Miller County Care and Rehabilitation Center
1157 Highway 17, Tuscumbia, MO 65082 · Miller County · 86 certified beds · avg 62 residents/day · certified since Dec 20, 2000
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5
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 (15)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 24, 2025 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Apr 24, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 24, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Apr 24, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Apr 24, 2025 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Feb 23, 2024 | F · Potential for harm, facility-wide | The 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. |
| Feb 23, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Feb 23, 2024 | D · Potential for harm, one-off | The 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. |
| Nov 17, 2022 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 17, 2022 | E · Potential for harm, repeated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Nov 17, 2022 | E · Potential for harm, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Nov 17, 2022 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Nov 17, 2022 | D · Potential for harm, one-off | The 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. |
| Nov 17, 2022 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Nov 17, 2022 | D · Potential for harm, one-off | The 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 7 | 0 | F |
| 2024 | 3 | 0 | F |
| 2025 | 5 | 0 | F |
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)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.07 | 3.66 | 3.95 | top 30% in Missouri; top 37% in the U.S. |
| Registered Nurse hours | 0.33 | 0.49 | 0.69 | bottom 33% in Missouri; bottom 12% in the U.S. |
| Weekend total nurse staffing | 3.44 | 3.22 | 3.50 | top 36% in Missouri; top 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.14 | 0.33 | 0.48 | bottom 11% in Missouri; bottom 4% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 56.0 | 45.8 | — |
| RN turnover (%) | 0.0 | 47.8 | 42.9 | — |
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 3.13, RN 0.25, weekend 2.65. 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: 4/5 · long-stay residents: 1/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Beckham, Linda | Individual | Corporate Director | NOT APPLICABLE | 11/23/2010 |
| Beckham, Linda | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/23/2010 |
| Kemna, Carl | Individual | Corporate Director | NOT APPLICABLE | 11/25/2013 |
| Kemna, Carl | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/25/2013 |
| McCargar, Rex | Individual | Corporate Director | NOT APPLICABLE | 04/24/2019 |
| McCargar, Rex | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/24/2019 |
| Morrow, Harold | Individual | Corporate Director | NOT APPLICABLE | 10/01/1998 |
| Morrow, Harold | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/1998 |
| Pemberton, Jami | Individual | Corporate Director | NOT APPLICABLE | 11/16/2015 |
| Pemberton, Jami | Individual | Corporate Officer | NOT APPLICABLE | 11/16/2015 |
| Pemberton, Jami | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/16/2015 |
| Showers, Tiffany | Individual | Corporate Director | NOT APPLICABLE | 06/06/2022 |
| Showers, Tiffany | Individual | Corporate Officer | NOT APPLICABLE | 06/06/2022 |
| Showers, Tiffany | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/06/2022 |
| Wilson, Sandra | Individual | Corporate Director | NOT APPLICABLE | 04/28/2021 |
| Wilson, Sandra | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/28/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| St Elizabeth Care Center | 9.3 mi | Saint Elizabeth, MO | ★★☆☆☆ | 3/5 | |
| Stonebridge Lake Ozark | 9.6 mi | Osage Beach, MO | ★★★★★ | 5/5 | |
| Eldon Nursing & Rehab | 11.8 mi | Eldon, MO | ★★☆☆☆ | 3/5 | |
| Osage Beach Rehabilitation and Health Care Center | 11.9 mi | Osage Beach, MO | ★★☆☆☆ | 2/5 | abuse |
| Arrowhead Senior Living Community | 13.8 mi | Osage Beach, MO | ★★★★★ | 5/5 | |
| Lake Regional Health Systems | 14.9 mi | Osage Beach, MO | ★★★★★ | 5/5 | |
| Ozark Rehabilitation & Health Care Center | 15.1 mi | Osage Beach, MO | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 265713.