HomeMissouriGreene CountyREPUBLIC NURSING & REHAB
C
Below Standard

REPUBLIC NURSING & REHAB

901 EAST HWY 174 · REPUBLIC, MO 65738

4177321822 · For profit - Corporation

127 beds112.8 residents125 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

REPUBLIC NURSING & REHAB receives an overall staffing grade of C (Below Standard). With 3.0665 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4206 HPRD, below the recommended 0.75. It is 0.83 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 13.07% compared to weekdays. The facility has low agency staff usage (0.05% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0665 HPRD — needs 0.41 more hours per resident per day.
⚠️RN staffing (0.4206 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

Strengths (3)

No days with zero registered nurse hours this quarter
Low agency staff usage (0.05%) — mostly permanent, familiar staff
Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.0665hrs/resident/day 0.83
CMS benchmark: 3.48
RN HPRD
0.4206hrs/resident/day 0.26
Recommended: 0.75
Weekend Drop-off
13.07%
3.1841 weekday → 2.768 weekend
Agency Staff
0.05%
0.34% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4838hrs/resident/day
Direct care aides
LPN HPRD
0.4435hrs/resident/day
Licensed practical nurses
Consistency
0.2669std 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. Greene County Average-0.63 HPRD
3.69
03.07 HPRD
vs. Missouri State Average-0.42 HPRD
3.48
03.07 HPRD
vs. National Average-0.83 HPRD
3.90
03.07 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
REPUBLIC NURSING & REHAB
REPUBLIC · This facility
C
3.06650.4206★★★★
SPRINGFIELD SKILLED CARE CENTER
SPRINGFIELD
8.2 mi
D
3.39940.3139☆☆☆☆
WILSON'S CREEK NURSING & REHAB
SPRINGFIELD
9.2 mi
D
2.75310.3302★★★☆☆
SPRINGFIELD REHABILITATION & HEALTH CARE CENTER
SPRINGFIELD
9.5 mi
C
3.11120.6367★★★★
NIXA NURSING & REHAB
NIXA
10.4 mi
F
3.22710.2453★★★★★
COX MEDICAL CENTERS MEYER ORTHOPEDIC AND REHAB
SPRINGFIELD
10.9 mi
A+
10.18058.3333★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
23
Total Deficiencies
$0
Fines Assessed
Jul 24, 2024Health
2 deficiencies cited
Mar 14, 2024Health
8 deficiencies cited
Jul 29, 2023Health
1 deficiency cited
Feb 25, 2022Health
6 deficiencies cited
Jul 12, 2019Health
6 deficiencies cited
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.