Federal inspection record · CMS data as of October 1, 2026
Tiffany Heights
1531 Nebraska Street, Mound City, MO · (660) 442-3146
- Certified beds
- 60
- Residents per day
- 36
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 1, 2002
1
How this home got 3 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.
-
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.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Tiffany Heights carries 113 inspection points. That is fewer than 34% 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
30 health citations on record since 2023. 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 services provided by the nursing facility meet professional standards of quality.
Everything else, by area of care
Resident Rights7E
- E
The resident has the right to receive notices in a format and a language he or she understands.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- E
Allow residents to self-administer drugs if determined clinically appropriate.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning5E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care5E
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- E
Provide activities to meet all resident's needs.
- 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.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service3E
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Ensure medication error rates are not 5 percent or greater.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services1E
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Administration1D
- D
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspection history
2025-12-05
15 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-08-29
14 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2023-02-17
1 health deficiencies · 10 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 4 min of nursing staff time a day, 31 min of it from a registered nurse.
This home
3 h 4 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 61% of nursing staff and 40% 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 days0.4 pts worse | 2.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse | 2.7 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better | 91.3% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts better | 92.5% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts better | 2.2% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14.6 pts better | 5.4% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.3 pts better | 1.8% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication15.2 pts better | 10.4% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication17.5 pts better | 6.0% | 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 worsened0.5 pts better | 15.3% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4 pts better | 13.4% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 0.8% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.4 pts better | 11.7% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.7 pts better | 1.7% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.6 pts better | 84.3% | 65.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine30.4 pts worse | 31.0% | 61.4% | 80.1% |
·
Who owns and runs it
19 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 |
|---|---|---|---|
| 1531 Nebraska Street LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Bruce, Leland | Indirect Ownership Interest · Individual | 0% | 6 facilities |
| Gaytan, Lucy | Indirect Ownership Interest · Individual | 0% | 6 facilities |
| Hixson, Brooke | Indirect Ownership Interest · Individual | 0% | 6 facilities |
| Mound City SNF Operations LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Mound City SNF Operations LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Mound City SNF Operations LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Nauman, Jamie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Nauman, Jamie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ramos, Brian | Indirect Ownership Interest · Individual | 0% | 9 facilities |
| Ramos, Brian | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Ramos, Brian | Adp Of The SNF · Individual | 0% | 9 facilities |
| Strawberry Fields Realty LP | General Partnership Interest · Organization | 0% | 4 facilities |
| Strawberry Fields Reit Inc | Adp Of The SNF · Organization | 0% | 5 facilities |
| Strawberry Fields Reit Ltd | Direct Ownership Interest · Organization | 0% | 5 facilities |
| Symonds, John | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Symonds, John | Adp Of The SNF · Individual | 0% | 2 facilities |
| Thuet, Daniel | Indirect Ownership Interest · Individual | 0% | 6 facilities |
| Tide Health Group LLC | Direct Ownership Interest · Organization | 0% | 5 facilities |
·
Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- E
Provide properly protected cooking facilities.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
Egress2F
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Gas, Vacuum, and Electrical Systems2F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Have proper medical gas storage and administration areas.
Construction1E
- E
Use approved construction type or materials.
Electrical1F
- F
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Miscellaneous1E
- E
Provide a written emergency evacuation plan.
·
Other homes nearby
-
Oregon Care Center
Oregon, MO
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 53 min
- Fines
- $0
-
Falls City Nursing and Rehabilitation Center
Falls City, NE · The Ensign Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 56 min
- Fines
- $0
-
Nodaway Healthcare
Maryville, MO · Blue Sky Basin, LLC
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 22 min
- Fines
- $0