Elder Care Record

Missouri › Newton County › Granby

Granby House

301 South Main, Granby, MO 64844

CCN 265468 · For-profit, limited liability company · 60 certified beds · chain Circle B Enterprises

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Granby House, in Granby, Missouri, is certified for 60 beds under for-profit, limited liability company ownership and belongs to the Circle B Enterprises chain.

CMS gives it 2 of 5 stars overall, equal to the Missouri median; the health inspection rating is 3, staffing 1 and quality measures 4.

Inspectors recorded 25 health deficiencies across the three most recent survey cycles (4, 15, 6 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 41.7 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 3.5 hours per resident per day (0.3 RN), close to the Missouri median of 3.4; nursing staff turnover is 60.3%.

25health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.5nurse hours per resident per daystate median 3.4
90%occupancy (residents ÷ beds)54 residents a day

Compared with county, state and nation

MeasureThis facilityNewton Co. medianMissouri medianUS average
Overall star rating2223.0
Health citations, 3 cycles25283128.7
Citations per 100 beds41.741.732.126.8
Total nurse hours per resident day3.53.33.43.9
RN hours per resident day0.30.40.40.7
Nursing staff turnover60.3%60.3%56.1%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (5 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)4
Cycle 215
Cycle 36

Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 May 2026, 27 Jun 2024.

Severity mix: G ×1 D ×11 E ×10 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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
22 May 2026F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard survey6 Jul 2026
22 May 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey6 Jul 2026
22 May 2026F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard survey6 Jul 2026
22 May 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey6 Jul 2026
24 Apr 2025F0576Ensure residents have reasonable access to and privacy in their use of communication methods.EComplaint investigation9 May 2025
25 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation24 Mar 2025
30 Jan 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation17 Mar 2025
30 Jan 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation17 Mar 2025
27 Jun 2024F0880Provide and implement an infection prevention and control program.FStandard survey11 Aug 2024
27 Jun 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FStandard survey11 Aug 2024
27 Jun 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey11 Aug 2024
27 Jun 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey11 Aug 2024
27 Jun 2024F0728Ensure 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.EStandard survey11 Aug 2024
27 Jun 2024F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard survey11 Aug 2024
27 Jun 2024F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey11 Aug 2024
27 Jun 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey11 Aug 2024
27 Jun 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey11 Aug 2024
27 Jun 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey11 Aug 2024
27 Jun 2024F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard survey11 Aug 2024
6 Jun 2024F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation28 May 2024
8 Aug 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey22 Sep 2022
8 Aug 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey22 Sep 2022
8 Aug 2022F0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DStandard survey22 Sep 2022
8 Aug 2022F0759Ensure medication error rates are not 5 percent or greater.DStandard survey22 Sep 2022
8 Aug 2022F0760Ensure that residents are free from significant medication errors.DStandard survey22 Sep 2022

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.54 h
Nurse aides2.63 h
LPN0.63 h
RN0.27 h
Weekend total2.81 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 60.3%, RNs 66.7%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMissouri medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay30.9%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.9%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.0%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.0%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay5.1%1.3%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay37.7%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.0%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay7.9%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, limited liability company. Legal business name: Granby No 1 Inc. Chain: Circle B Enterprises (36 facilities).

OrganisationRole in the CMS recordInterestSince
Circle B Enterprises Holding Company Inc5% or greater direct ownership interest100%05/24/1993
Agh1 LLCOperational/managerial controlNOT APPLICABLE12/02/2016
Sovereign Healthcare Group LLCOperational/managerial controlNOT APPLICABLE04/23/2021
Agh1 LLCAdp of the snfNOT APPLICABLE03/25/2025
Dcb Real Estate Partnership LPAdp of the snfNOT APPLICABLE01/01/2010
Fg LLCAdp of the snfNOT APPLICABLE12/02/2016
Forvis Mazars LLPAdp of the snfNOT APPLICABLE08/16/2021
Granby Real Estate LLCAdp of the snfNOT APPLICABLE01/01/2010
Mid States IncAdp of the snfNOT APPLICABLE11/01/2010
Sovereign Healthcare Group LLCAdp of the snfNOT APPLICABLE04/06/2025
Van De Ven LLCAdp of the snfNOT APPLICABLE01/01/2000

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Newton County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Medicalodges NeoshoNeosho1144411412.3—29 Apr 2026
Nhc Healthcare, JoplinJoplin1242312822.6—4 Aug 2025
Aspire Senior Living JoplinJoplin1201115545.8—1 Jun 2026
Seneca NursingSeneca801213543.8—1 May 2026

All 5 facilities in Newton County

Questions and answers

How many deficiencies has Granby House been cited for?

25 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.

Has Granby House been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Granby House compare?

Reported total nurse staffing is 3.5 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.

Who operates Granby House?

It is part of the Circle B Enterprises chain. Ownership type is for-profit, limited liability company. 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 Granby House last inspected?

The most recent survey or investigation in the CMS record is dated 22 May 2026; the most recent standard health survey was 22 May 2026.

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.