22 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Higginsville, MO
2-star overall rating with 2-star inspections with 22 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
1201 West 19th Street, Higginsville, MO
(660) 584-4224
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
56
Certified beds
Average residents
48
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1997-05-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.25
Registered nurse staffing
LPN hours / resident day
1.82
Licensed practical nurse staffing
Aide hours / resident day
2.82
Nurse aide staffing
Weekend hours
4.47
Weekend nurse staffing
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
2.1
0.4 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
2.3
0.8 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.7% |
84.8%
10.9 pts better
|
93.4%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.1% |
90.9%
2.8 pts worse
|
95.5%
7.4 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.1% |
4.1%
2 pts worse
|
3.3%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents who lose too much weight | 4.5% |
5.5%
1 pts better
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.6% |
25.3%
15.7 pts better
|
19.6%
10 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 8.6% |
25.0%
16.4 pts better
|
16.7%
8.1 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 | 56.6% |
20.3%
36.3 pts worse
|
16.3%
40.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 29.8% |
19.8%
10 pts worse
|
14.9%
14.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% |
1.4%
0.3 pts worse
|
1.0%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 1.9% |
2.6%
0.7 pts better
|
1.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.6% |
18.1%
8.5 pts worse
|
19.8%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 2.3% |
5.0%
2.7 pts better
|
5.1%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.5% |
66.4%
29.1 pts better
|
81.7%
13.8 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.2% |
13.4%
2.8 pts worse
|
12.0%
4.2 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
2.2%
0.7 pts better
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 70.4% |
63.5%
6.9 pts better
|
79.7%
9.3 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.4% |
25.3%
5.1 pts worse
|
23.9%
6.5 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Nutrition and Dietary (3 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-09-01
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-09-01
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-09-01
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-09-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-01
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-01
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-09-01
Fire Safety
Use approved construction type or materials.
Corrected 2024-09-01
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-09-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-09-01
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-09-01
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-09-01
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-09-01
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2023-04-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-07
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-11-13
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-11-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-13
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-11-13
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-11-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-11-13
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-11-13
Fire Safety
Have exits that are accessible at all times.
Corrected 2022-11-13
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2019-11-13
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2019-11-13
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2019-11-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-11-13
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2019-11-13
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2019-11-13
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-11-13
Inspection history
Health
Give residents a notice of rights, rules, services and charges.
Corrected 2025-07-22
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-09-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-01
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-09-01
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-01
Health
Implement a program that monitors antibiotic use.
Corrected 2024-09-01
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-09-01
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-09-01
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-09-01
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-09-01
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-09-01
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-09-01
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-09-01
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-09-01
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-09-01
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-09-01
Health
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.
Corrected 2024-09-01
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 2024-09-01
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2024-09-01
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 2024-09-01
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-09-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-11-13
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 2022-11-13
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-11-13
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 2022-11-13
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2022-11-13
Health
Provide and implement an infection prevention and control program.
Corrected 2022-11-13
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2022-11-13
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-11-13
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2022-11-13
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2022-11-13
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-11-13
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 2022-11-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-11-13
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-11-13
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2022-11-13
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2019-11-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-11-13
Health
Provide and implement an infection prevention and control program.
Corrected 2019-11-13
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2019-11-13
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2019-11-13
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-11-13
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 2019-11-13
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2019-11-13
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
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