13 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Kansas City, MO
1-star overall rating with 2-star inspections with $34,704 in total fines with 13 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
10425 Chestnut Dr, Kansas City, MO
(816) 763-4444
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
160
Certified beds
Average residents
147
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
El Dorado Nursing And Rehabilitation
Operator or chain grouping
Approved since
1994-11-23
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.26
Registered nurse staffing
LPN hours / resident day
0.54
Licensed practical nurse staffing
Aide hours / resident day
1.98
Nurse aide staffing
Weekend hours
2.48
Weekend nurse staffing
RN turnover
17%
Annual RN turnover
Total nurse turnover
32%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
2.1
0.7 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
2.3
0.7 pts better
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 65.7% |
84.8%
19.1 pts worse
|
93.4%
27.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 62.3% |
90.9%
28.6 pts worse
|
95.5%
33.2 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.2% |
4.1%
3.9 pts better
|
3.3%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 20.9% |
14.7%
6.2 pts worse
|
11.4%
9.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 13.5% |
5.5%
8 pts worse
|
5.4%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.8% |
25.3%
6.5 pts better
|
19.6%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.1% |
20.3%
7.2 pts better
|
16.3%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.1% |
19.8%
7.7 pts better
|
14.9%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
2.6%
2.2 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.7% |
18.1%
7.6 pts worse
|
19.8%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 1.8% |
5.0%
3.2 pts better
|
5.1%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 28.3% |
66.4%
38.1 pts worse
|
81.7%
53.4 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.1% |
13.4%
5.3 pts better
|
12.0%
3.9 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.3% |
2.2%
2.1 pts worse
|
1.6%
2.7 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 31.7% |
63.5%
31.8 pts worse
|
79.7%
48 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.2% |
25.3%
2.1 pts better
|
23.9%
0.7 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (9 deficiencies)
21 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
4 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Fire safety
Fire Safety
Use approved construction type or materials.
Corrected 2025-04-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-15
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-04-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-04-15
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-04-15
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-04-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-15
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-04-15
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 2025-04-15
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-04-15
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-04-15
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2025-04-15
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-04-15
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2023-08-24
Fire Safety
Install proper backup exit lighting.
Corrected 2023-08-24
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-08-24
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-08-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-08-24
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-08-24
Fire Safety
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
Corrected 2023-08-24
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2023-08-24
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-08-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-24
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2023-08-24
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-08-24
Fire Safety
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.
Corrected 2023-08-24
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-08-24
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 2023-08-24
Fire Safety
Construct fire resistant interior walls.
Corrected 2023-08-24
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-08-24
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-08-24
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-08-24
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-08-24
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-06-16
Fire Safety
Install proper backup exit lighting.
Corrected 2021-04-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-04-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-04-15
Inspection history
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Not marked corrected
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2025-12-22
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 2025-04-28
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-04-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-28
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-04-28
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 2025-04-28
Health
Provide activities to meet all resident's needs.
Corrected 2025-04-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-28
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-04-28
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-28
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2025-04-28
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-28
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-02-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-21
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-09-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-24
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-08-24
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2023-08-24
Health
Dispose of garbage and refuse properly.
Corrected 2023-08-24
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2023-08-24
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-08-24
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 2023-08-24
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-08-24
Health
Provide activities to meet all resident's needs.
Corrected 2023-08-24
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 2023-08-24
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2023-08-24
Health
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected 2023-08-24
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-08-24
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-24
Health
Implement a program that monitors antibiotic use.
Corrected 2023-08-24
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-08-24
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2023-08-24
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-08-24
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-08-24
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 2023-08-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-24
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-08-24
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-08-24
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-08-24
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2023-08-24
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2023-08-24
Health
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.
Corrected 2023-08-24
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-08-24
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-06-16
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-06-16
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-06-17
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 2023-05-25
Health
Provide activities to meet all resident's needs.
Corrected 2021-04-15
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 2021-04-15
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 2021-04-15
Penalties and ownership
Fine · fine $34,704
Fine
5% Or Greater Mortgage Interest · Organization
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Mortgage Interest · Organization
5% Or Greater Mortgage Interest · Organization
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Kansas City, MO
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $611,126 in total fines with 38 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
Kansas City, MO
3-star overall rating with 3-star inspections with $14,069 in total fines with 10 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Kansas City, MO
1-star overall rating with 1-star inspections with 36 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle
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