.32 : 1

37% more staff per resident than Missouri average

Avg staff/day 26

Average shift 7.4 hours

9% worse than Missouri average

Total staff hours (quarter) 17,637

Nursing staff breakdown

6.1 hours

8.7 hours

7.4 hours

Contractor staffing

4,569 contractor hours this quarter

Certified Nursing Assistant: 40 Medication Aide/Technician: 10 Licensed Practical Nurse: 9 Registered Nurse: 7 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	12	40	52	7,431	92	100%	7.4
Medication Aide/Technician	5	10	15	2,697	92	100%	8.2
Nurse Aide in Training	11	0	11	2,446	92	100%	7.1
Licensed Practical Nurse	4	9	13	1,792	92	100%	8.7
Registered Nurse	2	7	9	687	89	97%	6.1
Dietitian	1	0	1	466	60	65%	7.8
Clinical Nurse Specialist	1	0	1	449	65	71%	6.9
Dental Services Staff	1	0	1	444	57	62%	7.8
Administrator	1	0	1	419	54	59%	7.8
Nurse Practitioner	1	0	1	406	51	55%	8
Other Dietary Services Staff	2	0	2	354	78	85%	3.8
Occupational Therapy Aide	0	1	1	24	3	3%	8
Occupational Therapy Assistant	0	1	1	21	3	3%	7

52 Certified Nursing Assistant

% of Days 100%

15 Medication Aide/Technician

% of Days 100%

11 Nurse Aide in Training

% of Days 100%

13 Licensed Practical Nurse

% of Days 100%

9 Registered Nurse

% of Days 97%

1 Dietitian

% of Days 65%

1 Clinical Nurse Specialist

% of Days 71%

1 Dental Services Staff

% of Days 62%

1 Administrator

% of Days 59%

1 Nurse Practitioner

% of Days 55%

2 Other Dietary Services Staff

% of Days 85%

1 Occupational Therapy Aide

% of Days 3%

1 Occupational Therapy Assistant

% of Days 3%

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 12.0

10% worse than Missouri average

Missouri average: 10.9

Functional decline score 18.9

In line with Missouri average

Missouri average: 19.5

Long-stay resident measures

Below average Missouri avg: 2.7

Need for Help with Daily Activities Increased 23.3%

18% worse than Missouri average

Missouri average: 19.8%

Walking Ability Worsened 19.7%

In line with Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 13.7%

25% better than Missouri average

Missouri average: 18.1%

Falls with Major Injury 7.0%

72% worse than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers 5.0%

In line with Missouri average

Missouri average: 5.0%

Urinary Tract Infection 1.7%

39% better than Missouri average

Missouri average: 2.7%

Lost Too Much Weight 5.3%

In line with Missouri average

Missouri average: 5.6%

Depressive Symptoms 0.6%

95% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use 29.0%

32% worse than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine 99.5%

17% better than Missouri average

Missouri average: 85.2%

Influenza Vaccine 100.0%

10% better than Missouri average

Missouri average: 90.9%

Hospitalizations per 1,000 days 4.02

93% worse than Missouri average

Missouri average: 2.08

ED visits per 1,000 days 1.21

49% better than Missouri average

Missouri average: 2.35

Short-stay resident measures

Below average Missouri avg: 2.1

Pneumococcal Vaccine 91.0%

37% better than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase 0.0%

100% better than Missouri average

Missouri average: 2.2%

Re-hospitalized after SNF stay 30.7%

21% worse than Missouri average

Missouri average: 25.3%

Emergency department visits 16.5%

23% worse than Missouri average

Missouri average: 13.4%

Falls with major injury 0.0%

100% better than Missouri average

Missouri average: 0.8%

Successful return to home or community 48.0%

5% worse than Missouri average

Missouri average: 50.6%

Breakdown by payment type

Medicare

39% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

35% of new residents, often for short stays.

Typical stay 7 - 8 months

Medicaid

25% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Total residents 47

Medicare

6.4% of residents

Medicaid

59.6% of residents

Private pay or other

34% 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 Tipton Oak Manor from 2011–2023, based on CMS SNF Cost Reports.

