Valley Manor and Rehabilitation Center
1410 Hospital Drive · Excelsior Springs, MO · 64024 · 8166371010
120 certified beds For profit - Limited Liability company Chain: Circle B Enterprises
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
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.38 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 3.08 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (45 in the current record)
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Potential for harm · E December 18, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 1, 2026 · Resident Rights
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Potential for harm · E December 18, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected February 1, 2026 · Resident Rights
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Potential for harm · E December 18, 2025
Assure the security of all personal funds of residents deposited with the facility.
Corrected February 1, 2026 · Resident Rights
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Potential for harm · E December 18, 2025
Respond appropriately to all alleged violations.
Corrected February 1, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 18, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 18, 2025
Provide activities to meet all resident's needs.
Corrected February 1, 2026 · Quality of Life and Care
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Potential for harm · D December 18, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 1, 2026 · Quality of Life and Care
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Potential for harm · E December 18, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 1, 2026 · Quality of Life and Care
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Potential for harm · F December 18, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected February 1, 2026 · Nursing and Physician Services
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Potential for harm · D December 18, 2025
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 February 1, 2026 · Nursing and Physician Services
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Potential for harm · E December 18, 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 February 1, 2026 · Pharmacy Service
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Potential for harm · F December 18, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected February 1, 2026 · Administration
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Potential for harm · F December 18, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected February 1, 2026 · Administration
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Potential for harm · D December 18, 2025
Implement a program that monitors antibiotic use.
Corrected February 1, 2026 · Infection Control
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Potential for harm · D December 18, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected February 1, 2026 · Infection Control
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Potential for harm · F December 18, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected February 1, 2026 · Nursing and Physician Services
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Potential for harm · E December 18, 2025 · found via complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected February 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 18, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 1, 2026 · Quality of Life and Care
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Potential for harm · D December 18, 2025 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected February 1, 2026 · Nutrition and Dietary
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Potential for harm · F December 18, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 1, 2026 · Nutrition and Dietary
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Potential for harm · E December 18, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 1, 2026 · Infection Control
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Potential for harm · D May 1, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected June 12, 2025 · Quality of Life and Care
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Potential for harm · E July 10, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 17, 2024 · Resident Rights
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Potential for harm · E July 10, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected August 17, 2024 · Resident Rights
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Potential for harm · E July 10, 2024
Honor the resident's right to manage his or her financial affairs.
Corrected August 17, 2024 · Resident Rights
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 265356 · certified since March 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.