Nursing homeActive
Tiffany Heights
1531 Nebraska Street, Mound City, MO 64470660442314660 certified beds · 39 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
29
● 0● 29● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-12-05
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 2
Quality 3
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| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-12-05 | Standard | 0140 | CMS-2567 (Care Compare) | — |
| 2024-08-29 | Standard | 0140 | CMS-2567 (Care Compare) | — |
| 2023-02-17 | Standard | 010 | CMS-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.
F574The resident has the right to receive notices in a format and a language he or she understands.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 265746-20251205-F574
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 265746-20251205-F584
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 265746-20251205-F585
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 265746-20251205-F600
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 265746-20251205-F610
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 265746-20251205-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 265746-20251205-F658
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 265746-20251205-F677
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 265746-20251205-F695
F727Have 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.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 265746-20251205-F727
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 265746-20251205-F740
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 2026-01-22Record 265746-20251205-F812
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 265746-20251205-F851
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 265746-20251205-F880
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 265746-20240829-F554
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 265746-20240829-F565
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 265746-20240829-F582
F583Keep residents' personal and medical records private and confidential.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 265746-20240829-F583
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 265746-20240829-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 265746-20240829-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 265746-20240829-F658
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 265746-20240829-F679
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 265746-20240829-F690
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 265746-20240829-F756
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 265746-20240829-F759
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 265746-20240829-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 265746-20240829-F804
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 2024-10-11Record 265746-20240829-F880
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 2023-04-18Record 265746-20230217-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.60
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.02
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours2.48
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover69%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover60%
Facility
Missouri
National
Missouri 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Missouri | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.6% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.9% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 6.1% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.5% | 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 | 13.6% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.0% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 10.4% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Mound City SNF Operations LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nauman, Jamie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ramos, Brian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Symonds, John Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| 1531 Nebraska Street LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bruce, Leland Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Gaytan, Lucy Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Hixson, Brooke Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Mound City SNF Operations LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mound City SNF Operations LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Nauman, Jamie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ramos, Brian Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ramos, Brian Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Strawberry Fields Realty LP Organization | GENERAL PARTNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Strawberry Fields Reit Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Strawberry Fields Reit Ltd Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Symonds, John Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Thuet, Daniel Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Tide Health Group LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
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 Holt.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Oregon Care Center Oregon | 12.1 mi | 2025-12-04 | 0140 |
| Nodaway Healthcare Maryville | 20.0 mi | 2026-04-21 | 0200 |
| Falls City Nursing and Rehabilitation Center Falls City | 19.7 mi | 2026-05-07 | 061 |
| Falls City Care Center Falls City | 20.4 mi | 2026-06-25 | 0130 |
| Parkdale Manor Health & Rehabilitation Maryville | 22.5 mi | 2026-06-25 | 0130 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |