Federal inspection record · CMS data as of October 1, 2026
Kirkwood Wellness & Rehabilitation
711 South Kirkwood Road, Kirkwood, MO · (314) 965-0864
- Special Focus Facility
- Certified beds
- 117
- Residents per day
- 71
- Ownership
- For-Profit
- Chain
- Blue Sky Basin, LLC
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 2010
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 (already 1)
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.
2
Where it sits among Missouri homes
Kirkwood Wellness & Rehabilitation carries 644.25 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
69 health citations on record since 2022. 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 (8)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide enough food/fluids to maintain a resident's health.
-
G
Provide medically-related social services to help each resident achieve the highest possible quality of life.
-
J
Ensure that residents are free from significant medication errors.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide enough food/fluids to maintain a resident's health.
-
G
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Everything else, by area of care
Resident Rights19F
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
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.
- F
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- 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.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Reasonably accommodate the needs and preferences of each resident.
- 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
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
Keep residents' personal and medical records private and confidential.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 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.
Quality of Life and Care11E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
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 colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- 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
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.
- D
Provide or get specialized rehabilitative services as required for a resident.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
- 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.
Nursing and Physician Services5F
- E
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.
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- 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
Observe each nurse aide's job performance and give regular training.
- C
Post nurse staffing information every day.
Administration5F
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
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.
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- E
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Infection Control5F
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- F
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
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning5E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service5E
- E
Ensure medication error rates are not 5 percent or greater.
- 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 medication error rates are not 5 percent or greater.
- 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
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.
Freedom from Abuse, Neglect, and Exploitation4E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- 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
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Environmental1D
- D
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-01-29
54 health deficiencies · 15 fire-safety deficiencies
Top issue: Resident Rights (16 deficiencies)
2024-05-07
8 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2022-11-17
7 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 21 min of nursing staff time a day, 11 min of it from a registered nurse.
This home
4 h 21 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
$172,400 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-29 | Fine | $172,400 |
| 2026-01-29 | Payment Denial · 57 day denial | $0 |
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 days0.1 pts worse | 2.1 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.8 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2 pts worse | 82.0% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine16.9 pts worse | 73.9% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts worse | 6.1% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.1 pts better | 19.9% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight7.3 pts worse | 12.4% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication13.5 pts better | 12.1% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.6 pts better | 9.9% | 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 worsened0.3 pts better | 15.5% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5 pts worse | 22.4% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts worse | 1.9% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.1 pts worse | 4.3% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.5 pts better | 5.6% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers6 pts worse | 10.4% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.2 pts better | 67.9% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.5 pts better | 9.9% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts worse | 3.1% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.4 pts worse | 53.0% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.9 pts worse | 32.6% | 25.7% | 23.4% |
·
Who owns and runs it
27 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 |
|---|---|---|---|
| Berger, Eliot | Indirect Ownership Interest · Individual | 0% | 4 facilities |
| Berger, Eliot | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Berger, Eliot | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Blue Sky Basin LLC | Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Blue Sky Basin LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Compliance Consulting Group LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Dkdp Missouri LLC | Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Dkdp Missouri LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Dkyh Missouri LLC | Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Dkyh Missouri LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Grove Opco Holdings LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Johnson, Erica | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kleiner, David | Indirect Ownership Interest · Individual | 0% | 4 facilities |
| Kleiner, David | Adp Of The SNF · Individual | 0% | 4 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 |
| Perlow, Bernard | Adp Of The SNF · Individual | 0% | 4 facilities |
| Prime Advisory, LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Sajid, Raj | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Sajid, Raj | Adp Of The SNF · Individual | 0% | 2 facilities |
| Saul N Friedman & Company | Adp Of The SNF · Organization | 0% | 13 facilities |
| Sloans Lake Trust | Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Sloans Lake Trust | Adp Of The SNF · Organization | 0% | 4 facilities |
| Torres, Roxy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Torres, Roxy | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install an approved automatic sprinkler system.
- E
Install corridor and hallway doors that block smoke.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
Emergency Preparedness6F
- F
List the names and contact information of those in the facility.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Implement emergency and standby power systems.
- F
Conduct risk assessment and an All-Hazards approach.
Gas, Vacuum, and Electrical Systems5F
- 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
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
Egress2E
- E
Install emergency lighting that can last at least 1 1/2 hours.
- E
Install emergency lighting that can last at least 1 1/2 hours.
Services2E
- E
Have properly installed electrical wiring and gas equipment.
- E
Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly.
Construction1E
- E
Use approved construction type or materials.
·
Other homes nearby
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Aberdeen Heights
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 6 h 22 min
- Fines
- $0
-
Bethesda Dilworth
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★★★★★- Worst citation, 3 yrs
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- $88,946
-
Fountain Care At Sunset Hills
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- Nursing / resident / day
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