7 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
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
105 Bernard Drive, Belton, MO
(816) 348-8815
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
78
Certified beds
Average residents
72
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Tutera Senior Living & Health Care
Operator or chain grouping
Approved since
2017-06-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
25 facilities
Chain averages 2 overall / 2 health / 2 staffing / 3 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
RN hours / resident day
0.65
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.95
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.39
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.00
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.60
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.49
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.49
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.18
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.58
CMS adjusted RN staffing hours
Adjusted total hours
3.55
CMS adjusted total nurse staffing hours
Case-mix index
1.54
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
74%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
12,035
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
14.24
Composite VBP score used to determine payment impact.
Payment multiplier
0.9813
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.67
Baseline 26.12% · Performance 23.23% · Measure score 2.67 · Achievement 0 · Improvement 2.67
Healthcare-associated infections
0
Baseline 6.78% · Performance 8.38% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.02
Baseline 85.84% · Performance 64.37% · Measure score 3.02 · Achievement 0 · Improvement 3.02
Adjusted total nurse staffing
0
Baseline 3.59 hours · Performance 3.05 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.55% |
10.72%
2.8 pts worse
|
Worse than the National Rate · Eligible stays 252 · Observed rate 17.06% · Lower 95% interval 10.85% |
| Discharge to community | 51.52% |
50.57%
1 pts better
|
No Different than the National Rate · Eligible stays 251 · Observed rate 45.02% · Lower 95% interval 45.68% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 96.15% |
95.27%
0.9 pts better
|
Numerator 150 · Denominator 156 |
| Falls with major injury | 1.28% |
0.77%
0.5 pts worse
|
Numerator 2 · Denominator 156 |
| Discharge self-care score | 90.7% |
53.69%
37 pts better
|
Numerator 78 · Denominator 86 |
| Discharge mobility score | 88.37% |
50.94%
37.4 pts better
|
Numerator 76 · Denominator 86 |
| Pressure ulcers or injuries, new or worsened | 0.64% |
2.29%
1.6 pts better
|
Numerator 1 · Denominator 156 · Adjusted rate 0.4% |
| Healthcare-associated infections requiring hospitalization | 8.38% |
7.12%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 147 · Observed rate 9.52% · Lower 95% interval 5.45% |
| Staff COVID-19 vaccination coverage | 55.32% |
8.2%
47.1 pts better
|
Numerator 52 · Denominator 94 |
| Staff flu vaccination coverage | 45.74% |
42%
3.7 pts better
|
Numerator 43 · Denominator 94 |
| Discharge function score | 93.02% |
56.45%
36.6 pts better
|
Numerator 80 · Denominator 86 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 125 · Denominator 125 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 14.63% |
25.2%
10.6 pts worse
|
Numerator 12 · Denominator 82 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
84.8%
15.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
90.9%
9.1 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.1% |
4.1%
2 pts worse
|
3.3%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 2.4% · Q3 7.3% · Q4 7.7% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.4% |
14.7%
11.3 pts better
|
11.4%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 2.7% · Q4 8.6% · 4Q avg 3.4% |
| Percentage of long-stay residents who lose too much weight | 8.7% |
5.5%
3.2 pts worse
|
5.4%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.2% · Q3 12.1% · Q4 10.3% · 4Q avg 8.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 35.2% |
25.3%
9.9 pts worse
|
19.6%
15.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.6% · Q2 33.3% · Q3 32.4% · Q4 34.5% · 4Q avg 35.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.5% |
25.0%
12.5 pts better
|
16.7%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 10.0% · Q3 14.3% · Q4 8.0% · 4Q avg 12.5% · 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 | 17.9% |
20.3%
2.4 pts better
|
16.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.0% |
19.8%
13.8 pts better
|
14.9%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 10.7% · Q3 9.4% · Q4 0.0% · 4Q avg 6.0% · 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 | 4.3% |
2.6%
1.7 pts worse
|
1.7%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.5% · Q3 7.5% · Q4 7.7% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.5% |
18.1%
14.4 pts worse
|
19.8%
12.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.0% · Q2 27.5% · Q3 36.2% · Q4 34.7% · 4Q avg 32.5% |
| Percentage of long-stay residents with pressure ulcers | 1.9% |
5.0%
3.1 pts better
|
5.1%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 4.6% · Q4 1.6% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.6% |
66.4%
31.2 pts better
|
81.7%
15.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.8% · Q3 97.1% · Q4 96.4% · 4Q avg 97.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.6% |
13.4%
0.8 pts better
|
12.0%
0.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.6% · Observed 12.5% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
2.2%
1.3 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.2% · Q3 1.2% · Q4 0.6% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.0% |
63.5%
32.5 pts better
|
79.7%
16.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.1% |
25.3%
0.8 pts worse
|
23.9%
2.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.1% · Observed 26.8% · Expected 24.5% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (2 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Nutrition and Dietary (5 deficiencies)
9 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-08-27
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-08-27
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-08-27
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-08-27
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-08-27
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-08-27
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-08-27
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 2025-08-27
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-10-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-20
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-20
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-10-20
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-10-20
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2022-03-05
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2022-03-05
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2022-03-05
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-03-05
Fire Safety
Have exits that are accessible at all times.
Corrected 2022-03-05
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-03-05
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-03-05
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-03-05
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-03-05
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-27
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 2025-08-27
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-27
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-27
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-08-27
Health
Dispose of garbage and refuse properly.
Corrected 2025-08-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-01
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-09-03
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 2024-03-05
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-30
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-20
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-30
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-10-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-20
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-10-20
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-09-08
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-10-20
Health
Provide and implement an infection prevention and control program.
Corrected 2022-03-05
Health
Keep all essential equipment working safely.
Corrected 2022-03-05
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2022-03-05
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-03-05
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 2022-03-05
Health
Post nurse staffing information every day.
Corrected 2022-03-05
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 2022-03-05
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-03-05
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 2022-03-05
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2022-03-05
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2022-04-14
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-04-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-03-05
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-03-05
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2022-03-05
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2022-03-05
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2022-04-14
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-03-05
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2022-03-05
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-03-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-03-05
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 2022-03-05
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 2022-03-05
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-03-05
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2022-03-05
Penalties and ownership
Fine · fine $15,646
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Nearby options
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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
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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