Nursing homeActive

Granby House

301 South Main, Granby, MO 64844417472627160 certified beds · 54 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
7
since 2022
Deficiencies
25
0241
Penalties · 3 yrs
none on file
Last survey
2026-05-22
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 3
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-05-22Standard040CMS-2567 (Care Compare)
2025-04-24Complaint010CMS-2567 (Care Compare)
2025-02-25Complaint001CMS-2567 (Care Compare)
2025-01-30Complaint020CMS-2567 (Care Compare)
2024-06-27Standard0110CMS-2567 (Care Compare)
2024-06-06Complaint010CMS-2567 (Care Compare)
2022-08-08Standard050CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-05-22Standard survey · 4 deficienciesOfficial report
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-06Record 265468-20260522-F561
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-06Record 265468-20260522-F755
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-06Record 265468-20260522-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-06Record 265468-20260522-F812
2025-04-24Complaint survey · 1 deficiencyOfficial report
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 265468-20250424-F576
2025-02-25Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-03-24Record 265468-20250225-F689
2025-01-30Complaint survey · 2 deficienciesOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-17Record 265468-20250130-F658
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-17Record 265468-20250130-F880
2024-06-27Standard survey · 11 deficienciesOfficial report
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 265468-20240627-F561
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 265468-20240627-F607
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 265468-20240627-F645
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 265468-20240627-F658
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 265468-20240627-F677
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 265468-20240627-F698
F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 265468-20240627-F728
F803Ensure 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.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 265468-20240627-F803
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 265468-20240627-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 265468-20240627-F921
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 265468-20240627-F925
2024-06-06Complaint survey · 1 deficiencyOfficial report
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 265468-20240606-F602
2022-08-08Standard survey · 5 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-22Record 265468-20220808-F684
F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-22Record 265468-20220808-F742
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-22Record 265468-20220808-F759
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-22Record 265468-20220808-F760
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-09-22Record 265468-20220808-F812

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.27
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.54
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours2.81
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover60%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover67%
Facility
Missouri
National
Missouri 48% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityMissouriNational
Percentage of long-stay residents with pressure ulcers
lower is better
6.0%4.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.0%4.1%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
7.9%23.5%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.0%2.3%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
30.9%18.1%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
3.6%5.3%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
29.4%25.6%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Circle B Enterprises Holding Company Inc
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Agh1 LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Bedell, Donald
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sovereign Healthcare Group LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Spencer, Tara
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Williams, Cheryl
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Agh1 LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Beaird, Todd
Individual
ADP OF THE SNFNOT APPLICABLE
Beaird, Todd
Individual
CORPORATE OFFICERNOT APPLICABLE
Bedell, Bryan
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Bedell, Donald
Individual
CORPORATE OFFICERNOT APPLICABLE
Bedell, Donald
Individual
CORPORATE DIRECTORNOT APPLICABLE
Dcb Real Estate Partnership LP
Organization
ADP OF THE SNFNOT APPLICABLE
Fg LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Forvis Mazars LLP
Organization
ADP OF THE SNFNOT APPLICABLE
Granby Real Estate LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Mid States Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Sovereign Healthcare Group LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Spencer, Tara
Individual
ADP OF THE SNFNOT APPLICABLE
Van De Ven LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Williams, Cheryl
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Circle B Enterprises36 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.

No county cost figures on file for Newton.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Medicalodges Neosho
Neosho
9.7 mi2026-04-290110
Sarcoxie Health Care Center
Sarcoxie
12.7 mi2025-11-14092
St Luke's Nursing And Rehabilitation
Carthage
16.6 mi2025-05-09060
Aspire Senior Living Carthage
Carthage
16.7 mi2026-04-290160
Nhc Healthcare, Joplin
Joplin
15.7 mi2025-08-040161
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01