All states › Missouri › Hermitage › Hermitage Nursing & Rehab
18599 First Street Hermitage, MO 65668 · Hickory County
CMS certification number 265239 · See this home on Medicare Care Compare
Is Hermitage Nursing & Rehab a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Hermitage Nursing & Rehab as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.17 hours per resident per day at Hermitage Nursing & Rehab, below the Missouri median of 3.37 (US median: 3.72). About 0.42 of those hours are from registered nurses. On weekends it falls to 2.65 hours, 16% below its all-week average. Ask how weekends are staffed. 47.8% of nursing staff left within a year (Missouri median 56.8%).
About this nursing home
Paying for care at Hermitage Nursing & Rehab: Medicare and Medicaid
Hermitage Nursing & Rehab is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on December 12, 2025 and found 4 deficiencies, plus 8 from complaint inspections in the same period. In total, inspectors issued 23 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 23 citations at Hermitage Nursing & Rehab across 5 inspection dates, 8 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on March 5, 2026 (complaint inspection). The most common areas cited were quality of life and care (8) and freedom from abuse, neglect, and exploitation (4). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, March 5, 2026). 4 citations were under CMS's abuse, neglect and exploitation rules.
May 11, 2026 · 1 citation · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
March 5, 2026 · 7 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
December 12, 2025 · 4 citations
FProvide and implement an infection prevention and control program.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe and appropriate respiratory care for a resident when needed.
February 1, 2024 · 5 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProvide and implement an infection prevention and control program.
DProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
DEnsure that residents are free from significant medication errors.
January 13, 2022 · 6 citations
FHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
ETry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
EProvide and implement an infection prevention and control program.
DProvide enough food/fluids to maintain a resident's health.
DEnsure medication error rates are not 5 percent or greater.
DEnsure that residents are free from significant medication errors.
Questions to ask on a tour of Hermitage Nursing & Rehab
- Inspectors cited the home at the immediate-jeopardy level on March 5, 2026 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 5, 2026. How are staff trained, and how are concerns reported?
- Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
- The home averages about 46% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $102,470 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Mar 5, 2026 | Fine | $102,470 |
| Mar 5, 2026 | Payment Denial | 37 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 3/5 | 4/5 |
| August 2026 | 3/5 | 2/5 | 2/5 | 5/5 |
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Location
Hospitals near Hermitage Nursing & Rehab
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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22.6 mi
Citizens Memorial Hospital BolivarEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 6m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other James & Judy Lincoln nursing homes in Missouri
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- California Care Center · California · 5 stars
- Nixa Nursing & Rehab · Nixa · 5 stars
- Republic Nursing & Rehab · Republic · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 55 James & Judy Lincoln nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.