Independence, MO

Abode Health And Wellness Center

1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $324,208 in total fines with 46 recent health deficiencies with 23 fire-safety deficiencies in the latest cycle

17451 Medical Center Parkway, Independence, MO

(816) 373-7795

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

118

Certified beds

Average residents

52

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1991-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.42

Registered nurse staffing

LPN hours / resident day

0.86

Licensed practical nurse staffing

Aide hours / resident day

2.96

Nurse aide staffing

Weekend hours

3.87

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.1
2.1
About the same
1.9
0.2 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.1
2.3
0.2 pts better
1.8
0.3 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 56.4%
84.8%
28.4 pts worse
93.4%
37 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 70.2%
90.9%
20.7 pts worse
95.5%
25.3 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 5.2%
4.1%
1.1 pts worse
3.3%
1.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 24.5%
14.7%
9.8 pts worse
11.4%
13.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 0.7%
5.5%
4.8 pts better
5.4%
4.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.9%
25.3%
5.4 pts better
19.6%
0.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 19.2%
25.0%
5.8 pts better
16.7%
2.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 30.8%
20.3%
10.5 pts worse
16.3%
14.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 39.8%
19.8%
20 pts worse
14.9%
24.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.6%
1.4%
2.2 pts worse
1.0%
2.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 2.4%
2.6%
0.2 pts better
1.7%
0.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.5%
18.1%
5.4 pts worse
19.8%
3.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.2%
5.0%
2.8 pts better
5.1%
2.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 25.8%
66.4%
40.6 pts worse
81.7%
55.9 pts worse
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-19 · Fire 2025-02-19

46 health deficiencies

Top issue: Quality of Life and Care (12 deficiencies)

23 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 2 Health 2023-06-05 · Fire 2023-06-05

24 health deficiencies

Top issue: Resident Rights (6 deficiencies)

21 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Cycle 3 Health 2021-08-09 · Fire 2021-08-09

7 health deficiencies

Top issue: Infection Control (3 deficiencies)

11 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-19

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2025-04-05

F · Potential for more than minimal harm 2025-02-19

E22 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for sheltering.

Corrected 2025-04-05

F · Potential for more than minimal harm 2025-02-19

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2025-04-05

F · Potential for more than minimal harm 2025-02-19

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2025-04-05

F · Potential for more than minimal harm 2025-02-19

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-04-05

F · Potential for more than minimal harm 2025-02-19

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2025-04-05

F · Potential for more than minimal harm 2025-02-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-05

F · Potential for more than minimal harm 2025-02-19

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-04-05

F · Potential for more than minimal harm 2025-02-19

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-04-05

F · Potential for more than minimal harm 2025-02-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-02-19

K342 · Smoke Deficiencies

Fire Safety

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2025-04-05

F · Potential for more than minimal harm 2023-06-05

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-07-14

F · Potential for more than minimal harm 2023-06-05

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2023-07-14

F · Potential for more than minimal harm 2023-06-05

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2023-07-14

F · Potential for more than minimal harm 2023-06-05

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2023-07-14

F · Potential for more than minimal harm 2023-06-05

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-07-14

F · Potential for more than minimal harm 2023-06-05

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-07-14

F · Potential for more than minimal harm 2023-06-05

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-07-14

F · Potential for more than minimal harm 2023-06-05

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-07-14

F · Potential for more than minimal harm 2023-06-05

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-07-14

F · Potential for more than minimal harm 2023-06-05

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2023-07-31

F · Potential for more than minimal harm 2023-06-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-07-14

F · Potential for more than minimal harm 2023-06-05

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2023-07-14

F · Potential for more than minimal harm 2023-06-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-07-14

E · Potential for more than minimal harm 2023-06-05

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-07-14

E · Potential for more than minimal harm 2023-06-05

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2023-07-14

E · Potential for more than minimal harm 2023-06-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-31

E · Potential for more than minimal harm 2023-06-05

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-14

E · Potential for more than minimal harm 2023-06-05

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-07-14

E · Potential for more than minimal harm 2023-06-05

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-05

E7 · Emergency Preparedness Deficiencies

Fire Safety

Address patient/client population and determine types of services needed.

