Average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Life Care Center Of Kansas City during CMS and state inspections, most recent first.
Surveyors identified unsanitary conditions in the kitchen, including a sticky floor, overflowing and uncovered trash bins near the stove, and improperly stored food items that were unlabeled, undated, or left open. Dietary staff acknowledged these practices were not in line with facility policy, which requires proper labeling, dating, and sanitation.
The facility did not implement or document the core elements of an antibiotic stewardship program, as shown by missing and inconsistent tracking of infections and antibiotic use, and a lack of evidence for monitoring infection outbreaks. The Infection Preventionist could not confirm whether previous staff had tracked antibiotic administration or infection clusters, despite facility policy requiring such oversight.
The facility did not secure pressurized oxygen tanks in a locked area, leaving them accessible to cognitively impaired, mobile residents. Additionally, after a resident with severe cognitive impairment and a history of falls was moved to a new room, required fall prevention interventions such as non-skid tape and signage were not in place, contrary to the care plan and facility policy.
A bottle of ocular vitamins was found left unsecured on the counter at the nurse's station, contrary to facility policy requiring all medications to be locked. A licensed nurse later secured the medication, and both nursing staff confirmed that medications must be locked and out of resident reach at all times.
Two residents with significant cognitive and physical impairments were not provided with appropriate assistive device use and communication access. One was pushed in a wheelchair without foot pedals in use, contrary to care plan and policy, while another had her call light left out of reach, preventing her from communicating needs. Staff interviews confirmed these actions were not in line with facility expectations.
A resident's protected health information (PHI) was left visible on an unattended nursing cart across from the nurse's station. Staff interviews confirmed that computers should be locked when not attended to protect PHI, and facility policy requires resident privacy to be maintained.
The facility did not provide complete discharge summaries for two residents, omitting required recapitulations of their stays and failing to consistently provide written notifications about bed-hold policies to residents or their representatives at the time of transfer. Staff interviews and record reviews confirmed that documentation and notifications were incomplete or missing, contrary to facility policy.
A resident who was dependent on staff for all ADLs and received tube feeding was not provided with required mouth care, as observed by the presence of a thick yellow substance on her lips and in her mouth. Staff interviews revealed that while all nursing staff were responsible for resident hygiene, there was no documentation or clear accountability for providing oral care to residents with internal feedings, resulting in a failure to follow the care plan and facility policy.
A resident with multiple risk factors for pressure ulcers, including impaired mobility and cognition, was not provided with prescribed pressure-reducing boots while in bed, despite physician orders and care plan directives. Observations confirmed the resident's heels were directly on the mattress, and staff interviews indicated that ensuring the use of such devices was a nursing responsibility documented on the TAR.
A resident with hemiparesis and severe cognitive impairment did not receive prescribed range of motion (ROM) exercises as outlined in the care plan. The restorative aide responsible for these interventions was reassigned to CNA duties due to staffing shortages, resulting in the absence of documented ROM exercises and a failure to follow the facility's restorative nursing policy.
A resident with multiple diagnoses, including heart failure and hypertension, was prescribed Toprol XL but did not receive consistent heart monitoring as required. The Consultant Pharmacist did not identify or report this lack of monitoring in monthly medication reviews, and nursing staff confirmed that such monitoring should have been in place according to facility policy.
A resident with multiple diagnoses, including heart failure and hypertension, was prescribed Toprol XL, but the facility did not consistently document required heart monitoring for over three months. Nursing staff acknowledged the need for monitoring and clarification of orders, and the facility could not provide a policy for medication monitoring.
Several residents were not properly offered or had no documented declination or contraindication for the PCV20 pneumococcal vaccine, despite facility policy requiring this. Nursing staff reported that vaccines are offered at admission and documented if given, but records for some residents lacked evidence that the PCV20 was addressed as required.
A resident with severely impaired cognition and a history of elopement risk exited a facility without staff knowledge, reaching the parking lot. Despite having a WanderGuard, the resident was not adequately supervised, and the incident was not documented. Staff interviews revealed frequent door alarms and an unsecured gate, contributing to the elopement.
The facility failed to accurately complete the MDS for a resident, leading to unidentified care needs. The resident had multiple diagnoses and frequent complaints of tooth pain, which were not properly documented in the MDS assessments. An administrative nurse admitted to not thoroughly reviewing the resident's oral assessment, resulting in incomplete and inaccurate MDS documentation.
