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Nursing HomeMedicaid Investigative

Brent B Tinnin Manor

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

220 Euel Polk Drive, Ellington, MO 6363860 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.3/5

based on 3 Google reviews

Brent B Tinnin Manor Nursing Home in Ellington, MO — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (16 vs median 10)
  • High staff turnover (74%)

Bottom 25% in MO · Below recommended RN staffing · Very high staff turnover · Worst in CIRCLE B ENTERPRISES chain · No penalties on record

Source: Medicare data

What this means for your family

It is difficult to assess the quality of care due to a lack of descriptive text in recent reviews. While one reviewer highlights a loving environment, the presence of recent 1-star ratings suggests you should conduct an in-person visit and speak with current residents' families.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.60hrs
80%
Registered nurses for medical care
Total Nursing
3.16hrs
77%
All nurses + aides combined
Staff Turnover
69%
Lower is better (< 30% = good)
RN Turnover
57%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
1/ 5
Better Than Avg

3

measures

Worse Than Avg

12

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility50.0%
Worse than Avg
Here
50.0%
US
15.5%
MO
23.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility33.9%
Worse than Avg
Here
33.9%
US
15.3%
MO
18.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility34.8%
Worse than Avg
Here
34.8%
US
19.4%
MO
17.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility29.8%
Worse than Avg
Here
29.8%
US
14.4%
MO
19.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.7%
Better than Avg
Here
97.7%
US
93.4%
MO
84.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility83.0%
Worse than Avg
Here
83.0%
US
95.5%
MO
90.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility10.0%
Worse than Avg
Here
10.0%
US
79.8%
MO
63.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility78.8%
Mixed vs Avgs
Here
78.8%
US
81.8%
MO
65.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.8%
Worse than Avg
Here
3.8%
US
1.6%
MO
2.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies
Above state avg (12.0)
2 complaint-triggered

Brent B Tinnin Manor has recurring deficiencies across multiple surveys spanning 2022-2025, with families filing two complaint reports regarding resident protection and abuse response. The facility shows persistent problems with fire safety systems, infection control, and resident assessment that repeat across surveys despite reported corrections. While all deficiencies have correction dates, the pattern of recurring issues in the same areas suggests ongoing compliance challenges that warrant careful consideration.

Mar 19, 2025Routine
20
0865Potential for harm · WidespreadCorrected

Administration Deficiencies

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

0867Potential for harm · WidespreadCorrected

Administration Deficiencies

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

0868Potential for harm · WidespreadCorrected

Administration Deficiencies

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

0223Potential for harm · WidespreadCorrected

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.

0271Potential for harm · WidespreadCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0570Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0623Potential for harm · IsolatedCorrected

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.

0625Potential for harm · IsolatedCorrected

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.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0728Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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

0887Potential for harm · IsolatedCorrected

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.

Feb 24, 2025Complaint
1
0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Nov 18, 2024Complaint
1
0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Mar 13, 2024Routine
11
0223Potential for harm · WidespreadCorrected

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.

0281Potential for harm · WidespreadCorrected

Egress Deficiencies

Install proper backup exit lighting.

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0655Potential for harm · IsolatedCorrected

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · IsolatedCorrected

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.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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

0887Potential for harm · IsolatedCorrected

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.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Aug 17, 2022Routine
13
0281Potential for harm · WidespreadCorrected

Egress Deficiencies

Install proper backup exit lighting.

0223Potential for harm · WidespreadCorrected

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.

0271Potential for harm · WidespreadCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Brent B Tinnin Manor

Organization Type

for profit

Chain Affiliation

Chain Name

Circle B Enterprises

Chain Size

36 facilities nationwide

Chain avg rating: 2.3/5 · Rank 24 of 29 (Worst)

Ownership & Management

Owners

Circle B Enterprises Holding Company INC

Owner · Organization

100%

Bedell, Bryan

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Bedell, DonaldOfficer / DirectorBeaird, ToddOfficer / DirectorBedell, DonaldOfficer / DirectorAgh1 LLCManagerSovereign Healthcare Group LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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