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-05

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2023-07-14

F · Potential for more than minimal harm 2021-08-09

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2021-09-23

F · Potential for more than minimal harm 2021-08-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-09-23

F · Potential for more than minimal harm 2021-08-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2021-09-23

F · Potential for more than minimal harm 2021-08-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2021-09-23

E · Potential for more than minimal harm 2021-08-09

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2021-09-23

E · Potential for more than minimal harm 2021-08-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2021-09-23

E · Potential for more than minimal harm 2021-08-09

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2021-09-23

E · Potential for more than minimal harm 2021-08-09

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2021-09-23

E · Potential for more than minimal harm 2021-08-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-09-23

E · Potential for more than minimal harm 2021-08-09

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2021-09-23

E · Potential for more than minimal harm 2021-08-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2021-09-23

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-23

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2026-02-17

E · Potential for more than minimal harm 2025-12-19

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2026-02-02

E · Potential for more than minimal harm 2025-12-19

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2026-02-02

D · Potential for more than minimal harm 2025-05-14

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-15

D · Potential for more than minimal harm 2025-05-14

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-15

J · Immediate jeopardy 2025-02-19

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-02-24

F · Potential for more than minimal harm 2025-02-19

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2025-04-05

F · Potential for more than minimal harm 2025-02-19

F865 · Administration Deficiencies

Health

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

Corrected 2025-04-05

F · Potential for more than minimal harm 2025-02-19

F867 · Administration Deficiencies

Health

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

Corrected 2025-04-05

F · Potential for more than minimal harm 2025-02-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-15

F · Potential for more than minimal harm 2025-02-19

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

F582 · Resident Rights Deficiencies

Health

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

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

F680 · Quality of Life and Care Deficiencies

Health

Ensure the activities program is directed by a qualified professional.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-15

E · Potential for more than minimal harm 2025-02-19

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

F883 · Infection Control Deficiencies

Health

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

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

F887 · Infection Control Deficiencies

Health

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.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-02-19

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-02-19

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-02-19

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-02-19

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-02-24

D · Potential for more than minimal harm 2025-02-19

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-02-19

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-02-19

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-02-19

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-02-19

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-06-15

D · Potential for more than minimal harm 2025-02-19

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-02-19

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-06-15

D · Potential for more than minimal harm 2025-02-19

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-02-19

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-06-15

D · Potential for more than minimal harm 2025-02-19

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-06-15

D · Potential for more than minimal harm 2025-02-19

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-02-19

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-02-19

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-02-19

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-02-19

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2025-04-05

D · Potential for more than minimal harm 2024-11-21

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-04-22

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2024-04-15

E · Potential for more than minimal harm 2024-02-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-25

E · Potential for more than minimal harm 2024-02-13

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-03-25

F · Potential for more than minimal harm 2023-06-05

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-07-14

F · Potential for more than minimal harm 2023-06-05

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2023-07-14

F · Potential for more than minimal harm 2023-06-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-14

E · Potential for more than minimal harm 2023-06-05

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-07-14

E · Potential for more than minimal harm 2023-06-05

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-07-14

E · Potential for more than minimal harm 2023-06-05

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-07-31

E · Potential for more than minimal harm 2023-06-05

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-14

E · Potential for more than minimal harm 2023-06-05

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-05

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-05

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-05

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-05

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2023-07-27

D · Potential for more than minimal harm 2023-06-05

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-05

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-05

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-05

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-05

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-05

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-05

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-05

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-07-31

D · Potential for more than minimal harm 2023-06-05

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-07-14

E · Potential for more than minimal harm 2021-08-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-09-23

