4 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Lees Summit, MO
3-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1501 Sw 3rd Street, Lees Summit, MO
(816) 525-6300
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
55
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Vertical Health Services
Operator or chain grouping
Approved since
1992-11-05
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
18 facilities
Chain averages 2 overall / 2 health / 1 staffing / 4 quality stars
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
0.68
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.48
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
1.88
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.03
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.15
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.84
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.55
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.52
CMS adjusted RN staffing hours
Adjusted total hours
2.31
CMS adjusted total nurse staffing hours
Case-mix index
1.79
Higher values indicate more complex resident acuity
RN turnover
100%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
84%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
11,112
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.98
Composite VBP score used to determine payment impact.
Payment multiplier
0.9819
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.51
Baseline 22.29% · Performance 20.71% · Measure score 2.51 · Achievement 1.56 · Improvement 2.51
Healthcare-associated infections
2.54
Baseline 7.23% · Performance 7.07% · Measure score 2.54 · Achievement 2.54 · Improvement 0.19
Total nurse turnover
2.14
Baseline 88.89% · Performance 72.00% · Measure score 2.14 · Achievement 0 · Improvement 2.14
Adjusted total nurse staffing
0
Performance 2.86 hours · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.76% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 120 · Observed rate 11.67% · Lower 95% interval 7.68% |
| Discharge to community | 53.96% |
50.57%
3.4 pts better
|
No Different than the National Rate · Eligible stays 126 · Observed rate 47.62% · Lower 95% interval 45.09% |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 85.71% |
95.27%
9.6 pts worse
|
Numerator 84 · Denominator 98 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 98 |
| Discharge self-care score | 50% |
53.69%
3.7 pts worse
|
Numerator 30 · Denominator 60 |
| Discharge mobility score | 41.67% |
50.94%
9.3 pts worse
|
Numerator 25 · Denominator 60 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 98 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.07% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 64 · Observed rate 7.81% · Lower 95% interval 4.05% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 65 |
| Staff flu vaccination coverage | 0% |
42%
42 pts worse
|
Numerator 0 · Denominator 304 |
| Discharge function score | 43.33% |
56.45%
13.1 pts worse
|
Numerator 26 · Denominator 60 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 29 · Denominator 29 |
| Transfer of health information to patient | 96.15% |
96.28%
0.1 pts worse
|
Numerator 50 · Denominator 52 |
| Resident COVID-19 vaccinations up to date | 26.53% |
25.2%
1.3 pts better
|
Numerator 13 · Denominator 49 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.7% |
84.8%
3.9 pts better
|
93.4%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 88.9% · Q4 75.6% · 4Q avg 88.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.3% |
90.9%
5.4 pts better
|
95.5%
0.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% |
4.1%
0.9 pts better
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.3% · Q3 2.8% · Q4 2.4% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 83.2% |
14.7%
68.5 pts worse
|
11.4%
71.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 45.0% · Q2 80.0% · Q3 88.2% · Q4 100.0% · 4Q avg 83.2% |
| Percentage of long-stay residents who lose too much weight | 6.9% |
5.5%
1.4 pts worse
|
5.4%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 9.5% · Q3 3.7% · Q4 11.8% · 4Q avg 6.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.3% |
25.3%
1 pts worse
|
19.6%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 18.2% · Q3 27.3% · Q4 29.7% · 4Q avg 26.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.5% |
25.0%
11.5 pts better
|
16.7%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 18.5% · Q4 10.3% · 4Q avg 13.5% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 3.3% |
20.3%
17 pts better
|
16.3%
13 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.4% |
19.8%
9.4 pts better
|
14.9%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 19.0% · Q3 6.2% · Q4 8.8% · 4Q avg 10.4% · 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 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.5% |
18.1%
0.6 pts better
|
19.8%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 20.6% · Q4 22.9% · 4Q avg 17.5% |
| Percentage of long-stay residents with pressure ulcers | 7.8% |
5.0%
2.8 pts worse
|
5.1%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 0.0% · Q3 9.8% · Q4 11.7% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 66.8% |
66.4%
0.4 pts better
|
81.7%
14.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.1% · Q3 55.2% · Q4 22.9% · 4Q avg 66.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.8% |
13.4%
2.4 pts worse
|
12.0%
3.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.8% · Observed 17.6% · Expected 12.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
2.2%
1.4 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 1.5% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.2% |
63.5%
28.7 pts better
|
79.7%
12.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.2% |
25.3%
6.9 pts worse
|
23.9%
8.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.2% · Observed 34.1% · Expected 25.2% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Quality of Life and Care (3 deficiencies)
13 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Infection Control (3 deficiencies)
17 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Fire safety
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 2025-04-29
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-29
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-29
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2023-10-09
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-10-09
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-10-09
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-10-09
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-10-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-09
Fire Safety
Have an externally vented heating system.
Corrected 2023-10-09
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-09
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-10-09
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-10-09
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-10-09
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-10-09
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-10-09
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2022-06-18
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-06-18
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2022-06-18
Fire Safety
List the names and contact information of those in the facility.
Corrected 2022-06-18
Fire Safety
Provide primary/alternate means for communication.
Corrected 2022-06-18
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-06-18
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-06-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-18
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2022-06-18
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-06-18
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-06-18
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-06-18
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-06-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-06-18
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2022-06-18
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2022-06-18
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-06-18
Inspection history
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-29
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 2025-04-29
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 2025-04-29
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-09
Health
Provide or obtain dental services for each resident.
Corrected 2023-10-09
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-09
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-10-09
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 2023-10-09
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-10-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-09
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-10-09
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-10-09
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-05-31
Health
Post nurse staffing information every day.
Corrected 2022-06-18
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-06-18
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 2022-06-18
Health
Provide and implement an infection prevention and control program.
Corrected 2022-06-18
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-06-18
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-06-18
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-06-18
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-06-18
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 2022-06-18
Health
Report COVID19 data to residents and families.
Corrected 2022-06-18
Health
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.
Corrected 2022-06-18
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2022-06-18
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-06-18
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 2022-06-18
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2022-06-18
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-06-18
Penalties and ownership
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Lees Summit, MO
1-star overall rating with 1-star inspections with $42,035 in total fines with 22 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Lees Summit, MO
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Lees Summit, MO
0-star overall rating with 0-star inspections
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