★★★★★CMS 5/520 bedsNon-profit
- Nurse hours
- 7.56 /day
- Staff turnover
- 50%
- Serious cites
- 0
Phelps Health runs a small operation, 20 certified beds, and it's licensed as a nonprofit. The staffing numbers stand out: 7.56 nurse hours per resident per day, roughly double the national average of 3.86, and weekend coverage holds within about 9% of its weekday level, which is a smaller drop than many homes see. Turnover sits at 50%, a bit above the 45.8% national figure, so the people caring for residents do change fairly often. On the regulatory side, the record is clean: one deficiency total, none involving harm or abuse, and a five-star inspection rating with a survey completed in late November 2025.
★★★★★CMS 5/530 bedsNon-profitMedicaid
- Nurse hours
- 4.49 /day
- Staff turnover
- 53%
- Serious cites
- 0
Rolla Presbyterian Manor runs a tight ship on nurse staffing, 4.49 hours per resident day, about 16 percent more than the national average, enough to earn the top federal staffing rating. That's the strongest thing going for it. Turnover sits at 53.3 percent, though, higher than the 45.8 percent national figure, and weekend coverage dips roughly 8 percent below its own weekday level. Eight deficiencies appear on the current record, none involving harm or abuse, and the last inspection was in March 2025. As a small nonprofit with 30 beds, it's the kind of place where you can ask directly who stays on weekends and how long aides tend to last.
★★☆☆☆CMS 2/5116 bedsFor-profitMedicaid
- Nurse hours
- 3.34 /day
- Staff turnover
- 73%
- Serious cites
- 0
Aurora Health and Rehabilitation runs 116 certified beds in Rolla under corporate for-profit ownership, and the staffing numbers are where the trouble shows. At 3.34 nurse hours per resident day, it sits about 14% under the national average, and weekend coverage drops roughly another 15% below its own weekday level, so the thinnest shifts land when families tend to visit. Annual turnover of 73.4% is well above the 45.8% national figure, meaning the people caring for residents are often new to the building. The current inspection record lists 48 deficiencies, one involving harm or jeopardy and seven tied to abuse, plus four fines totaling $46,544. Quality measures look better than the hands-on care.
★★★☆☆CMS 3/5110 bedsFor-profitMedicaid
- Nurse hours
- 2.88 /day
- Staff turnover
- 58%
- Serious cites
- 0
Silverstone Place runs on 2.88 nurse hours per resident day, roughly a quarter below the national average, and weekends dip about 5% below its own weekday levels. Staff turnover sits at 57.7% against a national 45.8%, so more than half the nursing staff leaves each year. The 33 deficiencies on record include two abuse-related citations, though none reached harm or jeopardy. A June 2025 inspection is recent, and the 4/5 health inspection rating suggests the building itself is kept in reasonable order, but a 1/5 staffing rating and 2/5 quality measures tell you where the strain shows up. Ask about weekend coverage and how they retain aides before deciding.
★☆☆☆☆CMS 1/5102 bedsFor-profitMedicaid
- Nurse hours
- 3.17 /day
- Staff turnover
- 59%
- Serious cites
- 0
Cedar Pointe runs on 3.17 nurse hours per resident per day, roughly 18% under the national average of 3.86, and weekends drop about 15% below what the home staffs on weekdays. That thin coverage sits behind a 58.9% annual turnover rate, well above the 45.8% national figure, so the aides and nurses working the floor keep changing. The current record carries 39 deficiencies, including one at the harm or jeopardy level and three tied to abuse. The last inspection was July 18, 2024, and the for-profit partnership has drawn a 2/5 on health inspections with 1/5 on both quality measures and staffing.