Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Blue Springs Wellness & Rehabilitation during CMS and state inspections, most recent first.
Two residents were physically assaulted by another resident with a history of mental illness and escalating aggression, resulting in injuries and emotional distress. Despite documented behavioral risks and one-on-one supervision, staff were unable to prevent the altercations, which included shoving a resident from a wheelchair and punching another in the arm. Staff interviews confirmed challenges in redirecting the aggressor and noted prior verbal abuse toward other residents.
Two residents with dementia and pain management needs had discrepancies in their controlled narcotic medication counts, with seven tablets of Hydrocodone-Acetaminophen (Norco) missing and no documentation of administration or disposal. The issue was discovered during a shift change count, and staff interviews confirmed that the responsible LPN could not account for the missing medications. The facility's required documentation and inventory procedures for controlled substances were not followed.
A resident with dementia and major depressive disorder was involved in an incident where inappropriate contact was alleged but not substantiated. The facility placed the resident under one-on-one supervision and initiated a transfer to a same-sex facility without proper communication with the resident's POA. The Administrator refused to share video evidence or engage in meaningful communication, leading to a deficiency in promoting the resident's self-determination.
Failure to Prevent Resident-to-Resident Abuse Resulting in Injury
Penalty
Summary
The facility failed to protect two residents from abuse by another resident, resulting in physical harm and emotional distress. On one occasion, a resident with a history of noncompliance and mental/emotional illness pushed another resident out of a wheelchair, causing a laceration to the forehead. The incident was witnessed by staff, and the injured resident reported being shoved multiple times before falling and sustaining the injury. The aggressor admitted to the action, and the injured resident was relocated for safety. A few days later, the same resident became agitated, shoved a staff member who was assigned to provide one-on-one supervision, and then physically assaulted another resident in a common area. The second assaulted resident reported being punched in the arm and having their arm pulled, resulting in immediate and residual pain, as well as feelings of being attacked. Staff interviews confirmed that the aggressor was difficult to redirect and had exhibited escalating aggressive behavior over a two-week period, including verbal abuse toward other residents. Care plans for the involved residents indicated known behavioral and mental health issues, including histories of impulsive behavior, trauma, and mood disorders. Despite these documented risks, the facility did not prevent the resident-to-resident altercations that resulted in physical injuries and emotional harm. Staff were aware of the aggressor's potential for abusive behavior and had implemented one-on-one supervision, but this intervention did not prevent further incidents.
Failure to Accurately Account for Controlled Narcotic Medications
Penalty
Summary
The facility failed to ensure accurate accounting of controlled narcotic medications for two residents, resulting in seven narcotic pain medication tablets being unaccounted for. According to the facility's Controlled Substances Policy, all controlled substances must be stored securely and an accurate inventory maintained at all times, with each administration and remaining quantity documented by licensed nursing personnel. However, review of medication administration records and controlled drug accountability records revealed discrepancies in the counts of Hydrocodone-Acetaminophen (Norco) for two residents, with missing tablets not accounted for by any documented administration or disposal. For one resident with dementia and right leg pain, the records showed a reduction in the number of Norco tablets without corresponding documentation of administration or disposal. Similarly, for another resident with senile dementia and adult failure to thrive, the count of Norco tablets decreased by four tablets with no documentation to explain the discrepancy. The issue was discovered during a change of shift narcotic count, which initially showed no discrepancies, but a later count revealed the missing tablets. The Director of Nursing was notified, and law enforcement was contacted to investigate the missing narcotics. Interviews with staff involved in the medication administration and shift change counts indicated that the nurse responsible for the medications could not account for the missing narcotics and denied knowledge of their whereabouts. The audit and investigation confirmed that the missing narcotics were not found in the medication cart or elsewhere, and the required documentation for administration or disposal was absent. The failure to maintain accurate records and account for all controlled substances constituted a deficiency in pharmaceutical services provided to the residents.
Failure to Promote Resident Self-Determination
Penalty
Summary
The facility failed to promote and facilitate a resident's self-determination, specifically in the case of a resident with dementia and major depressive disorder. The resident was involved in an incident where it was alleged that they had inappropriate contact with another resident. However, the investigation revealed that the contact was limited to pulling the elastic of another resident's pants, and no sexual abuse occurred. Despite this, the facility placed the resident under one-on-one supervision and initiated a transfer to a same-sex facility without proper communication with the resident's Power of Attorney (POA). The facility's actions were marked by a lack of communication and transparency with the resident's POA. The POA was not informed of the intent to transfer the resident or the referrals made to other facilities. The Administrator refused to allow the POA to view video footage of the incident and did not engage in meaningful communication regarding the resident's situation. The POA expressed concerns about the resident's dignity and the lack of involvement in the decision-making process, which was exacerbated by the facility's decision to involve law enforcement without clear justification. Interviews with facility staff and external parties, such as the Ombudsman, highlighted the facility's failure to respect the resident's rights and the POA's authority. The Administrator's decision to transfer the resident was based on assumptions about the resident's mental state and potential risk, rather than concrete evidence. The facility's approach to the situation, including the prolonged one-on-one supervision and lack of communication, contributed to the deficiency in promoting and facilitating the resident's self-determination.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 584 citations issued within 25 miles in the last 12 months — including the 16 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Blue Springs
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ignite Medical Resort St Marys Llc | 0.9 mi | ★★★★★ | 0 | 0 |
| Ignite Medical Resort Blue Springs | 4.7 mi | ★★★★★ | 0 | 0 |
| Monterey Park Rehabilitation & Health Care Center | 5.1 mi | ★★★★★ | 13 | 0 |
| Jackson Creek Post Acute | 5.4 mi | ★★★★★ | 21 | 0 |
| Sunterra Springs Independence | 5.8 mi | ★★★★★ | 0 | 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.