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Nursing homeFAID #7142

Granby House

301 SOUTH MAIN, GRANBY, MO, 64844

(417) 472-6271

60 licensed beds

CMS rates Granby House 2 out of 5 overall. Federal inspectors issued 41 citations across 10 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall3/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

301 South Main

Granby, MO 64844

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Public record summary

What we can show you for free.

Bed capacity

State license

052324

CMS facility ID

265468

Care type

Nursing home

Facility name

Granby House

Street address

301 SOUTH MAIN

City / state / ZIP

Granby, MO 64844

Phone

(417) 472-6271

State license #

052324

About this facility — Granby House

Granby House is a Medicare/Medicaid-certified skilled nursing facility in Granby, 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 Granby 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 Granby House 41 times across 10 inspections in the last three years, including 4 food-safety citations; 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

Granby #1, Inc

Parent company

Circle B Enterprises

Ownership type

For profit - Limited Liability company

Administrator

Tara Spencer

Registered owners & officers

Circle B Enterprises Holding Company Inc

Direct owner — 100% stake — since 1993

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 2010

Fg Llc

Additional disclosable party — since 2016

Forvis Mazars Llp

Additional disclosable party — since 2021

Granby Real Estate Llc

Additional disclosable party — since 2010

Mid States Inc

Additional disclosable party — since 2010

Sovereign Healthcare Group Llc

Operational control · Additional disclosable party — since 2021

Spencer, Tara

Operational control · Additional disclosable party — since 2024

Van De Ven Llc

Additional disclosable party — since 2000

Williams, Cheryl

Operational control · Additional disclosable party — since 2024

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

1991-09-23

License expires

2026-11-30

CMS overall rating

2 of 5 stars

Health deficiencies

4 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-05-22

Nurse staffing

3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$313 per day (≈ $9,520/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

77% Medicaid · 5% Medicare · 19% private/other

Occupancy

87% (fiscal year 2023)

Vs. state median

22% above 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

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.

2026-05-22Health inspection4 citations

F-0561

E · No harm found

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2026-07-06

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-07-06

F-0803

E · No harm foundFood safety

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2026-07-06

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-07-06

2025-04-24Health inspectionComplaint-triggered1 citation

F-0576

E · No harm foundFrom a complaint

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2025-05-09

8 earlier / fire-safety inspections (36 citations)

2025-02-25Health inspectionComplaint-triggered1 citation

F-0689

G · Actual harmFrom a complaint

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

Corrected 2025-03-24

2025-01-30Health inspectionComplaint-triggered2 citations

F-0658

D · No harm foundFrom a complaint

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

Corrected 2025-03-17

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-03-17

2024-06-27Health inspection11 citations

F-0561

D · No harm found

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-08-11

F-0607

E · No harm found

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

Corrected 2024-08-11

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-08-11

F-0658

D · No harm found

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

Corrected 2024-08-11

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-08-11

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-08-11

F-0728

E · 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 2024-08-11

F-0803

D · No harm foundFood safety

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-08-11

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-08-11

F-0921

F · 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 2024-08-11

F-0925

E · No harm found

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-08-11

2024-06-06Health 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 2024-05-28

2022-08-08Health inspection5 citations

F-0684

D · No harm found

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

Corrected 2022-09-22

F-0742

D · No harm found

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2022-09-22

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-09-22

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2022-09-22

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-09-22

2026-05-22Fire-safety inspection2 citations

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-07-06

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2026-07-06

2024-06-27Fire-safety inspection8 citations

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-08-11

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-11

K-0355

F · No harm found

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

Corrected 2024-08-11

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-08-11

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-08-11

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-08-11

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-08-11

K-0920

F · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-08-11

2022-08-08Fire-safety inspection6 citations

K-0161

E · No harm found

Use approved construction type or materials.

Corrected 2022-09-22

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-09-22

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-09-22

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2022-09-22

K-0920

F · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2022-09-22

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2022-09-22

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 265468.

Quality of care & staffing

How it compares in Missouri.

Inspection citations, 3 years

More than 38% 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

3.7

Higher than 70% of nursing homes in the state

State median: 3.4

Nursing staff turnover, annual

60%

Higher than 57% of nursing homes in the state

State median: 57%

Resident outcomes

On 19 federal quality measures, this facility does better than the Missouri average on 8 and worse on 6. 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	30.1%	17.4%	13.5%	Worse than state
Lose too much weight	4.6%	5.1%	5.1%	Near state average
With a catheter inserted and left in their bladder	0.5%	0.9%	0.7%	Better than state
With a urinary tract infection	1.0%	2.2%	1.5%	Better than state
Have depressive symptoms	6.7%	20.0%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	3.4%	4.0%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	92.1%	84.0%	93.7%	Near state average
Ability to walk independently worsened	35.1%	15.8%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	27.4%	25.6%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	91.1%	90.8%	95.3%	Near state average
With pressure ulcers	7.4%	4.4%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	25.8%	17.1%	18.3%	Worse than state
Received an antipsychotic medication	8.2%	23.5%	15.4%	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	56.3%	65.7%	82.3%	Worse than state
Newly received an antipsychotic medication	4.1%	2.1%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	65.4%	61.4%	80.1%	Near state average
Were rehospitalized after a nursing home admission	12.9%	25.7%	23.4%	Better than state
Had an outpatient emergency department visit	4.8%	13.4%	11.8%	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.

K-0353 3 inspections. Inspect, test, and maintain automatic sprinkler systems.
F-0561 2 inspections. Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F-0803 2 inspections. Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0658 2 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
F-0880 2 inspections. Provide and implement an infection prevention and control program.

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

Freeman Neosho Hospital, about 7.2 miles. CMS rating 4 of 5.
Cox Monett Hospital, about 17 miles. CMS rating 3 of 5.
Freeman Health System - Freeman West, about 18 miles. CMS rating 2 of 5.

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

Nearby facilities with inspection records

Medicalodges Neosho, Neosho, about 9.7 miles. CMS rating 4 of 5.
Sarcoxie Health Care Center, Sarcoxie, about 13 miles. CMS rating 2 of 5.
Nhc Healthcare, Joplin, Joplin, about 16 miles. CMS rating 3 of 5.
St Luke's Nursing and Rehabilitation, Carthage, about 17 miles. CMS rating 4 of 5.
Aspire Senior Living Carthage, Carthage, about 17 miles. CMS rating 3 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 41 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

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

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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