Granby House

301 South Main · Granby, MO · 64844 · 4174726271

60 certified beds For profit - Corporation Chain: Circle B Enterprises

  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

RN staffing in the bottom 10% nationally

0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 46
Serious harm & abuse 20% 94
Staffing 20% 47
Federal penalties 15% 100
Trend 10% 56
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.283.48 min · 4.1 strong
RN hours / resident-day0.270.55–0.75
Weekend hours / resident-day2.68≈ weekday level
Nursing turnover / year59%median 45%
Fines (3-yr window)none

Inspection citations (27 in the current record)

  • Potential for harm · E April 24, 2025 · found via complaint

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Corrected May 9, 2025 · Resident Rights

  • Actual harm · G February 25, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 24, 2025 · Quality of Life and Care

  • Potential for harm · D January 30, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 17, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E January 30, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected March 17, 2025 · Infection Control

  • Potential for harm · D June 27, 2024

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected August 11, 2024 · Resident Rights

  • Potential for harm · E June 27, 2024

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected August 11, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 27, 2024

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected August 11, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 27, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected August 11, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E June 27, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected August 11, 2024 · Quality of Life and Care

  • Potential for harm · D June 27, 2024

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected August 11, 2024 · Quality of Life and Care

  • Potential for harm · E June 27, 2024

    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 August 11, 2024 · Nursing and Physician Services

  • Potential for harm · D June 27, 2024

    Ensure 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.

    Corrected August 11, 2024 · Nutrition and Dietary

  • Potential for harm · F June 27, 2024

    Provide and implement an infection prevention and control program.

    Corrected August 11, 2024 · Infection Control

  • Potential for harm · F June 27, 2024

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected August 11, 2024 · Environmental

  • Potential for harm · E June 27, 2024

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected August 11, 2024 · Environmental

  • Potential for harm · D June 6, 2024 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected May 28, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 8, 2022

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected September 22, 2022 · Quality of Life and Care

  • Potential for harm · D August 8, 2022

    Provide 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.

    Corrected September 22, 2022 · Quality of Life and Care

  • Potential for harm · D August 8, 2022

    Ensure medication error rates are not 5 percent or greater.

    Corrected September 22, 2022 · Pharmacy Service

  • Potential for harm · D August 8, 2022

    Ensure that residents are free from significant medication errors.

    Corrected September 22, 2022 · Pharmacy Service

  • Potential for harm · F August 8, 2022

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected September 22, 2022 · Nutrition and Dietary

  • Potential for harm · D August 23, 2019

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected October 7, 2019 · Resident Rights

  • Potential for harm · D August 23, 2019

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected October 7, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D August 23, 2019

    Provide activities to meet all resident's needs.

    Corrected October 7, 2019 · Quality of Life and Care

  • Potential for harm · E August 23, 2019

    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.

    Corrected October 7, 2019 · Quality of Life and Care

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 265468 · certified since September 23, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.