Quick answers
- Where is Tiffany Heights?
- 1531 Nebraska Street, Mound City, MO 64470, in Holt County, Missouri.
- What is the phone number of Tiffany Heights?
- (660) 442-3146, as listed by Medicare (CMS).
- What is the Medicare star rating of Tiffany Heights?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Tiffany Heights been fined?
- Medicare lists no fines for Tiffany Heights.
- What did inspectors find at Tiffany Heights?
- In its last three inspection cycles (February 17, 2023 to August 27, 2026), Medicare lists 30 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). 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 (February 17, 2023 to August 27, 2026), Tiffany Heights had 30 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.07 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: December 5, 2025 — 15 health citations
Inspections in this cycle: December 5, 2025 (standard health inspection); August 27, 2026 (complaint investigation).
F0658 Level G
“Ensure services provided by the nursing facility meet professional standards of quality.”
actual harm to residents; isolated (a few residents) · Resident Assessment and Care Planning Deficiencies
Show 14 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0574 Level E
“The resident has the right to receive notices in a format and a language he or she understands.”
F0584 Level E
“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.”
F0585 Level E
“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.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0695 Level E
“Provide safe and appropriate respiratory care for a resident when needed.”
F0727 Level E
“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.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0740 Level D
“Ensure each resident must receive and the facility must provide necessary behavioral health care and services.”
F0851 Level D
“Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Previous cycle: August 29, 2024 — 14 health citations
Inspections in this cycle: August 29, 2024 (standard health inspection).
Show 14 citations (levels A to F, no actual harm)
F0554 Level E
“Allow residents to self-administer drugs if determined clinically appropriate.”
F0565 Level E
“Honor the resident's right to organize and participate in resident/family groups in the facility.”
F0582 Level E
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
F0583 Level E
“Keep residents' personal and medical records private and confidential.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0679 Level E
“Provide activities to meet all resident's needs.”
F0756 Level E
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0759 Level E
“Ensure medication error rates are not 5 percent or greater.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
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.”
F0761 Level D
“Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”
Earlier cycle: February 17, 2023 — 1 health citation
Inspections in this cycle: February 17, 2023 (standard health inspection).
Show 1 citation (levels A to F, no actual harm)
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
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)
K0222 Level F
“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.”
K0161 Level E
“Use approved construction type or materials.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0291 Level F
“Install emergency lighting that can last at least 1 1/2 hours.”
K0341 Level F
“Install a fire alarm system that can be heard throughout the facility.”
K0354 Level F
“Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.”
K0361 Level F
“Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.”
K0901 Level F
“Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.”
K0914 Level F
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0711 Level E
“Provide a written emergency evacuation plan.”
K0923 Level E
“Have proper medical gas storage and administration areas.”
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 | 0.52 | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.49 | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 2.06 | 2.26 | 2.35 |
| Total nurse staff hours per resident per day | 3.07 | 3.40 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.58 | 2.96 | 3.43 |
| RN hours per resident per day on the weekend | 0.39 | 0.32 | 0.48 |
| Nursing staff turnover (per year) | 61.0% | 56.9% | 45.3% |
| RN turnover (per year) | 40.0% | 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
Legal business name: Mound City SNF Operations LLC.
Owners and managers Medicare lists (10)
| Name | Role | Share | Since |
|---|---|---|---|
| Mound City SNF Operations LLC | Direct owner | NOT APPLICABLE | July 1, 2025 |
| Strawberry Fields Reit LTD | Direct owner | NOT APPLICABLE | July 1, 2025 |
| Tide Health Group LLC | Direct owner | NOT APPLICABLE | July 1, 2025 |
| Bruce, Leland | Indirect owner | NOT APPLICABLE | July 1, 2025 |
| Gaytan, Lucy | Indirect owner | NOT APPLICABLE | July 1, 2025 |
| Hixson, Brooke | Indirect owner | NOT APPLICABLE | July 1, 2025 |
| Ramos, Brian | Indirect owner | NOT APPLICABLE | July 1, 2025 |
| Thuet, Daniel | Indirect owner | NOT APPLICABLE | July 1, 2025 |
| Strawberry Fields Realty LP | Partner | NOT APPLICABLE | July 1, 2025 |
| Mound City SNF Operations LLC | Management company (operational or managerial control) | NOT APPLICABLE | July 1, 2025 |
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 | 36 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Legal business name | Mound City SNF Operations LLC |
| First approved by Medicare/Medicaid | 2002-12-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1531 Nebraska Street, Mound City, MO 64470 |
| County | Holt County |
| State | Missouri |
| Phone | (660) 442‑3146 |
| CMS Certification Number | 265746 |
| Name in Medicare records | TIFFANY HEIGHTS |
| 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).
- Oregon Care Center12 mi · Oregon, MO · 3 of 5 stars
- Falls City Nursing and Rehabilitation Center20 mi · Falls City, NE · 3 of 5 stars
- Nodaway Healthcare20 mi · Maryville, MO · 1 of 5 stars
- Falls City Care Center20 mi · Falls City, NE · 1 of 5 stars
- Parkdale Manor Health & Rehabilitation23 mi · Maryville, MO · 2 of 5 stars
Nearest hospital emergency rooms
- Community Hospital Association15 mi · Fairfax, MO · Critical Access Hospital
- Community Medical Center, Inc18 mi · Falls City, NE · Critical Access Hospital
- Mosaic Medical Center - Maryville23 mi · Maryville, MO · Critical Access 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