Ridge Crest Nursing Center

706 South Mitchell · Warrensburg, MO · 64093 · 6604292177

120 certified beds For profit - Individual Chain: Circle B Enterprises

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing levels are well below research benchmarks for safe care.
  • No federal fines or payment denials in CMS’s 3-year window.
  • 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.

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Red flags

RN staffing in the bottom 10% nationally

0.18 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

2.77 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

67% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 40
Serious harm & abuse 20% 94
Staffing 20% 35
Federal penalties 15% 100
Trend 10% 85
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day2.773.48 min · 4.1 strong
RN hours / resident-day0.180.55–0.75
Weekend hours / resident-day2.46≈ weekday level
Nursing turnover / year67%median 45%
Fines (3-yr window)none

Inspection citations (48 in the current record)

  • Potential for harm · D September 8, 2025

    Provide activities to meet all resident's needs.

    Corrected October 20, 2025 · Quality of Life and Care

  • Potential for harm · D September 8, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 20, 2025 · Quality of Life and Care

  • Potential for harm · E September 8, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 20, 2025 · Quality of Life and Care

  • Potential for harm · D September 8, 2025

    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 October 20, 2025 · Quality of Life and Care

  • Potential for harm · D September 8, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected October 20, 2025 · Quality of Life and Care

  • Potential for harm · E September 8, 2025

    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.

    Corrected October 20, 2025 · Nutrition and Dietary

  • Potential for harm · E September 8, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 20, 2025 · Nutrition and Dietary

  • Potential for harm · F September 8, 2025

    Provide and implement an infection prevention and control program.

    Corrected October 20, 2025 · Infection Control

  • Potential for harm · D September 8, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected October 20, 2025 · Infection Control

  • Potential for harm · E September 8, 2025

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected October 20, 2025 · Infection Control

  • Potential for harm · E February 10, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 10, 2025 · Quality of Life and Care

  • Actual harm · G January 24, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 24, 2025 · Quality of Life and Care

  • Potential for harm · E August 9, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected September 4, 2024 · Quality of Life and Care

  • Potential for harm · E August 9, 2024 · found via complaint

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Corrected September 4, 2024 · Infection Control

  • Potential for harm · D November 17, 2023

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected January 11, 2024 · Resident Rights

  • Potential for harm · E November 17, 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 January 11, 2024 · Resident Rights

  • Potential for harm · E November 17, 2023

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected January 11, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 17, 2023

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected January 11, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E November 17, 2023

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected January 11, 2024 · Quality of Life and Care

  • Potential for harm · D November 17, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 11, 2024 · Quality of Life and Care

  • Potential for harm · D November 17, 2023

    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 January 11, 2024 · Quality of Life and Care

  • Potential for harm · E November 17, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected January 11, 2024 · Quality of Life and Care

  • Potential for harm · D November 17, 2023

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected January 11, 2024 · Quality of Life and Care

  • Potential for harm · E November 17, 2023

    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

    Corrected January 11, 2024 · Nursing and Physician Services

  • Potential for harm · F November 17, 2023

    Post nurse staffing information every day.

    Corrected January 11, 2024 · Nursing and Physician Services

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265797 · certified since May 17, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.