Cycle 1
Health 2024-12-13 · Fire 2024-12-13
9 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Belton, MO
Beautiful Savior Home
2-star overall rating with 3-star inspections with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1003 South Cedar Street, Belton, MO
(816) 331-0781
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
126
Certified beds
Average residents
88
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Shafiq Malik
Operator or chain grouping
Approved since
2004-04-26
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 3 overall / 4 health / 2 staffing / 2 quality stars
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
Hours and turnover
RN hours / resident day
0.20
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.81
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.30
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
1.01
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.08
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.09
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.18
CMS adjusted RN staffing hours
Adjusted total hours
3.10
CMS adjusted total nurse staffing hours
Case-mix index
1.46
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
69%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,874
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
14.92
Composite VBP score used to determine payment impact.
Payment multiplier
0.9814
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
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
Performance 66.18% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
2.98
Baseline 2.85 hours · Performance 3.87 hours · Measure score 2.98 · Achievement 2.80 · Improvement 2.98
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 15 · 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 | 95% |
95.27%
0.3 pts worse
|
Numerator 38 · Denominator 40 |
| Falls with major injury | 2.5% |
0.77%
1.7 pts worse
|
Numerator 1 · Denominator 40 |
| Discharge self-care score | 50% |
53.69%
3.7 pts worse
|
Numerator 12 · Denominator 24 |
| Discharge mobility score | 33.33% |
50.94%
17.6 pts worse
|
Numerator 8 · Denominator 24 |
| Pressure ulcers or injuries, new or worsened | 7.5% |
2.29%
5.2 pts worse
|
Numerator 3 · Denominator 40 · Adjusted rate 6.65% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 17.78% |
8.2%
9.6 pts better
|
Numerator 16 · Denominator 90 |
| Staff flu vaccination coverage | 42.45% |
42%
0.5 pts better
|
Numerator 45 · Denominator 106 |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 12 · Denominator 24 |
| Transfer of health information to provider | 95.65% |
95.95%
0.3 pts worse
|
Numerator 22 · Denominator 23 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 27 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.0 |
2.1
0.9 pts worse
|
1.9
1.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 3.7 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
2.3
1.6 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.7% |
84.8%
9.9 pts better
|
93.4%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 93.2% · Q2 98.6% · Q3 100.0% · Q4 87.3% · 4Q avg 94.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.7% |
90.9%
1.8 pts better
|
95.5%
2.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
4.1%
2.4 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.8% · Q3 1.3% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.0% |
14.7%
11.7 pts better
|
11.4%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.5% · Q4 6.8% · 4Q avg 3.0% |
| Percentage of long-stay residents who lose too much weight | 3.1% |
5.5%
2.4 pts better
|
5.4%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.8% · Q3 5.4% · Q4 1.7% · 4Q avg 3.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.4% |
25.3%
2.9 pts better
|
19.6%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 18.2% · Q3 22.8% · Q4 33.9% · 4Q avg 22.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.0% |
25.0%
3 pts better
|
16.7%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.3% · Q2 23.1% · Q3 15.8% · Q4 19.5% · 4Q avg 22.0% · 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 | 15.1% |
20.3%
5.2 pts better
|
16.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 9.4% · Q3 9.0% · Q4 21.2% · 4Q avg 15.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.6% |
19.8%
2.2 pts better
|
14.9%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.1% · Q2 21.6% · Q3 5.5% · Q4 8.5% · 4Q avg 17.6% · 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 | 1.0% |
2.6%
1.6 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 1.3% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.7% |
18.1%
9.4 pts better
|
19.8%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 10.8% · Q3 12.2% · Q4 6.8% · 4Q avg 8.7% |
| Percentage of long-stay residents with pressure ulcers | 6.4% |
5.0%
1.4 pts worse
|
5.1%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 8.1% · Q3 5.9% · Q4 5.7% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.4% |
66.4%
10 pts better
|
81.7%
5.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 59.5% · Q2 77.1% · Q3 96.5% · Q4 67.3% · 4Q avg 76.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 0.0% |
13.4%
13.4 pts better
|
12.0%
12 pts better
|
Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 12.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.3% |
2.2%
1.1 pts worse
|
1.6%
1.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 8.3% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.5% |
