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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K3 | L· |
| Actual harm | G9 | H· | I· |
| Potential harm | D11 | E40 | F19 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Feb 11, 2026 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Aug 14, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Aug 14, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Feb 27, 2025 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Feb 27, 2025 | Health | Health Standard | 7 | Actual harm | — | Open → |
| Dec 9, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Aug 29, 2024 | Fire safety | Fire Safety Standard | 10 | Immediate jeopardy | — | Open → |
| Aug 29, 2024 | Health | Health Complaint | 10 | Immediate jeopardy | — | Open → |
| Jun 5, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 2, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Apr 17, 2024 | Health | Health Complaint | 6 | Potential harm | — | Open → |
| Feb 23, 2024 | Health | Health Complaint | 9 | Potential harm | — | Open → |
| Jan 18, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Dec 14, 2023 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Dec 4, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 9, 2023 | Health | Health Complaint | 4 | Immediate jeopardy | — | Open → |
| Oct 12, 2023 | Health | Health Complaint | 12 | Immediate jeopardy | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 27, 2025 | Civil money penalty (fine) | $44,298 | — | 265118|Fine|90747 |
| Dec 9, 2024 | Civil money penalty (fine) | $12,012 | — | 265118|Fine|90687 |
| Aug 29, 2024 | Civil money penalty (fine) | $150,799 | — | 265118|Fine|90632 |
| Feb 23, 2024 | Denial of payment for new admissions | — | May 18, 2024 · 73 days | 265118|Payment Denial|2024-05-18 |
| Feb 23, 2024 | Civil money penalty (fine) | $110,638 | — | 265118|Fine|90535 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K3 | L· |
| Actual harm | G9 | H· | I· |
| Potential harm | D11 | E40 | F19 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 11, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 26, 2026 | |
| Feb 11, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 26, 2026 | |
| Feb 11, 2026 | F-0880 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
15 facilities in 3 states. CMS chain ID 636.
Chain average overall rating (CMS): 2.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Vhs Mo Opco Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2023 |
| Vertical Health Services LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2023 |
| Vhs Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2023 |
| Vhs Ultimate Parent LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Vhs Mo Opco Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2023 |
| Vertical Health Services LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2023 |
| Vhs Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2023 |
| Vhs Ultimate Parent LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Athene Nursing and Rehabilitation 13995 Clayton Road, Town and Country, MO 63017 CCN 265001Abuse icon | 282 | Mar 4, 2026 | 1492 IJ1 harm1 open |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Lewis & Clark Gardens 1221 Boones Lick Road, Saint Charles, MO 63301 CCN 265160 | 2.6 km | 142 | Apr 1, 2026 | 953 IJ1 harm | $140k | |
| Laurel Meadows Wellness & Rehabilitation 723 1st Capitol Drive, Saint Charles, MO 63301 CCN 265783 | 3.1 km | 103 | Jun 4, 2025 | 532 IJ | $7,342 | |
| Nhc Healthcare, St Charles 35 Sugar Maple Lane, Saint Charles, MO 63303 CCN 265166 | 3.2 km | 120 | Jun 20, 2024 | 38 | — | |
| Windsor Estates of St Charles 2150 West Randolph Street, Saint Charles, MO 63301 CCN 265518Abuse icon | 3.8 km | 81 | Jun 29, 2026 | 1191 IJ13 harm | $279k | |
| Mcclay Senior Care 3801 Mcclay Road, Saint Peters, MO 63376 CCN 265875 | 6 km | 60 | Jul 15, 2026 | 602 harm | — | |
| St Peters Rehab and Healthcare Center 230 Spencer Road, Saint Peters, MO 63376 CCN 265589 | 6.8 km | 96 | Jun 11, 2026 | 1122 IJ5 harm | $118k | |
| St Peters Post Acute 5400 Executive Centre Parkway, Saint Peters, MO 63376 CCN 265824 | 7.4 km | 130 | Jun 10, 2026 | 951 IJ4 harm | $70k | |
| Ignite Medical Resort St Peters 5101 Executive Centre Parkway, Saint Peters, MO 63376 CCN 265889 | 7.4 km | 91 | Not rated | May 20, 2026 | 232 harm | $60k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 265118 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 265118 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Missouri DHSS Long-Term Care Directory MO | 01521 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Nov 4, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention |
| D · Potential harm Isolated |
| Corrected Feb 26, 2026 |
| Aug 14, 2025 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 10, 2025 |
| Aug 14, 2025 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 10, 2025 |
| Aug 14, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 10, 2025 |
| Aug 14, 2025 | K-0932 | Meet other general requirements. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 10, 2025 |
| Aug 14, 2025 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 10, 2025 |
| Aug 14, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 10, 2025 |
| Feb 27, 2025 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Mar 25, 2025 |
| Feb 27, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Mar 25, 2025 |
| Feb 27, 2025 | K-0311 | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 25, 2025 |
| Feb 27, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted |
| Feb 27, 2025 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted |
| Feb 27, 2025 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted |
| Feb 27, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 25, 2025 |
| Feb 27, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 25, 2025 |
| Feb 27, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 25, 2025 |
| Feb 27, 2025 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted |
| Feb 27, 2025 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 25, 2025 |
| Feb 27, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 25, 2025 |
| Feb 27, 2025 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 25, 2025 |
| Feb 27, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 25, 2025 |
| Feb 27, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 25, 2025 |
| Feb 27, 2025 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 25, 2025 |
| Dec 9, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Dec 12, 2024 | Complaint |
| Dec 9, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Dec 12, 2024 | Complaint |
| Aug 29, 2024 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | K · Immediate jeopardy Pattern | Corrected Oct 12, 2024 |
| Aug 29, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Oct 12, 2024 | Complaint |
