14 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Kansas City, MO
1-star overall rating with 2-star inspections with abuse icon flag with 14 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
8100 Wornall Road, Kansas City, MO
(816) 363-5141
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
38
Certified beds
Average residents
37
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2006-04-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.27
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.70
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.33
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.31
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
0.97
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.85
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.29
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.27
CMS adjusted RN staffing hours
Adjusted total hours
3.33
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
73%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
13,186
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
7.66
Composite VBP score used to determine payment impact.
Payment multiplier
0.9807
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
0
Baseline 77.08% · Performance 75.51% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.53
Baseline 6.32 hours · Performance 3.51 hours · Measure score 1.53 · Achievement 1.53 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 4 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 11 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 2.53% |
8.2%
5.7 pts worse
|
Numerator 2 · Denominator 79 |
| Staff flu vaccination coverage | 6.45% |
42%
35.5 pts worse
|
Numerator 8 · Denominator 124 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.2% |
84.8%
3.4 pts better
|
93.4%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 83.3% · Q2 89.7% · Q3 84.8% · Q4 94.3% · 4Q avg 88.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 81.8% |
90.9%
9.1 pts worse
|
95.5%
13.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 81.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% |
4.1%
0.2 pts better
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.4% · Q3 3.0% · Q4 5.7% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.8% |
14.7%
3.9 pts better
|
11.4%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 13.8% · Q3 10.3% · Q4 14.7% · 4Q avg 10.8% |
| Percentage of long-stay residents who lose too much weight | 5.1% |
5.5%
0.4 pts better
|
5.4%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 4.5% · Q3 0.0% · Q4 3.8% · 4Q avg 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.0% |
25.3%
8.3 pts better
|
19.6%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 18.2% · Q3 11.5% · Q4 22.2% · 4Q avg 17.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.1% |
25.0%
13.9 pts better
|
16.7%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 9.5% · Q3 12.5% · Q4 16.7% · 4Q avg 11.1% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 4.5% |
20.3%
15.8 pts better
|
16.3%
11.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.2% |
19.8%
4.6 pts better
|
14.9%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 4.8% · Q3 12.5% · Q4 34.8% · 4Q avg 15.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.4%
1.4 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 8.9% |
2.6%
6.3 pts worse
|
1.7%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 14.3% · Q3 6.2% · Q4 0.0% · 4Q avg 8.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.0% |
18.1%
2.1 pts better
|
19.8%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 6.3% · Q4 53.5% · 4Q avg 16.0% |
| Percentage of long-stay residents with pressure ulcers | 5.1% |
5.0%
0.1 pts worse
|
5.1%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 3.3% · Q3 5.9% · Q4 5.8% · 4Q avg 5.1% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (4 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
16 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Top issue: Pharmacy Service (5 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Fire safety
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-03-01
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-03-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-03-01
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-03-01
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-03-01
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-03-01
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-03-01
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-03-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-01
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-03-01
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-03-01
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-03-01
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2022-08-30
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2022-08-30
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2022-08-30
Fire Safety
Provide emergency officials' contact information.
Corrected 2022-08-30
Fire Safety
Provide primary/alternate means for communication.
Corrected 2022-08-30
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-08-30
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-08-30
Fire Safety
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2022-08-30
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2022-08-30
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-08-30
Fire Safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2022-08-30
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-08-30
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-08-30
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-08-30
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-08-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-08-30
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2019-11-02
Fire Safety
Provide primary/alternate means for communication.
Corrected 2019-11-02
Fire Safety
Conduct testing and exercise requirements.
Corrected 2019-11-02
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2019-11-02
Fire Safety
Use approved construction type or materials.
Corrected 2019-11-02
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-11-02
Fire Safety
Meet other general requirements that are deficient.
Corrected 2019-11-02
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-11-02
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2019-11-02
Inspection history
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-05-07
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-05-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-01
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-01
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-03-01
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-03-01
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-03-01
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-03-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-01
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 2024-03-01
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-03-01
Health
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.
Corrected 2024-03-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-03
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 2022-08-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-08-30
Health
Provide and implement an infection prevention and control program.
Corrected 2022-08-30
Health
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.
Corrected 2022-08-30
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2022-08-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-08-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-08-30
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 2022-08-30
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2022-08-30
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-08-30
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-08-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-11-02
Health
Provide and implement an infection prevention and control program.
Corrected 2019-11-02
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 2019-11-02
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2019-11-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-11-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-11-02
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 2019-11-02
Health
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.
Corrected 2019-11-02
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2019-11-02
Health
Ensure that residents are free from significant medication errors.
Corrected 2019-11-02
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 2019-11-02
Health
Dispose of garbage and refuse properly.
Corrected 2019-11-02
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2019-11-02
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Nearby options
Kansas City, MO
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
Kansas City, MO
1-star overall rating with 2-star inspections with 10 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Kansas City, MO
3-star overall rating with 2-star inspections with abuse icon flag with $67,261 in total fines with 13 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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