Senior CareScorecard

Nursing home · Hermitage, MO

Hermitage Nursing & Rehab

18599 First Street, Hermitage, MO 65668 · 120 certified beds · for profit ownership · part of James & Judy Lincoln

Medicare & MedicaidFined $102,470 in 3 yearsMedicare abuse icon
Medicare overall rating3 / 5AverageOsage Beach area 2.7 · Missouri 2.51 · U.S. 2.99
2/5Health inspections Below average
2/5Staffing Below average
5/5Quality measures Much above average
–Short-stay (rehab) quality Not rated
5/5Long-stay quality Much 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 May 11, 2026, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (1 citation). 1 citation was rated as causing actual harm or immediate jeopardy to residents. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Dec 12, 2025) it had 12 citations, compared with an average of 10.4 for Osage Beach-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 2.84 hours per resident per day here, 17% less than the Missouri average (3.43) and 27% less than the U.S. average (3.86). Registered nurses account for 0.37 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 54% over the past year, 2 points lower than Missouri (56%) and 8 points higher than the U.S. (46%).

How Hermitage Nursing & Rehab compares

This home's latest CMS figures next to the averages for Osage Beach-area homes (19), Missouri (487) and the U.S. (14,680).

This homeOsage Beach areaMissouriU.S.
Total nurse hours per resident per day2.843.543.433.86
Registered nurse hours per resident per day0.370.680.460.68
Weekend nurse hours per resident per day2.293.093.013.42
Nursing staff turnover (past year)54%60%56%46%
Registered nurse turnover (past year)43%45%48%43%
Citations at the most recent standard inspection1210.411.49.2

Inspection history

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

May 11, 20261complaint · 1 harm-level citation
Mar 5, 20267complaint · 2 harm-level citations
Dec 12, 20254standard
Feb 1, 20245standard
Jan 13, 20226standard

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

Most recent 23 of 23 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
May 11, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care · complaint
G actual harmDeficient, Provider has date of correction
Mar 5, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care · complaint
G actual harmDeficient, Provider has date of correction
Mar 5, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Mar 5, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Mar 5, 2026Respond appropriately to all alleged violations.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Mar 5, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Mar 5, 2026Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration · complaint
DDeficient, Provider has date of correction
Mar 5, 2026Protect 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 · complaint
J immediate jeopardyDeficient, Provider has date of correction
Dec 12, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care
DDeficient, Provider has date of correction
Dec 12, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of life and care
DDeficient, Provider has date of correction
Dec 12, 2025PASARR screening for Mental disorders or Intellectual Disabilities
Resident assessment and care planning
DDeficient, Provider has date of correction
Dec 12, 2025Provide and implement an infection prevention and control program.
Infection control
FDeficient, Provider has date of correction
Feb 1, 2024Procure 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
Feb 1, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident rights
EDeficient, Provider has date of correction
Feb 1, 2024Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Feb 1, 2024Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of life and care
DDeficient, Provider has date of correction
Feb 1, 2024Ensure that residents are free from significant medication errors.
Pharmacy service
DDeficient, Provider has date of correction
Jan 13, 2022Have 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
FDeficient, Provider has date of correction
Jan 13, 2022Try 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.
Quality of life and care
EDeficient, Provider has date of correction
Jan 13, 2022Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Jan 13, 2022Provide enough food/fluids to maintain a resident's health.
Quality of life and care
DDeficient, Provider has date of correction
Jan 13, 2022Ensure medication error rates are not 5 percent or greater.
Pharmacy service
DDeficient, Provider has date of correction
Jan 13, 2022Ensure that residents are free from significant medication errors.
Pharmacy service
DDeficient, Provider has date of correction

Fines and penalties

DateTypeAmount
Mar 5, 2026Fine$102,470
Mar 5, 2026Payment Denial37 days

Location

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Questions about Hermitage Nursing & Rehab

Answers computed from CMS data for this facility.

What is Hermitage Nursing & Rehab's Medicare rating?

Medicare rates Hermitage Nursing & Rehab 3 out of 5 stars overall (average). The average for Osage Beach-area nursing homes is 2.7, for Missouri 2.51 and for the U.S. 2.99.

How did Hermitage Nursing & Rehab do on its last inspection?

Inspectors' most recent visit in the CMS data was on May 11, 2026, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (1 citation). 1 citation was rated as causing actual harm or immediate jeopardy to residents. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Dec 12, 2025) it had 12 citations, compared with an average of 10.4 for Osage Beach-area homes, 11.4 in Missouri and 9.2 nationally.

Has Hermitage Nursing & Rehab been fined?

Yes. CMS reports 1 fine totaling $102,470 in the past three years.

Does Hermitage Nursing & Rehab accept Medicaid?

Hermitage Nursing & Rehab is certified for both Medicare and Medicaid. Call (417) 745-2111 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.