Senior CareScorecard

Nursing home · Ellington, MO

Brent B Tinnin Manor

220 Euel Polk Drive, Ellington, MO 63638 · 60 certified beds · for profit ownership · part of Circle B Enterprises

Medicare & Medicaid
Medicare overall rating1 / 5Much below averageSalem area 2.1 · Missouri 2.51 · U.S. 2.99
3/5Health inspections Average
1/5Staffing Much below average
1/5Quality measures Much below average
–Short-stay (rehab) quality Not rated
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 Mar 19, 2025, when they cited 16 problems. The most common area was resident rights (4 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 16 are marked corrected in the CMS data. At its most recent standard inspection (Mar 19, 2025) it had 16 citations, compared with an average of 9.6 for Salem-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 3.20 hours per resident per day here, 7% less than the Missouri average (3.43) and 17% less than the U.S. average (3.86). Registered nurses account for 0.62 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 74% over the past year, 18 points higher than Missouri (56%) and 29 points higher than the U.S. (46%).

How Brent B Tinnin Manor compares

This home's latest CMS figures next to the averages for Salem-area homes (7), Missouri (487) and the U.S. (14,680).

This homeSalem areaMissouriU.S.
Total nurse hours per resident per day3.203.423.433.86
Registered nurse hours per resident per day0.620.480.460.68
Weekend nurse hours per resident per day2.462.993.013.42
Nursing staff turnover (past year)74%57%56%46%
Registered nurse turnover (past year)57%49%48%43%
Citations at the most recent standard inspection169.611.49.2

Inspection history

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

Mar 19, 202516standard
Feb 24, 20251complaint
Nov 18, 20241complaint
Mar 13, 20248standard
Aug 17, 20227standard

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

Most recent 33 of 33 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Mar 19, 2025Have a plan that describes the process for conducting QAPI and QAA activities.
Administration
FDeficient, Provider has date of correction
Mar 19, 2025Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration
FDeficient, Provider has date of correction
Mar 19, 2025Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration
FDeficient, Provider has date of correction
Mar 19, 2025Assure the security of all personal funds of residents deposited with the facility.
Resident rights
DDeficient, Provider has date of correction
Mar 19, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident rights
DDeficient, Provider has date of correction
Mar 19, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation
DDeficient, Provider has date of correction
Mar 19, 2025Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident rights
DDeficient, Provider has date of correction
Mar 19, 2025Notify 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
Mar 19, 2025Assess the resident when there is a significant change in condition
Resident assessment and care planning
DDeficient, Provider has date of correction
Mar 19, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care
DDeficient, Provider has date of correction
Mar 19, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of life and care
DDeficient, Provider has date of correction
Mar 19, 2025Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Nursing and physician services
DDeficient, Provider has date of correction
Mar 19, 2025Provide and implement an infection prevention and control program.
Infection control
DDeficient, Provider has date of correction
Mar 19, 2025Implement a program that monitors antibiotic use.
Infection control
DDeficient, Provider has date of correction
Mar 19, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection control
DDeficient, Provider has date of correction
Mar 19, 2025Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection control
DDeficient, Provider has date of correction
Feb 24, 2025Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from abuse, neglect, and exploitation · complaint
DPast Non-Compliance
Nov 18, 2024Respond appropriately to all alleged violations.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Mar 13, 2024Ensure each resident receives an accurate assessment.
Resident assessment and care planning
DDeficient, Provider has date of correction
Mar 13, 2024Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident assessment and care planning
DDeficient, Provider has date of correction
Mar 13, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care
DDeficient, Provider has date of correction
Mar 13, 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
Mar 13, 2024Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy service
DDeficient, Provider has date of correction
Mar 13, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection control
DDeficient, Provider has date of correction
Mar 13, 2024Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection control
DDeficient, Provider has date of correction
Mar 13, 2024Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental
DDeficient, Provider has date of correction
Aug 17, 2022Ensure each resident receives an accurate assessment.
Resident assessment and care planning
DDeficient, Provider has date of correction
Aug 17, 2022Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
DDeficient, Provider has date of correction
Aug 17, 2022Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care
DDeficient, Provider has date of correction
Aug 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
Aug 17, 2022Provide and implement an infection prevention and control program.
Infection control
DDeficient, Provider has date of correction
Aug 17, 2022Implement a program that monitors antibiotic use.
Infection control
DDeficient, Provider has date of correction
Aug 17, 2022Develop and implement policies and procedures for flu and pneumonia vaccinations.
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

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Questions about Brent B Tinnin Manor

Answers computed from CMS data for this facility.

What is Brent B Tinnin Manor's Medicare rating?

Medicare rates Brent B Tinnin Manor 1 out of 5 stars overall (much below average). The average for Salem-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.

How did Brent B Tinnin Manor do on its last inspection?

Inspectors' most recent visit in the CMS data was on Mar 19, 2025, when they cited 16 problems. The most common area was resident rights (4 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 16 are marked corrected in the CMS data. At its most recent standard inspection (Mar 19, 2025) it had 16 citations, compared with an average of 9.6 for Salem-area homes, 11.4 in Missouri and 9.2 nationally.

Has Brent B Tinnin Manor been fined?

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

Does Brent B Tinnin Manor accept Medicaid?

Brent B Tinnin Manor is certified for both Medicare and Medicaid. Call (573) 663-2545 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.