12 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Kansas City, MO
1-star overall rating with 2-star inspections with 12 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
2315 Walrond Avenue, Kansas City, MO
(816) 231-3180
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
84
Certified beds
Average residents
73
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1974-10-01
CMS approved date
Coverage
Medicaid
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
0.06
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.46
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
1.05
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
1.57
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
0.52
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
1.31
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.04
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.08
CMS adjusted RN staffing hours
Adjusted total hours
2.27
CMS adjusted total nurse staffing hours
Case-mix index
0.94
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
62%
Annual nurse turnover · state 57% · national 46%
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Medicare spending per beneficiary | Not Available |
1.02
|
This provider is not required to submit SNF QRP data. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
84.8%
15.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 80.3% |
90.9%
10.6 pts worse
|
95.5%
15.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 80.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.1% |
4.1%
2 pts better
|
3.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 2.7% · Q3 1.4% · Q4 1.4% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
14.7%
14.7 pts better
|
11.4%
11.4 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 who lose too much weight | 3.5% |
5.5%
2 pts better
|
5.4%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 4.3% · Q3 1.5% · Q4 0.0% · 4Q avg 3.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.5% |
25.3%
5.8 pts better
|
19.6%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 20.3% · Q3 19.7% · Q4 17.7% · 4Q avg 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.2% |
25.0%
2.8 pts better
|
16.7%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 24.5% · Q3 25.0% · Q4 22.5% · 4Q avg 22.2% · 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 | 6.5% |
20.3%
13.8 pts better
|
16.3%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 0.0% · Q3 7.9% · Q4 0.0% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.7% |
19.8%
12.1 pts better
|
14.9%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.6% · Q2 7.2% · Q3 3.0% · Q4 0.0% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.5% |
1.4%
1.1 pts worse
|
1.0%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.3% · Q3 3.2% · Q4 1.6% · 4Q avg 2.5% · 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 | 3.1% |
18.1%
15 pts better
|
19.8%
16.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.8% · Q3 2.4% · Q4 1.2% · 4Q avg 3.1% |
| Percentage of long-stay residents with pressure ulcers | 1.6% |
5.0%
3.4 pts better
|
5.1%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 3.2% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.3% |
66.4%
31.9 pts better
|
81.7%
16.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 98.3% |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
20 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Resident Rights (5 deficiencies)
15 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-11-21
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2025-11-21
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-11-21
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-11-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-11-21
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-11-21
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-11-21
Fire Safety
Use approved construction type or materials.
Corrected 2025-11-21
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-11-21
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 2025-11-21
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-11-21
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-11-21
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-11-21
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-11-21
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-11-21
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-11-21
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-01-22
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-01-22
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-01-22
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-01-22
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-01-22
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-01-22
Fire Safety
Meet Health Care Facilities Code mechanical requirements.
Corrected 2024-01-22
Fire Safety
Use approved construction type or materials.
Corrected 2024-01-22
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-01-22
Fire Safety
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Corrected 2024-01-22
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-01-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-22
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-01-22
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-01-22
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-01-22
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-01-22
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-01-22
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-01-22
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-01-22
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-01-22
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-07-22
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2022-07-22
Fire Safety
Provide primary/alternate means for communication.
Corrected 2022-07-22
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-07-22
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-07-22
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-07-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-07-22
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-07-22
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-07-22
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-07-22
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-07-22
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-07-22
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 2022-07-22
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-07-22
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-07-22
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-11-21
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 2025-11-21
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-11-25
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 2025-11-25
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-11-21
Health
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected 2025-11-21
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-11-21
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 2025-11-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-21
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-11-21
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-11-21
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-14
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-07-02
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2024-07-02
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 2024-01-22
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-01-22
Health
Post nurse staffing information every day.
Corrected 2024-01-22
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-01-22
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-01-22
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-22
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 2024-01-22
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-01-22
Health
Provide activities to meet all resident's needs.
Corrected 2024-01-22
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-01-22
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-01-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-01-22
Health
Implement a program that monitors antibiotic use.
Corrected 2024-01-22
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-01-22
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-01-22
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 2024-01-22
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-01-22
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-01-22
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-01-22
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-01-22
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-01-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-22
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-01-22
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-01-22
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-01-22
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 2024-01-22
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-01-22
Health
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
Corrected 2023-09-22
Health
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2022-07-22
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2022-07-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-07-22
Health
Provide and implement an infection prevention and control program.
Corrected 2022-07-22
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2022-07-22
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2022-07-22
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-07-22
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 2022-07-22
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-07-22
Health
Provide activities to meet all resident's needs.
Corrected 2022-07-22
Health
Post nurse staffing information every day.
Corrected 2022-07-22
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-07-22
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 2022-07-22
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 2022-07-22
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2022-07-22
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2022-07-22
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-07-22
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 2022-07-22
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-07-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-07-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-07-22
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-07-22
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-07-22
Health
Ensure staff are vaccinated for COVID-19
Corrected 2022-07-22
Penalties and ownership
Nearby options
Kansas City, MO
1-star overall rating with 1-star inspections with abuse icon flag with $85,819 in total fines with 31 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
Kansas City, MO
2-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $18,180 in total fines with 37 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
Kansas City, MO
1-star overall rating with 1-star inspections with $16,801 in total fines with 40 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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