A resident with a history of serious medical conditions experienced untreated dental issues and pain due to the facility's failure to follow up on dental assessments and complaints. Despite an oral assessment indicating probable extensive decay and moderate inflammation, the resident's care plan lacked dental care interventions, and staff were unaware of the resident's pain and the emergency nature of a scheduled dental appointment.
Sanitary Violations in Kitchen Food Storage and Waste Management
Penalty
Summary
Surveyors observed multiple sanitary violations in the facility's kitchen, including a sticky floor, overflowing and uncovered trash bins next to the stove, and improper food storage practices. Specifically, food items such as fish wrapped in plastic wrap were found in the freezer without labels or dates, and other items like a bottle of pink Minute Maid lemonade, a tub of ice cream, and a bag of cookie dough were opened and undated. Dietary staff confirmed that all foods should be labeled and dated, the kitchen floor should be clean, and trash bins should not be overflowing or uncovered. The facility's Food Safety policy requires food to be stored and maintained in a clean, safe, and sanitary manner in accordance with federal, state, and local guidelines.
Failure to Implement Antibiotic Stewardship Program
Penalty
Summary
The facility failed to develop and implement the core elements of an antibiotic stewardship program as part of its infection prevention and control efforts. A review of the infection control log from August 2024 through July 2025 revealed a lack of evidence for tracking and identifying possible infection outbreaks, as well as inconsistent identification of infections and antibiotic administration. The facility was unable to provide documentation of consistent infection control surveillance for the period from August 2024 through March 2025. During an interview, the current Infection Preventionist, who started in April 2025, was unable to confirm whether the previous Infection Preventionist had tracked antibiotic administration or monitored clusters of infections or organisms. The facility's antibiotic stewardship policy stated that the program should promote appropriate antibiotic use and include a monitoring system, but there was no evidence that these practices were being followed.
Failure to Secure Oxygen Tanks and Implement Fall Interventions
Penalty
Summary
The facility failed to secure 44 full E-pressurized medical oxygen tanks in a locked area, leaving them accessible in an unlocked storage room despite the presence of eight cognitively impaired, independently mobile residents. Multiple inspections over several days found the oxygen storage room door with a keypad that did not lock when shut, and staff interviews revealed confusion about whether the room should be locked. Facility policy required oxygen to be stored safely, but this was not followed, as confirmed by both direct observation and staff statements. Additionally, the facility did not ensure that fall prevention interventions for a resident with severe cognitive impairment, muscle weakness, and a history of falls were in place after she was moved to a new room. The resident's care plan required non-skid traction tape and signage to be present in her room, but an inspection found these interventions missing. Staff interviews confirmed that these fall interventions should have been transferred to the new room, and facility policy required staff to ensure interventions were implemented after a room change.
Unsecured Medication at Nurse's Station
Penalty
Summary
A bottle of ocular vitamins dated 07/07/25 was found unsecured on the counter at the nurse's station during an inspection of the 200 Hall. The bottle was labeled with a warning to keep out of reach of children and included instructions for accidental overdose. The medication was not locked in the medication cart as required by facility policy. A licensed nurse subsequently secured the vitamins after the observation. Both a licensed nurse and an administrative nurse confirmed that medications are required to be locked at all times and out of resident reach, in accordance with the facility's Medication Access and Storage policy revised in 09/2024.
Failure to Ensure Proper Use of Assistive Devices and Call Light Accessibility
Penalty
Summary
The facility failed to ensure proper use of assistive devices and communication tools for two residents, resulting in deficiencies related to accident prevention and resident safety. One resident, who had diagnoses including cognitive communication deficit, dementia, muscle weakness, and a history of falls, was observed being pushed in a wheelchair without the use of foot pedals. The resident's care plan and facility policy required the use of foot pedals to prevent feet from dragging and reduce fall risk, but staff did not follow this protocol. Staff interviews confirmed that the expectation was to use foot pedals when transporting residents in wheelchairs. Another resident, with severe cognitive impairment, Parkinson's disease, muscle weakness, and total dependence on staff for activities of daily living, was found with her call light out of reach on the floor. The care plan for this resident required that the call light be kept within reach at all times to allow communication of needs. Staff interviews and facility policy confirmed that call lights should be accessible to residents during each encounter, but this was not adhered to, leaving the resident unable to call for assistance.
