Federal inspection record · CMS data as of October 1, 2026
Wilshire At Lakewood Rehab Center
600 N E Meadowview Drive, Lees Summit, MO · (816) 554-9866
- Certified beds
- 170
- Residents per day
- 130
- Ownership
- For-Profit
- Chain
- Ama Holdings
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 18, 1999
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Wilshire At Lakewood Rehab Center carries 50 inspection points. That is fewer than 68% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
34 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care12E
- D
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate foot care.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Assessment and Care Planning5D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service5E
- D
Ensure medication error rates are not 5 percent or greater.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
Resident Rights4F
- E
Honor the resident's right to manage his or her financial affairs.
- F
Assure the security of all personal funds of residents deposited with the facility.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
Nutrition and Dietary3F
- D
Dispose of garbage and refuse properly.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Inspection history
2025-11-18
7 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-11-21
12 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2022-03-22
15 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 34 min of nursing staff time a day, 26 min of it from a registered nurse.
This home
3 h 34 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 68% of nursing staff and 62% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.5 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 2.0 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine42 pts worse | 42.0% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine44.4 pts worse | 46.4% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts better | 1.7% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms77.9 pts worse | 97.9% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.1 pts better | 0.0% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.6 pts worse | 26.2% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication14.8 pts better | 8.7% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.5 pts better | 11.3% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11.3 pts better | 6.1% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts worse | 3.1% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.5 pts worse | 20.6% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 3.2% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine54 pts worse | 11.7% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.4 pts worse | 15.8% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 1.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine59.4 pts worse | 2.0% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.1 pts worse | 26.8% | 25.7% | 23.4% |
·
Who owns and runs it
11 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Mo Operation Holdings De Spe LLC | 5% Or Greater Direct Ownership Interest · Organization | 99% | 8 facilities |
| Ama Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 13 facilities |
| Carr, Shayron | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Def Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 13 facilities |
| Marx, Asher | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 13 facilities |
| Marx, Asher | Corporate Director · Individual | 0% | 13 facilities |
| Marx, Asher | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Mo Operation Holdings De Spe LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Wolf, Jacques | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 13 facilities |
| Wolf, Jacques | Corporate Director · Individual | 0% | 13 facilities |
| Wolf, Jacques | Operational/Managerial Control · Individual | 0% | 13 facilities |
·
Fire safety
26 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Provide properly protected cooking facilities.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Provide properly protected cooking facilities.
Emergency Preparedness5F
- F
Address subsistence needs for staff and patients.
- F
Address subsistence needs for staff and patients.
- F
Provide emergency officials' contact information.
- F
Conduct testing and exercise requirements.
- F
Establish an Emergency Preparedness Program (EP).
Miscellaneous5F
- F
Provide a written emergency evacuation plan.
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems5F
- F
Ensure electrical receptacles or cover plates have distinctive color or marking.
- F
Have proper medical gas storage and administration areas.
- E
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress2F
- F
Have exits that are accessible at all times.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
·
Other homes nearby
-
University Health Lakewood Medical Center
Kansas City, MO
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 10 min
- Fines
- $14,901
-
Seasons Rehab And Healthcare Center
Kansas City, MO · Ama Holdings
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 40 min
- Fines
- $0
-
Monterey Park Rehabilitation & Health Care Center
Independence, MO · Tutera Senior Living & Health Care
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 44 min
- Fines
- $0