Federal inspection record · CMS data as of October 1, 2026
Brent B Tinnin Manor
220 Euel Polk Drive, Ellington, MO · (573) 663-2545
- Certified beds
- 60
- Residents per day
- 47
- Ownership
- For-Profit
- Chain
- Circle B Enterprises
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 21, 1991
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Brent B Tinnin Manor carries 85 inspection points. That is fewer than 48% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
33 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Infection Control9D
- D
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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.
- D
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Quality of Life and Care6D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning5D
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights4D
- D
Assure the security of all personal funds of residents deposited with the facility.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
Administration3F
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Freedom from Abuse, Neglect, and Exploitation3D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Respond appropriately to all alleged violations.
Nursing and Physician Services1D
- D
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.
Pharmacy Service1D
- D
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.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2025-03-19
16 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (4 deficiencies)
2024-03-13
10 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2022-08-17
7 health deficiencies · 6 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 56 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
2 h 56 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 63% of nursing staff and 17% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts better | 1.1 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.6 pts worse | 3.8 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine15.4 pts better | 99.4% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.7 pts better | 97.5% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts better | 3.8% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.6 pts worse | 23.6% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight4 pts worse | 9.1% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.1 pts worse | 36.7% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication24.3 pts worse | 47.8% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.2 pts worse | 24.0% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.9 pts worse | 26.3% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 1.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection4.2 pts worse | 6.4% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.1 pts worse | 24.2% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts worse | 5.1% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine32.6 pts better | 98.3% | 65.7% | 82.3% |
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Who owns and runs it
21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Circle B Enterprises Holding Company Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 29 facilities |
| Agh1 LLC | Operational/Managerial Control · Organization | 0% | 37 facilities |
| Agh1 LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| Beaird, Todd | Corporate Officer · Individual | 0% | 37 facilities |
| Beaird, Todd | Adp Of The SNF · Individual | 0% | 37 facilities |
| Bedell, Bryan | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 36 facilities |
| Bedell, Donald | Corporate Director · Individual | 0% | 37 facilities |
| Bedell, Donald | Corporate Officer · Individual | 0% | 37 facilities |
| Bedell, Donald | Operational/Managerial Control · Individual | 0% | 37 facilities |
| Dcb Real Estate Partnership LP | Adp Of The SNF · Organization | 0% | 25 facilities |
| Fg LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Mid States Inc | Adp Of The SNF · Organization | 0% | 37 facilities |
| Pilot Development Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Rubi, Rodney | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Rubi, Rodney | Adp Of The SNF · Individual | 0% | 2 facilities |
| Silva, Stephanie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Silva, Stephanie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sovereign Healthcare Group LLC | Operational/Managerial Control · Organization | 0% | 37 facilities |
| Sovereign Healthcare Group LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| Van De Ven LLC | Adp Of The SNF · Organization | 0% | 36 facilities |
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Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress7F
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F
Have exits that are accessible at all times.
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F
Install proper backup exit lighting.
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F
Have exits that are accessible at all times.
- F
Install proper backup exit lighting.
Smoke4F
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems2F
- F
Have proper medical gas storage and administration areas.
- F
Ensure proper usage of power strips and extension cords.
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Other homes nearby
-
Clark's Mountain Nursing Center
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 50 min
- Fines
- $0
-
Riverways Manor
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★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 2 h 48 min
- Fines
- $0
-
Greenville Health Care Center
Greenville, MO · Reliant Care Management
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 1 h 43 min
- Fines
- $0