Shirkey Nursing and Rehabilitation Center
804 Wollard Blvd · Richmond, MO · 64085 · 8167765403
197 certified beds Government - County
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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: 4 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.04 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 3.69 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (47 in the current record)
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Potential for harm · E May 8, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 22, 2025 · Resident Rights
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Potential for harm · E May 8, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected June 22, 2025 · Resident Rights
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Potential for harm · E May 8, 2025
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 June 22, 2025 · Resident Rights
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Potential for harm · E May 8, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected June 22, 2025 · Resident Rights
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Potential for harm · E May 8, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 8, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected June 22, 2025 · Resident Rights
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Potential for harm · E May 8, 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 June 22, 2025 · Pharmacy Service
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Potential for harm · E May 8, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 22, 2025 · Nutrition and Dietary
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Potential for harm · E May 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 22, 2025 · Nutrition and Dietary
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Potential for harm · E May 8, 2025
Provide and implement an infection prevention and control program.
Corrected June 22, 2025 · Infection Control
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Potential for harm · D April 5, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 20, 2024 · Resident Rights
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Potential for harm · D April 5, 2024
Respond appropriately to all alleged violations.
Corrected May 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 5, 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 May 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · E April 5, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected May 20, 2024 · Quality of Life and Care
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Potential for harm · D April 5, 2024
Provide activities to meet all resident's needs.
Corrected May 20, 2024 · Quality of Life and Care
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Potential for harm · E April 5, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 20, 2024 · Quality of Life and Care
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Potential for harm · E April 5, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 20, 2024 · Quality of Life and Care
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Potential for harm · E April 5, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 20, 2024 · Nursing and Physician Services
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Potential for harm · D April 5, 2024
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 May 20, 2024 · Nursing and Physician Services
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Potential for harm · E April 5, 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 May 20, 2024 · Pharmacy Service
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Potential for harm · E April 5, 2024
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 May 20, 2024 · Pharmacy Service
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Potential for harm · F April 5, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 20, 2024 · Nutrition and Dietary
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Potential for harm · F April 5, 2024
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected May 20, 2024 · Administration
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Potential for harm · E April 5, 2024
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected May 20, 2024 · Nursing and Physician Services
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Actual harm · G April 20, 2022
Provide enough food/fluids to maintain a resident's health.
Corrected June 2, 2022 · Quality of Life and Care
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 265708 · certified since October 1, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.