3 health deficiencies
Top issue: Environmental (2 deficiencies)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Kansas City, MO
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
115 East 83rd Street, Kansas City, MO
(816) 523-3988
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
16
Certified beds
Average residents
16
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1999-01-01
CMS approved date
Coverage
Medicaid
Participation flags
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
0.58
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
1.62
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.58
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.79
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
2.20
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
4.05
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.72
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.82
CMS adjusted RN staffing hours
Adjusted total hours
6.79
CMS adjusted total nurse staffing hours
Case-mix index
0.96
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Medicare spending per beneficiary | Not Available |
1.02
|
This provider is not required to submit SNF QRP data. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.3% |
84.8%
13.5 pts better
|
93.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 98.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.2% |
4.1%
1.1 pts worse
|
3.3%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.9% |
14.7%
12.8 pts better
|
11.4%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.9% |
| Percentage of long-stay residents who lose too much weight | 1.9% |
5.5%
3.6 pts better
|
5.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.4% |
25.3%
17.9 pts better
|
19.6%
12.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.5% |
25.0%
16.5 pts better
|
16.7%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.5% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 6.7% |
20.3%
13.6 pts better
|
16.3%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.8% |
19.8%
16 pts better
|
14.9%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.8% · 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
2.6%
2.6 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 3.4% |
18.1%
14.7 pts better
|
19.8%
16.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.4% |
| Percentage of long-stay residents with pressure ulcers | 0.0% |
5.0%
5 pts better
|
5.1%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
Survey summary
Top issue: Environmental (2 deficiencies)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Top issue: Resident Assessment and Care Planning (5 deficiencies)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-10-23
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2025-10-23
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-10-23
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-10-23
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-10-23
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-10-23
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-10-23
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-10-23
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-10-23
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-10-23
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-10-23
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2024-07-27
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-07-27
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-07-27
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-27
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-07-27
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-07-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-27
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-27
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-07-27
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-07-27
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-02-01
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2023-02-01
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-02-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-02-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-02-01
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-02-01
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2023-02-01
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 2023-02-01
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-02-01
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 2023-02-01
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-23
Health
Put firmly secured handrails on each side of hallways.
Corrected 2025-10-23
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-10-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-27
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-27
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-07-27
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-07-27
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-07-27
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-07-27
Health
Assess the resident when there is a significant change in condition
Corrected 2024-07-27
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 2024-07-27
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-27
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-07-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-01
Health
Put firmly secured handrails on each side of hallways.
Corrected 2023-02-01
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 2023-02-01
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-02-01
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-02-01
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-02-01
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 2023-02-01
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-02-01
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 2023-02-01
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2023-02-01
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2023-02-01
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2023-02-01
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 2023-02-01
Penalties and ownership
Nearby options
Kansas City, MO
1-star overall rating with 2-star inspections with abuse icon flag with 14 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
Kansas City, MO
1-star overall rating with 2-star inspections with 10 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Kansas City, MO
3-star overall rating with 2-star inspections with abuse icon flag with $67,261 in total fines with 13 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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