Cycle 1
Health 2025-11-25 · Fire 2025-11-25
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Rolla, MO
Phelps Health
5-star overall rating with 5-star inspections
1000 W Tenth St, Rolla, MO
(573) 364-8899
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
20
Certified beds
Average residents
9
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1988-06-30
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
5.10
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.30
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.42
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
7.82
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
5.40
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
6.39
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
4.55
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
5.34
CMS adjusted RN staffing hours
Adjusted total hours
8.19
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,877
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
53.35
Composite VBP score used to determine payment impact.
Payment multiplier
1.0081
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.96% · Performance 21.77% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
10
Baseline 4.49% · Performance 4.61% · Measure score 10 · Achievement 10 · Improvement 0
Total nurse turnover
6.01
Baseline 40.00% · Performance 39.13% · Measure score 6.01 · Achievement 6.01 · Improvement 0.07
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.03% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 259 · Observed rate 9.27% · Lower 95% interval 7.89% |
| Discharge to community | 74.2% |
50.57%
23.6 pts better
|
Better than the National Rate · Eligible stays 234 · Observed rate 73.08% · Lower 95% interval 67.95% |
| Medicare spending per beneficiary | 0.57 |
1.02
0.5 pts better
|
|
| Drug regimen review with follow-up | 94.23% |
95.27%
1 pts worse
|
Numerator 147 · Denominator 156 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 156 |
| Discharge self-care score | 64.8% |
53.69%
11.1 pts better
|
Numerator 81 · Denominator 125 |
| Discharge mobility score | 66.4% |
50.94%
15.5 pts better
|
Numerator 83 · Denominator 125 |
| Pressure ulcers or injuries, new or worsened | 3.21% |
2.29%
0.9 pts worse
|
Numerator 5 · Denominator 156 · Adjusted rate 4.51% |
| Healthcare-associated infections requiring hospitalization | 4.61% |
7.12%
2.5 pts better
|
No Different than the National Rate · Eligible stays 144 · Observed rate 0.69% · Lower 95% interval 2.34% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 16 |
| Staff flu vaccination coverage | 70.59% |
42%
28.6 pts better
|
Numerator 12 · Denominator 17 |
| Discharge function score | 65.6% |
56.45%
9.1 pts better
|
Numerator 82 · Denominator 125 |
| Transfer of health information to provider | 91.07% |
95.95%
4.9 pts worse
|
Numerator 102 · Denominator 112 |
| Transfer of health information to patient | 52.27% |
96.28%
44 pts worse
|
Numerator 23 · Denominator 44 |
| Resident COVID-19 vaccinations up to date | 15.38% |
25.2%
9.8 pts worse
|
Numerator 12 · Denominator 78 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 75.2% |
66.4%
8.8 pts better
|
81.7%
6.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 86.5% · Q2 81.0% · Q3 68.4% · Q4 64.1% · 4Q avg 75.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.1% |
13.4%
7.3 pts better
|
12.0%
5.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.1% · Observed 5.8% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
2.2%
1.4 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 1.4% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.7% |
63.5%
31.2 pts better
|
79.7%
15 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.2% |
25.3%
3.9 pts worse
|
23.9%
5.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.2% · Observed 25.2% · Expected 20.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-11-26 · Fire 2024-11-26
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2023-12-28 · Fire 2023-12-28
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-11-26
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-10
F · Potential for more than minimal harm
2024-11-26
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-06
F · Potential for more than minimal harm
2023-12-28
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2024-02-02
F · Potential for more than minimal harm
2023-12-28
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-18
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-12-28
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-01-24
Penalties and ownership
What sits behind the stars
Ownership
Phelps County Clerk
5% Or Greater Direct Ownership Interest · Organization
Bass, Annie
Operational/Managerial Control · Individual
Bass, Annie
Corporate Director · Individual
Bruno, Kimberley
Corporate Officer · Individual
Cook, Jana
Operational/Managerial Control · Individual
Cook, Jana
Corporate Officer · Individual
Elgin, Richard
Operational/Managerial Control · Individual
Elgin, Richard
Corporate Director · Individual
Gueco, Gerardo Ismael
Operational/Managerial Control · Individual
Heavin, Keri
Operational/Managerial Control · Individual
Heavin, Keri
Corporate Officer · Individual
Kaczmarek, Anthony
Operational/Managerial Control · Individual
Kaczmarek, Anthony
Corporate Director · Individual
Lifepoint Health Inc
Operational/Managerial Control · Organization
Lifepoint Rehab Blocker LLC
Operational/Managerial Control · Organization
Lifepoint Rehab Blocker Parent LLC
Operational/Managerial Control · Organization
Lifepoint Rehab LLC
Operational/Managerial Control · Organization
Lifepoint Rehabilitation Services, LLC
Operational/Managerial Control · Organization
Martin, Janece
Operational/Managerial Control · Individual
Martin, Janece
Corporate Director · Individual
Rehabcare Group Management Services
Operational/Managerial Control · Organization
Shenefield, Jason
Operational/Managerial Control · Individual
Shenefield, Jason
Corporate Officer · Individual
Tipton, Ben
Operational/Managerial Control · Individual
Tipton, Ben
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Cedar Pointe
Rolla, MO
1-star overall rating with 2-star inspections with $21,687 in total fines with 13 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Silverstone Place
Rolla, MO
2-star overall rating with 4-star inspections with 4 recent health deficiencies
#3
Rolla Presbyterian Manor
Rolla, MO
5-star overall rating with 4-star inspections with 2 recent health deficiencies
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