Quick answers
- Where is Brent B Tinnin Manor?
- 220 Euel Polk Drive, Ellington, MO 63638, in Reynolds County, Missouri.
- What is the phone number of Brent B Tinnin Manor?
- (573) 663-2545, as listed by Medicare (CMS).
- What is the Medicare star rating of Brent B Tinnin Manor?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Brent B Tinnin Manor been fined?
- Medicare lists no fines for Brent B Tinnin Manor.
- What did inspectors find at Brent B Tinnin Manor?
- In its last three inspection cycles (August 17, 2022 to March 19, 2025), Medicare lists 33 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (August 17, 2022 to March 19, 2025), Brent B Tinnin Manor had 33 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 2.93 hours per resident per day; the Missouri average is 3.40 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: March 19, 2025 — 16 health citations
Inspections in this cycle: March 19, 2025 (standard health inspection).
Show 16 citations (levels A to F, no actual harm)
F0865 Level F
“Have a plan that describes the process for conducting QAPI and QAA activities.”
F0867 Level F
“Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.”
F0868 Level F
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
F0570 Level D
“Assure the security of all personal funds of residents deposited with the facility.”
F0582 Level D
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0625 Level D
“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.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0728 Level D
“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.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0881 Level D
“Implement a program that monitors antibiotic use.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0887 Level D
“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.”
Previous cycle: March 13, 2024 — 10 health citations
Inspections in this cycle: March 13, 2024 (standard health inspection); November 18, 2024 (complaint investigation); February 24, 2025 (complaint investigation).
Show 10 citations (levels A to F, no actual harm)
F0602 Level D
“Protect each resident from the wrongful use of the resident's belongings or money.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0758 Level D
“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.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0887 Level D
“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.”
F0921 Level D
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
Earlier cycle: August 17, 2022 — 7 health citations
Inspections in this cycle: August 17, 2022 (standard health inspection).
Show 7 citations (levels A to F, no actual harm)
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0881 Level D
“Implement a program that monitors antibiotic use.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (13)
K0223 Level F
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
K0271 Level F
“Have exits that are accessible at all times.”
K0355 Level F
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0374 Level F
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0223 Level F
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
K0281 Level F
“Install proper backup exit lighting.”
K0923 Level F
“Have proper medical gas storage and administration areas.”
K0223 Level F
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
K0271 Level F
“Have exits that are accessible at all times.”
K0281 Level F
“Install proper backup exit lighting.”
K0321 Level F
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Missouri | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.50 | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.57 | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 1.86 | 2.26 | 2.35 |
| Total nurse staff hours per resident per day | 2.93 | 3.40 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.23 | 2.96 | 3.43 |
| RN hours per resident per day on the weekend | 0.30 | 0.32 | 0.48 |
| Nursing staff turnover (per year) | 63.2% | 56.9% | 45.3% |
| RN turnover (per year) | 16.7% | 50.0% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.7 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 36 nursing homes: Circle B Enterprises.
Legal business name: Ellington 1 Inc.
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| Circle B Enterprises Holding Company Inc | Direct owner | 100% | January 1, 1996 |
| AGH1 LLC | Management company (operational or managerial control) | NOT APPLICABLE | December 2, 2016 |
| Sovereign Healthcare Group LLC | Management company (operational or managerial control) | NOT APPLICABLE | April 23, 2021 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 60 |
| Average residents per day | 46.8 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – individual |
| Group or chain (affiliated entity) | Circle B Enterprises |
| Legal business name | Ellington 1 Inc |
| First approved by Medicare/Medicaid | 1991-10-21 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 220 Euel Polk Drive, Ellington, MO 63638 |
| County | Reynolds County |
| State | Missouri |
| Phone | (573) 663‑2545 |
| CMS Certification Number | 265472 |
| Name in Medicare records | BRENT B TINNIN MANOR |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Clark's Mountain Nursing Center16 mi · Piedmont, MO · 5 of 5 stars
- Riverways Manor17 mi · Van Buren, MO · 5 of 5 stars
- Greenville Health Care Center29 mi · Greenville, MO · 3 of 5 stars
Nearest hospital emergency rooms
- Iron County Medical Center32 mi · Pilot Knob, MO · Critical Access Hospital
- Salem Memorial District Hospital39 mi · Salem, MO · Critical Access Hospital
- Poplar Bluff Regional Medical Center42 mi · Poplar Bluff, MO · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13