19 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Independence, MO
1-star overall rating with 2-star inspections with 19 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
10300 East Truman Rd, Independence, MO
(816) 836-1250
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
89
Certified beds
Average residents
42
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Circle B Enterprises
Operator or chain grouping
Approved since
1989-11-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
29 facilities
Chain averages 2 overall / 3 health / 2 staffing / 2 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
0.39
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.80
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
1.98
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.17
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.19
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.95
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.29
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.45
CMS adjusted RN staffing hours
Adjusted total hours
3.58
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
89%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
86%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
12,723
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
10.86
Composite VBP score used to determine payment impact.
Payment multiplier
0.9809
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
0
Baseline 61.54% · Performance 81.97% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
2.17
Baseline 3.22 hours · Performance 3.70 hours · Measure score 2.17 · Achievement 2.17 · Improvement 1.35
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 4 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 4 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 50 |
| Staff flu vaccination coverage | 0% |
42%
42 pts worse
|
Numerator 0 · Denominator 49 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 37.8% |
84.8%
47 pts worse
|
93.4%
55.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 45.5% · Q2 26.5% · Q3 28.9% · Q4 48.8% · 4Q avg 37.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.1% |
90.9%
1.2 pts better
|
95.5%
3.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.7% |
4.1%
3.4 pts better
|
3.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.3% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.9% |
14.7%
8.8 pts better
|
11.4%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.1% · Q3 16.7% · Q4 2.7% · 4Q avg 5.9% |
| Percentage of long-stay residents who lose too much weight | 7.1% |
5.5%
1.6 pts worse
|
5.4%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 11.5% · Q3 10.3% · Q4 3.3% · 4Q avg 7.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 40.7% |
25.3%
15.4 pts worse
|
19.6%
21.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.3% · Q2 40.7% · Q3 41.4% · Q4 41.2% · 4Q avg 40.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.9% |
25.0%
3.9 pts worse
|
16.7%
12.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 30.0% · Q3 28.6% · Q4 28.0% · 4Q avg 28.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 8.1% |
0.0%
8.1 pts worse
|
0.1%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 20.6% · Q3 7.9% · Q4 0.0% · 4Q avg 8.1% |
| Percentage of long-stay residents whose ability to walk independently worsened | 40.2% |
20.3%
19.9 pts worse
|
16.3%
23.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 40.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 30.9% |
19.8%
11.1 pts worse
|
14.9%
16 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 36.0% · Q3 27.3% · Q4 33.3% · 4Q avg 30.9% · 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 · 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 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 | 20.6% |
18.1%
2.5 pts worse
|
19.8%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 15.6% · Q3 33.1% · Q4 20.1% · 4Q avg 20.6% |
| Percentage of long-stay residents with pressure ulcers | 8.4% |
5.0%
3.4 pts worse
|
5.1%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 11.8% · Q3 11.8% · Q4 7.0% · 4Q avg 8.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 19.1% |
66.4%
47.3 pts worse
|
81.7%
62.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 20.0% · 4Q avg 19.1% |
Survey summary
Top issue: Pharmacy Service (4 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (10 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Nutrition and Dietary (4 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-08-29
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-08-29
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-29
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-08-29
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-08-29
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-08-29
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-29
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-08-29
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-08-29
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 2024-08-29
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-08-29
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-08-29
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-08-29
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-02-10
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-02-10
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-02-10
Fire Safety
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Corrected 2023-02-10
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-02-10
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 2023-02-10
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-02-10
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-02-10
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-02-10
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-02-10
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-02-10
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 2023-02-10
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-02-10
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-02-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-10
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-02-10
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2020-11-20
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-11-20
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2020-11-20
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2020-11-20
Fire Safety
Meet other general requirements.
Corrected 2020-11-20
Inspection history
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 2025-04-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-29
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 2024-08-29
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-08-29
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-08-29
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 2024-08-29
Health
Post nurse staffing information every day.
Corrected 2024-08-29
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 2024-08-29
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-08-29
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 2024-08-29
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-08-29
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-08-29
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-08-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-29
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 2024-08-29
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-08-29
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 2024-08-29
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 2024-08-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-10
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 2024-05-10
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 2024-05-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-10
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 2023-02-10
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-02-10
Health
Provide activities to meet all resident's needs.
Corrected 2023-02-10
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-02-10
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2023-02-10
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-02-10
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-02-10
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 2023-02-10
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-02-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-02-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-02-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-02-10
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-02-10
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-02-10
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 2023-02-10
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-02-10
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2023-02-10
Health
Provide and implement an infection prevention and control program.
Corrected 2023-02-10
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2020-11-20
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2020-11-20
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 2020-11-20
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2020-11-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-11-20
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 2020-11-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-11-20
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 2020-11-20
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2020-11-20
Health
Provide and implement an infection prevention and control program.
Corrected 2020-11-20
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Nearby options
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Independence, MO
1-star overall rating with 1-star inspections with $20,787 in total fines with 30 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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