Rolla, MO

Rolla Presbyterian Manor

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

1200 Homelife Plaza, Rolla, MO

(573) 364-7336

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

30

Certified beds

Average residents

27

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Presbyterian Manors Of Mid-America

Operator or chain grouping

Approved since

1994-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

13 facilities

Chain averages 4 overall / 4 health / 4 staffing / 3 quality stars

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

1.24

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.82

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.85

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

4.91

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

2.06

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

4.57

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.83

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

1.30

CMS adjusted RN staffing hours

Adjusted total hours

5.17

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

13%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

56%

Annual nurse turnover · state 57% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.46%	10.72% 1.7 pts worse	No Different than the National Rate · Eligible stays 30 · Observed rate 20% · Lower 95% interval 8.21%
Discharge to community	34.71%	50.57% 15.9 pts worse	No Different than the National Rate · Eligible stays 26 · Observed rate 19.23% · Lower 95% interval 21.85%
Medicare spending per beneficiary	1.32	1.02 0.3 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 19 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	17.39%	8.2% 9.2 pts better	Numerator 12 · Denominator 69
Staff flu vaccination coverage	26.09%	42% 15.9 pts worse	Numerator 24 · Denominator 92
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
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	100.0%	90.9% 9.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.6%	4.1% 0.5 pts better	3.3% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.0% · Q3 5.0% · Q4 0.0% · 4Q avg 3.6% · 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 9.5% · Q2 10.0% · Q4 0.0% · 4Q avg 6.1%
Percentage of long-stay residents who lose too much weight	0.0%	5.5% 5.5 pts better	5.4% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	40.0%	25.3% 14.7 pts worse	19.6% 20.4 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 40.0%
Percentage of long-stay residents who received an antipsychotic medication	0.0%	25.0% 25 pts better	16.7% 16.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · 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	28.1%	20.3% 7.8 pts worse	16.3% 11.8 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 28.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	26.9%	19.8% 7.1 pts worse	14.9% 12 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 26.9% · 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% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	8.9%	2.6% 6.3 pts worse	1.7% 7.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q4 0.0% · 4Q avg 8.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	40.5%	18.1% 22.4 pts worse	19.8% 20.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 46.8% · Q4 47.1% · 4Q avg 40.5%
Percentage of long-stay residents with pressure ulcers	5.4%	5.0% 0.4 pts worse	5.1% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q4 5.8% · 4Q avg 5.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	63.0%	66.4% 3.4 pts worse	81.7% 18.7 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 63.0%
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 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-06 · Fire 2025-03-06

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 2024-01-26 · Fire 2024-01-26

3 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2022-12-21 · Fire 2022-12-21

3 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-01-26

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-03-06

F · Potential for more than minimal harm 2024-01-26

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-03-06

F · Potential for more than minimal harm 2022-12-21

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-01-21

F · Potential for more than minimal harm 2022-12-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-01-21

F · Potential for more than minimal harm 2022-12-21

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-01-21

E · Potential for more than minimal harm 2022-12-21

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-01-21

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-03-06

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 2025-04-04

F · Potential for more than minimal harm 2025-03-06

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2025-04-04

E · Potential for more than minimal harm 2024-01-26

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-03-06

D · Potential for more than minimal harm 2024-01-26

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-03-06

D · Potential for more than minimal harm 2024-01-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-06

F · Potential for more than minimal harm 2022-12-21

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 2023-01-21

E · Potential for more than minimal harm 2022-12-21

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-01-21

C · Minimal harm 2022-12-21

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-01-21

Penalties and ownership

What sits behind the stars

Ownership

Presbyterian Manors Inc

5% Or Greater Direct Ownership Interest · Organization

100% 13 facilities 1989-03-30

Brennecke, Gary