Federal inspection record · CMS data as of October 1, 2026
Truman Healthcare & Rehabilitation Center
206 West First Street, Lamar, MO · (417) 682-5718
- Cited for abuse (CMS abuse icon)
- Certified beds
- 109
- Residents per day
- 102
- Ownership
- For-Profit
- Chain
- Circle B Enterprises
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 12, 1984
1
How this home got 1 star
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.
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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.
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Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Missouri homes
Truman Healthcare & Rehabilitation Center carries 176 inspection points. That is fewer than 15% 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
46 health citations on record since 2019. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care14E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- 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.
Freedom from Abuse, Neglect, and Exploitation8D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary7F
- D
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- 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.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service6E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- E
Ensure medication error rates are not 5 percent or greater.
Resident Rights4E
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- 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.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning2D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Environmental2E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Administration1D
- D
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspection history
2025-04-15
24 health deficiencies · 7 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (6 deficiencies)
2023-07-14
17 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2019-11-22
5 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 59 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
3 h 59 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 50% 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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts worse | 3.0 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts worse | 3.6 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.9 pts better | 88.9% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.6 pts better | 94.4% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts worse | 5.0% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms11.3 pts better | 8.7% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts worse | 5.4% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication14.2 pts worse | 39.8% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication20.7 pts worse | 44.2% | 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 worsened3 pts worse | 18.8% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.5 pts worse | 21.9% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts worse | 1.5% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts worse | 2.4% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.5 pts worse | 26.6% | 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 vaccine58.8 pts worse | 6.9% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit10 pts worse | 23.4% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 2.3% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine57.4 pts worse | 4.0% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.2 pts better | 22.5% | 25.7% | 23.4% |
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Who owns and runs it
23 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 |
|---|---|---|---|
| The Lamar Exempt Trust | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 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 |
| Bedell, Pamela | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 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 |
| Joustra, Clarence | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Joustra, Clarence | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lamar Re LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Mid States Inc | Adp Of The SNF · Organization | 0% | 37 facilities |
| Selvey, Lisa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Selvey, Lisa | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sovereign Healthcare Group LLC | Operational/Managerial Control · Organization | 0% | 37 facilities |
| Sovereign Healthcare Group LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| The Lamar Exempt Trust | Trustee Of The SNF · Organization | 0% | 1 facilities |
| Van De Ven LLC | Adp Of The SNF · Organization | 0% | 36 facilities |
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Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems6F
- F
Ensure proper usage of power strips and extension cords.
- E
Have power receptacles that are properly grounded.
- F
Ensure proper usage of power strips and extension cords.
- E
Meet requirements for the installation and maintenance of electrical systems.
- E
Have proper medical gas storage and administration areas.
- E
Have power receptacles that are properly grounded.
Smoke5F
- F
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install a fire alarm system that can be heard throughout the facility.
Construction3F
- E
Use approved construction type or materials.
- F
Use approved construction type or materials.
- E
Use approved construction type or materials.
Egress2E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Install proper backup exit lighting.
Miscellaneous2E
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have restrictions on the use of portable space heaters.
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Other homes nearby
-
Good Shepherd Community Care And Rehabilitation
Lockwood, MO
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 29 min
- Fines
- $0
-
Moore Few Care Center
Nevada, MO
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 24 min
- Fines
- $0
-
Arma Operator, LLC
Arma, KS · Mission Health Communities
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 45 min
- Fines
- $24,697