Senior CareScorecard

Nursing home · Tuscumbia, MO

Miller County Care and Rehabilitation Center

1157 Highway 17, Tuscumbia, MO 65082 · 86 certified beds · non profit ownership

Medicare & Medicaid
Medicare overall rating3 / 5AverageOsage Beach area 2.7 · Missouri 2.51 · U.S. 2.99
4/5Health inspections Above average
1/5Staffing Much below average
4/5Quality measures Above average
5/5Short-stay (rehab) quality Much above average
1/5Long-stay quality Much below 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 Apr 24, 2025, when they cited 5 problems. The most common area was nutrition and dietary (2 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 5 are marked corrected in the CMS data. At its most recent standard inspection (Apr 24, 2025) it had 5 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 3.13 hours per resident per day here, 9% less than the Missouri average (3.43) and 19% less than the U.S. average (3.86). Registered nurses account for 0.25 of those hours, versus 0.46 in Missouri and 0.68 nationally.

How Miller County Care and Rehabilitation Center 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 day3.133.543.433.86
Registered nurse hours per resident per day0.250.680.460.68
Weekend nurse hours per resident per day2.653.093.013.42
Nursing staff turnover (past year)—60%56%46%
Registered nurse turnover (past year)—45%48%43%
Citations at the most recent standard inspection510.411.49.2

Inspection history

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

Apr 24, 20255standard
Feb 23, 20243standard
Nov 17, 20227standard

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

Most recent 15 of 15 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Apr 24, 2025Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and dietary
FDeficient, Provider has date of correction
Apr 24, 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
Apr 24, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident assessment and care planning
DDeficient, Provider has date of correction
Apr 24, 2025PASARR screening for Mental disorders or Intellectual Disabilities
Resident assessment and care planning
DDeficient, Provider has date of correction
Apr 24, 2025Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of life and care
DDeficient, Provider has date of correction
Feb 23, 2024Provide and implement an infection prevention and control program.
Infection control
FDeficient, Provider has date of correction
Feb 23, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident rights
DDeficient, Provider has date of correction
Feb 23, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of life and care
DDeficient, Provider has date of correction
Nov 17, 2022Procure 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
Nov 17, 2022Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident rights
EDeficient, Provider has date of correction
Nov 17, 2022Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident rights
EDeficient, Provider has date of correction
Nov 17, 2022Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation
EDeficient, Provider has date of correction
Nov 17, 2022Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident rights
DDeficient, Provider has date of correction
Nov 17, 2022Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
DDeficient, Provider has date of correction
Nov 17, 2022Provide and implement an infection prevention and control program.
Infection control
DDeficient, Provider has date of correction

Fines and penalties

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

Location

Map data © OpenStreetMap contributors.

We don't have licensed photos yet. See photos on Google Maps.

Reviews

No family reviews yet. Reviews from residents and families will appear here, kept separate from government data.

Write a review

Read Google reviews (opens Google Maps).

Questions about Miller County Care and Rehabilitation Center

Answers computed from CMS data for this facility.

What is Miller County Care and Rehabilitation Center's Medicare rating?

Medicare rates Miller County Care and Rehabilitation Center 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 Miller County Care and Rehabilitation Center do on its last inspection?

Inspectors' most recent visit in the CMS data was on Apr 24, 2025, when they cited 5 problems. The most common area was nutrition and dietary (2 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 5 are marked corrected in the CMS data. At its most recent standard inspection (Apr 24, 2025) it had 5 citations, compared with an average of 10.4 for Osage Beach-area homes, 11.4 in Missouri and 9.2 nationally.

Has Miller County Care and Rehabilitation Center been fined?

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

Does Miller County Care and Rehabilitation Center accept Medicaid?

Miller County Care and Rehabilitation Center is certified for both Medicare and Medicaid. Call (573) 369-2318 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.