N & R OF HARTVILLE LLC

HARTVILLE, MO · Wright County · For profit - Corporation · 58 certified beds

📍 649 West Rolla Street, Hartville, MO 65667  ·  📞 (417) 741-6192

Medicare ID: 265593  ·  Last Medicare inspection: Jun 19, 2025

Overall Safety Score
75
out of 100
Good
Component Scores
80
Inspection
47
Staffing
✓ Clean
Enforcement
✓ None
Complaints
54
Quality
📋 Last inspected: June 19, 2025 📦 CMS data as of: May 2026

Score Breakdown

Inspection
80
Staffing
47
Enforcement
100
Complaints
100
Quality Outcomes
54

What the numbers mean

N & R OF HARTVILLE LLC scored 75 out of 100 — 16 points above the state average of 59.

📋 Inspections: 7 citations over the last 36 months — 17 fewer than the state average (24). None were rated as causing actual harm to residents.

⚠️ Staffing: Staffing levels are below average. Lower staffing is associated with longer response times, more pressure injuries, and higher hospitalization rates. Ask the facility directly about their RN-to-resident ratio and how they handle shortfalls.

⚖️ Penalties & enforcement: No significant federal fines or enforcement actions on record — a positive indicator of consistent regulatory compliance.

💬 Complaints: Low complaint activity — few formal complaints from residents or families have triggered inspections. Ask if there is a family council you can speak with.

⚠️ Resident quality outcomes: Some quality measures are below national benchmarks. Areas like fall prevention, pain management, or medication use may warrant closer attention.

What inspectors found (last 3 surveys)

7
Total citations
State avg: 23.7
0
Serious (G+)
State avg: 1.4
0
Repeat findings

Top concern areas

7

⚖ Penalties & Enforcement

Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.

No federal penalties on record. CMS has not issued civil monetary penalties or payment denials against this facility in the current reporting period.
📋 Enforcement Context Analysis
📊
Enforcement score: 100/100 — above the state average of 68/100 — relatively better than peer facilities. This is a positive indicator — limited enforcement history compared to peer facilities.
✅ No enforcement actions on record. This facility's enforcement score of 100/100 reflects a clean enforcement history in the current CMS reporting cycle.

📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.

🩹

Resident Wellbeing — Key Indicators

These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.

Antipsychotic medication use
4.5% lower is better
Share of long-stay residents given antipsychotic drugs. High use can signal residents being over-medicated rather than receiving attentive care.
Flu vaccination rate
21.2% higher is better
Share of long-stay residents vaccinated against the flu this season. Higher is better.
🔒 Full breakdown — 2 of 17 total measures shown
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Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.

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Watch this facility for $14.99/year. Family plan covers 3 facilities for $29.99/year.

Watch this facility — $14.99/yr Family plan — 3 facilities for $29.99/yr

Data source: CMS Care Compare · Methodology · State Ombudsman

This report uses public CMS nursing home data and simplified scoring to help families ask better questions. It is not a recommendation, ranking, medical opinion, legal opinion, or substitute for an in-person visit. Source data last published by CMS: May 5, 2026.