Home›Browse›Missouri›Tuscumbia›Miller County Care and Rehabilitation Center

Nursing homeFAID #7305

Miller County Care and Rehabilitation Center

1157 HIGHWAY 17, TUSCUMBIA, MO, 65082

(573) 369-2318

86 licensed beds

★★★★★3/5CMS Five-Star overall4/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

1157 Highway 17

Tuscumbia, MO 65082

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Public record summary

What we can show you for free.

Bed capacity

State license

052391

CMS facility ID

265713

Care type

Nursing home

Facility name

Miller County Care and Rehabilitation Center

Street address

1157 HIGHWAY 17

City / state / ZIP

Tuscumbia, MO 65082

Phone

(573) 369-2318

State license #

052391

About this facility — Miller County Care and Rehabilitation Center

Miller County Care and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Tuscumbia, Missouri. It is licensed for 86 beds — close to the median for skilled nursing facilities in Missouri (97 beds).

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

Federal inspectors have cited Miller County Care and Rehabilitation Center 31 times across 6 inspections in the last three years, including 3 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 August 31, 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

Miller County Nursing Home District

Ownership type

Non profit - Other

Administrator

Tiffany Shower

Registered owners & officers

Beckham, Linda

Director · Operational control — since 2010

Kemna, Carl

Director · Operational control — since 2013

Mccargar, Rex

Director · Operational control — since 2019

Morrow, Harold

Director · Operational control — since 1998

Pemberton, Jami

Director · Officer · Operational control — since 2015

Showers, Tiffany

Director · Officer · Operational control — since 2022

Wilson, Sandra

Director · Operational control — since 2021

Regulatory standing

Licensed / certified since

2000-12-20

License expires

2026-12-31

CMS overall rating

3 of 5 stars

Health deficiencies

5 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-04-24

Nurse staffing

3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$230 per day (≈ $6,990/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

60% Medicaid · 5% Medicare · 35% private/other

Occupancy

71% (fiscal year 2023)

Vs. state median

11% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds

Licensed as

SNF

Memory care

Yes — dedicated memory care

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 2026-08-31. 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 3 food-safety citations on its three-year record — flagged below among the inspections.

2025-04-24Health inspection5 citations

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-05-26

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-05-26

F-0688

D · No harm found

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-05-26

F-0801

F · No harm foundFood safety

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2025-05-26

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 2025-05-26

2024-02-23Health inspection3 citations

F-0580

D · No harm found

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-04-05

F-0695

D · No harm found

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

Corrected 2024-04-05

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-04-05

4 earlier / fire-safety inspections (23 citations)

2022-11-17Health inspection7 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 2022-12-30

F-0578

E · No harm found

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2022-12-30

F-0607

E · No harm found

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

Corrected 2022-12-30

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 2022-12-30

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 2022-12-30

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 2022-12-30

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2022-12-23

2025-04-24Fire-safety inspection2 citations

K-0346

F · No harm found

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2025-05-25

K-0354

F · No harm found

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2025-05-25

2024-02-23Fire-safety inspection3 citations

E-0015

F · No harm found

Address subsistence needs for staff and patients.

Corrected 2024-04-05

E-0018

F · No harm found

Establish procedures for tracking staff and patients during an emergency.

Corrected 2024-04-05

E-0026

F · No harm found

Establish roles under a Waiver declared by secretary.

Corrected 2024-04-05

2022-11-17Fire-safety inspection11 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-12-30

K-0341

D · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2022-12-30

K-0345

F · No harm found

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

Corrected 2022-12-30

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-12-30

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2022-12-30

K-0741

F · No harm found

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

Corrected 2022-12-30

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-12-30

K-0911

E · No harm found

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2022-12-30

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-12-30

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2022-12-30

K-0926

F · No harm found

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2022-12-30

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 265713.

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

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The 31 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 2026-08-31

Source

Federal NPI Registry (NPPES)

NPI 1396850301

Monthly federal file

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