Missouri › Reynolds County › Ellington
Brent B Tinnin Manor
220 Euel Polk Drive, Ellington, MO 63638
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Brent B Tinnin Manor is a For-profit, individual nursing home in Ellington, Missouri, certified for 60 beds and caring for about 41 residents a day.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 3, staffing 1 and quality measures 1.
Inspectors recorded 33 health deficiencies across the three most recent survey cycles (16, 10, 7 by cycle, most recent first), none at the actual-harm level. That is 55.0 per 100 beds, more than the state median of 32.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.2 hours per resident per day (0.6 RN), close to the Missouri median of 3.4; nursing staff turnover is 74.5%.
Compared with county, state and nation
| Measure | This facility | Reynolds Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 2 | 3.0 |
| Health citations, 3 cycles | 33 | 33 | 31 | 28.7 |
| Citations per 100 beds | 55.0 | 55.0 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.2 | 3.4 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.4 | 0.7 |
| Nursing staff turnover | 74.5% | 74.5% | 56.1% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (1 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Mar 2025, 13 Mar 2024.
Severity mix: D ×30 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 19 Mar 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 2 May 2025 |
| 19 Mar 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 2 May 2025 |
| 19 Mar 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 2 May 2025 |
| 19 Mar 2025 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | D | Standard survey | 2 May 2025 |
| 19 Mar 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 2 May 2025 |
| 19 Mar 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 2 May 2025 |
| 19 Mar 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 2 May 2025 |
| 19 Mar 2025 | F0625 | 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. | D | Standard survey | 2 May 2025 |
| 19 Mar 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 2 May 2025 |
| 19 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 2 May 2025 |
| 19 Mar 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 2 May 2025 |
| 19 Mar 2025 | F0728 | 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. | D | Standard survey | 2 May 2025 |
| 19 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 2 May 2025 |
| 19 Mar 2025 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 2 May 2025 |
| 19 Mar 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 2 May 2025 |
| 19 Mar 2025 | F0887 | 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. | D | Standard survey | 2 May 2025 |
| 24 Feb 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 9 Jan 2025 |
| 18 Nov 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 18 Dec 2024 |
| 13 Mar 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 18 Apr 2024 |
| 13 Mar 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 18 Apr 2024 |
| 13 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 18 Apr 2024 |
| 13 Mar 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 18 Apr 2024 |
| 13 Mar 2024 | F0758 | 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. | D | Standard survey | 18 Apr 2024 |
| 13 Mar 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 18 Apr 2024 |
| 13 Mar 2024 | F0887 | 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. | D | Standard survey | 18 Apr 2024 |
| 13 Mar 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 18 Apr 2024 |
| 17 Aug 2022 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 30 Sep 2022 |
| 17 Aug 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 30 Sep 2022 |
| 17 Aug 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 30 Sep 2022 |
| 17 Aug 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 30 Sep 2022 |
| 17 Aug 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Sep 2022 |
| 17 Aug 2022 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 30 Sep 2022 |
| 17 Aug 2022 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 30 Sep 2022 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 74.5%, RNs 57.1%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 26.3% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.6% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.1% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.1% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 30.2% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.1% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 48.4% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, individual. Chain: Circle B Enterprises (36 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Circle B Enterprises Holding Company Inc | 5% or greater direct ownership interest | 100% | 01/01/1996 |
| Agh1 LLC | Operational/managerial control | NOT APPLICABLE | 12/02/2016 |
| Sovereign Healthcare Group LLC | Operational/managerial control | NOT APPLICABLE | 04/23/2021 |
| Agh1 LLC | Adp of the snf | NOT APPLICABLE | 03/25/2025 |
| Dcb Real Estate Partnership LP | Adp of the snf | NOT APPLICABLE | 12/29/1980 |
| Fg LLC | Adp of the snf | NOT APPLICABLE | 12/02/2016 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 08/16/2021 |
| Mid States Inc | Adp of the snf | NOT APPLICABLE | 11/01/2010 |
| Pilot Development Inc | Adp of the snf | NOT APPLICABLE | 12/29/1980 |
| Sovereign Healthcare Group LLC | Adp of the snf | NOT APPLICABLE | 04/06/2025 |
| Van De Ven LLC | Adp of the snf | NOT APPLICABLE | 01/01/2000 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Brent B Tinnin Manor been cited for?
33 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Brent B Tinnin Manor been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Brent B Tinnin Manor compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Brent B Tinnin Manor?
It is part of the Circle B Enterprises chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Circle B Enterprises Holding Company Inc, Agh1 LLC and Sovereign Healthcare Group LLC. Individual owners and managers are not listed on this site.
When was Brent B Tinnin Manor last inspected?
The most recent survey or investigation in the CMS record is dated 19 Mar 2025; the most recent standard health survey was 19 Mar 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.