01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-05 | 14 | 2025-12-05 | 1 |
| Cycle 2 | 2024-08-29 | 14 | 2024-08-29 | 2 |
| Cycle 3 | 2023-02-17 | 1 | 2023-02-17 | 10 |
CMS CCN 2657462026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Tiffany Heights
1531 Nebraska Street · Mound City, MO 64470 · Holt County
Certified beds60CMS provider file
Recent citation rows42current 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.
02 / CITATION DETAIL
42 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-12-05 · HEALTHF0574Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
The resident has the right to receive notices in a format and a language he or she understands.
Correction field: Deficient, Provider has date of correction · 2026-01-222025-12-05 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor 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.
Correction field: Deficient, Provider has date of correction · 2026-01-222025-12-05 · HEALTHF0585Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor 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.
Correction field: Deficient, Provider has date of correction · 2026-01-222025-12-05 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2026-01-222025-12-05 · 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 · 2026-01-222025-12-05 · HEALTHF0656Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-01-222025-12-05 · HEALTHF0658Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-01-222025-12-05 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-01-222025-12-05 · HEALTHF0695Severity E · pattern; 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 · 2026-01-222025-12-05 · HEALTHF0727Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Have 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.
Correction field: Deficient, Provider has date of correction · 2026-01-222025-12-05 · HEALTHF0740Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Correction field: Deficient, Provider has date of correction · 2026-01-222025-12-05 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-01-222025-12-05 · HEALTHF0851Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Correction field: Deficient, Provider has date of correction · 2026-01-222025-12-05 · 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 · 2026-01-222025-12-05 · FIREK0222Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2026-01-222024-08-29 · HEALTHF0554Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2024-10-112024-08-29 · HEALTHF0565Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Correction field: Deficient, Provider has date of correction · 2024-10-112024-08-29 · HEALTHF0582Severity E · pattern; 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 · 2024-10-112024-08-29 · HEALTHF0583Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2024-10-112024-08-29 · HEALTHF0656Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-10-112024-08-29 · HEALTHF0657Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-10-112024-08-29 · HEALTHF0658Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-10-112024-08-29 · HEALTHF0679Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2024-10-112024-08-29 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2024-10-1103 / 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.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- MOUND CITY SNF OPERATIONS LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/01/2025
- STRAWBERRY FIELDS REIT LTDOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/01/2025
- TIDE HEALTH GROUP LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/01/2025
- BRUCE, LELANDIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/01/2025
- GAYTAN, LUCYIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/01/2025
- HIXSON, BROOKEIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/01/2025
- RAMOS, BRIANIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/01/2025
- THUET, DANIELIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/01/2025
- MOUND CITY SNF OPERATIONS LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2025
- NAUMAN, JAMIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2025
- RAMOS, BRIANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2025
- SYMONDS, JOHNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2025
- STRAWBERRY FIELDS REALTY LPOrganization · GENERAL PARTNERSHIP INTERESTNOT APPLICABLE · since 07/01/2025
- 1531 NEBRASKA STREET LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 07/01/2025
- MOUND CITY SNF OPERATIONS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 07/01/2025
- STRAWBERRY FIELDS REIT INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/26/2026
- NAUMAN, JAMIEIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/01/2025
- RAMOS, BRIANIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/01/2025
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 hours3.02per resident day
RN hours0.60per resident day
Weekend nurse hours2.48per resident day
Staff turnover69.0%CMS reported field
06 / LOCAL RECORDS
Open the Missouri ledger →Other published facilities nearby
No second facility in the same city met the directory rule.