19 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
22 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Blue Springs, MO
1-star overall rating with 2-star inspections with 19 recent health deficiencies with 22 fire-safety deficiencies in the latest cycle
111 Mock Avenue, Blue Springs, MO
(816) 220-4200
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
130
Certified beds
Average residents
87
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ignite Medical Resorts
Operator or chain grouping
Approved since
2003-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.38
Registered nurse staffing
LPN hours / resident day
0.60
Licensed practical nurse staffing
Aide hours / resident day
1.82
Nurse aide staffing
Weekend hours
2.41
Weekend nurse staffing
RN turnover
50%
Annual RN turnover
Total nurse turnover
60%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.5 |
2.1
1.4 pts worse
|
1.9
1.6 pts worse
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
2.3
0.1 pts better
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
84.8%
14.8 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.4% |
90.9%
7.5 pts better
|
95.5%
2.9 pts better
|
Long Stay · 2024Q3-2025Q2 |
| 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 |
| Percentage of long-stay residents who have depressive symptoms | 25.4% |
14.7%
10.7 pts worse
|
11.4%
14 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 9.9% |
5.5%
4.4 pts worse
|
5.4%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 38.6% |
25.3%
13.3 pts worse
|
19.6%
19 pts worse
|
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 | 16.1% |
20.3%
4.2 pts better
|
16.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.8% |
19.8%
7 pts better
|
14.9%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
1.4%
0.4 pts better
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
2.6%
0.8 pts better
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.6% |
18.1%
9.5 pts worse
|
19.8%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 6.9% |
5.0%
1.9 pts worse
|
5.1%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.2% |
66.4%
28.8 pts better
|
81.7%
13.5 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
13.4%
4.2 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
2.2%
0.6 pts better
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.9% |
63.5%
33.4 pts better
|
79.7%
17.2 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 38.3% |
25.3%
13 pts worse
|
23.9%
14.4 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
22 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Top issue: Resident Rights (2 deficiencies)
22 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Top issue: Resident Rights (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-10-10
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-10-10
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2024-10-10
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-10-10
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-10-10
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-10-10
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 2024-10-10
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-10-10
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-10-10
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-10-10
Fire Safety
Use approved construction type or materials.
Corrected 2024-10-10
Fire Safety
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Corrected 2024-10-10
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-10-10
Fire Safety
Install proper backup exit lighting.
Corrected 2024-10-10
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-10-10
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-10-10
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-10-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-14
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-10-10
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-10-10
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-10-10
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-10-10
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-12-09
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2022-12-09
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2022-12-09
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2022-12-09
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-12-09
Fire Safety
Implement emergency and standby power systems.
Corrected 2022-12-09
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2022-12-09
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-12-09
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-12-09
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-12-09
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-12-09
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-12-09
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-12-09
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-12-09
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 2022-12-09
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-12-09
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-12-09
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2022-12-09
Fire Safety
Construct fire resistant interior walls.
Corrected 2022-12-09
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-12-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-09
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-12-09
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-02-27
Fire Safety
Use approved construction type or materials.
Corrected 2020-02-27
Fire Safety
Install proper backup exit lighting.
Corrected 2020-02-27
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-03-14
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-02-27
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2020-02-27
Inspection history
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-10
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 2024-10-10
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2024-10-10
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 2024-10-10
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-10-10
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-10-10
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-10-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-10
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-10-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-10
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 2024-10-10
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-10
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-10-10
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-10-10
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 2024-10-10
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-10-10
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2024-10-10
Health
Dispose of garbage and refuse properly.
Corrected 2024-10-10
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2022-12-09
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2022-12-09
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-12-09
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 2022-12-09
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 2022-12-09
Health
Dispose of garbage and refuse properly.
Corrected 2022-12-09
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2022-12-09
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 2020-02-27
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2020-02-27
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2020-02-27
Health
Provide and implement an infection prevention and control program.
Corrected 2020-02-27
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2020-02-27
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2020-02-27
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-02-27
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2020-02-27
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-02-27
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Mortgage Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Blue Springs, MO
2-star overall rating with 2-star inspections with abuse icon flag with $116,230 in total fines with 14 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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Independence, MO
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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