Above 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 Linden Woods Village during CMS and state inspections, most recent first.
The facility failed to maintain proper sanitization levels for food contact surfaces and did not adhere to food labeling and discarding policies. Sanitizer containers tested at zero ppm, below the required 150-400 ppm. Additionally, food items in the walk-in and resident refrigerators were found with expired or missing dates, contrary to the facility's policy of discarding food within seven days of opening.
Two residents in an LTC facility were not involved in their care planning process, as required. One resident, with multiple medical conditions, reported no care plan meetings, and facility records confirmed the absence of a care plan conference. Another resident, with dementia and other health issues, also reported no discussions about care, and facility records lacked documentation of care plan conferences. The MDS Coordinator acknowledged missed meetings, and the DON stated that resident participation in care plans is expected.
The facility failed to notify the Ombudsman of emergent hospital transfers for two residents, as required by policy. One resident was transferred twice for medical issues, and another was transferred due to a change in condition. The facility's reports did not include these transfers, confirmed by the SSD and the Ombudsman. The issue was linked to the facility's EMR system not accounting for residents with paid bed holds.
A facility failed to document indications for increasing a resident's antipsychotic medication, Seroquel, and did not attempt a gradual dose reduction without clinical rationale. The increase was ordered by hospice at the request of the resident's daughter, despite the facility's policy requiring supporting documentation and attempts at dose reduction. The Director of Nursing acknowledged the lack of justification and noted the family's refusal to agree to a trial dose reduction.
The facility failed to properly label and store Mantoux tuberculin PPD vials, as one open vial in the medication room was undated, contrary to facility policy and CDC guidelines. An LPN confirmed the issue, and the DON stated that vials should be dated upon opening and discarded when expired. This oversight could lead to inaccurate tuberculosis testing.
A resident with chronic health conditions received inappropriate food items, such as bacon, despite having dietary restrictions. The facility staff failed to communicate and adhere to the resident's preferences, resulting in the resident receiving food they should avoid. This was due to a miscommunication between the Restorative Aide and the Dietary Aide, and a lack of review of the tray card notes.
Sanitization and Food Storage Deficiencies
Penalty
Summary
The facility failed to ensure that the sanitizer used for cleaning food contact surfaces was at the appropriate concentration to effectively sanitize these surfaces. During observations, it was found that three containers of sanitizer in the kitchen tested at zero parts per million (ppm) of quaternary sanitizer, which is below the required 150 to 400 ppm as per the manufacturer's instructions. The Culinary Director confirmed that the sanitizer was not at the correct concentration and should have been at 400 ppm. This deficiency was observed during multiple instances, indicating a consistent failure to maintain proper sanitization levels. Additionally, the facility did not adhere to its policy regarding the labeling and discarding of food items. Observations revealed that food stored in the walk-in refrigerator and the resident refrigerator was either not labeled with a use-by date or was kept beyond the expiration date. Items such as sliced turkey, bologna, corn beef, and yogurt were found with expired dates or no dates at all. The Culinary Director verified these findings and acknowledged that the facility policy required food to be discarded within seven days of opening, which was not followed in these instances.
Failure to Involve Residents in Care Planning
Penalty
Summary
The facility failed to ensure that residents' rights to participate in the care planning process were honored for two residents, R11 and R32, out of a sample of 16. R11, who was admitted with multiple medical diagnoses including chronic ischemic heart disease and atrial fibrillation, reported not having any care plan meetings. The facility's records showed no documentation of a care plan conference or provision of baseline care plan goals for R11, despite being admitted over three months prior. The MDS Coordinator confirmed that no care plan meeting had occurred and there was no signed baseline care plan available. Similarly, R32, who was admitted with conditions such as a knee periprosthetic fracture and dementia, also reported not having any discussions about care or medications. The facility's records lacked documentation of care plan conferences or invitation letters for R32, and although a baseline care plan was found, it was unclear who received it due to an illegible signature. The MDS Coordinator acknowledged that a care plan meeting for R32 was missed due to changes in the resident's plans to stay or go home. The Director of Nursing stated that residents should ideally participate in care plans, but this expectation was not met for R11 and R32.