Failure to Secure Resident PHI on Unattended Nursing Cart
Penalty
Summary
The facility failed to secure protected health information (PHI) for one resident, as evidenced by an unattended nursing cart left across the hallway from the nurse's station with a resident's PHI displayed on it. During a walkthrough, surveyors observed the cart unattended and the PHI visible. Shortly after, a licensed nurse exited a nearby room and locked the computer screen. Interviews with nursing staff and administration confirmed that the expectation was for computer screens to be locked when not attended to protect residents' PHI. A review of the facility's Resident Rights policy indicated that the facility is responsible for ensuring each resident's privacy and educating residents about their rights.
Failure to Provide Complete Discharge Summaries and Bed-Hold Notifications
Penalty
Summary
The facility failed to provide a final summary of the resident's status at discharge for two residents, resulting in incomplete documentation of their care and discharge process. For one resident with multiple complex diagnoses, including malnutrition, cerebral palsy, rectal cancer, muscle weakness, depression, dysphagia, and anemia, the records showed that although the discharge plan indicated a comprehensive summary would be developed, the actual discharge charge summary was undated and lacked a recapitulation of the resident's stay. Nursing notes documented the resident's departure, refusal of medication, and that paperwork was sent with the resident, but did not include a comprehensive summary as required by facility policy. For another resident with diagnoses such as respiratory failure with hypoxia, dyspnea, insomnia, anxiety, and COPD, the records indicated that the resident was transferred to the hospital. Staff interviews revealed that while the bed-hold policy was verbally communicated and sent with the resident, written notification to the resident's legal representative was not consistently provided at the time of transfer. The facility's policy required that written information about the bed-hold policy be given upon admission and upon transfer, but this was not always documented as completed. Facility policies specified that both nursing and social services staff are responsible for developing a discharge summary that recapitulates the resident's stay and status at discharge to ensure continuity of care. However, in these cases, the required documentation was either incomplete or missing, and written notifications regarding bed-hold policies were not always provided as required. These deficiencies were confirmed through record review and staff interviews.
Failure to Provide Required Oral Care for Dependent Resident
Penalty
Summary
The facility failed to provide necessary oral care for a resident who was dependent on staff for all activities of daily living and required tube feeding. The resident had multiple diagnoses, including hypothyroidism, anxiety, major depressive disorder, muscle weakness, Parkinson's disease, and hypoxia, and was documented as having severely impaired cognition and being rarely or never understood. The care plan specified that mouth care was to be provided at least daily due to oral/dental health problems, including inflamed gums, and that the resident was nothing by mouth (NPO) and received continuous tube feeding. During observation, the resident was found in bed with a thick yellow substance on her lips and in her mouth, indicating that mouth care had not been performed as required. Interviews with staff revealed a lack of clear documentation and accountability regarding the provision of mouth care for residents with internal feedings. The licensed nurse acknowledged that cleaning of the mouth for residents with internal feedings was not documented, although staff were aware it should be done at least every shift. Certified nurse aides and administrative nursing staff stated that it was the responsibility of all nursing staff to ensure residents remained clean, but there was no evidence that mouth care had been provided for this resident as directed by the care plan and facility policy.
Failure to Implement Pressure-Reducing Measures for High-Risk Resident
Penalty
Summary
The facility failed to ensure that pressure-reducing measures were implemented for a resident with significant risk factors for pressure ulcer development. The resident had multiple diagnoses, including hypertension, diabetes mellitus, COPD, muscle weakness, communication deficit, hemiparesis following a stroke, and severely impaired cognition. The resident was identified as being at high risk for pressure ulcers, with a Braden Scale score of 12, and had a history of pressure injury. Physician orders and the care plan specified the use of bilateral boots to be worn even while in bed, with removal every shift for skin checks, and the application of skin prep to the heels. Despite these orders, observations showed that the resident's heels were directly on the mattress without the prescribed boots in place. Interviews with nursing staff and review of facility policy confirmed that ensuring the application of pressure-reducing boots was a nursing responsibility, documented on the Treatment Administration Record (TAR), and could be delegated to CNAs with follow-through required by the nurse. The facility's policy outlined procedures for managing skin integrity and preventing pressure ulcers. However, the lack of adherence to these procedures and physician orders resulted in the resident being left without the necessary pressure-reducing devices, placing them at increased risk for pressure ulcer development.