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

Occupancy Rate 70.4% ↓ 9.3pp vs 2022

Net Patient Income -$939.8K ↓ ~$583.6K vs 2022

Payroll Costs $1.4M ↓ ~$220.9K vs 2022

Operating Margin -27.3% ↓ 17.9pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	74.3%	81.6%	83.0%	83.5%	77.2%	79.5%	82.2%	76.6%	87.3%	88.0%	86.1%	79.8%	70.4%
Beds	66	66	66	66	66	66	66	66	66	66	66	66	66
Net Income	$259,933	$400,295	$314,315	$468,385	$248,603	$238,001	$107,620	$95,268	$322,446	$919,746	$392,810	-$245,221	-$817,114
Gross Revenue	$3,816,771	$3,706,550	$3,841,592	$3,990,077	$3,957,915	$3,953,401	$3,945,810	$3,955,414	$4,610,065	$4,415,863	$4,336,272	$4,184,157	$3,797,366
Operating Expenses	$3,096,446	$3,008,421	$3,146,599	$3,162,845	$3,239,618	$3,369,314	$3,368,271	$3,356,343	$3,677,281	$3,789,141	$3,856,789	$4,146,106	$4,387,844
Net Patient Income	$247,128	$386,712	$301,815	$439,899	$221,934	$209,621	$81,564	$72,076	$299,785	$243,057	$57,908	-$356,186	-$939,818
Net Patient Revenue	$3,343,574	$3,395,133	$3,448,414	$3,602,744	$3,461,552	$3,578,935	$3,449,835	$3,428,419	$3,977,066	$4,032,198	$3,914,697	$3,789,920	$3,448,026
Payroll Costs	$1,217,089	$1,173,760	$1,267,329	$1,314,825	$1,405,271	$1,446,813	$1,494,510	$1,442,701	$1,602,181	$1,684,376	$1,701,005	$1,624,177	$1,403,304
Operating Margin %	7.4%	11.4%	8.8%	12.2%	6.4%	5.9%	2.4%	2.1%	7.5%	6.0%	1.5%	-9.4%	-27.3%
Medicare %	8.0%	5.4%	6.4%	5.6%	8.9%	5.9%	3.5%	5.7%	5.8%	3.9%	4.4%	6.3%	5.4%
Medicaid %	52.6%	49.1%	50.2%	53.9%	50.9%	55.0%	57.8%	63.9%	67.0%	76.8%	70.6%	71.3%	62.8%
Private %	39.5%	45.5%	43.4%	40.5%	40.2%	39.2%	38.7%	30.3%	27.3%	19.4%	25.0%	22.4%	31.8%
Net Patient Revenue/Day	$171	$172	$172	$179	$186	$186	$174	$186	$189	$190	$189	$197	$203
Cost/Day	$158	$153	$157	$157	$174	$175	$170	$182	$175	$178	$186	$216	$259
Avg Length of Stay	111.7 days	179.1 days	165.3 days	211.8 days	128.2 days	148.8 days	151.1 days	249.4 days	91.4 days	144.7 days	136.5 days	136.3 days	126.6 days

Finances and operations

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

Net patient revenue

$3.4M

Net patient income

-$939.8K

For-profit Corporation

Net patient revenue

$3.4M

Net patient income

-$939.8K

Other income

$122.7K

Payroll costs

$1.4M 40.7% of net patient revenue

Other operating costs

$3.0M

Total costs

$4.4M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (39% of admissions), and a typical Medicare stay runs around 1 months.

Coverage residents most often arrive under.

Medicare 39%

Private pay 35%

Medicaid 25%

Coverage residents most often leave under.

Medicare 19%

Private pay 33%

Medicaid 48%

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Tipton Oak Manor	NH HOS MC SNF	Tipton	66 Facility 66 MO AVG 96 Rank #317 / 450	71.2% Facility 71.2% MO AVG 65.1 Rank #173 / 418	+9%	3.84 Facility 3.84 MO AVG 3.74 Rank #121 / 270	+8%	+3%	$0 Facility $0 MO AVG $76.9k Rank #1 / 276	17 Facility 17 MO AVG 36.5 Rank #56 / 274	8.5 Facility 8.5 MO AVG 5.7 Rank #249 / 274	-	47	-	53 Facility 53 MO AVG 45 Rank #217 / 563	Tiffany Sponcier	$3.4MFiscal year ending 12/2023 Facility $3.4MFiscal year ending 12/2023 MO AVG $8.4M Rank #241 / 277	$1.4MFiscal year ending 12/2023 Facility $1.4MFiscal year ending 12/2023 MO AVG $3.3M Rank #199 / 277	40.7%Fiscal year ending 12/2023 Facility 40.7%Fiscal year ending 12/2023 MO AVG 45.6% Rank #36 / 277	265748

Nursing Home Explorer

Who is the owner of Tipton Oak Manor?

Tipton Oak Manor is legally operated by N & R Of Tipton, LLC, and administered by Christin Petree.

Is Tipton Oak Manor in a walkable area?

Tipton Oak Manor has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Tipton Oak Manor?

According to MO state health department records, Tipton Oak Manor's license number is 053488.

When does Tipton Oak Manor's license expire?

According to MO state health department records, Tipton Oak Manor's license expires on March 31, 2028.

What is the occupancy rate at Tipton Oak Manor?

Tipton Oak Manor's occupancy is 71%.

Are pets allowed at Tipton Oak Manor?

No, Tipton Oak Manor has a no-pet policy.

Does Tipton Oak Manor operate as a for-profit or non-profit?

Tipton Oak Manor is registered as a for-profit in MO.

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Tipton Oak Manor

Overview of Tipton Oak Manor

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Memory & Specialized Care

Additional Services

Additional Policies & Features

Amenities & Lifestyle

Contact Tipton Oak 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.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

52 Certified Nursing Assistant

15 Medication Aide/Technician

11 Nurse Aide in Training

13 Licensed Practical Nurse

9 Registered Nurse

1 Dietitian

1 Clinical Nurse Specialist

1 Dental Services Staff

1 Administrator

1 Nurse Practitioner

2 Other Dietary Services Staff

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

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 short-term rehab stays

Admissions

Discharges

Places of interest near Tipton Oak Manor

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