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Miller County Care and Rehabilitation CenterCMS ratings, inspections and fines

Address
1157 Highway 17, Tuscumbia, MO 65082
CCN
265713
Ownership type
Non-profit, other
Certified beds
86
Chain
None in the CMS record
Residents per day
62
CMS flags
None in the CMS record
CMS star ratings
Overall rating3 of 5
Health inspection rating4 of 5
Staffing rating1 of 5
Quality measure rating4 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Miller County Care and Rehabilitation Center an overall rating of 3 of 5 stars. The last standard survey was on 24 Apr 2025. The latest survey cycle has 5 health citations. The median for nursing homes in Missouri is 9. CMS lists no fines for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Miller County Care and Rehabilitation Center, with medians
Rating (1 to 5 stars)This homeMiller County medianMissouri medianUS average (CMS)
Overall rating33.02.03.0
Health inspection rating44.03.02.8
Staffing rating11.02.02.9
Quality measure rating43.03.03.6

A median is the middle value of the homes in the group: 4 homes in the county, 487 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Miller County Care and Rehabilitation Center in the last three survey cycles
Survey cycleStandard surveyCitationsMissouri median
Cycle 1 (latest)24 Apr 202559
Cycle 223 Feb 2024310
Cycle 3No date79

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 15 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 5 citations

Standard survey of this cycle: .

Health citations of Miller County Care and Rehabilitation Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
24 Apr 2025F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey26 May 2025
24 Apr 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey26 May 2025
24 Apr 2025F0688Provide 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.DStandard survey26 May 2025
24 Apr 2025F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard survey26 May 2025
24 Apr 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey26 May 2025

Survey cycle 2: 3 citations

Standard survey of this cycle: .

Health citations of Miller County Care and Rehabilitation Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
23 Feb 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey5 Apr 2024
23 Feb 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey5 Apr 2024
23 Feb 2024F0880Provide and implement an infection prevention and control program.FStandard survey5 Apr 2024

Survey cycle 3: 7 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Miller County Care and Rehabilitation Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
17 Nov 2022F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard survey30 Dec 2022
17 Nov 2022F0578Honor 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.EStandard survey30 Dec 2022
17 Nov 2022F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey30 Dec 2022
17 Nov 2022F0625Notify 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.DStandard survey30 Dec 2022
17 Nov 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey30 Dec 2022
17 Nov 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey30 Dec 2022
17 Nov 2022F0880Provide and implement an infection prevention and control program.DStandard survey23 Dec 2022

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

CMS lists no fine and no payment denial for this home in its penalties file.

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Miller County Care and Rehabilitation Center
StaffThis homeMissouri medianMissouri average (CMS)
All nurse staff3.133.403.43
Registered nurses (RN)0.250.400.46
Licensed practical nurses (LPN)0.540.68
Nurse aides2.342.29
All nurse staff, weekends2.652.903.02
Nurse staff turnover in a year
No data
Nurse staff turnover, Missouri median
56.1%
RN turnover in a year
No data
Administrators who left in a year
0

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Miller County Care and Rehabilitation Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeMissouri medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay27.0%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 Stay3.0%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay8.0%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.3%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay18.1%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay7.5%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay18.2%21.0%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
Non-profit, other
Legal business name
Miller County Nursing Home District

The CMS ownership record of this home lists no organisation.

The site shows organisations only. It does not show the names of persons.

Other homes in Miller County

The 3 nearest other nursing homes in Miller County, Missouri
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
St Elizabeth Care CenterSaint Elizabeth2 of 57$027 Feb 2026
Stonebridge Lake OzarkOsage Beach5 of 52$09 Apr 2026
Eldon Nursing & RehabEldon2 of 510$79,67126 Feb 2026

All 4 nursing homes in Miller County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Miller County Care and Rehabilitation Center (CCN 265713). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/miller-county-care-and-rehabilitation-center-tuscumbia-mo-265713/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Miller County Care and Rehabilitation Center last inspected?
The latest inspection with a citation in the CMS record was on 24 Apr 2025. It was a standard survey. It gave 5 citations. The standard survey before the last one was on 23 Feb 2024.
Who operates Miller County Care and Rehabilitation Center?
The CMS record gives the ownership type as non-profit, other. CMS lists no chain for the home. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
Is Miller County Care and Rehabilitation Center a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Missouri as Special Focus Facilities and 15 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.