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C

64/100

Average

Hermitage Nursing & Rehab

18599 First Street, Hermitage, MO 65668

CMS 3/5 stars (417) 745-2111
Certified beds
120
Occupancy
54%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • $102,470 in federal fines

    CMS has fined this facility across 1 penalty action(s).

Our read on Hermitage Nursing & Rehab

Hermitage Nursing & Rehab runs 2.84 nursing hours per resident per day against a national average of 3.86, roughly a quarter less hands-on care than typical. Weekends dip about 19% below the home's own weekday staffing, so a Saturday shift looks thinner than a Tuesday, and 53.8% of staff turned over last year versus 45.8% nationally. The 22 deficiencies on record include two at harm or jeopardy level and four tied to abuse; one fine totals $78,550, with the last inspection in December 2025. The five-star quality measure score reflects charted care items, but the two-star inspection and staffing ratings describe the conditions underneath it.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing11.5/30Stability9/15Outcomes15/15Enforcement0/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

11.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →3.39 total nurse hours per resident per day (national median 3.77)
  • →0.37 RN hours per resident per day
  • →Weekend staffing drops 19% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →54% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →5 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →$102,470 in federal fines across 1 action(s)
  • →-2 for 1 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 64 (grade C), CMS abuse icon on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day2.84 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.37 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours2.29 hrs
National average 3.42 hrsBelow average

The shift most families visit, and the one thinned first.

Nursing staff turnover53.80%
National average 45.80%Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: December 12, 2025 (10 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of JAMES & JUDY LINCOLN, which operates 56 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

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Common questions about Hermitage Nursing & Rehab

What is the ElderGrade for Hermitage Nursing & Rehab? +

Hermitage Nursing & Rehab holds an ElderGrade of C (64 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Hermitage Nursing & Rehab? +

Residents receive an average of 2.84 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Hermitage Nursing & Rehab been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Hermitage Nursing & Rehab accept Medicaid? +

Yes, Hermitage Nursing & Rehab is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.