CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 2654722026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Brent B Tinnin Manor

220 Euel Polk Drive · Ellington, MO 63638 · Reynolds County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds60CMS provider file
Recent citation rows46current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-03-19162025-03-194
Cycle 22024-03-13102024-03-133
Cycle 32022-08-1772022-08-176
02 / CITATION DETAIL

46 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2025-03-19 · HEALTHF0570Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Assure the security of all personal funds of residents deposited with the facility.

Correction field: Deficient, Provider has date of correction · 2025-05-02
2025-03-19 · HEALTHF0582Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Correction field: Deficient, Provider has date of correction · 2025-05-02
2025-03-19 · HEALTHF0607Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Correction field: Deficient, Provider has date of correction · 2025-05-02
2025-03-19 · HEALTHF0623Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Correction field: Deficient, Provider has date of correction · 2025-05-02
2025-03-19 · HEALTHF0625Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Correction field: Deficient, Provider has date of correction · 2025-05-02
2025-03-19 · HEALTHF0637Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

Correction field: Deficient, Provider has date of correction · 2025-05-02
2025-03-19 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2025-05-02
2025-03-19 · HEALTHF0695Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Correction field: Deficient, Provider has date of correction · 2025-05-02
2025-03-19 · HEALTHF0728Severity D · isolated; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Ensure 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.

Correction field: Deficient, Provider has date of correction · 2025-05-02
2025-03-19 · HEALTHF0865Severity F · widespread; potential for more than minimal harm

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

Correction field: Deficient, Provider has date of correction · 2025-05-02
2025-03-19 · HEALTHF0867Severity F · widespread; potential for more than minimal harm

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Correction field: Deficient, Provider has date of correction · 2025-05-02
2025-03-19 · HEALTHF0868Severity F · widespread; potential for more than minimal harm

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Correction field: Deficient, Provider has date of correction · 2025-05-02
2025-03-19 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-05-02
2025-03-19 · HEALTHF0881Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

Correction field: Deficient, Provider has date of correction · 2025-05-02
2025-03-19 · HEALTHF0883Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Correction field: Deficient, Provider has date of correction · 2025-05-02
2025-03-19 · HEALTHF0887Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Correction field: Deficient, Provider has date of correction · 2025-05-02
2025-03-19 · FIREK0223Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Correction field: Deficient, Provider has date of correction · 2025-05-02
2025-03-19 · FIREK0271Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Have exits that are accessible at all times.

Correction field: Deficient, Provider has date of correction · 2025-03-19
2025-03-19 · FIREK0355Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Correction field: Deficient, Provider has date of correction · 2025-03-21
2025-03-19 · FIREK0374Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Correction field: Deficient, Provider has date of correction · 2025-03-19
2025-02-24 · HEALTHF0602Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Correction field: Past Non-Compliance · 2025-01-09 · complaint
2024-11-18 · HEALTHF0610Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Correction field: Deficient, Provider has date of correction · 2024-12-18 · complaint
2024-03-13 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2024-04-18
2024-03-13 · HEALTHF0655Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Correction field: Deficient, Provider has date of correction · 2024-04-18
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • CIRCLE B ENTERPRISES HOLDING COMPANY INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 01/01/1996
  • BEDELL, DONALDIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 10/31/2000
  • BEAIRD, TODDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2022
  • BEDELL, DONALDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/06/1997
  • AGH1 LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 12/02/2016
  • SOVEREIGN HEALTHCARE GROUP LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/23/2021
  • BEDELL, DONALDIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/06/1997
  • RUBI, RODNEYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2020
  • SILVA, STEPHANIEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 06/04/2026
  • BEDELL, BRYANIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 05/12/2025
  • AGH1 LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/25/2025
  • DCB REAL ESTATE PARTNERSHIP LPOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 12/29/1980
  • FG LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 12/02/2016
  • FORVIS MAZARS LLPOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 08/16/2021
  • MID STATES INCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 11/01/2010
  • PILOT DEVELOPMENT INCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 12/29/1980
  • SOVEREIGN HEALTHCARE GROUP LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 04/06/2025
  • VAN DE VEN LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 01/01/2000

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.20per resident day
RN hours0.62per resident day
Weekend nurse hours2.46per resident day
Staff turnover74.5%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Missouri ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.