Failure to Provide Prescribed ROM Exercises Due to Staffing Issues
Penalty
Summary
A deficiency was identified when a resident with a history of cerebral infarction, hemiparesis affecting the left side, muscle weakness, and severely impaired cognition did not receive prescribed range of motion (ROM) exercises as documented in their care plan. The care plan specified that nursing and restorative aides were to perform active ROM to the resident's bilateral lower extremities for 20 minutes, and staff were to observe and report any immobility or contracture formation. However, review of the resident's electronic medical record (EMR) showed no documentation that ROM exercises were performed, nor were there any recorded refusals by the resident. Interviews with facility staff revealed that the restorative aide, who was responsible for carrying out these exercises, had been reassigned to regular CNA duties due to understaffing and was unable to perform restorative duties during that period. The facility's restorative nursing policy required proactive identification, care planning, and monitoring of residents' needs, as well as training for nursing assistants in restorative techniques. Despite these requirements, the resident did not receive the necessary ROM interventions, resulting in a failure to provide appropriate care to maintain or improve mobility and prevent contractures.
Failure to Identify and Report Irregularities in Antihypertensive Medication Monitoring
Penalty
Summary
The facility failed to ensure that the Consultant Pharmacist (CP) identified and reported irregularities related to the monitoring of antihypertensive medication for a resident. The resident had diagnoses including adult failure to thrive, cognitive communication deficit, congestive heart failure, and hypertension, and required substantial to maximum assistance with activities of daily living. The resident was prescribed Toprol XL, an antihypertensive medication, but a review of the Medication Administration Record (MAR), Treatment Administration Record (TAR), and electronic medical record over a period of 111 days showed a lack of consistent heart monitoring associated with this medication. Additionally, the monthly medication reviews from August 2024 to July 2025 did not include documented recommendations for heart monitoring or instructions for hold parameters and physician notification related to the antihypertensive medication. Interviews with nursing staff confirmed that monitoring should occur for antihypertensive medications and that the CP is expected to identify any lack of appropriate monitoring. The facility's policy on Pharmacy Services and Medication Regimen Review requires oversight by a licensed pharmacist to maintain residents' well-being and prevent adverse medication consequences, but this oversight was not demonstrated in the case of the resident receiving Toprol XL.
Failure to Monitor Antihypertensive Medication as Recommended
Penalty
Summary
The facility failed to follow the pharmacist's recommendation for monitoring antihypertensive medication for a resident diagnosed with adult failure to thrive, cognitive communication deficit, congestive heart failure, and hypertension. The resident's medical record showed an order for Toprol XL, an antihypertensive medication, but there was no consistent documentation of heart monitoring in the Medication Administration Record, Treatment Administration Record, or electronic medical record over a period of 111 days. The care plan indicated that staff would administer medications as ordered, but did not address the lack of monitoring for the antihypertensive medication. Interviews with nursing staff confirmed that monitoring should occur when administering antihypertensive medications, and that clarification should be sought if physician orders lack specific parameters. The administrative nurse also acknowledged that the care plan should identify the need for correct medication monitoring. The facility was unable to provide a policy related to medication monitoring, further demonstrating the lack of appropriate oversight for residents receiving antihypertensive therapy.
Failure to Document and Offer Pneumococcal Vaccinations
Penalty
Summary
The facility failed to offer or obtain informed declinations or physician-documented contraindications for the Pneumococcal Conjugate Vaccine (PCV20) and pneumococcal vaccination for several residents. Specifically, record reviews showed that while the Pneumococcal Polysaccharide Vaccine (PPSV23) was offered and declined for some residents, there was no documentation that the PCV20 was offered, declined, or previously administered, nor was there a physician-documented contraindication. This lack of documentation was noted for multiple residents in the sample reviewed. Interviews with nursing staff revealed that vaccinations were typically offered at admission, and if consented, ordered from the pharmacy and documented in the electronic medical record. However, the records for certain residents did not reflect that the PCV20 vaccine was addressed according to policy. The facility's own policy required that each resident be offered pneumococcal immunization unless medically contraindicated or already immunized, with appropriate documentation in the medical record, but this was not consistently followed.
