Kansas City, MO

Seasons Rehab And Healthcare Center

4-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

15600 Woods Chapel Road, Kansas City, MO

(816) 478-4757

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

78

Certified beds

Average residents

75

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ama Holdings

Operator or chain grouping

Approved since

2014-06-17

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

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.34

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.77

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.32

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.43

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

1.11

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

3.06

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.14

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

0.35

CMS adjusted RN staffing hours

Adjusted total hours

3.53

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

60%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

62%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,797

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

15.25

Composite VBP score used to determine payment impact.

Payment multiplier

0.9814

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Performance 21.48% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

4.19

Performance 6.58% · Measure score 4.19 · Achievement 4.19 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

0

Performance 64.29% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

1.92

Baseline 3.98 hours · Performance 3.62 hours · Measure score 1.92 · Achievement 1.92 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.33%
10.72%
0.4 pts better
No Different than the National Rate · Eligible stays 46 · Observed rate 6.52% · Lower 95% interval 7.05%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 1.08
1.02
0.1 pts worse
Drug regimen review with follow-up 94.29%
95.27%
1 pts worse
Numerator 33 · Denominator 35
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 35
Discharge self-care score 40.91%
53.69%
12.8 pts worse
Numerator 9 · Denominator 22
Discharge mobility score 36.36%
50.94%
14.6 pts worse
Numerator 8 · Denominator 22
Pressure ulcers or injuries, new or worsened 8.57%
2.29%
6.3 pts worse
Numerator 3 · Denominator 35 · Adjusted rate 7.9%
Healthcare-associated infections requiring hospitalization 6.58%
7.12%
0.5 pts better
No Different than the National Rate · Eligible stays 30 · Observed rate 3.33% · Lower 95% interval 3.47%
Staff COVID-19 vaccination coverage 4.85%
8.2%
3.3 pts worse
Numerator 5 · Denominator 103
Staff flu vaccination coverage 0%
42%
42 pts worse
Numerator 0 · Denominator 107
Discharge function score 40.91%
56.45%
15.5 pts worse
Numerator 9 · Denominator 22
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.7
2.1
0.4 pts better
1.9
0.2 pts better
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.4 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.0
2.3
1.3 pts better
1.8
0.8 pts better
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.0 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.0%
84.8%
14.2 pts better
93.4%
5.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.3% · Q3 100.0% · Q4 98.6% · 4Q avg 99.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.7%
90.9%
7.8 pts better
95.5%
3.2 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.7%
Percentage of long-stay residents experiencing one or more falls with major injury 6.0%
4.1%
1.9 pts worse
3.3%
2.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 5.5% · Q3 6.5% · Q4 4.1% · 4Q avg 6.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 99.7%
14.7%
85 pts worse
11.4%
88.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.6% · 4Q avg 99.7%
Percentage of long-stay residents who lose too much weight 0.0%
5.5%
5.5 pts better
5.4%
5.4 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 received an antianxiety or hypnotic medication 22.6%
25.3%
2.7 pts better
19.6%
3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 22.2% · Q3 19.6% · Q4 23.6% · 4Q avg 22.6%
Percentage of long-stay residents who received an antipsychotic medication 22.4%
25.0%
2.6 pts better
16.7%
5.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 20.9% · Q3 26.1% · Q4 23.8% · 4Q avg 22.4% · 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 44.1%
20.3%
23.8 pts worse
16.3%
27.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 30.1% · Q2 65.0% · Q3 51.0% · Q4 31.9% · 4Q avg 44.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 39.1%
19.8%
19.3 pts worse
14.9%
24.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 32.2% · Q2 45.3% · Q3 49.1% · Q4 30.2% · 4Q avg 39.1% · 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 1.0%
2.6%
1.6 pts better
1.7%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.8% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 22.4%
18.1%
4.3 pts worse
19.8%
2.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 29.8% · Q2 24.4% · Q3 24.0% · Q4 11.3% · 4Q avg 22.4%
Percentage of long-stay residents with pressure ulcers 2.9%
5.0%
2.1 pts better
5.1%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 5.9% · Q3 2.4% · Q4 1.9% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 80.0%
66.4%
13.6 pts better
81.7%
1.7 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 80.0%
Percentage of short-stay residents who had an outpatient emergency department visit 9.6%
13.4%
3.8 pts better
12.0%
2.4 pts better
Short Stay · 20240701-20250630 · Adjusted 9.6% · Observed 9.5% · Expected 11.1% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission 17.9%
25.3%
7.4 pts better
23.9%
6 pts better
Short Stay · 20240701-20250630 · Adjusted 17.9% · Observed 14.3% · Expected 19.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-31 · Fire 2025-01-31

4 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-05-23 · Fire 2023-05-23

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

18 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)

Cycle 3 Health 2021-06-28 · Fire 2021-06-28

11 health deficiencies

Top issue: Resident Rights (4 deficiencies)

13 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-31

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-03-12

F · Potential for more than minimal harm 2025-01-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-12

E · Potential for more than minimal harm 2025-01-31

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-03-12

F · Potential for more than minimal harm 2023-05-23

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-07-06

F · Potential for more than minimal harm 2023-05-23

E32 · Emergency Preparedness Deficiencies

Fire Safety

Provide primary/alternate means for communication.

