Deficiency Index

Granby House

Granby, Missouri · CCN 265468

18 surveys since 2012, 2 of them producing a finding at harm level or worse.

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

Citations on record
66
Surveys
18
Harm or worse
2
Immediate jeopardy
0
The record, 2012–2026
’12’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse2

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file10/18

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 - Limited Liability company
Chain
CIRCLE B ENTERPRISES
County
Newton
Medicare-certified since
1991

CMS ratings

Overall
2
Health inspection
3
Staffing
1
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more 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

May 22, 2026

171 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 day3.543.20
Registered-nurse hours per resident day0.27—
Annual nurse turnover60.3%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 harmG13.2%H—I—
No harm, potential for more than minimalD1548.4%E1135.5%F412.9%
No harm, potential for minimalA—B—C—
CMS’s current file: 31 of the 66 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

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

  • F5612×

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

  • F6582×

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

  • F8032×

    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.

  • F8802×

    Provide and implement an infection prevention and control program.

In the surveyor’s words

From the most serious findings on record at Granby House, in the surveyor’s own words.

  • Actual harm, isolatedF689Feb 25, 2025

    Based on record review and interviews, the facility failed to ensure the resident's environment remained free of accident hazards when the front door alarm was turned off resulting in one resident (Resident #1) exiting the building and obtaining injuries from a fall. The facility also failed to document a complete investigation into the elopement and fall including a root cause analysis. The census was 54. Review of a facility policy entitled Accidents and Incidents - Investigating and Reporting (revised July 2017) showed the following: -All accidents or incidents involving residents occurring on our premises shall be investigated and reported to the administrator; -Data, as applicable, shall be included on the Report of Incident/Accident form included -the date and time the accident or… […]

  • No harm, potential for more than minimal, widespreadF880Jun 27, 2024

    Based on observation, interview, and record review, the facility failed to maintain a complete infection prevention and control program when the facility failed to implement their policy regarding enhanced barrier precautions (EBP - precautions for use during high-contact resident care activities for residents infected with a multidrug-resistant organism (MDRO -microorganisms that are resistant to one or more classes of antimicrobial agents) or any resident who has a chronic wound and/or indwelling medical device), resulting in staff not being trained on EBP, personal protective equipment (PPE) and signage present not being present for residents that met the guidelines for EBP, and staff not wearing PPE in accordance with the Centers for Disease Control (CDC) guidelines for one resident… […]

  • No harm, potential for more than minimal, widespreadF921Jun 27, 2024

    Based on observation, record review, and interview, the facility staff failed to ensure the facility was maintained in a sanitary and comfortable fashion when light fixtures in the kitchen and dining area had dead bugs present, were not clean, were missing covers, and were not good working order; when the lower shelf of the prep table was not good repair with rust visible; when staff failed to keep the outside of the ice machine clean; and when the floor in the stock room had debris present and was dirty. […]

  • No harm, potential for more than minimal, widespreadF812Aug 8, 2022

    Based on observation, record review, and interview, the facility failed to monitor and adjust sanitizing levels and water temperatures in the dish washing machine, and failed to ensure staff followed acceptable practices to ensure dishware was sufficiently clean and sanitized. These failures could potentially affect all residents who eat at the facility. The facility census was 51. According to the Missouri Food Code, adopted by the Missouri Department of Health and Senior Services (DHSS) June 3, 2013, food contact surfaces and equipment shall be sanitized. […]

  • No harm, potential for more than minimal, patternF561May 22, 2026

    Based on observation, interview, and record review, the facility failed to promote and facilitate the right of self-determination for every resident when staff failed to honor reasonable shower preferences for three residents (Resident #43, #25, and #3). The facility census was 52. Review of the facility policy titled, Resident Bathing, undated, showed staff shall provide person-centered care that emphasizes the residents' comfort, independence, and personal needs and preferences. 1. […]

Read 21 findings in full →The most serious and the most recent: 21 of 66 on record.

Every survey on record

FindingsAt actual harm or above

  • May 22, 2026Standard4 findings
  • Apr 24, 2025Complaint1 finding
  • Feb 25, 2025Complaint1 finding · 1 harm
  • Jan 30, 2025Complaint2 findings
  • Jun 27, 2024Standard11 findings
  • Jun 6, 2024Complaint1 finding
  • Aug 8, 2022Standard5 findings
  • Mar 9, 2022Complaint1 finding
Show the 10 earlier surveys
  • Jan 12, 2022Complaint2 findings
  • Nov 4, 2021Complaint4 findings
  • Sep 21, 2021Complaint1 finding
  • Aug 23, 2019Standard6 findings
  • Jul 26, 2018Standard2 findings
  • Oct 13, 2017Standard4 findings
  • May 22, 2015Standard6 findings
  • Jun 6, 2014Standard2 findings
  • May 16, 2013—3 findings
  • Jun 8, 2012Standard10 findings · 1 harm

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.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction