Deficiency Index

Brent B Tinnin Manor

Ellington, Missouri · CCN 265472

17 surveys since 2011, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
84
Surveys
17
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file12/17

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
60
Ownership
For profit - Individual
Chain
CIRCLE B ENTERPRISES
County
Reynolds · rural
Medicare-certified since
1991

CMS ratings

Overall
1
Health inspection
3
Staffing
1
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 82 for-profit facilities with fewer than 66 beds in Missouri.

Last survey on record

Mar 19, 2025

600 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.203.20
Registered-nurse hours per resident day0.62—
Annual nurse turnover74.5%57.5%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD3090.9%E—F39.1%
No harm, potential for minimalA—B—C—
CMS’s current file: 33 of the 84 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6843×

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

  • F8833×

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

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F8812×

    Implement a program that monitors antibiotic use.

In the surveyor’s words

From the most serious findings on record at Brent B Tinnin Manor, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF865Mar 19, 2025

    Based on interview and record review, the facility failed to implement a Quality Assurance and Performance Improvement Plan (QAPI - a written plan containing the process that will guide the facility's efforts in assuring care and services are maintained at acceptable levels of performance and continually improved.) The facility census was 40. Review of the facility's policy titled, Quality Assurance and Performance Improvement Program, dated February 2020, showed: - The facility shall develop, implement, and maintain an ongoing, facility-wide, data-driven QAPI program that is focused on indicators of the outcomes of care and quality of life for residents; - The owner and/or governing board of the facility is ultimately responsible for the QAPI program; - The QAPI plan is presented to the… […]

  • No harm, potential for more than minimal, widespreadF867Mar 19, 2025

    Based on interview and record review, the facility failed to ensure the Quality Assessment and Assurance/Quality Assurance Performance Improvement (QAA/QAPI - a written plan containing the process that will guide the facility's efforts in assuring care and services are maintained at acceptable levels of performance and continually improved) committee developed and implemented an appropriate plan of action to correct identified quality deficiencies. This had the potential to affect all residents in the facility. […]

  • No harm, potential for more than minimal, widespreadF868Mar 19, 2025

    Based on interview and record review, the facility failed to maintain quarterly Quality Assessment and Assurance/Quality Assurance and Improvement Program (QAA/QAPI - a written plan containing the process that will guide the facility's efforts in assuring care and services are maintained at acceptable levels of performance and continually improved) committee meetings with the required members. The facility census was 40. Review of the facility's policy titled, Quality Assurance and Performance Improvement Program, dated February 2020, showed: - The facility shall develop, implement, and maintain an ongoing, facility-wide, data-driven QAPI program that is focused on indicators of the outcomes of care and quality of life for residents; - The owner and/or governing board of the facility is… […]

  • No harm, potential for more than minimal, isolatedF570Mar 19, 2025

    Based on interview and record review, the facility failed to maintain the surety bond (a purchased bond for the security of residents' personal funds) for at least one and one-half times the average monthly balance of the residents' personal funds for the last 12 consecutive months from November 2023 through October 2024. The facility's census was 40. Review of the facility's policy titled, Surety Bond, dated March 2021, showed: - A surety bond is an agreement between the facility, the insurance company, and the resident or the State acting on behalf of the resident, wherein the facility and the insurance company agree to compensate the resident for any loss of the resident's funds that the facility holds, accounts for, safeguards, and manages; - This facility holds a surety bond to… […]

  • No harm, potential for more than minimal, isolatedF582Mar 19, 2025

    Based on interview and record review, the facility failed to properly document notification and obtain a signature of the resident or legal representative for three residents (Residents #2, #36, and #51) out of three sampled residents on the Notice of Medicare Non-Coverage (NOMNC) and the Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) forms prior to the facility discharging the resident from Medicare services. The census was 40. Review of facility policy titled, Medicare Advance Beneficiary and Medicare Non-Coverage Notices, revised September 2022, showed: - If the director of admissions or benefits coordinator believes (upon admission or during a resident's stay) that Medicare Part A will not pay for an otherwise covered skilled service(s), the resident or representative… […]

Read 20 findings in full →The most serious and the most recent: 20 of 84 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 19, 2025Standard16 findings
  • Feb 24, 2025Complaint1 finding
  • Nov 18, 2024Complaint1 finding
  • Mar 13, 2024Standard8 findings
  • Aug 17, 2022Standard7 findings
  • Sep 30, 2020Complaint1 finding
  • Dec 19, 2019Standard4 findings
  • Nov 9, 2018Standard13 findings
Show the 9 earlier surveys
  • Dec 14, 2017Standard1 finding
  • Feb 23, 2017Standard2 findings
  • Apr 7, 2016Standard4 findings
  • Feb 20, 2015Standard and complaint5 findings
  • Feb 5, 2015Standard5 findings
  • Apr 3, 2014Standard6 findings
  • Feb 20, 2013—4 findings
  • May 17, 2012—3 findings
  • Mar 30, 2011—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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