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1/5
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.
1/5
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.
Truman Healthcare & Rehabilitation Center is a skilled nursing home in Lamar, Missouri, on West First Street. The 123-bed home is operated by Lamar No and owned by The Lamar Exempt Trust. Medicare, Medicaid, and private pay are accepted, so families have many options to cover short-term rehabilitation and longer-term care. The community is at 83% occupancy. Residents stay an average of 225 days, including those under post-acute rehabilitation and with ongoing nursing care needs.
Staffing is an important part of the facility’s daily operations. Total nurse staffing averages approximately 4 hours and 19 minutes per resident each day. This includes registered nurses, nurse aides, and licensed practical nurses working across the home’s schedule.
The facility provides rehabilitation services and 24-hour nursing care. It’s a practical choice for patients recovering from surgery, hospitalization, or other acute medical events who need skilled nursing support during healing.
Inspections by Missouri’s Department of Health and Senior Services focused on food safety practices, accuracy of care documentation, and protocols for resident protection and medication management. The home has been continuously addressing these areas to strengthen its daily operations.
Amenities include a beauty shop, on-site laboratory services, vision services, transportation, and custom nutritional programs. Each suite has thermostat control and a comfortable bathroom. There’s free cable television and WiFi throughout the building. The location has a Walk Score of 56, so it’s moderately walkable. Some errands can be handled on foot, but most require a short drive for trips around town.
Families considering Truman Healthcare should visit the facility and ask about care routines and specialized rehabilitation programming to determine whether it’s the right fit for their needs.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 66th out of 276 homes in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 32m per day | ▲ 16% 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.
| 22m per day | ▼ 46% 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 35m per day | ▲ 11% 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 57m per day | ▼ 3% 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 | ▼ 79% 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.
| 19m per day | ▼ 6% State avg: 20m per day · National avg: 28m per day |
Higher than the Missouri average: 66.6%Truman Healthcare &Amp; Rehabilitation Center is legally operated by Lamar No. 1, Inc., and administrated by Lisa Selvey.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 97 | 35 | This facility has 177% more total deficiencies than a typical Missouri nursing home (97 vs. MO avg 35).↑ 177% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 12.1 | 4.4 | This facility has 175% more deficiencies per year than a typical Missouri nursing home (12.1 vs. MO avg 4.4).↑ 175% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4.2 | 5 | This facility has 16% fewer deficiencies per inspection than a typical Missouri nursing home (4.2 vs. MO avg 5).↓ 16% better |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 23 | 7 | This facility has 229% more total inspections than a typical Missouri nursing home (23 vs. MO avg 7).↑ 229% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Missouri average 6.6
Last Health inspection on Jun 2025
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
29 of 42 citations resulted from standard inspections; 10 of 42 resulted from complaint investigations; and 3 of 42 came from combined inspections (standard and complaint).
100% better than Missouri averageMissouri average: 0.7
100% better than Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
24% fewer staff per resident than Missouri average
0% compared with Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 11 RN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursAssists with medical care and medications.
All 9 LPN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursHelps with daily care and mobility.
All 39 CNA Staff are full-time employees. No contractors work on this role.
39
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,700 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 39 | 0 | 39 | 13,009 | 92 | 100% | 8 |
| Nurse Aide in Training | 39 | 0 | 39 | 8,290 | 92 | 100% | 7.5 |
| Registered Nurse | 11 | 0 | 11 | 4,496 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 9 | 0 | 9 | 3,416 | 92 | 100% | 10.1 |
| Medication Aide/Technician | 10 | 0 | 10 | 2,699 | 91 | 99% | 7.7 |
| Dental Services Staff | 2 | 0 | 2 | 855 | 64 | 70% | 8.4 |
| Physical Therapy Aide | 0 | 3 | 3 | 611 | 75 | 82% | 5.9 |
| Speech Language Pathologist | 0 | 5 | 5 | 592 | 64 | 70% | 7.1 |
| Nurse Practitioner | 2 | 0 | 2 | 536 | 66 | 72% | 8 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 159 | 54 | 59% | 2.8 |
| Occupational Therapy Aide | 0 | 2 | 2 | 135 | 29 | 32% | 4.4 |
| Qualified Social Worker | 0 | 1 | 1 | 78 | 50 | 54% | 1.6 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 66 | 32 | 35% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 36 | 3 | 3% | 12 |
| Medical Director | 0 | 1 | 1 | 23 | 3 | 3% | 7.7 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.4
23% worse than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.3
25% worse than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
38.7%
96% worse than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
14.3%
31% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.8%
9% worse than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
22% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
8.7%
73% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
3.3%
20% worse than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
2.4%
56% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
0.3%
98% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
39.3%
79% worse than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.3%
13% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
5% better than Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.58
24% worse than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.33
42% worse than Missouri averageMissouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.0%
28% better than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
56% worse than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
65.2%
In line with Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.8%
6% better than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.6%
6% better than Missouri averageMissouri average: 13.4%
Rate of successful return to home or community from a skilled nursing facility.
38.8%
23% worse than Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
43% of new residents, usually for short-term rehab.
32% of new residents, often for short stays.
25% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
104Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Truman Healthcare &Amp; Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #108 / 286Payroll — State benchmarkedThis home is ranked 108th out of 286 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (43% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Lamar's city center to Truman Healthcare &Amp; Rehabilitation Center's address, calculated via Google Maps.
