Riverbend Post Acute Rehabilitation
7850 Freeman Avenue · Kansas City, KS · 66112 · 9133343666
131 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Federal penalties on record: $19,503 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
1 immediate-jeopardy citation 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.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 3.71 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.48 | 0.55–0.75 |
| Weekend hours / resident-day | 3.36 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | 2 · $84,023 |
Inspection citations (32 in the current record)
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Potential for harm · D November 19, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected December 19, 2025 · Resident Rights
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Potential for harm · E November 19, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected December 19, 2025 · Resident Rights
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Potential for harm · D November 19, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected December 19, 2025 · Resident Rights
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Potential for harm · D November 19, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected December 19, 2025 · Resident Rights
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Potential for harm · D November 19, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 19, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 19, 2025 · Quality of Life and Care
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Potential for harm · E November 19, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 19, 2025 · Quality of Life and Care
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Potential for harm · D November 19, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected December 19, 2025 · Quality of Life and Care
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Potential for harm · D November 19, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 19, 2025 · Pharmacy Service
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Potential for harm · D November 19, 2025
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected December 19, 2025 · Administration
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Potential for harm · D November 19, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 19, 2025 · Quality of Life and Care
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Potential for harm · E May 21, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected June 23, 2025 · Resident Rights
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Potential for harm · D May 21, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 23, 2025 · Resident Assessment and Care Planning
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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 June 23, 2025 · Quality of Life and Care
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Potential for harm · D May 21, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected June 23, 2025 · Quality of Life and Care
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Potential for harm · D May 21, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected June 23, 2025 · Pharmacy Service
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Potential for harm · D May 21, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected June 23, 2025 · Pharmacy Service
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Potential for harm · E May 21, 2025 · found via complaint
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 June 23, 2025 · Pharmacy Service
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Potential for harm · E May 21, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 23, 2025 · Infection Control
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Potential for harm · D January 23, 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 28, 2025 · Resident Rights
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Potential for harm · D January 23, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected February 28, 2025 · Resident Rights
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Potential for harm · D January 23, 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 February 28, 2025 · Resident Rights
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Potential for harm · D January 23, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D January 23, 2025 · found via complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · E January 23, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 28, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 21, 2025 | Fine | $19,503 |
| May 21, 2025 | Payment Denial | 12 days |
| June 4, 2024 | Fine | $64,520 |
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 175298 · certified since July 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.