Elder Care Record

Missouri › Holt County › Mound City

Tiffany Heights

1531 Nebraska Street, Mound City, MO 64470

CCN 265746 · For-profit, limited liability company · 60 certified beds

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.

Certified for 60 beds, Tiffany Heights serves Mound City in Holt County, Missouri and has taken Medicare and Medicaid residents since 2002.

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

Inspectors recorded 29 health deficiencies across the three most recent survey cycles (14, 14, 1 by cycle, most recent first), none at the actual-harm level. That is 48.3 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 3.0 hours per resident per day (0.6 RN), close to the Missouri median of 3.4; nursing staff turnover is 69.0%.

29health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.0nurse hours per resident per daystate median 3.4
65%occupancy (residents ÷ beds)39 residents a day

Compared with county, state and nation

MeasureThis facilityHolt Co. medianMissouri medianUS average
Overall star rating2323.0
Health citations, 3 cycles29293128.7
Citations per 100 beds48.348.332.126.8
Total nurse hours per resident day3.03.03.43.9
RN hours per resident day0.60.60.40.7
Nursing staff turnover69.0%69.0%56.1%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (2 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)14
Cycle 214
Cycle 31

Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Dec 2025, 29 Aug 2024.

Severity mix: D ×8 E ×20 F ×1

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
5 Dec 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey22 Jan 2026
5 Dec 2025F0574The resident has the right to receive notices in a format and a language he or she understands.EStandard survey22 Jan 2026
5 Dec 2025F0584Honor 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.EStandard survey22 Jan 2026
5 Dec 2025F0585Honor 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.EStandard survey22 Jan 2026
5 Dec 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey22 Jan 2026
5 Dec 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey22 Jan 2026
5 Dec 2025F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey22 Jan 2026
5 Dec 2025F0727Have 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.EStandard survey22 Jan 2026
5 Dec 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey22 Jan 2026
5 Dec 2025F0610Respond appropriately to all alleged violations.DStandard survey22 Jan 2026
5 Dec 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey22 Jan 2026
5 Dec 2025F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey22 Jan 2026
5 Dec 2025F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.DStandard survey22 Jan 2026
5 Dec 2025F0880Provide and implement an infection prevention and control program.DStandard survey22 Jan 2026
29 Aug 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.EStandard survey11 Oct 2024
29 Aug 2024F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey11 Oct 2024
29 Aug 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.EStandard survey11 Oct 2024
29 Aug 2024F0583Keep residents' personal and medical records private and confidential.EStandard survey11 Oct 2024
29 Aug 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey11 Oct 2024
29 Aug 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey11 Oct 2024
29 Aug 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey11 Oct 2024
29 Aug 2024F0679Provide activities to meet all resident's needs.EStandard survey11 Oct 2024
29 Aug 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey11 Oct 2024
29 Aug 2024F0759Ensure medication error rates are not 5 percent or greater.EStandard survey11 Oct 2024
29 Aug 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey11 Oct 2024
29 Aug 2024F0880Provide and implement an infection prevention and control program.EStandard survey11 Oct 2024
29 Aug 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey11 Oct 2024
29 Aug 2024F0761Ensure 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.DStandard survey11 Oct 2024
17 Feb 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey18 Apr 2023

Penalties

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

Staffing

Total nursing3.02 h
Nurse aides1.98 h
LPN0.44 h
RN0.6 h
Weekend total2.48 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 69.0%, RNs 60.0%; 1 administrator 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 Stay13.6%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.5%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.9%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 Stay16.6%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.6%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay6.1%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: Mound City Snf Operations Llc.

OrganisationRole in the CMS recordInterestSince
Mound City SNF Operations LLCDirect ownership interestNOT APPLICABLE07/01/2025
Strawberry Fields Reit LtdDirect ownership interestNOT APPLICABLE07/01/2025
Tide Health Group LLCDirect ownership interestNOT APPLICABLE07/01/2025
Mound City SNF Operations LLCOperational/managerial controlNOT APPLICABLE07/01/2025
Strawberry Fields Realty LPGeneral partnership interestNOT APPLICABLE07/01/2025
1531 Nebraska Street LLCAdp of the snfNOT APPLICABLE07/01/2025
Mound City SNF Operations LLCAdp of the snfNOT APPLICABLE07/01/2025
Strawberry Fields Reit IncAdp of the snfNOT APPLICABLE03/26/2026

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 Holt County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Oregon Care CenterOregon603411931.7—4 Dec 2025

All 2 facilities in Holt County

Questions and answers

How many deficiencies has Tiffany Heights been cited for?

29 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 Tiffany Heights been fined?

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

How does staffing at Tiffany Heights compare?

Reported total nurse staffing is 3.0 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.

Who operates Tiffany Heights?

Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Mound City SNF Operations LLC, Strawberry Fields Reit Ltd and Tide Health Group LLC. Individual owners and managers are not listed on this site.

When was Tiffany Heights last inspected?

The most recent survey or investigation in the CMS record is dated 5 Dec 2025; the most recent standard health survey was 5 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.