12 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Independence, MO
1-star overall rating with 2-star inspections with abuse icon flag with $56,821 in total fines with 12 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1415 West White Oak, Independence, MO
(816) 254-3500
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
300
Certified beds
Average residents
250
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ama Holdings
Operator or chain grouping
Approved since
2004-07-08
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
14 facilities
Chain averages 2 overall / 2 health / 1 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
0.28
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.64
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.45
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.37
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
0.92
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.98
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
0.01
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.26
CMS adjusted RN staffing hours
Adjusted total hours
3.14
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
70%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
66%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
13,465
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
4.88
Composite VBP score used to determine payment impact.
Payment multiplier
0.9805
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.95
Baseline 18.20% · Performance 20.53% · Measure score 1.95 · Achievement 1.95 · Improvement 0
Healthcare-associated infections
0
Baseline 5.13% · Performance 8.16% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Performance 70.38% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Baseline 3.28 hours · Performance 3.13 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.91% |
10.72%
1.8 pts better
|
No Different than the National Rate · Eligible stays 121 · Observed rate 5.79% · Lower 95% interval 6.17% |
| Discharge to community | 36.97% |
50.57%
13.6 pts worse
|
Worse than the National Rate · Eligible stays 76 · Observed rate 28.95% · Lower 95% interval 29.17% |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 94.38% |
95.27%
0.9 pts worse
|
Numerator 84 · Denominator 89 |
| Falls with major injury | 1.12% |
0.77%
0.4 pts worse
|
Numerator 1 · Denominator 89 |
| Discharge self-care score | 45.45% |
53.69%
8.2 pts worse
|
Numerator 30 · Denominator 66 |
| Discharge mobility score | 27.27% |
50.94%
23.7 pts worse
|
Numerator 18 · Denominator 66 |
| Pressure ulcers or injuries, new or worsened | 2.25% |
2.29%
About the same
|
Numerator 2 · Denominator 89 · Adjusted rate 1.85% |
| Healthcare-associated infections requiring hospitalization | 8.16% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 68 · Observed rate 10.29% · Lower 95% interval 4.49% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 323 |
| Staff flu vaccination coverage | 2.36% |
42%
39.6 pts worse
|
Numerator 20 · Denominator 846 |
| Discharge function score | 54.55% |
56.45%
1.9 pts worse
|
Numerator 36 · Denominator 66 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 19.57% |
25.2%
5.6 pts worse
|
Numerator 9 · Denominator 46 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
2.1
0.8 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
2.3
1.2 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 52.4% |
84.8%
32.4 pts worse
|
93.4%
41 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 59.0% · Q2 47.9% · Q3 53.2% · Q4 48.9% · 4Q avg 52.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 83.2% |
90.9%
7.7 pts worse
|
95.5%
12.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 83.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.9% |
4.1%
0.8 pts worse
|
3.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 4.2% · Q3 5.5% · Q4 5.1% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 62.8% |
14.7%
48.1 pts worse
|
11.4%
51.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 59.0% · Q2 57.3% · Q3 53.1% · Q4 81.8% · 4Q avg 62.8% |
| Percentage of long-stay residents who lose too much weight | 0.6% |
5.5%
4.9 pts better
|
5.4%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.5% · Q4 2.1% · 4Q avg 0.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.7% |
25.3%
8.6 pts better
|
19.6%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 17.6% · Q3 17.2% · Q4 15.9% · 4Q avg 16.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.0% |
25.0%
6 pts better
|
16.7%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 13.8% · Q3 19.3% · Q4 24.3% · 4Q avg 19.0% · 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 · 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 | 22.0% |
20.3%
1.7 pts worse
|
16.3%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 29.1% · Q3 20.4% · Q4 16.0% · 4Q avg 22.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.1% |
19.8%
1.7 pts better
|
14.9%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 20.0% · Q3 22.8% · Q4 12.6% · 4Q avg 18.1% · 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 · 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 a urinary tract infection | 0.5% |
2.6%
2.1 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.8% · Q3 0.9% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.4% |
18.1%
7.3 pts worse
|
19.8%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.8% · Q2 22.7% · Q3 20.7% · Q4 26.0% · 4Q avg 25.4% |
| Percentage of long-stay residents with pressure ulcers | 2.0% |
5.0%
3 pts better
|
5.1%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 1.6% · Q3 2.0% · Q4 0.4% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 13.3% |
66.4%
53.1 pts worse
|
81.7%
68.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 17.8% · Q3 13.7% · Q4 8.7% · 4Q avg 13.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.5% |
13.4%
6.9 pts better
|
12.0%
5.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.5% · Observed 7.3% · Expected 12.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.2%
2.2 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 12.1% |
63.5%
51.4 pts worse
|
79.7%
67.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 12.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.5% |
25.3%
5.8 pts better
|
23.9%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.5% · Observed 22.0% · Expected 26.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (10 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
16 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Fire safety
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-06-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-05
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-06-05
Fire Safety
Use approved construction type or materials.
Corrected 2025-06-05
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2023-10-04
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 2023-10-04
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-10-04
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-10-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-10-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-04
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-10-04
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-10-04
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-10-04
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-04
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-10-04
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-10-04
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-10-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-04
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-10-04
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-10-04
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-10-04
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2022-01-28
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2022-01-28
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2022-01-28
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2022-01-28
Fire Safety
Provide primary/alternate means for communication.
Corrected 2022-01-28
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-01-28
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2022-01-28
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-01-28
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-01-28
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-01-28
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2022-01-28
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-01-28
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-01-28
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2022-01-28
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-01-28
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-01-28
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-05-13
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-05
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-05
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-06-05
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-06-05
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-06-05
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-06-05
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-06-05
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-06-05
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-06-05
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 2025-06-05
Health
Provide or obtain dental services for each resident.
Corrected 2025-06-05
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-11-29
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-14
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-01-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-13
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 2024-08-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-21
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 2024-07-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-04
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-04
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2023-10-04
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 2023-10-04
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-10-04
Health
Provide activities to meet all resident's needs.
Corrected 2023-10-04
Health
Ensure the activities program is directed by a qualified professional.
Corrected 2023-10-04
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 2023-10-04
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-10-04
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-10-04
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-10-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-04
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-10-04
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-10-04
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-10-04
Health
Provide or obtain dental services for each resident.
Corrected 2023-10-04
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2023-06-01
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2022-01-28
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2022-01-28
Health
Provide and implement an infection prevention and control program.
Corrected 2022-01-28
Health
Keep all essential equipment working safely.
Corrected 2022-01-28
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-01-28
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-01-28
Health
Respond appropriately to all alleged violations.
Corrected 2022-01-28
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 2022-01-28
Health
Provide activities to meet all resident's needs.
Corrected 2022-01-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-01-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-01-28
Health
Post nurse staffing information every day.
Corrected 2022-01-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-01-28
Health
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Corrected 2022-01-28
Health
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Corrected 2022-01-28
Health
Assess the resident when there is a significant change in condition
Corrected 2022-01-28
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-01-28
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 2022-01-28
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-01-28
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-01-28
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2022-01-28
Penalties and ownership
Fine · fine $25,440
Fine
Fine · fine $16,948
Fine
Fine · fine $14,433
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Director · Individual
Nearby options
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