Hermitage Nursing & Rehab
18599 First Street, Hermitage, MO 65668
Hermitage Nursing & Rehab, a 120-bed for profit - limited liability company nursing facility in Hermitage, MO, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #178 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 4177452111
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- 3 / 5
- Average · CMS overall · nat'l 3.0
- #178 of 479
- In-state rank among rated MO homes
- 2.84
- Well below average · nurse hrs/day · nat'l 3.86
- 23
- Inspection findings · 3 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Hermitage Nursing & Rehab, a 120-bed for profit - limited liability company nursing facility in Hermitage, MO, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #178 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.
- 3 / 5
- CMS overall · national 3.0
- #178 of 479
- In-state rank among rated MO homes
- 2.84
- Nurse hrs/resident-day · national 3.86
- 23
- Inspection findings · 3 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 487 MO nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 265239
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 120
- Residents
- 64
- In Hospital
- No
- County
- Hickory
- Last Inspection
- Dec 12, 2025
Staffing Data
How the 2.84 total nursing hours per resident-day are staffed:
- RN Hours
- 0.37 (nat'l avg: 0.69)
- LPN Hours
- 0.37
- CNA Hours
- 2.10
- Total Nursing Hours
- 2.84 (nat'l avg: 3.86)
- PT Hours
- 0.01
- Nursing Turnover
- 53.8%
- RN Turnover
- 42.9%
What the CMS Record Reveals About Hermitage Nursing & Rehab
According to CMS Nursing Home Compare, Hermitage Nursing & Rehab ranks #178 of 479 rated nursing homes in MO on overall stars (tie-broken by health+staffing+quality, then fewer fines). Hermitage Nursing & Rehab operates 120 certified beds in Hermitage, MO with approximately 64 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 2★ · staffing 2★ · quality 5★).
The inspection file contains 23 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $79K against this provider. Reported nurse staffing runs 2.84 total hours per resident day (national average 3.86); RN hours specifically are 0.37 per resident day.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Hermitage Nursing & Rehab falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 53.8% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (23 most recent)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 1, 2026
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Category: Administration Deficiencies
Corrected: Apr 20, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 20, 2026
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Apr 20, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Apr 20, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 1, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 1, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Apr 20, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 26, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 26, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 26, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jan 26, 2026
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Mar 17, 2024
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 17, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 17, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Mar 17, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 17, 2024
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Feb 27, 2022
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Feb 27, 2022
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 27, 2022
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Feb 27, 2022
Try 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.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 27, 2022
Have 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.
Category: Nursing and Physician Services Deficiencies
Corrected: Feb 27, 2022
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.7% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.3% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.3% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.3% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.5% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.4% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 33.6% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.6% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 5.7% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.6% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.1% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 36.3% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 98.4% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 8.2% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 96.7% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 96.0% | No |
Penalty History 1 penalties totaling $79K
| Date | Type | Amount |
|---|---|---|
| Mar 5, 2026 | Fine | $79K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Hermitage Nursing & Rehab, both outside MO so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside MO (120 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside MO (3.39 here).
Nearby Nursing Homes in MO
486 other nursing homes are on record in MO; 6 are shown here.
Abbey Senior Health
O Fallon, MO
Aberdeen Heights
Kirkwood, MO
Abode Health and Wellness Center
Independence, MO
Abundant Acres Care and Rehab
Savannah, MO
Adair Village
Clinton, MO
Advanced Care of St Joseph
Saint Joseph, MO
Understanding Nursing Home Data
What the CMS records show for Hermitage Nursing & Rehab
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The MO registry aggregates state averages and the highest-rated homes in this cohort. View MO registry
- Peer homes near 120 beds show how CMS stars vary at a similar scale in MO. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Hermitage Nursing & Rehab?
Where does Hermitage Nursing & Rehab rank among nursing homes in MO?
What are the staffing levels at Hermitage Nursing & Rehab?
How many beds does Hermitage Nursing & Rehab have?
Does Hermitage Nursing & Rehab have any deficiencies on record?
Has Hermitage Nursing & Rehab received any fines or penalties?
Who owns Hermitage Nursing & Rehab?
When was Hermitage Nursing & Rehab last inspected?
What quality measures are tracked for Hermitage Nursing & Rehab?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