63.5%
18 pts better
|
79.7%
1.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.5% |
25.3%
7.2 pts worse
|
23.9%
8.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.5% · Observed 38.5% · Expected 28.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-05-05 · Fire 2023-05-05
10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
10 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Cycle 3
Health 2021-06-21 · Fire 2021-06-21
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-12-13
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-01-27
F · Potential for more than minimal harm
2023-05-05
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-05-25
F · Potential for more than minimal harm
2023-05-05
E9 · Emergency Preparedness Deficiencies
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2023-05-25
F · Potential for more than minimal harm
2023-05-05
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-05-25
F · Potential for more than minimal harm
2023-05-05
K901 · Electrical Deficiencies
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2023-05-25
F · Potential for more than minimal harm
2023-05-05
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-25
E · Potential for more than minimal harm
2023-05-05
K300 · Egress Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-05-25
E · Potential for more than minimal harm
2023-05-05
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 2023-05-25
E · Potential for more than minimal harm
2023-05-05
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-05-25
E · Potential for more than minimal harm
2023-05-05
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-05-25
D · Potential for more than minimal harm
2023-05-05
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2023-05-25
E · Potential for more than minimal harm
2021-06-21
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2021-07-12
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-12-13
F801 · Nutrition and Dietary Deficiencies
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2025-01-27
F · Potential for more than minimal harm
2024-12-13
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 2025-01-27
F · Potential for more than minimal harm
2024-12-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-27
E · Potential for more than minimal harm
2024-12-13
F678 · Quality of Life and Care Deficiencies
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-01-27
E · Potential for more than minimal harm
2024-12-13
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2025-01-27
D · Potential for more than minimal harm
2024-12-13
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 2025-01-27
D · Potential for more than minimal harm
2024-12-13
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-01-27
D · Potential for more than minimal harm
2024-12-13
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 2025-01-27
D · Potential for more than minimal harm
2024-12-13
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 2025-01-27
F · Potential for more than minimal harm
2023-05-05
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 2023-05-25
F · Potential for more than minimal harm
2023-05-05
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-05-25
F · Potential for more than minimal harm
2023-05-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-25
F · Potential for more than minimal harm
2023-05-05
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2023-05-25
E · Potential for more than minimal harm
2023-05-05
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-05-25
E · Potential for more than minimal harm
2023-05-05
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 2023-05-25
E · Potential for more than minimal harm
2023-05-05
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 2023-05-25
E · Potential for more than minimal harm
2023-05-05
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-05-25
D · Potential for more than minimal harm
2023-05-05
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-05-25
D · Potential for more than minimal harm
2023-05-05
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 2023-05-25
E · Potential for more than minimal harm
2021-06-21
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 2021-07-17
Penalties and ownership
What sits behind the stars
Ownership
Malik, Omer
5% Or Greater Direct Ownership Interest · Individual
Malik, Shafiq
5% Or Greater Direct Ownership Interest · Individual
Bleauridge Nursing And Rehab LLC
5% Or Greater Direct Ownership Interest · Organization
Bleauridge Nursing And Rehab LLC
Operational/Managerial Control · Organization
Forvis Mazars Llp
Operational/Managerial Control · Organization
Haas, Brian
Corporate Director · Individual
Malik, Omer
Operational/Managerial Control · Individual
Malik, Shafiq
Operational/Managerial Control · Individual
Smith, Jennifer
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Carnegie Village Rehabilitation & Health Care Cent
Belton, MO
3-star overall rating with 3-star inspections with $15,646 in total fines with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
Foxwood Springs Living Center
Raymore, MO
3-star overall rating with 3-star inspections with $13,627 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Sunrise Nursing & Rehabilitation
Raymore, MO
2-star overall rating with 2-star inspections with $30,142 in total fines with 12 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
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