C

HERMITAGE NURSING & REHAB

18599 FIRST STREET, HERMITAGE, MO 65668
Score: 65 / 100

Hermitage Nursing & Rehab is an average performer in CMS ratings, earning a C grade with a score of 65/100. Located in Hermitage, Missouri, the facility meets baseline standards across most quality metrics.

Staffing levels are a potential concern at Hermitage Nursing & Rehab, with 2.85 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent inspections identified 14 deficiencies at Hermitage Nursing & Rehab. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.85 3.8 Below Average
Registered Nurses (RN) 0.37 0.7 Below Average
Licensed Practical Nurses (LPN) 0.37 0.7 Below Average
Certified Nursing Assistants (CNA) 2.10 2.4 Below Average
Weekend Total Nursing 2.17 3.8 Below Average
Weekend RN Hours 0.25 0.7 Below Average

🔍 Inspection & Deficiency History

14
Total Deficiencies
Jan 31, 2024
Most Recent Inspection
🟠 14 Moderate
View recent deficiencies (5 shown)
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jan 31, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0550 Severity E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Jan 31, 2024 · Resident Rights Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Jan 31, 2024 · Infection Control Deficiencies
  • Tag 0678 Severity D
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advanc
    Jan 31, 2024 · Quality of Life and Care Deficiencies
  • Tag 0760 Severity D
    Ensure that residents are free from significant medication errors.
    Jan 31, 2024 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 1.7% 4.5% Better
Falls with major injury 1.3% 3.0% Better
On antipsychotic medication 33.8% 14.5% Worse
Urinary tract infections 4.7% 2.5% Worse
ADL decline (daily activities) 6.3% 14.0% Better
Excessive weight loss 5.8% 7.5% Better
New/worsened incontinence 5.7% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $17,492

How This Grade Was Calculated

This facility's grade of C is based on a score of 65 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 31, 2024
Deficiencies (Cycle 1)
5