Carmel Hills Wellness & Rehabilitation
810 East Walnut · Independence, MO · 64050 · 8164619600
194 certified beds For profit - Limited Liability company Chain: Opco Skilled Management
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Total nurse staffing below 3.0 hours per resident-day
2.80 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.80 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 2.47 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 1 · $20,787 |
Inspection citations (82 in the current record)
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Potential for harm · D March 31, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · D May 21, 2025 · 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 April 22, 2025 · Resident Rights
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Potential for harm · D May 21, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 2, 2025 · Quality of Life and Care
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Potential for harm · D May 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 2, 2025 · Quality of Life and Care
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Potential for harm · E May 21, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 2, 2025 · Nutrition and Dietary
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Potential for harm · D May 21, 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 July 2, 2025 · Nutrition and Dietary
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Potential for harm · D May 21, 2025 · found via complaint
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.
Corrected July 2, 2025 · Nutrition and Dietary
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Potential for harm · F May 21, 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 July 2, 2025 · Nutrition and Dietary
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Potential for harm · D January 16, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 11, 2025 · Resident Rights
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Potential for harm · D January 16, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 11, 2025 · Nutrition and Dietary
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Potential for harm · D November 25, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 11, 2025 · Resident Rights
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Potential for harm · D November 25, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected January 9, 2025 · Resident Rights
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Potential for harm · D November 25, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 9, 2025 · Resident Rights
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Potential for harm · D November 25, 2024
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 January 9, 2025 · Resident Rights
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Potential for harm · D November 25, 2024
Ensure each resident receives an accurate assessment.
Corrected January 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 25, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 25, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 25, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 9, 2025 · Quality of Life and Care
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Potential for harm · D November 25, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 9, 2025 · Quality of Life and Care
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Potential for harm · D November 25, 2024
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 9, 2025 · Quality of Life and Care
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Potential for harm · D November 25, 2024
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 January 9, 2025 · Quality of Life and Care
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Potential for harm · E November 25, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 9, 2025 · Quality of Life and Care
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Potential for harm · D November 25, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected January 9, 2025 · Quality of Life and Care
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Potential for harm · D November 25, 2024
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 January 9, 2025 · Pharmacy Service
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Potential for harm · D November 25, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected January 9, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 1, 2024 | Fine | $20,787 |
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 265727 · certified since January 4, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.