Home›Browse›Missouri›Ellington›Brent B Tinnin Manor

Nursing homeFAID #7146

Brent B Tinnin Manor

220 EUEL POLK DRIVE, ELLINGTON, MO, 63638

(573) 663-2545

60 licensed beds

CMS rates Brent B Tinnin Manor 2 out of 5 overall. Federal inspectors issued 46 citations across 8 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall3/5 health inspections2/5 staffing1/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Address

220 Euel Polk Drive

Ellington, MO 63638

Get directions

Map facilities in this area

All facilities in Ellington

Public record summary

What we can show you for free.

Bed capacity

State license

052668

CMS facility ID

265472

Care type

Nursing home

Facility name

Brent B Tinnin Manor

Street address

220 EUEL POLK DRIVE

City / state / ZIP

Ellington, MO 63638

Phone

(573) 663-2545

State license #

052668

About this facility — Brent B Tinnin Manor

Brent B Tinnin Manor is a Medicare/Medicaid-certified skilled nursing facility in Ellington, Missouri. It is licensed for 60 beds — below the median for skilled nursing facilities in Missouri (97 beds).

It is one of 1 senior care facility in Ellington and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Circle B Enterprises, a group of 36 facilities on this site.

Federal inspectors have cited Brent B Tinnin Manor 46 times across 8 inspections in the last three years; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

Ellington #1, Inc

Parent company

Circle B Enterprises

Ownership type

For profit - Individual

Administrator

Stephanie Silva

Registered owners & officers

Circle B Enterprises Holding Company Inc

Direct owner — 100% stake — since 1996

Agh1 Llc

Operational control · Additional disclosable party — since 2016

Beaird, Todd

Officer · Additional disclosable party — since 2022

Bedell, Bryan

Owner of a disclosable party — since 2025

Bedell, Donald

Director · Officer · Operational control — since 1997

Dcb Real Estate Partnership Lp

Additional disclosable party — since 1980

Fg Llc

Additional disclosable party — since 2016

Forvis Mazars Llp

Additional disclosable party — since 2021

Mid States Inc

Additional disclosable party — since 2010

Pilot Development Inc

Additional disclosable party — since 1980

Rubi, Rodney

Operational control · Additional disclosable party — since 2020

Silva, Stephanie

Operational control · Additional disclosable party — since 2026

Sovereign Healthcare Group Llc

Operational control · Additional disclosable party — since 2021

Van De Ven Llc

Additional disclosable party — since 2000

Regulatory standing

Federal court records

12 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1991-10-21

License expires

2027-04-30

CMS overall rating

2 of 5 stars

Health deficiencies

16 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-03-19

Nurse staffing

2.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$215 per day (≈ $6,540/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

93% Medicaid · 4% Medicare · 3% private/other

Occupancy

83% (fiscal year 2023)

Vs. state median

16% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds

Licensed as

SNF

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.

2025-03-19Health inspection16 citations

F-0570

D · No harm found

Assure the security of all personal funds of residents deposited with the facility.

Corrected 2025-05-02

F-0582

D · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-05-02

F-0607

D · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-05-02

F-0623

D · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-05-02

F-0625

D · No harm found

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-05-02

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2025-05-02

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-05-02

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-05-02

F-0728

D · No harm found

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Corrected 2025-05-02

F-0865

F · No harm found

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2025-05-02

F-0867

F · No harm found

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2025-05-02

F-0868

F · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-05-02

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-05-02

F-0881

D · No harm found

Implement a program that monitors antibiotic use.

Corrected 2025-05-02

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-05-02

F-0887

D · No harm found

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2025-05-02

2025-02-24Health inspectionComplaint-triggered1 citation

F-0602

D · No harm foundFrom a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-01-09

6 earlier / fire-safety inspections (29 citations)

2024-11-18Health inspectionComplaint-triggered1 citation

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2024-12-18

2024-03-13Health inspection8 citations

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-04-18

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-04-18

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-04-18

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-04-18

F-0758

D · No harm found

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-04-18

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-04-18

F-0887

D · No harm found

Corrected 2024-04-18

F-0921

D · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-04-18

2022-08-17Health inspection7 citations

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2022-09-30

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2022-09-30

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-09-30

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-09-30

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2022-09-30

F-0881

D · No harm found

Implement a program that monitors antibiotic use.

