nursing home in Ellington, MO
Brent B Tinnin Manor
220 Euel Polk Drive, Ellington, MO 63638 · (573) 663-2545
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Brent B Tinnin Manor at a glance
Brent B Tinnin Manor is a 60-bed for-profit nursing home in Ellington, Missouri (Reynolds County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Missouri average of 2.5.
Residents receive about 3.2 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (March 19, 2025) found 16 health citations. The Missouri average is 11.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 74.5% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Circle B Enterprises
- Medicare-certified since
- October 21, 1991
- Resident/family council
- Resident
- County
- Reynolds County
- CMS Certification Number
- 265472
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.20 hrs | 3.43 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.62 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.97 hrs | 2.29 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.46 hrs | 3.01 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 74.5% | 56% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 57.1% | 47.8% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 16 | 11 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 85 | 111.8 | 80.6 | Worse |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $37,425 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 103 | 107 | |
| Average residents per day | 41 | 73 | 86 | |
| Occupancy | 67.8% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.1% | 4.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 6.1% | 4.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 48.4% | 23.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 5.1% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.6% | 1.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 26.3% | 18.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 30.2% | 17.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 11% | 5.3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 18.6% | 18.5% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 31.1% | 25.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 31.1% | 17.8% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 83% | 90.9% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.4% | 84.1% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 10% | 63.5% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 92.1% | 65.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 33 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 19, 2025 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | F Potential harm, widespread | Corrected May 2, 2025 |
| March 19, 2025 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | F Potential harm, widespread | Corrected March 19, 2025 |
| March 19, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected March 21, 2025 |
| March 19, 2025 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | F Potential harm, widespread | Corrected March 19, 2025 |
| March 19, 2025 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | F Potential harm, widespread | Corrected May 2, 2025 |
| March 19, 2025 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | F Potential harm, widespread | Corrected May 2, 2025 |
| March 19, 2025 Standard | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | F Potential harm, widespread | Corrected May 2, 2025 |
| March 19, 2025 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected May 2, 2025 |
| March 19, 2025 Standard | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected May 2, 2025 |
| March 19, 2025 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected May 2, 2025 |
| March 19, 2025 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | D Potential harm, isolated | Corrected May 2, 2025 |
| March 19, 2025 Standard | Assure the security of all personal funds of residents deposited with the facility. Resident Rights Deficiencies · Tag F0570 | D Potential harm, isolated | Corrected May 2, 2025 |
| March 19, 2025 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected May 2, 2025 |
| March 19, 2025 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected May 2, 2025 |
| March 19, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 2, 2025 |
| March 19, 2025 Standard | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Nursing and Physician Services Deficiencies · Tag F0728 | D Potential harm, isolated | Corrected May 2, 2025 |
| March 19, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected May 2, 2025 |
| March 19, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected May 2, 2025 |
| March 19, 2025 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected May 2, 2025 |
| March 19, 2025 Standard | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected May 2, 2025 |
| February 24, 2025 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected January 9, 2025 |
| November 18, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected December 18, 2024 |
| March 13, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | F Potential harm, widespread | Corrected April 18, 2024 |
| March 13, 2024 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | F Potential harm, widespread | Corrected April 18, 2024 |
| March 13, 2024 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | F Potential harm, widespread | Corrected April 18, 2024 |
| March 13, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected April 18, 2024 |
| March 13, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected April 18, 2024 |
| March 13, 2024 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected April 18, 2024 |
| March 13, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 18, 2024 |
| March 13, 2024 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected April 18, 2024 |
| March 13, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected April 18, 2024 |
| March 13, 2024 Standard | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected April 18, 2024 |
| March 13, 2024 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected April 18, 2024 |
| August 17, 2022 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | F Potential harm, widespread | Corrected September 30, 2022 |
| August 17, 2022 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected September 30, 2022 |
| August 17, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 30, 2022 |
| August 17, 2022 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected September 30, 2022 |
| August 17, 2022 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | F Potential harm, widespread | Corrected September 30, 2022 |
| August 17, 2022 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | F Potential harm, widespread | Corrected September 30, 2022 |
| August 17, 2022 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected September 30, 2022 |
| August 17, 2022 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected September 30, 2022 |
| August 17, 2022 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected September 30, 2022 |
| August 17, 2022 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | D Potential harm, isolated | Corrected September 30, 2022 |
| August 17, 2022 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 30, 2022 |
| August 17, 2022 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 30, 2022 |
| August 17, 2022 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected September 30, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CIRCLE B ENTERPRISES HOLDING COMPANY INC Organization | 5% or greater direct ownership interest | 100% | 01/01/1996 |
| AGH1 LLC Organization | adp of the snf | NOT APPLICABLE | 03/25/2025 |
| BEAIRD, TODD Individual | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| DCB REAL ESTATE PARTNERSHIP LP Organization | adp of the snf | NOT APPLICABLE | 12/29/1980 |
| FG LLC Organization | adp of the snf | NOT APPLICABLE | 12/02/2016 |
| FORVIS MAZARS LLP Organization | adp of the snf | NOT APPLICABLE | 08/16/2021 |
| MID STATES INC Organization | adp of the snf | NOT APPLICABLE | 11/01/2010 |
| PILOT DEVELOPMENT INC Organization | adp of the snf | NOT APPLICABLE | 12/29/1980 |
| RUBI, RODNEY Individual | adp of the snf | NOT APPLICABLE | 01/01/2020 |
| SILVA, STEPHANIE Individual | adp of the snf | NOT APPLICABLE | 06/04/2026 |
| SOVEREIGN HEALTHCARE GROUP LLC Organization | adp of the snf | NOT APPLICABLE | 04/06/2025 |
| VAN DE VEN LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2000 |
| BEDELL, DONALD Individual | corporate director | NOT APPLICABLE | 10/31/2000 |
| BEAIRD, TODD Individual | corporate officer | NOT APPLICABLE | 01/01/2022 |
| BEDELL, DONALD Individual | corporate officer | NOT APPLICABLE | 01/06/1997 |
| BEDELL, BRYAN Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 05/12/2025 |
| AGH1 LLC Organization | operational/managerial control | NOT APPLICABLE | 12/02/2016 |
| BEDELL, DONALD Individual | operational/managerial control | NOT APPLICABLE | 01/06/1997 |
| RUBI, RODNEY Individual | operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| SILVA, STEPHANIE Individual | operational/managerial control | NOT APPLICABLE | 06/04/2026 |
| SOVEREIGN HEALTHCARE GROUP LLC Organization | operational/managerial control | NOT APPLICABLE | 04/23/2021 |
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Frequently asked questions
What is Brent B Tinnin Manor's rating?
Brent B Tinnin Manor has 1 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did Brent B Tinnin Manor receive?
Its most recent standard health inspection found 16 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Brent B Tinnin Manor accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Brent B Tinnin Manor?
It is for profit - individual and part of Circle B Enterprises. The ownership section on this page lists the owners and managers reported to CMS.
Where is Brent B Tinnin Manor and how do I contact it?
Brent B Tinnin Manor is at 220 Euel Polk Drive, Ellington, MO 63638. Phone: (573) 663-2545.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.