nursing home in Tuscumbia, MO
Miller County Care and Rehabilitation Center
1157 Highway 17, Tuscumbia, MO 65082 · (573) 369-2318
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Miller County Care and Rehabilitation Center at a glance
Miller County Care and Rehabilitation Center is a 86-bed non-profit nursing home in Tuscumbia, Missouri (Miller County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Missouri average of 2.5.
Residents receive about 3.1 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (April 24, 2025) found 5 health citations. The Missouri average is 11.4.
It has not received a federal fine in the past three years.
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Other
- Beds
- 86
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- December 20, 2000
- Resident/family council
- Resident
- County
- Miller County
- CMS Certification Number
- 265713
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.5 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 2.7 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.13 hrs | 3.43 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.25 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.34 hrs | 2.29 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 2.65 hrs | 3.01 hrs | 3.42 hrs | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 39 | 111.8 | 80.6 | Better |
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 | 86 | 103 | 107 | |
| Average residents per day | 62 | 73 | 86 | |
| Occupancy | 72.4% | 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) | 8% | 4.1% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 7.5% | 4.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 18.2% | 23.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.9% | 1.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 27% | 18.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 18.1% | 17.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.9% | 5.3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2% | 18.5% | 12.8% | Better |
| 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) | 23.2% | 25.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 18.1% | 17.8% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 90.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.6% | 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 pneumonia vaccine (higher is better) | 98.5% | 65.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 15 health deficiencies and 16 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 24, 2025 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | F Potential harm, widespread | Corrected May 25, 2025 |
| April 24, 2025 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected May 25, 2025 |
| April 24, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected May 26, 2025 |
| April 24, 2025 Standard | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Tag F0801 | F Potential harm, widespread | Corrected May 26, 2025 |
| April 24, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected May 26, 2025 |
| April 24, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected May 26, 2025 |
| April 24, 2025 Standard | 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 · Tag F0688 | D Potential harm, isolated | Corrected May 26, 2025 |
| February 23, 2024 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected April 5, 2024 |
| February 23, 2024 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected April 5, 2024 |
| February 23, 2024 Fire safety | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Tag E0018 | F Potential harm, widespread | Corrected April 5, 2024 |
| February 23, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected April 5, 2024 |
| February 23, 2024 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 April 5, 2024 |
| February 23, 2024 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected April 5, 2024 |
| November 17, 2022 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected December 30, 2022 |
| November 17, 2022 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected December 30, 2022 |
| November 17, 2022 Fire safety | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926 | F Potential harm, widespread | Corrected December 30, 2022 |
| November 17, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 30, 2022 |
| November 17, 2022 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected December 30, 2022 |
| November 17, 2022 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected December 30, 2022 |
| November 17, 2022 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected December 30, 2022 |
| November 17, 2022 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected December 30, 2022 |
| November 17, 2022 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | E Potential harm, pattern | Corrected December 30, 2022 |
| November 17, 2022 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected December 30, 2022 |
| November 17, 2022 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | D Potential harm, isolated | Corrected December 30, 2022 |
| November 17, 2022 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected December 30, 2022 |
| November 17, 2022 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected December 30, 2022 |
| November 17, 2022 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | E Potential harm, pattern | Corrected December 30, 2022 |
| November 17, 2022 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | E Potential harm, pattern | Corrected December 30, 2022 |
| November 17, 2022 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 December 30, 2022 |
| November 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 December 30, 2022 |
| November 17, 2022 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 23, 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 |
|---|---|---|---|
| BECKHAM, LINDA Individual | corporate director | NOT APPLICABLE | 11/23/2010 |
| KEMNA, CARL Individual | corporate director | NOT APPLICABLE | 11/25/2013 |
| MCCARGAR, REX Individual | corporate director | NOT APPLICABLE | 04/24/2019 |
| MORROW, HAROLD Individual | corporate director | NOT APPLICABLE | 10/01/1998 |
| PEMBERTON, JAMI Individual | corporate director | NOT APPLICABLE | 11/16/2015 |
| SHOWERS, TIFFANY Individual | corporate director | NOT APPLICABLE | 06/06/2022 |
| WILSON, SANDRA Individual | corporate director | NOT APPLICABLE | 04/28/2021 |
| PEMBERTON, JAMI Individual | corporate officer | NOT APPLICABLE | 11/16/2015 |
| SHOWERS, TIFFANY Individual | corporate officer | NOT APPLICABLE | 06/06/2022 |
| BECKHAM, LINDA Individual | operational/managerial control | NOT APPLICABLE | 11/23/2010 |
| KEMNA, CARL Individual | operational/managerial control | NOT APPLICABLE | 11/25/2013 |
| MCCARGAR, REX Individual | operational/managerial control | NOT APPLICABLE | 04/24/2019 |
| MORROW, HAROLD Individual | operational/managerial control | NOT APPLICABLE | 10/01/1998 |
| PEMBERTON, JAMI Individual | operational/managerial control | NOT APPLICABLE | 11/16/2015 |
| SHOWERS, TIFFANY Individual | operational/managerial control | NOT APPLICABLE | 06/06/2022 |
| WILSON, SANDRA Individual | operational/managerial control | NOT APPLICABLE | 04/28/2021 |
Other nursing homes near Miller County Care and Rehabilitation Center
St Elizabeth Care Center
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For-profit · 63 beds · Part of Reliant Care Management
★★★★★2Below averageStonebridge Lake Ozark
872 College Boulevard, Osage Beach, MO 65065 · 9.6 mi
For-profit · 66 beds · Part of Stonebridge Senior Living
★★★★★5Much above averageEldon Nursing & Rehab
1001 East North Street, Eldon, MO 65026 · 11.8 mi
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★★★★★2Below averageOsage Beach Rehabilitation and Health Care Center
844 Passover Road, Osage Beach, MO 65065 · 11.9 mi
For-profit · 94 beds · Part of National Healthcare Corporation
- Abuse citation
★★★★★2Below averageArrowhead Senior Living Community
6100 Arrowhead Drive, Osage Beach, MO 65065 · 13.8 mi
For-profit · 80 beds · Part of Midwest Health
- CMS high performer
★★★★★5Much above averageLake Regional Health Systems
54 Hospital Drive, Osage Beach, MO 65065 · 14.9 mi
Non-profit · 16 beds
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Miller County Care and Rehabilitation Center's rating?
Miller County Care and Rehabilitation Center has 3 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 Miller County Care and Rehabilitation Center receive?
Its most recent standard health inspection found 5 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Miller County Care and Rehabilitation Center 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 Miller County Care and Rehabilitation Center?
It is non profit - other. The ownership section on this page lists the owners and managers reported to CMS.
Where is Miller County Care and Rehabilitation Center and how do I contact it?
Miller County Care and Rehabilitation Center is at 1157 Highway 17, Tuscumbia, MO 65082. Phone: (573) 369-2318.
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.