Federal inspection record · CMS data as of October 1, 2026
Carmel Hills Wellness & Rehabilitation
810 East Walnut, Independence, MO · (816) 461-9600
- Certified beds
- 194
- Residents per day
- 162
- Ownership
- For-Profit
- Chain
- Opco Skilled Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 4, 2002
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Carmel Hills Wellness & Rehabilitation carries 224.75 inspection points. That is fewer than 9% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
79 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care23E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
- D
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.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide or obtain dental services for each resident.
- E
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide safe, appropriate pain management for a resident who requires such services.
- 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.
- D
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.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide routine and 24-hour emergency dental care for each resident.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 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.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Nutrition and Dietary15F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- D
Dispose of garbage and refuse properly.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights12E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Allow residents to self-administer drugs if determined clinically appropriate.
- 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.
- D
Reasonably accommodate the needs and preferences of each resident.
- 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.
Resident Assessment and Care Planning9E
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Plan the resident's discharge to meet the resident's goals and needs.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service7E
- E
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.
- 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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- 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.
Environmental3F
- F
Keep all essential equipment working safely.
- D
Have policies on smoking.
- E
Keep all essential equipment working safely.
Freedom from Abuse, Neglect, and Exploitation2E
- E
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Nursing and Physician Services2F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Administration1F
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspection history
2024-11-25
24 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2023-03-29
38 health deficiencies · 15 fire-safety deficiencies
Top issue: Nutrition and Dietary (11 deficiencies)
2020-03-09
17 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 43 min of nursing staff time a day, 15 min of it from a registered nurse.
This home
2 h 43 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 60% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$20,787 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-01 | Fine | $20,787 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 2.3 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.9 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine19.8 pts worse | 64.2% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine12.3 pts worse | 78.5% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts better | 2.7% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms67 pts worse | 87.0% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts worse | 5.4% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.2 pts worse | 31.8% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication12.1 pts better | 11.4% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened12 pts better | 3.8% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.7 pts better | 4.7% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.3% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2 pts better | 0.2% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.5 pts better | 5.6% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts better | 3.4% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine47.6 pts worse | 18.1% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.6 pts better | 7.8% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better | 0.8% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine41.9 pts worse | 19.5% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.2 pts worse | 25.9% | 25.7% | 23.4% |
·
Who owns and runs it
31 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 810 E Walnut Street Mo LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| 810 E Walnut Street Mo LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Caliber Advisors LLC | Indirect Ownership Interest · Organization | 0% | 13 facilities |
| Coffman-Williams, Charmaine | Adp Of The SNF · Individual | 0% | 1 facilities |
| Crestview Trust | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| El Dorado Nursing And Rehabilitation LLC | Direct Ownership Interest · Organization | 0% | 6 facilities |
| Emerald Property Partners LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 7 facilities |
| Emerald Property Partners LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Esdov Investments LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
| First Sweetzer Holdings LLC | Indirect Ownership Interest · Organization | 0% | 30 facilities |
| First Sweetzer Holdings LLC | Adp Of The SNF · Organization | 0% | 30 facilities |
| Garetz, David | Operational/Managerial Control · Individual | 0% | 72 facilities |
| Gibraltar Trust | 5% Or Greater Mortgage Interest · Organization | 0% | 29 facilities |
| Gibraltar Trust | Adp Of The SNF · Organization | 0% | 29 facilities |
| Hagins, Elizabeth | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 57 facilities |
| Hatteras Investments LLC | Indirect Ownership Interest · Organization | 0% | 13 facilities |
| Hatteras Investments LLC | Adp Of The SNF · Organization | 0% | 13 facilities |
| Jubilee Master Holdings LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Kaplan, Esther | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 59 facilities |
| Kaplan, Mordechai | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 42 facilities |
| Kaplan, Mosha | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 22 facilities |
| Montgomery Sky Trust | 5% Or Greater Mortgage Interest · Organization | 0% | 17 facilities |
| Montgomery Sky Trust | Adp Of The SNF · Organization | 0% | 17 facilities |
| Ozark Healthcare Realty LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 6 facilities |
| Ozark Healthcare Realty LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Rimpau Holdings Trust | Indirect Ownership Interest · Organization | 0% | 16 facilities |
| Sasem Investments LLC | Indirect Ownership Interest · Organization | 0% | 24 facilities |
| Sternshein, Jennifer | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 55 facilities |
| Tadakamalla, Srinath | Adp Of The SNF · Individual | 0% | 11 facilities |
| Unger, Jeffrey | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 47 facilities |
| Zimmerman, Caroline | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 35 facilities |
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Fire safety
21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems7F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have power receptacles that are properly grounded.
- E
Meet requirements for the use of electrical equipment.
- D
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
Smoke6F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Provide properly protected cooking facilities.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Egress5E
- E
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.
- E
Have exits that are accessible at all times.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Meet other general requirements that are deficient.
Miscellaneous2F
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
Services1E
- E
Have an externally vented heating system.
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Other homes nearby
-
Heritage Wellness & Rehabilitation
Independence, MO · Blue Sky Basin, LLC · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 57 min
- Fines
- $209,844
-
Rosewood Rehab And Healthcare Center
Independence, MO · Ama Holdings · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 49 min
- Fines
- $67,052
-
Independence Manor Care Center
Independence, MO · Juckette Family Homes
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 27 min
- Fines
- $0