11 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Harrisonville, MO
2-star overall rating with 3-star inspections with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
3001 East Elm, Harrisonville, MO
(816) 380-6525
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
118
Certified beds
Average residents
100
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ama Holdings
Operator or chain grouping
Approved since
1996-06-12
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
14 facilities
Chain averages 2 overall / 2 health / 1 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
RN hours / resident day
0.42
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.74
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.12
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.27
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.15
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.97
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.35
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.36
CMS adjusted RN staffing hours
Adjusted total hours
2.83
CMS adjusted total nurse staffing hours
Case-mix index
1.58
Higher values indicate more complex resident acuity
RN turnover
57%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
13,439
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
5.20
Composite VBP score used to determine payment impact.
Payment multiplier
0.9805
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 23.34% · Performance 23.28% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.93% · Performance 7.70% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.08
Performance 55.17% · Measure score 2.08 · Achievement 2.08 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Baseline 3.33 hours · Performance 3.07 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.21% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 137 · Observed rate 10.95% · Lower 95% interval 7.76% |
| Discharge to community | 48.53% |
50.57%
2 pts worse
|
No Different than the National Rate · Eligible stays 88 · Observed rate 42.05% · Lower 95% interval 36% |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 104 · Denominator 104 |
| Falls with major injury | 0.96% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 104 |
| Discharge self-care score | 37.68% |
53.69%
16 pts worse
|
Numerator 26 · Denominator 69 |
| Discharge mobility score | 20.29% |
50.94%
30.6 pts worse
|
Numerator 14 · Denominator 69 |
| Pressure ulcers or injuries, new or worsened | 0.96% |
2.29%
1.3 pts better
|
Numerator 1 · Denominator 104 · Adjusted rate 1.24% |
| Healthcare-associated infections requiring hospitalization | 7.7% |
7.12%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 84 · Observed rate 10.71% · Lower 95% interval 4.87% |
| Staff COVID-19 vaccination coverage | 100% |
8.2%
91.8 pts better
|
Numerator 107 · Denominator 107 |
| Staff flu vaccination coverage | 23.36% |
42%
18.6 pts worse
|
Numerator 25 · Denominator 107 |
| Discharge function score | 43.48% |
56.45%
13 pts worse
|
Numerator 30 · Denominator 69 |
| Transfer of health information to provider | 96.55% |
95.95%
0.6 pts better
|
Numerator 28 · Denominator 29 |
| Transfer of health information to patient | 97.37% |
96.28%
1.1 pts better
|
Numerator 37 · Denominator 38 |
| Resident COVID-19 vaccinations up to date | 24.62% |
25.2%
0.6 pts worse
|
Numerator 16 · Denominator 65 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
2.1
0.5 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 3.4 · Expected 2.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.1 |
2.3
0.8 pts worse
|
1.8
1.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 3.8 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 82.5% |
84.8%
2.3 pts worse
|
93.4%
10.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 82.4% · Q2 86.1% · Q3 84.1% · Q4 77.8% · 4Q avg 82.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 81.0% |
90.9%
9.9 pts worse
|
95.5%
14.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 81.0% |
| 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 4.1% · Q2 3.8% · Q3 3.4% · Q4 4.4% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 46.3% |
14.7%
31.6 pts worse
|
11.4%
34.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 43.7% · Q2 51.5% · Q3 46.2% · Q4 44.2% · 4Q avg 46.3% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.5%
5.5 pts better
|
5.4%
5.4 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 who received an antianxiety or hypnotic medication | 26.4% |
25.3%
1.1 pts worse
|
19.6%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 27.1% · Q3 19.0% · Q4 36.7% · 4Q avg 26.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.9% |
25.0%
12.1 pts better
|
16.7%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 14.3% · Q3 12.5% · Q4 13.2% · 4Q avg 12.9% · 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 | 9.5% |
20.3%
10.8 pts better
|
16.3%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 10.5% · Q4 13.7% · 4Q avg 9.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.9% |
19.8%
8.9 pts better
|
14.9%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 7.6% · Q3 17.6% · Q4 10.7% · 4Q avg 10.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.4%
0.5 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 1.1% · Q4 1.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
2.6%
0.6 pts better
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 4.1% · Q3 1.2% · Q4 1.2% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.4% |
18.1%
6.3 pts worse
|
19.8%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 31.5% · Q3 25.2% · Q4 20.2% · 4Q avg 24.4% |
| Percentage of long-stay residents with pressure ulcers | 7.5% |
5.0%
2.5 pts worse
|
5.1%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 5.6% · Q3 6.2% · Q4 8.7% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 28.7% |
66.4%
37.7 pts worse
|
81.7%
53 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 32.0% · Q3 39.4% · Q4 30.5% · 4Q avg 28.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.7% |
13.4%
1.7 pts better
|
12.0%
0.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 12.2% · Expected 11.7% · 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 0.0% · Q2 0.0% · Q3 1.9% · Q4 1.7% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 43.7% |
63.5%
19.8 pts worse
|
79.7%
36 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 43.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.7% |
25.3%
4.4 pts worse
|
23.9%
5.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.7% · Observed 31.1% · Expected 25.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Nursing and Physician Services (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-04-22
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-04-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Not marked corrected
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-04-22
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-04-22
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-09-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-04
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-09-04
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-09-04
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-09-04
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-09-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-04
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2023-09-04
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 2023-09-04
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-04
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 2023-09-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-04-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-04-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-04-15
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 2022-04-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-04-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-04-15
Inspection history
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-04-22
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-04-22
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-04-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-22
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-22
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-04-22
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-22
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-04-22
Health
Provide appropriate foot care.
Corrected 2025-04-22
Health
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2025-04-22
Health
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.
Corrected 2023-09-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-04
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-09-04
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 2023-09-04
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-04
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 2023-09-04
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 2023-09-04
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-09-04
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-04
Health
Provide or obtain dental services for each resident.
Corrected 2023-09-04
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2023-09-04
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-04-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-04-15
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 2022-04-15
Health
Post nurse staffing information every day.
Corrected 2022-04-15
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 2022-04-15
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-04-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-04-15
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 2022-04-15
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-04-15
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Nearby options
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Pleasant Hill, MO
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