10 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Warrensburg, MO
1-star overall rating with 2-star inspections with 10 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
706 South Mitchell, Warrensburg, MO
(660) 429-2177
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
48
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Circle B Enterprises
Operator or chain grouping
Approved since
2005-05-17
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
0.23
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.66
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
1.92
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
2.81
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
0.89
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.44
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.21
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.26
CMS adjusted RN staffing hours
Adjusted total hours
3.21
CMS adjusted total nurse staffing hours
Case-mix index
1.20
Higher values indicate more complex resident acuity
RN turnover
80%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
71%
Annual nurse turnover · state 57% · national 46%
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.54% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 37 · Observed rate 2.7% · Lower 95% interval 5.7% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 0.72 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 15 · 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 18 · 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 44 |
| Staff flu vaccination coverage | 18.97% |
42%
23 pts worse
|
Numerator 11 · Denominator 58 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 4.1 |
2.1
2 pts worse
|
1.9
2.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.1 · Observed 4.2 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 5.1 |
2.3
2.8 pts worse
|
1.8
3.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 5.1 · Observed 5.8 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.9% |
84.8%
12.1 pts better
|
93.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 90.5% · Q2 97.5% · Q3 100.0% · Q4 100.0% · 4Q avg 96.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.3% |
90.9%
0.4 pts better
|
95.5%
4.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
4.1%
1.6 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.5% · Q3 2.5% · Q4 2.7% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 51.1% |
14.7%
36.4 pts worse
|
11.4%
39.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 39.5% · Q3 75.7% · Q4 71.4% · 4Q avg 51.1% |
| Percentage of long-stay residents who lose too much weight | 3.9% |
5.5%
1.6 pts better
|
5.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.4% · Q3 6.7% · Q4 0.0% · 4Q avg 3.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 38.3% |
25.3%
13 pts worse
|
19.6%
18.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.1% · Q2 34.4% · Q3 34.4% · Q4 48.5% · 4Q avg 38.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 27.7% |
25.0%
2.7 pts worse
|
16.7%
11 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 34.8% · Q3 23.8% · Q4 23.8% · 4Q avg 27.7% · 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 | 18.9% |
20.3%
1.4 pts better
|
16.3%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.5% |
19.8%
7.7 pts worse
|
14.9%
12.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 32.0% · Q3 34.5% · Q4 21.9% · 4Q avg 27.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% |
1.4%
0.5 pts worse
|
1.0%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 5.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
2.6%
1.3 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.4% |
18.1%
1.3 pts worse
|
19.8%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 21.1% · Q3 21.9% · Q4 10.8% · 4Q avg 19.4% |
| Percentage of long-stay residents with pressure ulcers | 8.7% |
5.0%
3.7 pts worse
|
5.1%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 13.9% · Q3 8.7% · Q4 3.3% · 4Q avg 8.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.3% |
66.4%
28.9 pts better
|
81.7%
13.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.4% · Q2 89.6% · Q3 100.0% · Q4 100.0% · 4Q avg 95.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
2.2%
1.2 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.9% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.7% |
63.5%
19.2 pts better
|
79.7%
3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.7% |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (9 deficiencies)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Top issue: Nutrition and Dietary (4 deficiencies)
10 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Fire safety
Fire Safety
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2025-10-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-20
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-10-20
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-10-20
Fire Safety
Ensure electrical receptacles or cover plates have distinctive color or marking.
Corrected 2025-10-20
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-10-20
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-01-11
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-01-11
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-01-11
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-01-11
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-01-11
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-01-11
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-01-11
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-01-11
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-01-11
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-01-11
Fire Safety
Use approved construction type or materials.
Corrected 2024-01-11
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-06-10
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2022-06-10
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2022-06-10
Fire Safety
List the names and contact information of those in the facility.
Corrected 2022-06-10
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 2022-06-10
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 2022-06-10
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-06-10
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-06-10
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-06-10
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-06-10
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-20
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 2025-10-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-20
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 2025-10-20
Health
Provide activities to meet all resident's needs.
Corrected 2025-10-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-20
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 2025-10-20
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-10-20
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-10-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-03-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-24
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-09-04
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-09-04
Health
Post nurse staffing information every day.
Corrected 2024-01-11
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 2024-01-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-01-11
Health
Implement a program that monitors antibiotic use.
Corrected 2024-01-11
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-01-11
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 2024-01-11
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-01-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-11
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-01-11
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 2024-01-11
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-01-11
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 2024-01-11
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-01-11
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-01-11
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-01-11
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-01-11
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-01-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-11
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 2024-01-11
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-01-11
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2024-01-11
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 2023-04-28
Health
Provide and implement an infection prevention and control program.
Corrected 2022-06-10
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2022-06-10
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-06-10
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-06-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-06-10
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2022-06-10
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2022-06-10
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 2022-06-10
Health
Provide appropriate foot care.
Corrected 2022-06-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-06-10
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2022-06-10
Health
Dispose of garbage and refuse properly.
Corrected 2022-06-10
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 2022-06-10
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
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Nearby options
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Warrensburg, MO
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Warrensburg, MO
1-star overall rating with 2-star inspections with $99,990 in total fines with 10 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
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