Tiffany Heights
1531 Nebraska Street · Mound City, MO · 64470 · 6604423146
60 certified beds For profit - Limited Liability company Chain: Prime Healthcare Management
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Total nurse staffing below 3.0 hours per resident-day
2.92 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
68% 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: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.92 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.49 | 0.55–0.75 |
| Weekend hours / resident-day | 2.51 | ≈ weekday level |
| Nursing turnover / year | 68% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (29 in the current record)
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Potential for harm · E December 5, 2025
The resident has the right to receive notices in a format and a language he or she understands.
Corrected January 22, 2026 · Resident Rights
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Potential for harm · E December 5, 2025
Honor 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.
Corrected January 22, 2026 · Resident Rights
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Potential for harm · E December 5, 2025
Honor 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.
Corrected January 22, 2026 · Resident Rights
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Potential for harm · D December 5, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 22, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 5, 2025
Respond appropriately to all alleged violations.
Corrected January 22, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 5, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 22, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 5, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 22, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 22, 2026 · Quality of Life and Care
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Potential for harm · E December 5, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 22, 2026 · Quality of Life and Care
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Potential for harm · E December 5, 2025
Have 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.
Corrected January 22, 2026 · Nursing and Physician Services
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Potential for harm · D December 5, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected January 22, 2026 · Quality of Life and Care
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Potential for harm · F December 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 22, 2026 · Nutrition and Dietary
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Potential for harm · D December 5, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected January 22, 2026 · Administration
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Potential for harm · D December 5, 2025
Provide and implement an infection prevention and control program.
Corrected January 22, 2026 · Infection Control
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Potential for harm · E August 29, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · E August 29, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · E August 29, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · E August 29, 2024
Keep residents' personal and medical records private and confidential.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · E August 29, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 29, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 29, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 29, 2024
Provide activities to meet all resident's needs.
Corrected October 11, 2024 · Quality of Life and Care
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Potential for harm · D August 29, 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 October 11, 2024 · Quality of Life and Care
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Potential for harm · E August 29, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 11, 2024 · Pharmacy Service
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Potential for harm · E August 29, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected October 11, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265746 · certified since December 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.