Federal inspection record · CMS data as of October 1, 2026
Heritage Wellness & Rehabilitation
17451 Medical Center Parkway, Independence, MO · (816) 373-7795
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 118
- Residents per day
- 63
- Ownership
- Non-Profit
- Chain
- Blue Sky Basin, LLC
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1991
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.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Missouri homes
Heritage Wellness & Rehabilitation carries 515.25 inspection points. That is fewer than 1% 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
80 health citations on record since 2021. 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 (1)
-
J
Respond appropriately to all alleged violations.
Everything else, by area of care
Quality of Life and Care18E
- 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.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure the activities program is directed by a qualified professional.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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 pain management for a resident who requires such services.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- 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
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Rights15E
- E
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- E
Honor the resident's right to manage his or her financial affairs.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 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
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 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
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Honor the resident's right to manage his or her financial affairs.
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- 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.
Infection Control9F
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Implement a program that monitors antibiotic use.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
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.
- E
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- F
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation8E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- E
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
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.
- D
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning8E
- E
Ensure each resident receives an accurate assessment.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 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.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assess the resident when there is a significant change in condition
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Pharmacy Service7E
- E
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
- D
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.
Nursing and Physician Services5F
- F
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.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Post nurse staffing information every day.
- F
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.
- C
Post nurse staffing information every day.
Nutrition and Dietary4E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration3F
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Environmental2E
- E
Keep all essential equipment working safely.
- E
Keep all essential equipment working safely.
Inspection history
2025-02-19
47 health deficiencies · 23 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
2023-06-05
25 health deficiencies · 21 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2021-08-09
8 health deficiencies · 11 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 57 min of nursing staff time a day, 19 min of it from a registered nurse.
This home
3 h 57 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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
$209,844 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-02-19 | Fine | $134,345 |
| 2025-02-19 | Payment Denial · 75 day denial | $0 |
| 2024-02-20 | Fine | $4,938 |
| 2024-02-12 | Fine | $4,938 |
| 2024-01-22 | Fine | $14,814 |
| 2024-01-08 | Fine | $4,938 |
| 2024-01-02 | Fine | $4,587 |
| 2023-12-11 | Fine | $13,762 |
| 2023-11-20 | Fine | $4,587 |
| 2023-11-13 | Fine | $4,587 |
| 2023-11-06 | Fine | $4,587 |
| 2023-10-30 | Fine | $4,587 |
| 2023-10-23 | Fine | $4,587 |
| 2023-10-17 | Fine | $4,587 |
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 days0.6 pts worse | 2.6 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse | 2.5 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.6 pts worse | 75.4% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.2 pts worse | 81.6% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts worse | 4.9% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.7 pts better | 14.3% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.1 pts better | 0.0% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.9 pts better | 24.7% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.7 pts better | 12.8% | 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 worsened3.9 pts better | 11.9% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11.9 pts worse | 29.3% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.4 pts worse | 3.3% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts worse | 2.6% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.6 pts better | 10.5% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts better | 2.4% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.9 pts better | 75.6% | 65.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.2 pts worse | 4.3% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.7 pts better | 73.1% | 61.4% | 80.1% |
·
Who owns and runs it
22 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 |
|---|---|---|---|
| Independence Opco Holdings, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Berger, Eliot | Indirect Ownership Interest · Individual | 0% | 4 facilities |
| Berger, Eliot | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Blue Sky Basin LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Bsb Independence Realty, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Cicero, Steven | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Cicero, Steven | Adp Of The SNF · Individual | 0% | 4 facilities |
| Compliance Consulting Group LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Dkdp Missouri LLC | Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Dkyh Missouri LLC | Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Forvis Mazars, Llp | Adp Of The SNF · Organization | 0% | 17 facilities |
| Independence Realty Holdings, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Kleiner, David | Indirect Ownership Interest · Individual | 0% | 4 facilities |
| O'guin, Laura | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Perlow, Bernard | Indirect Ownership Interest · Individual | 0% | 4 facilities |
| Perlow, Bernard | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Perlow, Bernard | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Prime Advisory, LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Saul N Friedman & Company | Adp Of The SNF · Organization | 0% | 13 facilities |
| Short, David | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Short, David | Adp Of The SNF · Individual | 0% | 2 facilities |
| Sloans Lake Trust | Adp Of The SNF · Organization | 0% | 4 facilities |
·
Fire safety
55 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke19F
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Construct fire resistant interior walls.
- E
Properly provide smoke detection systems in areas open to corridors.
- E
Install corridor and hallway doors that block smoke.
Emergency Preparedness11F
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures for sheltering.
- F
Create arrangements with other facilities to receive patients.
- F
List the names and contact information of those in the facility.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures including evacuation.
- F
Create arrangements with other facilities to receive patients.
- F
List the names and contact information of those in the facility.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- D
Address patient/client population and determine types of services needed.
Gas, Vacuum, and Electrical Systems9F
- F
Meet requirements for the installation and maintenance of electrical systems.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Meet requirements for the use of electrical equipment.
- E
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
Egress7F
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have exits that are accessible at all times.
- E
Meet other general requirements that are deficient.
- F
Have exits that are accessible at all times.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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
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.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Construction2E
- E
Meet other general requirements.
- E
Use approved construction type or materials.
Services1F
- F
Meet other general requirements that are deficient.
Electrical1F
- F
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
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Other homes nearby
-
Rehabilitation Center Of Independence, The
Independence, MO · Opco Skilled Management · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 30 min
- Fines
- $71,208
-
Carmel Hills Wellness & Rehabilitation
Independence, MO · Opco Skilled Management
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 43 min
- Fines
- $20,787
-
Sunterra Springs Independence
Independence, MO · Sunterra Springs
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 3 min
- Fines
- $0