Corrected 2023-07-06

F · Potential for more than minimal harm 2023-05-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-06

F · Potential for more than minimal harm 2023-05-23

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-07-06

F · Potential for more than minimal harm 2023-05-23

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-07-06

F · Potential for more than minimal harm 2023-05-23

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-07-06

F · Potential for more than minimal harm 2023-05-23

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-07-06

F · Potential for more than minimal harm 2023-05-23

K900 · Miscellaneous Deficiencies

Fire Safety

Meet Health Care Facilities Code mechanical requirements.

Corrected 2023-07-06

F · Potential for more than minimal harm 2023-05-23

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2023-07-06

F · Potential for more than minimal harm 2023-05-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-07-06

E · Potential for more than minimal harm 2023-05-23

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-07-06

E · Potential for more than minimal harm 2023-05-23

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2023-07-06

E · Potential for more than minimal harm 2023-05-23

K700 · Miscellaneous Deficiencies

Fire Safety

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Corrected 2023-07-06

E · Potential for more than minimal harm 2023-05-23

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-07-06

E · Potential for more than minimal harm 2023-05-23

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-07-06

E · Potential for more than minimal harm 2023-05-23

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-07-06

D · Potential for more than minimal harm 2023-05-23

K223 · Egress Deficiencies

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 2023-07-06

D · Potential for more than minimal harm 2023-05-23

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2023-07-06

F · Potential for more than minimal harm 2021-06-28

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2021-08-12

F · Potential for more than minimal harm 2021-06-28

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2021-08-12

F · Potential for more than minimal harm 2021-06-28

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2021-08-12

F · Potential for more than minimal harm 2021-06-28

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2021-08-12

F · Potential for more than minimal harm 2021-06-28

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2021-08-12

F · Potential for more than minimal harm 2021-06-28

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2021-08-12

F · Potential for more than minimal harm 2021-06-28

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2021-08-12

F · Potential for more than minimal harm 2021-06-28

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2021-08-12

E · Potential for more than minimal harm 2021-06-28

K321 · Smoke Deficiencies

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 2021-08-12

E · Potential for more than minimal harm 2021-06-28

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2021-08-12

D · Potential for more than minimal harm 2021-06-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-08-12

D · Potential for more than minimal harm 2021-06-28

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2021-08-12

D · Potential for more than minimal harm 2021-06-28

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2021-08-12

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-01-31

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-03-12

D · Potential for more than minimal harm 2025-01-31

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-01-02

D · Potential for more than minimal harm 2025-01-31

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-03-12

D · Potential for more than minimal harm 2025-01-31

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2025-03-12

D · Potential for more than minimal harm 2024-08-26

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-08-24

F · Potential for more than minimal harm 2023-05-23

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-07-06

F · Potential for more than minimal harm 2023-05-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-06

E · Potential for more than minimal harm 2023-05-23

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-07-06

D · Potential for more than minimal harm 2023-05-23

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-07-06

D · Potential for more than minimal harm 2023-05-23

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2023-07-06

F · Potential for more than minimal harm 2021-06-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-08-12

E · Potential for more than minimal harm 2021-06-28

F606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Corrected 2021-08-12

E · Potential for more than minimal harm 2021-06-28

F761 · Pharmacy Service Deficiencies

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 2021-08-12

E · Potential for more than minimal harm 2021-06-28

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2021-08-12

D · Potential for more than minimal harm 2021-06-28

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2021-08-12

D · Potential for more than minimal harm 2021-06-28

F578 · Resident Rights Deficiencies

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 2021-08-12

D · Potential for more than minimal harm 2021-06-28

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2021-08-12

D · Potential for more than minimal harm 2021-06-28

F624 · Resident Rights Deficiencies

Health

Prepare residents for a safe transfer or discharge from the nursing home.

Corrected 2021-08-12

D · Potential for more than minimal harm 2021-06-28

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2021-08-12

D · Potential for more than minimal harm 2021-06-28

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2021-08-12

D · Potential for more than minimal harm 2021-06-28

F690 · Quality of Life and Care Deficiencies

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 2021-08-12

Penalties and ownership

What sits behind the stars

Ownership

Mo Operation Holdings De Spe LLC

5% Or Greater Direct Ownership Interest · Organization

99% 8 facilities 2024-01-25
Ama Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 14 facilities 2021-10-19
Def Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 14 facilities 2021-10-19
Marx, Asher

5% Or Greater Indirect Ownership Interest · Individual

0% 14 facilities 2021-10-19
Marx, Asher

Corporate Director · Individual

0% 14 facilities 2021-10-19
Mo Operation Holdings De Spe LLC

Operational/Managerial Control · Organization

0% 8 facilities 2024-01-25
Moore, Angela

W-2 Managing Employee · Individual

0% 3 facilities 2021-10-19
Wolf, Jacques

5% Or Greater Indirect Ownership Interest · Individual

0% 14 facilities 2021-10-19
Wolf, Jacques

Corporate Director · Individual

0% 14 facilities 2021-10-19

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2-star overall rating with 2-star inspections with abuse icon flag with $14,901 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

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Health
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Staffing
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Fines
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#2

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4-star overall rating with 4-star inspections with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

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Staffing
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Fines
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#3

Edgewood Manor Health Care Center

Raytown, MO

1-star overall rating with 1-star inspections with abuse icon flag with $84,557 in total fines with 32 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
1 / 5
Fines
$84,557

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