| Aug 29, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | J · Immediate jeopardy Isolated | Corrected Oct 12, 2024 | Complaint |
| Aug 29, 2024 | E-0020 | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Oct 12, 2024 |
| Aug 29, 2024 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Oct 12, 2024 |
| Aug 29, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Oct 12, 2024 |
| Aug 29, 2024 | K-0311 | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 12, 2024 |
| Aug 29, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 12, 2024 |
| Aug 29, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 12, 2024 |
| Aug 29, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 12, 2024 |
| Aug 29, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 12, 2024 |
| Aug 29, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 12, 2024 |
| Aug 29, 2024 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 12, 2024 | Complaint |
| Aug 29, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 12, 2024 | Complaint |
| Aug 29, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 12, 2024 | Complaint |
| Aug 29, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 12, 2024 | Complaint |
| Aug 29, 2024 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Oct 12, 2024 | Complaint |
| Aug 29, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Oct 12, 2024 | Complaint |
| Aug 29, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 12, 2024 | Complaint |
| Aug 29, 2024 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Oct 12, 2024 | Complaint |
| Jun 5, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 30, 2024 | Complaint |
| May 2, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected May 14, 2024 | Complaint |
| Apr 17, 2024 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 14, 2024 | Complaint |
| Apr 17, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 30, 2024 | Complaint |
| Apr 17, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 30, 2024 | Complaint |
| Apr 17, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 30, 2024 | Complaint |
| Apr 17, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected May 14, 2024 | Complaint |
| Apr 17, 2024 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected May 14, 2024 | Complaint |
| Feb 23, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 25, 2024 | Complaint |
| Feb 23, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 30, 2024 | Complaint |
| Feb 23, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 30, 2024 | Complaint |
| Feb 23, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 30, 2024 | Complaint |
| Feb 23, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 25, 2024 | Complaint |
| Feb 23, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected May 14, 2024 | Complaint |
| Feb 23, 2024 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected May 14, 2024 | Complaint |
| Feb 23, 2024 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 14, 2024 | Complaint |
| Feb 23, 2024 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Mar 25, 2024 | Complaint |
| Jan 18, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 1, 2024 | Complaint |
| Dec 14, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jan 10, 2024 | Complaint |
| Dec 14, 2023 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 10, 2024 | Complaint |
| Dec 14, 2023 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 10, 2024 | Complaint |
| Dec 14, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 10, 2024 | Complaint |
| Dec 4, 2023 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Past non-compliance Nov 10, 2023 | Complaint |
| Nov 9, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | K · Immediate jeopardy Pattern | Corrected Dec 8, 2023 | Complaint |
| Nov 9, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Dec 8, 2023 | Complaint |
| Nov 9, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Dec 8, 2023 | Complaint |
| Nov 9, 2023 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Dec 8, 2023 | Complaint |
| Oct 12, 2023 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Oct 30, 2023 | Complaint |
| Oct 12, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Oct 30, 2023 | Complaint |
| Oct 12, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Dec 8, 2023 | Complaint |
| Oct 12, 2023 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 30, 2023 | Complaint |
| Oct 12, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 30, 2023 | Complaint |
| Oct 12, 2023 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | F · Potential harm Widespread | Corrected Oct 30, 2023 | Complaint |
| Oct 12, 2023 | F-0758 | 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. Pharmacy Service Deficiencies · Medication management | F · Potential harm Widespread | Corrected Oct 16, 2023 | Complaint |
| Oct 12, 2023 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 30, 2023 | Complaint |
| Oct 12, 2023 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 30, 2023 | Complaint |
| Oct 12, 2023 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Oct 30, 2023 | Complaint |
| Oct 12, 2023 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Oct 30, 2023 | Complaint |
| Oct 12, 2023 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Oct 30, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.50 (case-mix index 1.77).
| not provided |
| Jun 1, 2023 |
| Clay Street Consulting LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2023 |
| Lyndsi Keener | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 29, 2024 |
| Elizabeth Maylack | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2023 |
| William Miller | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2023 |
| Clay Street Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 17, 2025 |
| Lyndsi Keener | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 2025 |
| Elizabeth Maylack | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 2025 |
| $149k |
| Alpine Breeze Health and Wellness 6124 Raytown Road, Raytown, MO 64133 CCN 265339Abuse icon | 154 | May 7, 2026 | 971 IJ2 harm2 open | $30k |
| Avalon View Health and Wellness 1200 West College Street, Liberty, MO 64068 CCN 265437 | 140 | Jun 11, 2026 | 671 IJ | $14k |
| Lee's Summit Place 1501 SW 3rd Street, Lees Summit, MO 64081 CCN 265512 | 60 | May 26, 2026 | 631 harm | — |
| Aegis Health and Rehabilitation 1441 Charic Drive, Wildwood, MO 63021 CCN 265539 | 66 | Sep 16, 2025 | 773 IJ2 harm | $276k |
| Atrium Place Health and Rehabilitation 2600 Redman Road, Saint Louis, MO 63136 CCN 265586 | 120 | Aug 11, 2026 | 781 IJ3 harm | $139k |
| Advanced Care of St Joseph 3002 North 18th St, Saint Joseph, MO 64505 CCN 265754 | 180 | Nov 20, 2025 | 611 harm | $30k |
| Belleview Care Center 1616 Weisenborn Road, Saint Joseph, MO 64507 CCN 265827Abuse icon | 90 | Aug 25, 2026 | 883 IJ2 harm | $31k |