Resident Elopement Due to Inadequate Supervision
Penalty
Summary
The facility failed to ensure adequate supervision and appropriate interventions for a resident, identified as R1, who exited the building without staff knowledge. R1 had a history of attempting to leave the facility unattended and was identified as an elopement risk due to impaired safety awareness. Despite having a WanderGuard in place, R1 managed to exit the facility and was found outside in the courtyard and later in the back parking lot. The facility's records lacked documentation of this elopement incident, indicating a failure in monitoring and recording the resident's movements and behaviors. R1's medical history included diagnoses of metabolic encephalopathy, muscle weakness, gait abnormalities, and severely impaired cognition, as indicated by a BIMS score of six. The resident required supervision or touch assistance for mobility and had a care plan that included interventions for safe wandering and monitoring of the WanderGuard. However, staff failed to adequately supervise R1, as evidenced by the resident's ability to exit the building and reach the parking lot without staff intervention. Interviews with staff revealed that door alarms were frequently triggered, and the gate leading from the courtyard to the parking lot lacked a locking mechanism, allowing easy access to the outside. Staff members, including a Licensed Nurse and a Certified Medication Aide, were aware of the incident but did not take immediate action to prevent R1 from leaving the facility. The facility's elopement policy required staff to assess the resident's condition and notify the physician and responsible party, but these steps were not documented in R1's case.
Failure to Accurately Complete MDS for Resident
Penalty
Summary
The facility failed to accurately and thoroughly complete the Minimum Data Sets (MDS) for a resident, identified as R1, which placed the resident at risk for unidentified care needs. R1's Electronic Medical Record (EMR) documented several diagnoses, including traumatic subdural hemorrhage, respiratory failure, convulsions, and depression. Despite these conditions, the Annual MDS and subsequent Quarterly MDS assessments did not accurately reflect R1's oral and dental status. Specifically, the Dental Care Area Assessment (CAA) did not trigger, and the Quarterly MDS assessments lacked documentation of a Brief Interview for Mental Status (BIMS) or a staff assessment, and failed to address R1's oral and dental status. An oral assessment by a dental vendor noted probable extensive decay and moderate inflammation, with R1 frequently complaining of tooth pain. However, this information was not incorporated into the MDS assessments. During an interview, R1 confirmed ongoing tooth pain, which was known to the nurses. Administrative Nurse E admitted to not thoroughly reviewing R1's oral assessment in the EMR and acknowledged that the MDS should have been marked as not assessed instead of leaving the area blank or documenting no issues. This oversight in the MDS assessment process led to the deficiency in accurately identifying and addressing R1's care needs.
Failure to Address Resident's Dental Needs
Penalty
Summary
The facility failed to identify and respond to a resident's dental needs, resulting in tooth pain and untreated dental issues. The resident had a history of traumatic subdural hemorrhage, respiratory failure, convulsions, and depression, and was documented as having intact cognition. Despite an oral assessment by a dental vendor indicating probable extensive decay and moderate inflammation, and the resident's complaints of tooth pain, the facility did not follow up on these concerns. The resident's care plan lacked interventions related to dental care and monitoring, and there was no evidence of oral assessments from January 2023 to April 2024. On the day of the dental appointment, the resident was observed in bed with a flat affect and reported ongoing tooth pain. Interviews with staff revealed a lack of awareness of the resident's dental pain and the emergency nature of the dental appointment. The facility's policy stated that it was responsible for assisting residents in obtaining needed dental services, but this was not adhered to in the resident's case, leading to untreated dental issues and pain.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Kansas City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Willow Point Rehabilitation And Nursing Center | 1.1 mi | ★★★★★ | 0 | 0 |
| Riverbend Post Acute Rehabilitation | 2.7 mi | — | 33 | 0 |
| Providence Place | 3.6 mi | ★★★★★ | 16 | 0 |
| The Healthcare Resort Of Kansas City | 3.7 mi | ★★★★★ | 32 | 0 |
| Pinnacle Point Wellness & Rehabilitation | 5.8 mi | ★★★★★ | 13 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.