Senior CareScorecard

Nursing home · Mound City, MO

Tiffany Heights

1531 Nebraska Street, Mound City, MO 64470 · 60 certified beds · for profit ownership

Medicare & Medicaid
Medicare overall rating2 / 5Below averageMaryville area 2.0 · Missouri 2.51 · U.S. 2.99
2/5Health inspections Below average
2/5Staffing Below average
3/5Quality measures Average
3/5Short-stay (rehab) quality Average
4/5Long-stay quality Above average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Dec 5, 2025, when they cited 14 problems. The most common area was resident rights (3 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 14 are marked corrected in the CMS data. At its most recent standard inspection (Dec 5, 2025) it had 14 citations, compared with an average of 11.2 for Maryville-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 3.02 hours per resident per day here, 12% less than the Missouri average (3.43) and 22% less than the U.S. average (3.86). Registered nurses account for 0.60 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 69% over the past year, 13 points higher than Missouri (56%) and 23 points higher than the U.S. (46%).

How Tiffany Heights compares

This home's latest CMS figures next to the averages for Maryville-area homes (8), Missouri (487) and the U.S. (14,680).

This homeMaryville areaMissouriU.S.
Total nurse hours per resident per day3.023.023.433.86
Registered nurse hours per resident per day0.600.560.460.68
Weekend nurse hours per resident per day2.482.583.013.42
Nursing staff turnover (past year)69%53%56%46%
Registered nurse turnover (past year)60%53%48%43%
Citations at the most recent standard inspection1411.211.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Dec 5, 202514standard
Aug 29, 202414standard
Feb 17, 20231standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 29 of 29 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Dec 5, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Dec 5, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from abuse, neglect, and exploitation
DDeficient, Provider has date of correction
Dec 5, 2025The resident has the right to receive notices in a format and a language he or she understands.
Resident rights
EDeficient, Provider has date of correction
Dec 5, 2025Provide and implement an infection prevention and control program.
Infection control
DDeficient, Provider has date of correction
Dec 5, 2025Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration
DDeficient, Provider has date of correction
Dec 5, 2025Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of life and care
DDeficient, Provider has date of correction
Dec 5, 2025Respond appropriately to all alleged violations.
Freedom from abuse, neglect, and exploitation
DDeficient, Provider has date of correction
Dec 5, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care
DDeficient, Provider has date of correction
Dec 5, 2025Have 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.
Nursing and physician services
EDeficient, Provider has date of correction
Dec 5, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of life and care
EDeficient, Provider has date of correction
Dec 5, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
EDeficient, Provider has date of correction
Dec 5, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident assessment and care planning
EDeficient, Provider has date of correction
Dec 5, 2025Honor 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.
Resident rights
EDeficient, Provider has date of correction
Dec 5, 2025Honor 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.
Resident rights
EDeficient, Provider has date of correction
Aug 29, 2024Provide activities to meet all resident's needs.
Quality of life and care
EDeficient, Provider has date of correction
Aug 29, 2024Ensure 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.
Pharmacy service
DDeficient, Provider has date of correction
Aug 29, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of life and care
DDeficient, Provider has date of correction
Aug 29, 2024Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Aug 29, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and dietary
EDeficient, Provider has date of correction
Aug 29, 2024Ensure medication error rates are not 5 percent or greater.
Pharmacy service
EDeficient, Provider has date of correction
Aug 29, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy service
EDeficient, Provider has date of correction
Aug 29, 2024Allow residents to self-administer drugs if determined clinically appropriate.
Resident rights
EDeficient, Provider has date of correction
Aug 29, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
EDeficient, Provider has date of correction
Aug 29, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident assessment and care planning
EDeficient, Provider has date of correction
Aug 29, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident assessment and care planning
EDeficient, Provider has date of correction
Aug 29, 2024Keep residents' personal and medical records private and confidential.
Resident rights
EDeficient, Provider has date of correction
Aug 29, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident rights
EDeficient, Provider has date of correction
Aug 29, 2024Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident rights
EDeficient, Provider has date of correction
Feb 17, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
EDeficient, Provider has date of correction

Fines and penalties

No federal fines or payment denials reported by CMS in the past three years.

Location

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Questions about Tiffany Heights

Answers computed from CMS data for this facility.

What is Tiffany Heights's Medicare rating?

Medicare rates Tiffany Heights 2 out of 5 stars overall (below average). The average for Maryville-area nursing homes is 2.0, for Missouri 2.51 and for the U.S. 2.99.

How did Tiffany Heights do on its last inspection?

Inspectors' most recent visit in the CMS data was on Dec 5, 2025, when they cited 14 problems. The most common area was resident rights (3 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 14 are marked corrected in the CMS data. At its most recent standard inspection (Dec 5, 2025) it had 14 citations, compared with an average of 11.2 for Maryville-area homes, 11.4 in Missouri and 9.2 nationally.

Has Tiffany Heights been fined?

CMS reports no federal fines for this facility in the past three years.

Does Tiffany Heights accept Medicaid?

Tiffany Heights is certified for both Medicare and Medicaid. Call (660) 442-3146 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.