Riverbend Heights Health & Rehabilitation
1221 Highway 13 South · Lexington, MO · 64067 · 6602594695
154 certified beds For profit - Limited Liability company Chain: Mo Op Holdco, LLC
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- No federal fines or payment denials in CMS’s 3-year window.
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
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.
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: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.86 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.52 | 0.55–0.75 |
| Weekend hours / resident-day | 3.08 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (37 in the current record)
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Potential for harm · D January 12, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 29, 2026 · Quality of Life and Care
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Potential for harm · E June 14, 2024
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 July 18, 2024 · Resident Rights
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Potential for harm · D June 14, 2024
Provide activities to meet all resident's needs.
Corrected July 18, 2024 · Quality of Life and Care
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Potential for harm · E June 14, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 18, 2024 · Quality of Life and Care
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Potential for harm · D June 14, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected July 18, 2024 · Quality of Life and Care
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Potential for harm · D June 14, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 18, 2024 · Nutrition and Dietary
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Potential for harm · F June 14, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 16, 2024 · Nutrition and Dietary
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Potential for harm · F June 14, 2024
Keep all essential equipment working safely.
Corrected July 18, 2024 · Environmental
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Potential for harm · E June 14, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected July 18, 2024 · Environmental
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Potential for harm · E June 14, 2024
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected July 18, 2024 · Environmental
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Potential for harm · D January 23, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 24, 2024 · Quality of Life and Care
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Actual harm · G November 2, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 20, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 2, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 20, 2023 · Resident Rights
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Potential for harm · E November 2, 2023 · found via complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected November 20, 2023 · Quality of Life and Care
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Potential for harm · D September 11, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 20, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 11, 2023 · found via complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected November 20, 2023 · Quality of Life and Care
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Potential for harm · D September 23, 2022
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected October 13, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 23, 2022
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected October 12, 2022 · Resident Assessment and Care Planning
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Potential for harm · E September 23, 2022
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected October 24, 2022 · Quality of Life and Care
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Potential for harm · D September 23, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 4, 2022 · Quality of Life and Care
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Potential for harm · D September 23, 2022
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 October 10, 2022 · Quality of Life and Care
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Potential for harm · D September 23, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 6, 2022 · Quality of Life and Care
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Potential for harm · E September 23, 2022
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 28, 2022 · Pharmacy Service
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Potential for harm · E September 23, 2022
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 October 28, 2022 · Pharmacy Service
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Potential for harm · E September 23, 2022
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 October 14, 2022 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265358 · certified since March 31, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.