nursing home in Mound City, MO
Tiffany Heights
1531 Nebraska Street, Mound City, MO 64470 · (660) 442-3146
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Tiffany Heights at a glance
Tiffany Heights is a 60-bed for-profit nursing home in Mound City, Missouri (Holt County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Missouri average of 2.5.
Residents receive about 3 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 (December 5, 2025) found 14 health citations. The Missouri average is 11.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 69% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- December 1, 2002
- Resident/family council
- Resident
- County
- Holt County
- CMS Certification Number
- 265746
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.5 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 2.8 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 2.7 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.02 hrs | 3.43 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.60 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.98 hrs | 2.29 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.48 hrs | 3.01 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 69% | 56% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 60% | 47.8% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 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) | 14 | 11 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 98 | 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 | 39 | 73 | 86 | |
| Occupancy | 65.2% | 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) | 2.9% | 4.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.6% | 4.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 6.1% | 23.5% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.5% | 2.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 13.6% | 18.1% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 16.6% | 17.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 0% | 5.3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 5.3% | 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) | 10.4% | 25.6% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 10.4% | 17.8% | 19% | Better |
| 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) | 91.3% | 84.1% | 93.6% | Average |
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) | 25% | 63.5% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 78.6% | 65.7% | 82% | Average |
Inspection citations
State inspectors cited this home for 29 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 |
|---|---|---|---|
| December 5, 2025 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected January 22, 2026 |
| December 5, 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 January 22, 2026 |
| December 5, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected January 22, 2026 |
| December 5, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected January 22, 2026 |
| December 5, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected January 22, 2026 |
| December 5, 2025 Standard | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected January 22, 2026 |
| December 5, 2025 Standard | 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 · Tag F0727 | E Potential harm, pattern | Corrected January 22, 2026 |
| December 5, 2025 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected January 22, 2026 |
| December 5, 2025 Standard | The resident has the right to receive notices in a format and a language he or she understands. Resident Rights Deficiencies · Tag F0574 | E Potential harm, pattern | Corrected January 22, 2026 |
| December 5, 2025 Standard | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | D Potential harm, isolated | Corrected January 22, 2026 |
| December 5, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 22, 2026 |
| December 5, 2025 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | D Potential harm, isolated | Corrected January 22, 2026 |
| December 5, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected January 22, 2026 |
| December 5, 2025 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected January 22, 2026 |
| December 5, 2025 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected January 22, 2026 |
| August 29, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected October 25, 2024 |
| August 29, 2024 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | E Potential harm, pattern | Corrected October 25, 2024 |
| August 29, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected October 11, 2024 |
| August 29, 2024 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | E Potential harm, pattern | Corrected October 11, 2024 |
| August 29, 2024 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected October 11, 2024 |
| August 29, 2024 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | E Potential harm, pattern | Corrected October 11, 2024 |
| August 29, 2024 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | E Potential harm, pattern | Corrected October 11, 2024 |
| August 29, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected October 11, 2024 |
| August 29, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected October 11, 2024 |
| August 29, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected October 11, 2024 |
| August 29, 2024 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected October 11, 2024 |
| August 29, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | E Potential harm, pattern | Corrected October 11, 2024 |
| August 29, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected October 11, 2024 |
| August 29, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected October 11, 2024 |
| August 29, 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 October 11, 2024 |
| August 29, 2024 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected October 11, 2024 |
| February 17, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected April 18, 2023 |
| February 17, 2023 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected April 18, 2023 |
| February 17, 2023 Fire safety | Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Electrical Deficiencies · Tag K0901 | F Potential harm, widespread | Corrected April 18, 2023 |
| February 17, 2023 Fire safety | Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Smoke Deficiencies · Tag K0361 | F Potential harm, widespread | Waiver has been granted |
| February 17, 2023 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 April 18, 2023 |
| February 17, 2023 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | F Potential harm, widespread | Corrected April 18, 2023 |
| February 17, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected April 18, 2023 |
| February 17, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected April 18, 2023 |
| February 17, 2023 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 | E Potential harm, pattern | Corrected April 18, 2023 |
| February 17, 2023 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | E Potential harm, pattern | Corrected April 18, 2023 |
| February 17, 2023 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 | E Potential harm, pattern | Corrected April 18, 2023 |
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 |
|---|---|---|---|
| 1531 NEBRASKA STREET LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| MOUND CITY SNF OPERATIONS LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| NAUMAN, JAMIE Individual | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| RAMOS, BRIAN Individual | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| STRAWBERRY FIELDS REIT INC Organization | adp of the snf | NOT APPLICABLE | 03/26/2026 |
| SYMONDS, JOHN Individual | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| MOUND CITY SNF OPERATIONS LLC Organization | direct ownership interest | NOT APPLICABLE | 07/01/2025 |
| STRAWBERRY FIELDS REIT LTD Organization | direct ownership interest | NOT APPLICABLE | 07/01/2025 |
| TIDE HEALTH GROUP LLC Organization | direct ownership interest | NOT APPLICABLE | 07/01/2025 |
| STRAWBERRY FIELDS REALTY LP Organization | general partnership interest | NOT APPLICABLE | 07/01/2025 |
| BRUCE, LELAND Individual | indirect ownership interest | NOT APPLICABLE | 07/01/2025 |
| GAYTAN, LUCY Individual | indirect ownership interest | NOT APPLICABLE | 07/01/2025 |
| HIXSON, BROOKE Individual | indirect ownership interest | NOT APPLICABLE | 07/01/2025 |
| RAMOS, BRIAN Individual | indirect ownership interest | NOT APPLICABLE | 07/01/2025 |
| THUET, DANIEL Individual | indirect ownership interest | NOT APPLICABLE | 07/01/2025 |
| MOUND CITY SNF OPERATIONS LLC Organization | operational/managerial control | NOT APPLICABLE | 07/01/2025 |
| NAUMAN, JAMIE Individual | operational/managerial control | NOT APPLICABLE | 07/01/2025 |
| RAMOS, BRIAN Individual | operational/managerial control | NOT APPLICABLE | 07/01/2025 |
| SYMONDS, JOHN Individual | operational/managerial control | NOT APPLICABLE | 07/01/2025 |
Other nursing homes near Tiffany Heights
- ★★★★★3Average
Falls City Nursing and Rehabilitation Center
1720 Burton Drive, Falls City, NE 68355 · 19.7 mi
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★★★★★2Below averageNodaway Healthcare
22371 State Highway 46, Maryville, MO 64468 · 20 mi
For-profit · 60 beds · Part of Blue Sky Basin, LLC
★★★★★1Much below averageFalls City Care Center
2800 Towle Street, Falls City, NE 68355 · 20.4 mi
For-profit · 101 beds · Part of Lantis Enterprises
★★★★★1Much below averageParkdale Manor Health & Rehabilitation
814 West South Avenue, Maryville, MO 64468 · 22.5 mi
For-profit · 86 beds · Part of Mo Op Holdco, LLC
★★★★★2Below averageVillage Care Center INC
810 East Edwards Street, Maryville, MO 64468 · 23.7 mi
For-profit · 46 beds · Part of Osbycorp
- Abuse citation
★★★★★3Average
Frequently asked questions
What is Tiffany Heights's rating?
Tiffany Heights has 2 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 Tiffany Heights receive?
Its most recent standard health inspection found 14 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Tiffany Heights 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 Tiffany Heights?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Tiffany Heights and how do I contact it?
Tiffany Heights is at 1531 Nebraska Street, Mound City, MO 64470. Phone: (660) 442-3146.
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.