15 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Kansas City, MO
4-star overall rating with 2-star inspections with $16,000 in total fines with 15 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
1301 Tullison Rd, Kansas City, MO
(816) 888-7930
Overall
4 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
56
Certified beds
Average residents
44
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2018-05-30
CMS approved date
Coverage
Medicare
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
0.81
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
1.56
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
3.81
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
6.18
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
2.36
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
5.66
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.59
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.78
CMS adjusted RN staffing hours
Adjusted total hours
6.01
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
47%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
1,511
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
56.06
Composite VBP score used to determine payment impact.
Payment multiplier
1.0111
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 23.75% · Performance 23.99% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
7.83
Baseline 7.92% · Performance 5.49% · Measure score 7.83 · Achievement 7.83 · Improvement 7.80
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
8.98
Baseline 5.87 hours · Performance 5.63 hours · Measure score 8.98 · Achievement 8.98 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.6% |
10.72%
2.9 pts worse
|
Worse than the National Rate · Eligible stays 287 · Observed rate 14.29% · Lower 95% interval 10.8% |
| Discharge to community | 52.15% |
50.57%
1.6 pts better
|
No Different than the National Rate · Eligible stays 244 · Observed rate 48.77% · Lower 95% interval 46.72% |
| Medicare spending per beneficiary | 0.95 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.92% |
95.27%
3.7 pts better
|
Numerator 183 · Denominator 185 |
| Falls with major injury | 1.62% |
0.77%
0.9 pts worse
|
Numerator 3 · Denominator 185 |
| Discharge self-care score | 67.91% |
53.69%
14.2 pts better
|
Numerator 91 · Denominator 134 |
| Discharge mobility score | 54.48% |
50.94%
3.5 pts better
|
Numerator 73 · Denominator 134 |
| Pressure ulcers or injuries, new or worsened | 1.08% |
2.29%
1.2 pts better
|
Numerator 2 · Denominator 185 · Adjusted rate 1.41% |
| Healthcare-associated infections requiring hospitalization | 5.49% |
7.12%
1.6 pts better
|
No Different than the National Rate · Eligible stays 145 · Observed rate 2.76% · Lower 95% interval 3.33% |
| Staff COVID-19 vaccination coverage | 1.69% |
8.2%
6.5 pts worse
|
Numerator 2 · Denominator 118 |
| Staff flu vaccination coverage | 7.36% |
42%
34.6 pts worse
|
Numerator 12 · Denominator 163 |
| Discharge function score | 68.66% |
56.45%
12.2 pts better
|
Numerator 92 · Denominator 134 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 61 · Denominator 61 |
| Transfer of health information to patient | 98.18% |
96.28%
1.9 pts better
|
Numerator 108 · Denominator 110 |
| Resident COVID-19 vaccinations up to date | 37.63% |
25.2%
12.4 pts better
|
Numerator 35 · Denominator 93 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 87.7% |
84.8%
2.9 pts better
|
93.4%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 90.0% · Q4 87.0% · 4Q avg 87.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.0% |
90.9%
4.1 pts better
|
95.5%
0.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
4.1%
4.1 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.4% |
14.7%
13.3 pts better
|
11.4%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 1.4% |
| Percentage of long-stay residents who lose too much weight | 21.1% |
5.5%
15.6 pts worse
|
5.4%
15.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 21.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.2% |
25.3%
12.1 pts better
|
19.6%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.0% |
25.0%
About the same
|
16.7%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.0% · 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 · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.2% |
19.8%
13.6 pts better
|
14.9%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.2% · 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 | 1.2% |
2.6%
1.4 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 4.3% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.5% |
18.1%
5.6 pts better
|
19.8%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.5% |
| Percentage of long-stay residents with pressure ulcers | 5.9% |
5.0%
0.9 pts worse
|
5.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 8.5% · Q4 11.7% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.3% |
66.4%
18.9 pts better
|
81.7%
3.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 83.7% · Q2 81.6% · Q3 86.9% · Q4 89.8% · 4Q avg 85.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.7% |
13.4%
4.7 pts better
|
12.0%
3.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.7% · Observed 8.1% · Expected 10.3% · 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 0.8% · Q3 0.9% · Q4 1.7% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.9% |
63.5%
25.4 pts better
|
79.7%
9.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 36.1% |
25.3%
10.8 pts worse
|
23.9%
12.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 36.1% · Observed 30.6% · Expected 20.2% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (4 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-02-21
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-02-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-21
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-02-21
Fire Safety
Use approved construction type or materials.
Corrected 2025-02-21
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-03-06
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-02-21
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-02-21
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-02-21
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-03-15
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2023-05-05
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-05-05
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-05-05
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-05-05
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-03-23
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-05-11
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-05-05
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-05-05
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2023-05-05
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-05
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 2023-05-05
Fire Safety
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Not marked corrected
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-05
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-05
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-05-25
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-05-05
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.
Not marked corrected
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-09-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-08-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-27
Health
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.
Corrected 2025-01-27
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 2025-01-27
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-01-27
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-27
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-27
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-27
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-01-27
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 2025-01-27
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-01-27
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-27
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 2024-03-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-05
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-05
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2023-05-05
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 2023-05-05
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-05-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-05
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 2023-05-05
Health
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected 2023-05-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-06-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-06-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-06-01
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 2020-06-01
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 2020-06-01
Health
Provide and implement an infection prevention and control program.
Corrected 2020-06-01
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2020-06-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2020-06-01
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 2020-06-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-06-01
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2020-06-01
Penalties and ownership
Fine · fine $16,000
Fine
Payment Denial · denial start 2023-05-07 · 18 days
18 day denial
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Nearby options
Riverside, MO
3-star overall rating with 3-star inspections with $145,591 in total fines with 3 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Kansas City, MO
3-star overall rating with 3-star inspections with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Kansas City, MO
4-star overall rating with 3-star inspections with $6,368 in total fines with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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