Add your location
Truman Healthcare &Amp; Rehabilitation Center is located in LAMAR, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Heisinger Bluffs |
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).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Jefferson City | 111
Facility
111
MO AVG
97
Rank
#156 / 454 |
49.5%
Facility
49.5%
MO AVG
66.6%
Rank
#370 / 428 | -26% | 3.36
Facility
3.36
MO AVG
3.74
Rank
#184 / 276 | +42% | -10% | $8.1k
Facility
$8.1k
MO AVG
$76.9k
Rank
#206 / 283 | 17
Facility
17
MO AVG
36.5
Rank
#61 / 281 | 5.7
Facility
5.7
MO AVG
5.7
Rank
#169 / 281 | - | 56 | - |
32
Facility
32
MO AVG
45
Rank
#376 / 563 | Hb Operations Holdco LLC | $5.4M
Facility
$5.4M
MO AVG
$8.4M
Rank
#183 / 286 | $3.7M
Facility
$3.7M
MO AVG
$3.3M
Rank
#138 / 286 | 68.1%
Facility
68.1%
MO AVG
45.6%
Rank
#43 / 286 | 265794 | ||||
| Cottages of Lake St. Louis |
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). | Lake St Louis (Lake Saint Louis) | 60
Facility
60
MO AVG
97
Rank
#343 / 454 |
81.7%
Facility
81.7%
MO AVG
66.6%
Rank
#95 / 428 | +23% | 6.04
Facility
6.04
MO AVG
3.74
Rank
#6 / 276 | -32% | +62% | $17.7k
Facility
$17.7k
MO AVG
$76.9k
Rank
#195 / 283 | 11
Facility
11
MO AVG
36.5
Rank
#25 / 281 | 2.8
Facility
2.8
MO AVG
5.7
Rank
#22 / 281 | 2 | 55 | - |
13
Facility
13
MO AVG
45
Rank
#486 / 563 | Cottages Master LLC | $9.9M
Facility
$9.9M
MO AVG
$8.4M
Rank
#74 / 286 | $5.5M
Facility
$5.5M
MO AVG
$3.3M
Rank
#67 / 286 | 55.4%
Facility
55.4%
MO AVG
45.6%
Rank
#133 / 286 | 265860 | ||||
| Breeze Park – Lutheran Senior Services |
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).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Weldon Spring | 50
Facility
50
MO AVG
97
Rank
#390 / 454 |
74.9%
Facility
74.9%
MO AVG
66.6%
Rank
#146 / 428 | +12% | 5.01
Facility
5.01
MO AVG
3.74
Rank
#31 / 276 | -16% | +34% | $41.3k
Facility
$41.3k
MO AVG
$76.9k
Rank
#222 / 283 | 16
Facility
16
MO AVG
36.5
Rank
#55 / 281 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#75 / 281 | 2 | 46 | A+ |
2
Facility
2
MO AVG
45
Rank
#545 / 563 | Holly Stevens | $20.9M
Facility
$20.9M
MO AVG
$8.4M
Rank
#17 / 286 | $12.2M
Facility
$12.2M
MO AVG
$3.3M
Rank
#6 / 286 | 58.6%
Facility
58.6%
MO AVG
45.6%
Rank
#105 / 286 | 265767 | ||||
| Armour Oaks Senior Living Community |
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).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Kansas City (Waldo Homes) | 38
Facility
38
MO AVG
97
Rank
#424 / 454 |
100.0%
Facility
100.0%
MO AVG
66.6%
Rank
#1 / 428 | +50% | 3.03
Facility
3.03
MO AVG
3.74
Rank
#230 / 276 | -27% | -19% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 39
Facility
39
MO AVG
36.5
Rank
#183 / 281 | 6.5
Facility
6.5
MO AVG
5.7
Rank
#200 / 281 | - | 100 | A+ |
73
Facility
73
MO AVG
45
Rank
#70 / 563 | Womens Christian Association Of Kansas City Missouri | $2.9M
Facility
$2.9M
MO AVG
$8.4M
Rank
#264 / 286 | $2.4M
Facility
$2.4M
MO AVG
$3.3M
Rank
#221 / 286 | 81.6%
Facility
81.6%
MO AVG
45.6%
Rank
#13 / 286 | 265802 | ||||
| Truman Healthcare &Amp; Rehabilitation Center |
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).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Lamar | 123
Facility
123
MO AVG
97
Rank
#87 / 454 |
82.9%
Facility
82.9%
MO AVG
66.6%
Rank
#88 / 428 | +24% | 4.32
Facility
4.32
MO AVG
3.74
Rank
#66 / 276 | +7% | +15% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 42
Facility
42
MO AVG
36.5
Rank
#191 / 281 | 7.0
Facility
7.0
MO AVG
5.7
Rank
#220 / 281 | - | 101 | - |
56
Facility
56
MO AVG
45
Rank
#181 / 563 | The Lamar Exempt Trust | $7.5M
Facility
$7.5M
MO AVG
$8.4M
Rank
#114 / 286 | $4.3M
Facility
$4.3M
MO AVG
$3.3M
Rank
#108 / 286 | 57.3%
Facility
57.3%
MO AVG
45.6%
Rank
#114 / 286 | 265253 |
The legal owner and operator of Truman Healthcare &Amp; Rehabilitation Center is Lamar No. 1, Inc..
Truman Healthcare &Amp; Rehabilitation Center has a walk score of 56. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MO state health department records, Truman Healthcare &Amp; Rehabilitation Center's license number is 053372.
According to MO state health department records, Truman Healthcare &Amp; Rehabilitation Center's license expires on January 31, 2028.
Truman Healthcare &Amp; Rehabilitation Center's occupancy is 83%.
Lisa Selvey is the administrator of Truman Healthcare &Amp; Rehabilitation Center.
Truman Healthcare &Amp; Rehabilitation Center has 123 beds.
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