Monett, MO

Lacoba Homes Inc

4-star overall rating with 4-star inspections with 2 recent health deficiencies

850 Highway 60, Monett, MO

(417) 235-7895

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

79

Certified beds

Average residents

47

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1996-02-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.75

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.40

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

3.16

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

4.31

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

1.15

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

3.48

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.78

CMS adjusted RN staffing hours

Adjusted total hours

4.51

CMS adjusted total nurse staffing hours

Case-mix index

1.31

Higher values indicate more complex resident acuity

RN turnover

70%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

66%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,543

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

19.99

Composite VBP score used to determine payment impact.

Payment multiplier

0.9823

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.47

Baseline 18.92% · Performance 20.75% · Measure score 1.47 · Achievement 1.47 · Improvement 0

Healthcare-associated infections

1.51

Baseline 7.08% · Performance 7.38% · Measure score 1.51 · Achievement 1.51 · Improvement 0

Total nurse turnover

0

Baseline 62.69% · Performance 70.67% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

5.02

Baseline 4.15 hours · Performance 4.51 hours · Measure score 5.02 · Achievement 5.02 · Improvement 1.67

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.28%	10.72% 0.6 pts worse	No Different than the National Rate · Eligible stays 69 · Observed rate 11.59% · Lower 95% interval 7.15%
Discharge to community	47.72%	50.57% 2.9 pts worse	No Different than the National Rate · Eligible stays 57 · Observed rate 42.11% · Lower 95% interval 35.18%
Medicare spending per beneficiary	1.27	1.02 0.2 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 50 · Denominator 50
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 50
Discharge self-care score	44.74%	53.69% 8.9 pts worse	Numerator 17 · Denominator 38
Discharge mobility score	42.11%	50.94% 8.8 pts worse	Numerator 16 · Denominator 38
Pressure ulcers or injuries, new or worsened	4%	2.29% 1.7 pts worse	Numerator 2 · Denominator 50 · Adjusted rate 4.39%
Healthcare-associated infections requiring hospitalization	7.38%	7.12% 0.3 pts worse	No Different than the National Rate · Eligible stays 36 · Observed rate 8.33% · Lower 95% interval 4%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 104
Staff flu vaccination coverage	25.24%	42% 16.8 pts worse	Numerator 26 · Denominator 103
Discharge function score	57.89%	56.45% 1.4 pts better	Numerator 22 · Denominator 38
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 21 · Denominator 21
Resident COVID-19 vaccinations up to date	4.35%	25.2% 20.9 pts worse	Numerator 1 · Denominator 23

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	2.1 0.4 pts better	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.4 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.5	2.3 0.8 pts better	1.8 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.2 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	84.8% 15.2 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.0%	90.9% 7.1 pts better	95.5% 2.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.3%	4.1% 1.8 pts better	3.3% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 2.5% · Q4 4.8% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.1%	14.7% 8.6 pts better	11.4% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 4.9% · Q3 2.6% · Q4 7.5% · 4Q avg 6.1%
Percentage of long-stay residents who lose too much weight	1.9%	5.5% 3.6 pts better	5.4% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.5% · Q3 2.7% · Q4 2.7% · 4Q avg 1.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.0%	25.3% 10.3 pts better	19.6% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 9.3% · Q3 21.1% · Q4 17.5% · 4Q avg 15.0%
Percentage of long-stay residents who received an antipsychotic medication	1.4%	25.0% 23.6 pts better	16.7% 15.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 2.9% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	25.7%	20.3% 5.4 pts worse	16.3% 9.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.9% · 4Q avg 25.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.8%	19.8% 5 pts better	14.9% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 23.8% · Q3 8.3% · Q4 15.4% · 4Q avg 14.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.4% 1.4 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	4.3%	2.6% 1.7 pts worse	1.7% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 12.5% · Q3 0.0% · Q4 2.6% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.1%	18.1% 1 pts worse	19.8% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 24.4% · Q3 13.1% · Q4 22.7% · 4Q avg 19.1%
Percentage of long-stay residents with pressure ulcers	8.9%	5.0% 3.9 pts worse	5.1% 3.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 8.0% · Q3 5.8% · Q4 2.8% · 4Q avg 8.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	89.1%	66.4% 22.7 pts better	81.7% 7.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 84.2% · Q2 91.1% · Q3 91.3% · Q4 88.9% · 4Q avg 89.1%
Percentage of short-stay residents who had an outpatient emergency department visit	9.5%	13.4% 3.9 pts better	12.0% 2.5 pts better	Short Stay · 20240701-20250630 · Adjusted 9.5% · Observed 8.1% · Expected 9.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	2.2% 2.2 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	91.7%	63.5% 28.2 pts better	79.7% 12 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 91.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.8%	25.3% 4.5 pts better	23.9% 3.1 pts better	Short Stay · 20240701-20250630 · Adjusted 20.8% · Observed 16.2% · Expected 18.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-04-11 · Fire 2024-04-11

2 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2022-06-15 · Fire 2022-06-15

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2019-09-23 · Fire 2019-09-23

1 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2022-06-15

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-06-16

Inspection history

Recent health citations

G · Actual harm 2025-02-14

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-03-21

F · Potential for more than minimal harm 2024-04-11

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-05-11

D · Potential for more than minimal harm 2024-04-11

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-05-11

D · Potential for more than minimal harm 2023-10-04

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-09-07

D · Potential for more than minimal harm 2022-06-15

F625 · Resident Rights Deficiencies

Health

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 2022-06-23

D · Potential for more than minimal harm 2022-06-15

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2022-07-14

D · Potential for more than minimal harm 2022-06-15

F690 · Quality of Life and Care Deficiencies

Health

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 2022-06-30

D · Potential for more than minimal harm 2022-06-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-07-29

Penalties and ownership