4 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Kansas City, MO
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
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
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
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
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
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
| 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
| 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
Top issue: Nursing and Physician Services (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
18 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)
Top issue: Resident Rights (4 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-03-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-12
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-03-12
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-07-06
Fire Safety
Provide primary/alternate means for communication.
Corrected 2023-07-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-06
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-07-06
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-07-06
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-07-06
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-07-06
Fire Safety
Meet Health Care Facilities Code mechanical requirements.
Corrected 2023-07-06
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2023-07-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-06
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-07-06
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-07-06
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
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
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
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-07-06
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
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2023-07-06
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2021-08-12
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2021-08-12
Fire Safety
Provide emergency officials' contact information.
Corrected 2021-08-12
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2021-08-12
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2021-08-12
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2021-08-12
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-08-12
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2021-08-12
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
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-08-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-08-12
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-08-12
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
Health
Post nurse staffing information every day.
Corrected 2025-03-12
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-01-02
Health
Provide activities to meet all resident's needs.
Corrected 2025-03-12
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
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-24
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
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-06
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-07-06
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-07-06
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2023-07-06
Health
Provide and implement an infection prevention and control program.
Corrected 2021-08-12
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2021-08-12
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
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
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2021-08-12
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
Health
Keep residents' personal and medical records private and confidential.
Corrected 2021-08-12
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2021-08-12
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-08-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-08-12
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
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Director · Individual
Nearby options
Kansas City, MO
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
Lees Summit, MO
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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
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