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
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.25
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
1.82
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.82
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.88
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
2.06
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
4.47
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.19
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.27
CMS adjusted RN staffing hours
Adjusted total hours
5.37
CMS adjusted total nurse staffing hours
Case-mix index
1.24
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
10,319
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.78
Composite VBP score used to determine payment impact.
Payment multiplier
0.9825
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.07
Baseline 21.97% · Performance 21.20% · Measure score 1.07 · Achievement 0.51 · Improvement 1.07
Healthcare-associated infections
3.86
Baseline 5.08% · Performance 6.68% · Measure score 3.86 · Achievement 3.86 · Improvement 0
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
1.3
Baseline 3.76 hours · Performance 3.45 hours · Measure score 1.3 · Achievement 1.3 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.43% |
10.72%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 97 · Observed rate 15.46% · Lower 95% interval 8.49% |
| Discharge to community | 58.33% |
50.57%
7.8 pts better
|
No Different than the National Rate · Eligible stays 91 · Observed rate 56.04% · Lower 95% interval 48.32% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.36% |
95.27%
1.1 pts better
|
Numerator 53 · Denominator 55 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 55 |
| Discharge self-care score | 67.39% |
53.69%
13.7 pts better
|
Numerator 31 · Denominator 46 |
| Discharge mobility score | 65.22% |
50.94%
14.3 pts better
|
Numerator 30 · Denominator 46 |
| Pressure ulcers or injuries, new or worsened | 3.64% |
2.29%
1.4 pts worse
|
Numerator 2 · Denominator 55 · Adjusted rate 4.5% |
| Healthcare-associated infections requiring hospitalization | 6.68% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 61 · Observed rate 4.92% · Lower 95% interval 4.05% |
| Staff COVID-19 vaccination coverage | 84% |
8.2%
75.8 pts better
|
Numerator 105 · Denominator 125 |
| Staff flu vaccination coverage | 68% |
42%
26 pts better
|
Numerator 85 · Denominator 125 |
| Discharge function score | 67.39% |
56.45%
10.9 pts better
|
Numerator 31 · Denominator 46 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 36 · Denominator 36 |
| Resident COVID-19 vaccinations up to date | 84% |
25.2%
58.8 pts better
|
Numerator 21 · Denominator 25 |
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 · Adjusted 2.5 · Observed 1.6 · Expected 1.2 · Used in QM five-star |
| 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 · Adjusted 1.5 · Observed 1.0 · Expected 1.1 · Used in QM five-star |
| 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 · Q1 92.1% · Q2 97.6% · Q3 97.6% · Q4 95.3% · 4Q avg 95.7% |
| 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 · 4Q avg 88.1% |
| 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 · Q1 7.9% · Q2 9.8% · Q3 4.9% · Q4 2.3% · 4Q avg 6.1% · 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 8.3% · Q2 5.6% · Q3 5.0% · Q4 4.9% · 4Q avg 5.9% |
| 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 · Q1 0.0% · Q2 7.1% · Q3 4.0% · Q4 6.9% · 4Q avg 4.5% |
| 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 · Q1 12.9% · Q2 14.3% · Q3 3.8% · Q4 6.9% · 4Q avg 9.6% |
| 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 · Q1 8.7% · Q3 15.0% · Q4 10.0% · 4Q avg 8.6% · 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 | 56.6% |
20.3%
36.3 pts worse
|
16.3%
40.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 56.6% · Used in QM five-star |
| 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 · Q1 48.4% · Q2 28.6% · Q3 26.9% · Q4 13.8% · 4Q avg 29.8% · Used in QM five-star |
| 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 · Q1 2.8% · Q2 0.0% · Q3 2.3% · Q4 1.6% · 4Q avg 1.7% · Used in QM five-star |
| 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 · Q1 5.4% · Q2 0.0% · Q3 0.0% · Q4 2.3% · 4Q avg 1.9% · Used in QM five-star |
| 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 · Q1 26.8% · Q2 48.2% · Q3 13.7% · Q4 17.8% · 4Q avg 26.6% |
| 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 · Q1 0.0% · Q2 4.1% · Q3 1.6% · Q4 3.3% · 4Q avg 2.3% · Used in QM five-star |
| 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 · Q1 86.4% · Q2 97.0% · Q3 100.0% · Q4 100.0% · 4Q avg 95.5% |
| 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 · Adjusted 16.2% · Observed 14.9% · Expected 10.3% · Used in QM five-star |
| 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 · Q1 1.6% · Q2 1.9% · Q3 0.0% · Q4 2.3% · 4Q avg 1.5% · Used in QM five-star |
| 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 · 4Q avg 70.4% |
| 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 · Adjusted 30.4% · Observed 23.4% · Expected 18.3% · Used in QM five-star |
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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