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D
Poor

HERMITAGE NURSING & REHAB

18599 FIRST STREET · HERMITAGE, MO 65668

4177452111 · For profit - Limited Liability company

120 beds60.6 residents56 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

HERMITAGE NURSING & REHAB receives an overall staffing grade of D (Poor). With 2.8484 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3742 HPRD, below the recommended 0.75. It is 1.05 HPRD below the national average.

Weekend staffing drops significantly — dropping 30.49% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (4)

🚨Had 5 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.8484 HPRD — needs 0.63 more hours per resident per day.
⚠️RN staffing (0.3742 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 30.49% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (1)

✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
2.8484hrs/resident/day▼ 1.05
CMS benchmark: 3.48
RN HPRD
0.3742hrs/resident/day▼ 0.31
Recommended: 0.75
Weekend Drop-off
30.49%
3.117 weekday → 2.1667 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
5days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
1.4025hrs/resident/day
Direct care aides
LPN HPRD
0.3744hrs/resident/day
Licensed practical nurses
Consistency
0.506std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Hickory County Average+0.00 HPRD
2.85
02.85 HPRD
vs. Missouri State Average-0.63 HPRD
3.48
02.85 HPRD
vs. National Average-1.05 HPRD
3.90
02.85 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
HERMITAGE NURSING & REHAB ★
HERMITAGE · This facility
—
D
2.84840.3742★★★★☆
NORTHWOOD HILLS CARE CENTER
HUMANSVILLE
17.3 mi
D
3.70610.3004★★★☆☆
CAMDENTON WINDSOR ESTATES
CAMDENTON
18.9 mi
D
2.82790.4569★☆☆☆☆
BUFFALO PRAIRIE CENTER FOR REHAB AND HEALTHCARE
BUFFALO
23.7 mi
C
3.22620.536★☆☆☆☆
COLONIAL SPRINGS HEALTHCARE CENTER
BUFFALO
24.1 mi
C
3.53180.4636★★★☆☆
TRUMAN LAKE MANOR INC
LOWRY CITY
26 mi
D
2.85280.5209★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
14
Total Deficiencies
$17,492
Fines Assessed
Feb 1, 2024Health
5 deficiencies cited
▼
May 24, 2023Health
2 deficiencies cited· Includes actual harm
▼
Jan 13, 2022Health
6 deficiencies cited
▼
May 28, 2019Health
1 deficiency cited
▼

Penalty History

May 24, 2023Fine
$17,492
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.