Federal inspection record · CMS data as of October 1, 2026
Granby House
301 South Main, Granby, MO · (417) 472-6271
- Certified beds
- 60
- Residents per day
- 51
- Ownership
- For-Profit
- Chain
- Circle B Enterprises
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 23, 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
★★★★★−1 star
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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Granby House carries 56 inspection points. That is fewer than 64% 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
25 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.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Nutrition and Dietary4F
- E
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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care4E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
Resident Rights3E
- E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
Ensure residents have reasonable access to and privacy in their use of communication methods.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Pharmacy Service3E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
Resident Assessment and Care Planning3D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control2F
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Environmental2F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Freedom from Abuse, Neglect, and Exploitation2E
- E
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.
Nursing and Physician Services1E
- E
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.
Inspection history
2026-05-22
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2024-06-27
15 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2022-08-08
6 health deficiencies · 6 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 39 min of nursing staff time a day, 16 min of it from a registered nurse.
This home
3 h 39 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 60% of nursing staff and 75% of registered nurses left in the past year.
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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.1 pts better | 92.1% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.3 pts better | 91.1% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts better | 3.4% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms13.3 pts better | 6.7% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts better | 4.6% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.8 pts worse | 27.4% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication15.3 pts better | 8.2% | 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 worsened19.3 pts worse | 35.1% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.7 pts worse | 30.1% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.5% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 1.0% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.7 pts worse | 25.8% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3 pts worse | 7.4% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.5 pts worse | 56.2% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.6 pts better | 4.8% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2 pts worse | 4.1% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4 pts better | 65.4% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission12.8 pts better | 12.9% | 25.7% | 23.4% |
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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 |
| Granby Real Estate LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Mid States Inc | Adp Of The SNF · Organization | 0% | 37 facilities |
| Sovereign Healthcare Group LLC | Operational/Managerial Control · Organization | 0% | 37 facilities |
| Sovereign Healthcare Group LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| Spencer, Tara | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Spencer, Tara | Adp Of The SNF · Individual | 0% | 1 facilities |
| Van De Ven LLC | Adp Of The SNF · Organization | 0% | 36 facilities |
| Williams, Cheryl | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Williams, Cheryl | Adp Of The SNF · Individual | 0% | 5 facilities |
·
Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems4F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
Egress1F
- F
Install emergency lighting that can last at least 1 1/2 hours.
Construction1E
- E
Use approved construction type or materials.
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Other homes nearby
-
Medicalodges Neosho
Neosho, MO · Medicalodges, Inc.
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- —
- Fines
- $0
-
Sarcoxie Health Care Center
Sarcoxie, MO · Reliant Care Management
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 36 min
- Fines
- $0
-
Nhc Healthcare, Joplin
Joplin, MO · National Healthcare Corporation
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 19 min
- Fines
- $0