Rolla Presbyterian Manor
Rolla Presbyterian Manor
3.7 (7 reviews)
Skilled Nursing Facility • 30 Licensed Beds
Part of a CCRC
1200 Homelife Plaza, Rolla, MO
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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Rolla Presbyterian Manor

Skilled Nursing Facility • 30 Licensed Beds
Part of a CCRC
1200 Homelife Plaza,
Rolla, MO
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Rolla Presbyterian Manor – Medicare Certified Since 1994

Rolla Presbyterian Manor is a Medicare and Medicaid certified skilled nursing facility located in Rolla, Missouri. This facility has been serving the community for 32 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility is part of a Continuing Care Retirement Community (CCRC), which offers a continuum of care on a single campus—from independent living to assisted living to skilled nursing care. CCRC residents often have priority access to the skilled nursing facility and can transition between levels of care as their needs change without having to relocate to a new community.

This facility has 30 certified beds with a current occupancy rate of 78% (averaging 24 residents per day), which is moderate. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 5.55 hours of total nursing care per resident per day (3.29 hours from CNAs, 0.95 hours from LPNs, 1.31 hours from RNs). Physical therapy staffing is 0.07 hours per resident per day. This represents above-average staffing compared to national benchmarks.

Medicare Quality Ratings: According to CMS, Rolla Presbyterian Manor has an overall quality rating of 5 out of 5 stars, which is much above average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 4 stars, staffing: 5 stars, quality measures: 2 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How Rolla Presbyterian Manor compares to 213 facilities in Rural MO

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
5
2.6
Quality Measures
Clinical outcomes & safety
2
2.3
Health Inspections
State survey results
4
3.1
Staffing
Nurse-to-resident ratio
5
2.3
Staffing Hours (per resident/day)
RN Hours
Registered nurses
1.31 hrs
0.47 hrs
LPN/LVN Hours
Licensed practical nurses
0.95 hrs
0.59 hrs
CNA Hours
Certified nursing assistants
3.29 hrs
2.28 hrs
Total Nursing Hours
CNA + LPN + RN combined
5.55 hrs
3.34 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
0 %
5.1 %
LPN/LVN Agency Use
% of LPN hours from contractors
0 %
5.3 %
CNA Agency Use
% of CNA hours from contractors
14.7 %
4.3 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
58 %
52 %
Occupancy Rate
Percentage of beds filled
78 %
66 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$465
$231
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 213 facilities in Rural MO.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
5/5
Quality Measures
2/5
Health Inspections
4/5
Staffing
5/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 213 other nursing homes in Rural MO

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
Rolla Presbyterian Manor
Rural MO Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

Rolla Presbyterian Manor
Rural MO Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

Rolla Presbyterian Manor
Rural MO Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

Rolla Presbyterian Manor
Rural MO Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
198
minutes/day
CNAs
Certified Nursing Assistants
57
minutes/day
LPNs
Licensed Practical Nurses
78
minutes/day
RNs
Registered Nurses
4
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Rolla Presbyterian Manor
Rural MO Average (66.3%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$465
per resident per day
Compared to 212 facilities in your area
Above local median ($231)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

Nonprofit Facility Part of CCRC

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
-20% -7% Below
Net Income
Annual profit or loss
$-712,545 $-104,964 Below
Staff Cost per Resident
Daily salary expense per resident
$241/day $110/day Higher
Occupancy Rate
Bed utilization percentage
78% 63% Higher
Est. Daily Rate
Average revenue per patient day
$465/day $231/day Higher
Total Beds
Licensed bed capacity
30 90 Smaller

Local comparisons based on 212 skilled nursing facilities in the Misouri (Rural) metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$4,060,985
Operating Expenses
Total operating costs
$4,878,551
Total Salaries
Staff compensation
$2,096,702
Contract Labor
Agency & temp staff
$482,871

Payer Mix

Medicare
10%
Medicaid
19%
Private Pay & Other
72%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
8,689
Medicare
Short-term skilled nursing
10%
Medicaid
Long-term care residents
19%
Private Pay / Other
Self-pay, insurance, VA
72%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
112.84
days
Medicare Stays
62.14
days
Medicaid Stays
268.17
days
Total Admissions
76
Total Discharges
77
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in ROLLA

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Reviews

3.7 (7 reviews)
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Gary Cizek's profile photo
Gary Cizek 3 months ago

If I could provide a ZERO Star rating I would. My wife was basically accepted to come to Presbyterian Manor in Rolla with a space for her. I completed the paperwork for her to be admitted and find out over a day later that they were short of staff and did not accept someone with a BiPAP machine (essentially the same as a CPAP machine, as you cannot tell the difference by looking at it). Not accepting this machine is supposedly corporate policy. This kind of practice should be totally unacceptable from a business perspective. IF there are restrictions or concerns, the staff should indicate this up front. I filled out some very confidential information as I was told that my wife would be admitted. I am extremely disappointed how we were treated!!! I will never ever recommend this facility to anyone that I know!!!

Sue Arthur's profile photo
Sue Arthur a year ago

My mother was at Presbyterian Manor in Rolla for a little over two years. It was a hard decision to place her in a residential care facility, but Presbyterian Manor was the only one I would consider for my mother. It was very clean, friendly, and as close to a home environment as we could get for her. I felt that all the staff truly cared for my mom as she was a part of the up their family. They were receptive to concerns about her care, both physical and mental. All caregivers were genuine and caring.

Mary McFarland's profile photo
Mary McFarland 9 years ago

My first experience with Rolla Presbyterian Manor began in the early 90's when my grandmother went to live in assisted living. She loved the activities and trips... And as a family we loved the care she was given until she finally passed away. Now both my parents live at The Manor. They started out in Independent Living in one of the duplexes. About a year ago my mother was moved into Tranquility House where she could get 24 hour care for her issues dealing with Alzheimer's. I couldn't be happier with her care... They treat her with respect and just like family!! My father has recently moved into Assisted Living and it has made a world of difference in his health. He is getting the assistance he needs daily. There isn't a better place in Rolla for the elderly to live and flourish... the help is SO friendly from housekeeping, kitchen staff to the nurses and administrative team!! They have truly made my parents feel at home and I have the peace of mind that they are getting great care!!

Lon West's profile photo
Lon West 9 years ago

My Mom agreed to go there in September 2014, they investigated her finances so they would be able to assure that she would be able to stay there until she passed away. She was in the Tranquility House for 10 months and that went pretty well. The attention was pretty good they had activities. In August 2015 she fell and broke her hip. After surgery she had to be in skilled nursing. The treatment and care is much worse there. I came in to see Mom several times and the help was sitting by her while she was slumped in the chair and they were watching her tv. Late in 2015 Betty told us they could no longer help Mom and we needed to find a different place for her. We said we wanted to bring in hospice to help her. They said she had a week to be more responsive. She died five days later. They had never suggested hospice, they were working on ways to justify throwing her out rather than making the last days of her life better. It is a pretty good place if you don't have to deal with the management in skilled nursing.

Mike Kling's profile photo
Mike Kling 5 years ago

They took excelkent care of my father while he was in their Memory Care and they are taking excelkent care if my mother in law now. She arrived there seemingly at deaths door 4 years ago and under their care she got stronger and she was able ro move into assisted living and she is doing very well. I cant think of anywhere else she woukd get better care.

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