Corrected 2022-09-30

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2022-09-30

2025-03-19Fire-safety inspection4 citations

K-0223

F · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2025-05-02

K-0271

F · No harm found

Have exits that are accessible at all times.

Corrected 2025-03-19

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-03-21

K-0374

F · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-03-19

2024-03-13Fire-safety inspection3 citations

K-0223

F · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-04-18

K-0281

F · No harm found

Install proper backup exit lighting.

Corrected 2024-04-18

K-0923

F · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-04-18

2022-08-17Fire-safety inspection6 citations

K-0223

F · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2022-09-30

K-0271

F · No harm found

Have exits that are accessible at all times.

Corrected 2022-09-30

K-0281

F · No harm found

Install proper backup exit lighting.

Corrected 2022-09-30

K-0321

F · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-09-30

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-09-30

K-0920

F · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2022-09-30

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265472.

Quality of care & staffing

How it compares in Missouri.

Inspection citations, 3 years

More than 44% of nursing homes in the state

State median: 50

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

2.9

Higher than 22% of nursing homes in the state

State median: 3.4

Nursing staff turnover, annual

63%

Higher than 66% of nursing homes in the state

State median: 57%

Resident outcomes

On 17 federal quality measures, this facility does better than the Missouri average on 4 and worse on 11. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	26.3%	17.4%	13.5%	Worse than state
Lose too much weight	9.1%	5.1%	5.1%	Worse than state
With a catheter inserted and left in their bladder	1.0%	0.9%	0.7%	Worse than state
With a urinary tract infection	6.4%	2.2%	1.5%	Worse than state
Have depressive symptoms	23.6%	20.0%	13.5%	Worse than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	3.8%	4.0%	3.2%	Near state average
Assessed and appropriately given the pneumococcal vaccine	99.4%	84.0%	93.7%	Better than state
Ability to walk independently worsened	24.0%	15.8%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	36.7%	25.6%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	97.5%	90.8%	95.3%	Near state average
With pressure ulcers	5.1%	4.4%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	24.2%	17.1%	18.3%	Worse than state
Received an antipsychotic medication	47.8%	23.5%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.13	1.98	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	3.81	2.16	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	98.3%	65.7%	82.3%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0684 3 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0883 3 inspections. Develop and implement policies and procedures for flu and pneumonia vaccinations.
K-0223 3 inspections. Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
F-0880 2 inspections. Provide and implement an infection prevention and control program.
F-0881 2 inspections. Implement a program that monitors antibiotic use.
F-0887 2 inspections. Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

What its owners also hold

Circle B Enterprises Holding Company Inc has an ownership stake on file at 29 nursing homes, averaging 2.4 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Missouri

Licensing: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
File a complaint: 800-392-0210 · Online
Long-Term Care Ombudsman: 800-309-3282. A free advocate for residents and families.
Adult Protective Services: 800-392-0210. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Poplar Bluff Regional Medical Center, about 42 miles. CMS rating 2 of 5.
Madison Medical Center, about 42 miles.
Mercy St Francis Hospital, about 44 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Clark's Mountain Nursing Center, Piedmont, about 16 miles. CMS rating 5 of 5.
Riverways Manor, Van Buren, about 17 miles. CMS rating 5 of 5.
Greenville Health Care Center, Greenville, about 29 miles. CMS rating 3 of 5.
Baptist Homes of Arcadia Valley, Ironton, about 31 miles. CMS rating 3 of 5.
Rock Point Nursing Center, Birch Tree, about 34 miles. CMS rating 3 of 5.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 46 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

$79 $99 Advanced

Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered