Blue Springs Wellness & Rehabilitation
930 Ne Duncan Road · Blue Springs, MO · 64014 · 8162296677
120 certified beds For profit - Limited Liability company Chain: Opco Skilled Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $96,959 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$96,959 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.27 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.27 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.33 | 0.55–0.75 |
| Weekend hours / resident-day | 2.04 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $116,230 |
Inspection citations (66 in the current record)
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Actual harm · G November 18, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 18, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Past Non-Compliance · Pharmacy Service
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Potential for harm · D March 28, 2025
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 May 12, 2025 · Resident Rights
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Potential for harm · D March 28, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 28, 2025
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.
Corrected May 12, 2025 · Quality of Life and Care
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Potential for harm · D March 28, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 12, 2025 · Quality of Life and Care
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Potential for harm · D March 28, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected May 12, 2025 · Quality of Life and Care
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Potential for harm · D March 28, 2025
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected May 12, 2025 · Quality of Life and Care
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Potential for harm · D March 28, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 12, 2025 · Pharmacy Service
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Potential for harm · E March 28, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 12, 2025 · Pharmacy Service
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Potential for harm · D March 28, 2025
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 May 12, 2025 · Pharmacy Service
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Potential for harm · D March 28, 2025
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 May 12, 2025 · Pharmacy Service
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Potential for harm · D March 28, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected May 12, 2025 · Nutrition and Dietary
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Potential for harm · D March 28, 2025
Provide and implement an infection prevention and control program.
Corrected May 12, 2025 · Infection Control
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Potential for harm · E December 2, 2024 · found via complaint
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 January 15, 2025 · Resident Rights
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Immediate jeopardy · J October 3, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 1, 2024 · Quality of Life and Care
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Potential for harm · D April 22, 2024 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected June 7, 2024 · Resident Rights
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Immediate jeopardy · K August 24, 2023 · found via complaint
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 September 20, 2023 · Resident Rights
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Potential for harm · E August 24, 2023 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 20, 2023 · Pharmacy Service
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Potential for harm · D July 21, 2023
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected September 1, 2023 · Resident Rights
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Potential for harm · E July 21, 2023
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 September 1, 2023 · Resident Rights
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Potential for harm · D July 21, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected September 1, 2023 · Resident Rights
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Potential for harm · D July 21, 2023
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.
Corrected September 1, 2023 · Resident Rights
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Potential for harm · D July 21, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected September 1, 2023 · Resident Assessment and Care Planning
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Potential for harm · E July 21, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 1, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 27, 2024 | Fine | $96,959 |
| July 21, 2023 | Fine | $19,271 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265595 · certified since December 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.