B80

HERMITAGE NURSING & REHAB

Grade B 80/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
4/5
Health Insp.
4/5
Quality
5/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

120

Ownership

For profit - Limited Liability company

Total Fines

$17,492

Last Survey

N/A

18599 FIRST STREET, HERMITAGE, MO 65668
4177452111

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.45h
LPN
0.45h
CNA
2.52h
Total
3.42h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

LINCOLN, JAMES

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2014

50%

LINCOLN, JUDY

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2014

50%

LTC MANAGEMENT SERVICES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Dec 2014

SPENCE, JAQUELYNE

IndividualW-2 MANAGING EMPLOYEESince Apr 2022

Penalties & Fines (1)

$17,492total fines
DateTypeDescriptionAmount
May 24, 2023Fine$17,492

Health Inspection Deficiencies (14)

February 1, 2024Health5 deficiencies
0550EMinimal harm, Pattern

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Mar 17, 2024
0678DMinimal harm, Isolated

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Quality of Life and Care Deficiencies

Corrected Mar 17, 2024
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Mar 17, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Mar 17, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 17, 2024
May 24, 2023Health2 deficiencies1 severe
0684EMinimal harm, Pattern

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jul 8, 2023
0688GActual harm, Isolated

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Quality of Life and Care Deficiencies

Corrected Jul 8, 2023
January 13, 2022Health6 deficiencies
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Feb 27, 2022
0700EMinimal harm, Pattern

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Quality of Life and Care Deficiencies

Corrected Feb 27, 2022
0727FMinimal harm, Widespread

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Nursing and Physician Services Deficiencies

Corrected Feb 27, 2022
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Feb 27, 2022
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Feb 27, 2022
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 27, 2022
May 28, 2019Health1 deficiency
0688DMinimal harm, Isolated

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Quality of Life and Care Deficiencies

Corrected Jul 8, 2019

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Frequently Asked Questions

What is the CareGrader rating for HERMITAGE NURSING & REHAB?

HERMITAGE NURSING & REHAB in HERMITAGE, Missouri has a CareGrader grade of B (Good), with a composite score of 80 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for HERMITAGE NURSING & REHAB?

HERMITAGE NURSING & REHAB has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does HERMITAGE NURSING & REHAB have?

HERMITAGE NURSING & REHAB has 14 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has HERMITAGE NURSING & REHAB been fined?

Yes. HERMITAGE NURSING & REHAB has $17,492 in total fines from CMS enforcement actions across 1 penalty.

How many beds does HERMITAGE NURSING & REHAB have?

HERMITAGE NURSING & REHAB has 120 certified beds with approximately 60 current residents (50% occupancy). The facility is located at 18599 FIRST STREET, HERMITAGE, Missouri 65668. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.