E · Potential for more than minimal harm 2021-08-09

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2021-09-23

D · Potential for more than minimal harm 2021-08-09

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2021-09-23

D · Potential for more than minimal harm 2021-08-09

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2021-09-23

C · Minimal harm 2021-08-09

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2021-09-23

Penalties and ownership

What sits behind the stars

$134,039 2025-02-19

Fine

Fine · fine $134,039

Fine

$0 2025-02-19

Payment Denial

Payment Denial · denial start 2025-04-01 · 75 days

75 day denial

$4,938 2024-02-20

Fine

Fine · fine $4,938

Fine

$4,938 2024-02-12

Fine

Fine · fine $4,938

Fine

$14,814 2024-01-22

Fine

Fine · fine $14,814

Fine

$4,938 2024-01-08

Fine

Fine · fine $4,938

Fine

$4,587 2024-01-02

Fine

Fine · fine $4,587

Fine

$13,762 2023-12-11

Fine

Fine · fine $13,762

Fine

$4,587 2023-11-20

Fine

Fine · fine $4,587

Fine

$4,587 2023-11-13

Fine

Fine · fine $4,587

Fine

$4,587 2023-11-06

Fine

Fine · fine $4,587

Fine

$4,587 2023-10-30

Fine

Fine · fine $4,587

Fine

$4,587 2023-10-23

Fine

Fine · fine $4,587

Fine

$4,587 2023-10-17

Fine

Fine · fine $4,587

Fine

$4,587 2023-10-10

Fine

Fine · fine $4,587

Fine

$4,587 2023-10-02

Fine

Fine · fine $4,587

Fine

$4,587 2023-09-25

Fine

Fine · fine $4,587

Fine

$4,587 2023-09-18

Fine

Fine · fine $4,587

Fine

$4,587 2023-09-11

Fine

Fine · fine $4,587

Fine

$4,587 2023-09-05

Fine

Fine · fine $4,587

Fine

$4,587 2023-08-28

Fine

Fine · fine $4,587

Fine

$4,587 2023-08-21

Fine

Fine · fine $4,587

Fine

$4,587 2023-08-14

Fine

Fine · fine $4,587

Fine

$4,587 2023-08-07

Fine

Fine · fine $4,587

Fine

$13,762 2023-07-17

Fine

Fine · fine $13,762

Fine

$4,587 2023-06-26

Fine

Fine · fine $4,587

Fine

$4,587 2023-06-20

Fine

Fine · fine $4,587

Fine

$4,587 2023-06-12

Fine

Fine · fine $4,587

Fine

$4,587 2023-06-05

Fine

Fine · fine $4,587

Fine

$4,587 2023-05-30

Fine

Fine · fine $4,587

Fine

$4,587 2023-05-23

Fine

Fine · fine $4,587

Fine

$4,587 2023-05-15

Fine

Fine · fine $4,587

Fine

$4,587 2023-05-08

Fine

Fine · fine $4,587

Fine

$13,762 2023-04-17

Fine

Fine · fine $13,762

Fine

$4,580 2023-03-20

Fine

Fine · fine $4,580

Fine

Ownership

Braams, Stuart

Corporate Officer · Individual

0% 3 facilities 2022-01-10
Braams, Stuart

W-2 Managing Employee · Individual

0% 3 facilities 2022-01-10
Brock, Alan

Corporate Director · Individual

0% 3 facilities 2021-06-01
Campbell, Beverley

Corporate Director · Individual

0% 2 facilities 2023-10-24
Culbertson, Troy

Corporate Officer · Individual

0% 3 facilities 2023-11-01
De Noon, William

Corporate Director · Individual

0% 3 facilities 2022-11-01
Gaines, Barbara

Corporate Director · Individual

0% 3 facilities 2021-11-01
Good, Derrick

Corporate Director · Individual

0% 3 facilities 2021-11-01
Harder, Kenette

Corporate Director · Individual

0% 2 facilities 2021-06-01
Harrison, Rodney

Corporate Officer · Individual

0% 3 facilities 2020-04-03
Holdsworth, Leah

Corporate Director · Individual

0% 3 facilities 2022-02-01
Lane, Allan

Corporate Director · Individual

0% 3 facilities 2021-11-01
Mackey, Ronald

Corporate Officer · Individual

0% 1 facilities 2021-06-01
Mackey, Ronald

W-2 Managing Employee · Individual

0% 1 facilities 2021-06-01
Mckay, Charles

Corporate Director · Individual

0% 3 facilities 2021-11-01
Newbold, Brad

Corporate Director · Individual

0% 3 facilities 2022-11-01
Nichols, Lloyd

Corporate Director · Individual

0% 2 facilities 2021-06-01
Parker, Brandy

Corporate Officer · Individual

0% 3 facilities 2022-04-04
Parker, Kenneth

Corporate Director · Individual

0% 1 facilities 2021-06-01
Sullivan, Kevin

Corporate Director · Individual

0% 3 facilities 2021-11-01
The Baptist Home

Operational/Managerial Control · Organization

0% 3 facilities 2023-09-28

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