Missouri ›Ellington

Brent B Tinnin Manor

220 Euel Polk Drive, Ellington, MO 63638 · Reynolds County · 60 certified beds · avg 41 residents/day · certified since Oct 21, 1991

Part of chain: CIRCLE B ENTERPRISES (36 facilities, chain avg rating 2.5★)

3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.17
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (33)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Mar 19, 2025F · Potential for harm, facility-wideThe facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Mar 19, 2025F · Potential for harm, facility-wideThe facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Mar 19, 2025F · Potential for harm, facility-wideThe facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Mar 19, 2025D · Potential for harm, one-offThe facility did not properly protect the personal money residents deposited with it for safekeeping.
Mar 19, 2025D · Potential for harm, one-offThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Mar 19, 2025D · Potential for harm, one-offThe facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Mar 19, 2025D · Potential for harm, one-offThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Mar 19, 2025D · Potential for harm, one-offThe facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Mar 19, 2025D · Potential for harm, one-offThe facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Mar 19, 2025D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 19, 2025D · Potential for harm, one-offThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 19, 2025D · Potential for harm, one-offThe facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training.
Mar 19, 2025D · Potential for harm, one-offThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 19, 2025D · Potential for harm, one-offThe facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Mar 19, 2025D · Potential for harm, one-offThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Mar 19, 2025D · Potential for harm, one-offThe facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Feb 24, 2025D · Potential for harm, one-offThe facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Nov 18, 2024D · Potential for harm, one-offThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Mar 13, 2024D · Potential for harm, one-offThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 13, 2024D · Potential for harm, one-offThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Mar 13, 2024D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 13, 2024D · Potential for harm, one-offThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Mar 13, 2024D · Potential for harm, one-offThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Mar 13, 2024D · Potential for harm, one-offThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Mar 13, 2024D · Potential for harm, one-offThe facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Mar 13, 2024D · Potential for harm, one-offThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Aug 17, 2022D · Potential for harm, one-offThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 17, 2022D · Potential for harm, one-offThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Aug 17, 2022D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Aug 17, 2022D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Aug 17, 2022D · Potential for harm, one-offThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 17, 2022D · Potential for harm, one-offThe facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Aug 17, 2022D · Potential for harm, one-offThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (8 → 16).

YearCitationsSerious (G–L)Worst severity that year
202270D
202490D
2025170F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilityMissouri avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.173.663.95bottom 30% in Missouri; bottom 20% in the U.S.
Registered Nurse hours0.610.490.69top 20% in Missouri; top 46% in the U.S.
Weekend total nurse staffing2.443.223.50bottom 19% in Missouri; bottom 8% in the U.S.
Weekend RN hours (not acuity-adjusted)0.320.330.48top 36% in Missouri; bottom 37% in the U.S.
Total nursing staff turnover (%)74.556.045.8bottom 9% in Missouri; bottom 3% in the U.S.
RN turnover (%)57.147.842.9bottom 37% in Missouri; bottom 26% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.20, RN 0.62, weekend 2.46. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Who owns this facility

For profit - Individual

Owner / managerTypeRoleStakeSince
Circle B Enterprises Holding Company INCOrganization5% or Greater Direct Ownership Interest100%01/01/1996
Agh1 LLCOrganizationOperational/Managerial ControlNOT APPLICABLE12/02/2016
Agh1 LLCOrganizationADP of the SNFNOT APPLICABLE03/25/2025
Beaird, ToddIndividualCorporate OfficerNOT APPLICABLE01/01/2022
Beaird, ToddIndividualADP of the SNFNOT APPLICABLE01/01/2022
Bedell, BryanIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE05/12/2025
Bedell, DonaldIndividualCorporate DirectorNOT APPLICABLE10/31/2000
Bedell, DonaldIndividualCorporate OfficerNOT APPLICABLE01/06/1997
Bedell, DonaldIndividualOperational/Managerial ControlNOT APPLICABLE01/06/1997
DCB Real Estate Partnership LPOrganizationADP of the SNFNOT APPLICABLE12/29/1980
FG LLCOrganizationADP of the SNFNOT APPLICABLE12/02/2016
Forvis Mazars LLPOrganizationADP of the SNFNOT APPLICABLE08/16/2021
Mid States INCOrganizationADP of the SNFNOT APPLICABLE11/01/2010
Pilot Development INCOrganizationADP of the SNFNOT APPLICABLE12/29/1980
Rubi, RodneyIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2020
Rubi, RodneyIndividualADP of the SNFNOT APPLICABLE01/01/2020
Silva, StephanieIndividualOperational/Managerial ControlNOT APPLICABLE06/04/2026
Silva, StephanieIndividualADP of the SNFNOT APPLICABLE06/04/2026
Sovereign Healthcare Group LLCOrganizationOperational/Managerial ControlNOT APPLICABLE04/23/2021
Sovereign Healthcare Group LLCOrganizationADP of the SNFNOT APPLICABLE04/06/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Clark's Mountain Nursing Center15.7 miPiedmont, MO★★★★★5/5
Riverways Manor16.7 miVan Buren, MO★★★★☆5/5

Compare this facility with the 2 closest →

All facilities in Ellington →

Facility data as of CMS processing date 2026-08-01. CCN 265472.