Brent B Tinnin Manor
220 Euel Polk Drive · Ellington, MO · 63638 · 5736632545
60 certified beds For profit - Individual Chain: Circle B Enterprises
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
69% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.16 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 2.51 | ≈ weekday level |
| Nursing turnover / year | 69% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (33 in the current record)
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Potential for harm · D March 19, 2025
Assure the security of all personal funds of residents deposited with the facility.
Corrected May 2, 2025 · Resident Rights
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Potential for harm · D March 19, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 2, 2025 · Resident Rights
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Potential for harm · D March 19, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 2, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 19, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 2, 2025 · Resident Rights
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Potential for harm · D March 19, 2025
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.
Corrected May 2, 2025 · Resident Rights
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Potential for harm · D March 19, 2025
Assess the resident when there is a significant change in condition
Corrected May 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 19, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · D March 19, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · D March 19, 2025
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.
Corrected May 2, 2025 · Nursing and Physician Services
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Potential for harm · F March 19, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected May 2, 2025 · Administration
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Potential for harm · F March 19, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 2, 2025 · Administration
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Potential for harm · F March 19, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected May 2, 2025 · Administration
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Potential for harm · D March 19, 2025
Provide and implement an infection prevention and control program.
Corrected May 2, 2025 · Infection Control
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Potential for harm · D March 19, 2025
Implement a program that monitors antibiotic use.
Corrected May 2, 2025 · Infection Control
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Potential for harm · D March 19, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 2, 2025 · Infection Control
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Potential for harm · D March 19, 2025
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.
Corrected May 2, 2025 · Infection Control
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Potential for harm · D February 24, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected January 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 18, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 13, 2024
Ensure each resident receives an accurate assessment.
Corrected April 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 13, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 13, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 18, 2024 · Quality of Life and Care
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Potential for harm · D March 13, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 18, 2024 · Quality of Life and Care
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Potential for harm · D March 13, 2024
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.
Corrected April 18, 2024 · Pharmacy Service
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Potential for harm · D March 13, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 18, 2024 · Infection Control
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Potential for harm · D March 13, 2024
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.
Corrected April 18, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265472 · certified since October 21, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.