Missouri › Hickory County › Hermitage
Hermitage Nursing & Rehab
18599 First Street, Hermitage, MO 65668
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.
Hermitage Nursing & Rehab, in Hermitage, Missouri, is certified for 120 beds under for-profit, limited liability company ownership.
CMS gives it 3 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 2, staffing 2 and quality measures 5.
Inspectors recorded 23 health deficiencies across the three most recent survey cycles (12, 5, 6 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 19.2 per 100 beds, fewer than the state median of 32.1.
CMS lists 1 penalty in the period covered: fines totalling $79K.
Reported nurse staffing is 2.8 hours per resident per day (0.4 RN), close to the Missouri median of 3.4; nursing staff turnover is 53.8%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Hickory Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 2 | 3.0 |
| Health citations, 3 cycles | 23 | 23 | 31 | 28.7 |
| Citations per 100 beds | 19.2 | 19.2 | 32.1 | 26.8 |
| Total nurse hours per resident day | 2.8 | 2.8 | 3.4 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 53.8% | 53.8% | 56.1% | 45.8% |
| Fines listed | $78,550 | $78,550 | $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: 12 Dec 2025, 1 Feb 2024.
Severity mix: J ×1 G ×2 D ×13 E ×4 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 |
|---|---|---|---|---|---|
| 11 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 1 Jun 2026 |
| 5 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 20 Apr 2026 |
| 5 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 1 Jun 2026 |
| 5 Mar 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Complaint investigation | 1 Jun 2026 |
| 5 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 20 Apr 2026 |
| 5 Mar 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 20 Apr 2026 |
| 5 Mar 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 20 Apr 2026 |
| 5 Mar 2026 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Complaint investigation | 20 Apr 2026 |
| 12 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 26 Jan 2026 |
| 12 Dec 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 26 Jan 2026 |
| 12 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 26 Jan 2026 |
| 12 Dec 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 26 Jan 2026 |
| 1 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 Mar 2024 |
| 1 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 17 Mar 2024 |
| 1 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Mar 2024 |
| 1 Feb 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Standard survey | 17 Mar 2024 |
| 1 Feb 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 17 Mar 2024 |
| 13 Jan 2022 | F0727 | 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. | F | Standard survey | 27 Feb 2022 |
| 13 Jan 2022 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard survey | 27 Feb 2022 |
| 13 Jan 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Feb 2022 |
| 13 Jan 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 27 Feb 2022 |
| 13 Jan 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 27 Feb 2022 |
| 13 Jan 2022 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 27 Feb 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 5 Mar 2026 | Fine | $78,550 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 53.8%, RNs 42.9%; 0 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 | 11.7% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.3% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.3% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.3% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.6% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.5% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.4% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 33.6% | 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. CMS groups this facility with 56 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: N & R Of Hermitage Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| LTC Management Services LLC | Operational/managerial control | NOT APPLICABLE | 12/01/2014 |
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 Hermitage Nursing & Rehab been cited for?
23 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Hermitage Nursing & Rehab been fined?
Yes. CMS lists fines totalling $79K in the period covered.
How does staffing at Hermitage Nursing & Rehab compare?
Reported total nurse staffing is 2.8 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Hermitage Nursing & Rehab?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include LTC Management Services LLC. Individual owners and managers are not listed on this site.
When was Hermitage Nursing & Rehab last inspected?
The most recent survey or investigation in the CMS record is dated 11 May 2026; the most recent standard health survey was 12 Dec 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.