Miller County Care and Rehabilitation Center
1157 Highway 17 · Tuscumbia, MO · 65082 · 5733692318
86 certified beds Non profit - Other
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 70 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.
Red flags
Total nurse staffing below 3.0 hours per resident-day
2.11 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.11 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 1.82 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (15 in the current record)
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Potential for harm · D April 24, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected May 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 24, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 24, 2025
Provide 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.
Corrected May 26, 2025 · Quality of Life and Care
-
Potential for harm · F April 24, 2025
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected May 26, 2025 · Nutrition and Dietary
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Potential for harm · F April 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 26, 2025 · Nutrition and Dietary
-
Potential for harm · D February 23, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 5, 2024 · Resident Rights
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Potential for harm · D February 23, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 5, 2024 · Quality of Life and Care
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Potential for harm · F February 23, 2024
Provide and implement an infection prevention and control program.
Corrected April 5, 2024 · Infection Control
-
Potential for harm · E November 17, 2022
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected December 30, 2022 · Resident Rights
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Potential for harm · E November 17, 2022
Honor 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.
Corrected December 30, 2022 · Resident Rights
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Potential for harm · E November 17, 2022
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 30, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 17, 2022
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 December 30, 2022 · Resident Rights
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Potential for harm · D November 17, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 30, 2022 · Quality of Life and Care
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Potential for harm · F November 17, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 30, 2022 · Nutrition and Dietary
-
Potential for harm · D November 17, 2022
Provide and implement an infection prevention and control program.
Corrected December 23, 2022 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265713 · certified since December 20, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.