12 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
12 fire-safety deficiencies
Top issue: Miscellaneous (4 deficiencies)
Raymore, MO
2-star overall rating with 2-star inspections with $30,142 in total fines with 12 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
600 E Sunrise Drive, Raymore, MO
(816) 322-1991
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
152
Certified beds
Average residents
135
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
El Dorado Nursing And Rehabilitation
Operator or chain grouping
Approved since
1991-11-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 2 overall / 2 health / 1 staffing / 4 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
0.49
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.56
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
1.80
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
2.85
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.05
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.53
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.40
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
0.43
CMS adjusted RN staffing hours
Adjusted total hours
2.49
CMS adjusted total nurse staffing hours
Case-mix index
1.57
Higher values indicate more complex resident acuity
RN turnover
23%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
7,677
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.05
Composite VBP score used to determine payment impact.
Payment multiplier
0.9853
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.62
Baseline 24.68% · Performance 21.53% · Measure score 3.62 · Achievement 0 · Improvement 3.62
Healthcare-associated infections
5.05
Baseline 7.20% · Performance 6.33% · Measure score 5.05 · Achievement 5.05 · Improvement 3.45
Total nurse turnover
2.96
Baseline 71.26% · Performance 55.21% · Measure score 2.96 · Achievement 2.07 · Improvement 2.96
Adjusted total nurse staffing
0
Baseline 3.28 hours · Performance 2.88 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.24% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 72 · Observed rate 5.56% · Lower 95% interval 6.19% |
| Discharge to community | 43.61% |
50.57%
7 pts worse
|
No Different than the National Rate · Eligible stays 44 · Observed rate 36.36% · Lower 95% interval 31.21% |
| Medicare spending per beneficiary | 1.11 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 97.62% |
95.27%
2.4 pts better
|
Numerator 41 · Denominator 42 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 42 |
| Discharge self-care score | 62.5% |
53.69%
8.8 pts better
|
Numerator 15 · Denominator 24 |
| Discharge mobility score | 45.83% |
50.94%
5.1 pts worse
|
Numerator 11 · Denominator 24 |
| Pressure ulcers or injuries, new or worsened | 4.76% |
2.29%
2.5 pts worse
|
Numerator 2 · Denominator 42 · Adjusted rate 5.25% |
| Healthcare-associated infections requiring hospitalization | 6.33% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 41 · Observed rate 2.44% · Lower 95% interval 3.58% |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 62.5% |
56.45%
6 pts better
|
Numerator 15 · Denominator 24 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
2.1
0.7 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
2.3
1 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
84.8%
14.6 pts better
|
93.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 97.7% · Q4 100.0% · 4Q avg 99.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
90.9%
9.1 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.0% |
4.1%
2.1 pts better
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.5% · Q3 2.3% · Q4 1.6% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 74.2% |
14.7%
59.5 pts worse
|
11.4%
62.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 67.7% · Q2 57.1% · Q3 86.7% · Q4 83.9% · 4Q avg 74.2% |
| Percentage of long-stay residents who lose too much weight | 3.4% |
5.5%
2.1 pts better
|
5.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 3.7% · Q3 1.7% · Q4 4.2% · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.7% |
25.3%
5.4 pts worse
|
19.6%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 30.9% · Q3 30.8% · Q4 28.3% · 4Q avg 30.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.3% |
25.0%
5.7 pts better
|
16.7%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 18.1% · Q3 22.6% · Q4 18.9% · 4Q avg 19.3% · 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 | 19.5% |
20.3%
0.8 pts better
|
16.3%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.2% · Q2 19.3% · Q3 8.9% · Q4 9.7% · 4Q avg 19.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.2% |
19.8%
0.4 pts worse
|
14.9%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.7% · Q2 21.0% · Q3 18.8% · Q4 9.0% · 4Q avg 20.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
1.4%
1.2 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.7% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.2% |
2.6%
2.4 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.8% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.3% |
18.1%
4.2 pts worse
|
19.8%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 27.1% · Q3 16.9% · Q4 20.6% · 4Q avg 22.3% |
| Percentage of long-stay residents with pressure ulcers | 3.5% |
5.0%
1.5 pts better
|
5.1%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 7.9% · Q3 3.6% · Q4 0.8% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.4% |
66.4%
32 pts better
|
81.7%
16.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 96.8% · Q4 96.4% · 4Q avg 98.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.0% |
13.4%
6.4 pts better
|
12.0%
5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.0% · Observed 6.7% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
2.2%
0.6 pts better
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.4% · Q3 3.4% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
63.5%
36.5 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.2% |
25.3%
8.1 pts better
|
23.9%
6.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.2% · Observed 16.7% · Expected 23.1% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (3 deficiencies)
12 fire-safety deficiencies
Top issue: Miscellaneous (4 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2025-08-08
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-08-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-08
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-08-08
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-08-08
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-08-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-08
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 2025-08-08
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-08-08
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-08-08
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-08-08
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-08-08
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-03-21
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-09-08
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-08
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-09-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-08
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-09-08
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 2023-09-08
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-08
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-09-08
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2021-10-01
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2021-10-01
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2021-10-01
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-10-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-10-01
Fire Safety
Meet other general requirements.
Corrected 2021-10-01
Fire Safety
Have exits that are accessible at all times.
Corrected 2021-10-01
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-10-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-10-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-10-01
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-10-01
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2021-10-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Not marked corrected
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-10-01
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2021-10-01
Inspection history
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 2025-08-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-08
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-08
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-08-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-08-08
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-08
Health
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2025-08-08
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-08-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-08
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 2025-08-08
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-08-08
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-08-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-25
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-04-25
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-10-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-08
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-07-23
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-09-08
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-08
Health
Implement a program that monitors antibiotic use.
Corrected 2023-09-08
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-09-08
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-05-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-10-01
Health
Perform COVID19 testing on residents and staff.
Corrected 2021-10-01
Health
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected 2021-11-16
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 2021-10-01
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2021-10-01
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2021-10-01
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2021-11-16
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2021-11-16
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-10-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-10-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-10-01
Health
Dispose of garbage and refuse properly.
Corrected 2021-10-01
Penalties and ownership
Fine · fine $10,193
Fine
Fine · fine $19,949
Fine
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Mortgage Interest · Organization
5% Or Greater Mortgage Interest · Organization
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
Nearby options
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3-star overall rating with 3-star inspections with $15,646 in total fines with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Belton, MO
2-star overall rating with 3-star inspections with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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