Failure to Notify Ombudsman of Resident Transfers
Penalty
Summary
The facility failed to notify the Ombudsman of emergent hospital transfers for two residents, R31 and R35, as required by their policy. The policy titled 'Transfer or Discharge - Emergency' did not address the necessary Ombudsman notification, and the 'Requirements for Emergency Discharge' policy required that a copy of the transfer or discharge notice be sent to the Ombudsman. R31 was transferred to the hospital on two occasions, once for dizziness and a change in responsiveness, and another time for a critical low hemoglobin level. Despite these transfers, the facility's reports to the Ombudsman did not include R31's name for either incident, which was confirmed by the Social Services Director (SSD) and the Executive Director. Similarly, R35 was transferred to the hospital due to a change in condition and non-responsiveness, and was readmitted to the facility two days later. However, the SSD confirmed that R35's transfer was not included in the list of discharges sent to the Ombudsman for that month. The Ombudsman verified that they were not notified of R35's transfer or discharge. The failure to include these residents in the Ombudsman notifications was attributed to an issue with the facility's electronic medical record system, which did not account for residents with paid bed holds.
Failure to Document Indications for Antipsychotic Medication Increase
Penalty
Summary
The facility failed to ensure that a resident, identified as R5, had documented indications for an increase in their antipsychotic medication, Seroquel, and did not attempt a gradual dose reduction without clinical rationale. R5, who was admitted with diagnoses including congestive heart failure, dementia, and generalized anxiety disorder, was receiving Seroquel at a dose of 50 mg three times a day. The increase in dosage was ordered by hospice at the request of the resident's daughter, who was concerned about managing the resident's behaviors while she was recovering from surgery. The facility's policy on psychoactive drug monitoring requires that residents receive such medication only with supporting documentation in the medical record, and that gradual dose reductions be attempted unless clinically contraindicated. However, the review of R5's records did not show an increased number of behaviors that would justify the dosage increase. The Director of Nursing (DON) acknowledged that the increase was ordered by hospice without asking for justification and noted that it would be ideal if indications for use were documented. Behavior monitoring for September 2024 documented several incidents of care rejection and other behaviors, but the facility did not provide sufficient clinical rationale for the dosage increase. Additionally, the resident's care plan included a focus on behavior management with an intervention to consider dosage reduction when clinically appropriate, but this was not followed. The DON also noted that the family was not agreeable to a trial dose reduction, despite the lack of an appropriate diagnosis for the increased dosage.
Improper Labeling and Storage of PPD Vials
Penalty
Summary
The facility failed to ensure proper labeling and storage of drugs and biologicals, specifically concerning the Mantoux tuberculin purified protein derivative (PPD) vials. During an observation in the medication room, it was found that one of the three vials in the refrigerator was open and undated, which is against the facility's policy and CDC guidelines. The policy requires that medications and biologicals be stored safely and properly, following the manufacturer's recommendations, which include discarding vials 30 days after opening if not used. The Licensed Practical Nurse (LPN) confirmed the absence of an open date on the vial and set it aside for disposal. The Director of Nursing (DON) stated that the expectation was for vials to be dated upon opening and discarded when expired. The failure to date the open vial could lead to inaccurate tuberculosis testing due to the potential degradation of the PPD solution, which might result in false positive or negative results. This oversight was identified during a facility survey, highlighting a deficiency in the facility's medication management practices.
Failure to Accommodate Resident's Dietary Preferences
Penalty
Summary
The facility failed to accommodate a resident's dietary preferences, which was observed during a survey. The resident, who has a history of chronic ischemic heart disease, atrial fibrillation, and congestive heart failure, expressed concerns about receiving foods that were not suitable for their condition. Despite having a list of foods to avoid, including bacon, posted on their bulletin board, the resident reported receiving bacon for breakfast, which they had not requested. This discrepancy was confirmed during an observation of the resident's breakfast tray, which included bacon despite the tray card indicating a dislike for it. Interviews with facility staff revealed a lack of communication and adherence to the resident's dietary preferences. The Dietary Aide responsible for serving the meal was unaware of the notes and dislikes section on the tray card, and the Restorative Aide admitted to mistakenly writing down bacon instead of sausage, which the resident had requested. The Director of Nursing indicated that CNAs were responsible for communicating menu choices to residents, but this process failed in this instance, leading to the resident receiving inappropriate food items.
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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 Gladstone
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ignite Medical Resort Kansas City, Llc | 2.4 mi | ★★★★★ | 11 | 0 |
| Pleasant Valley Manor Care Center | 3.6 mi | ★★★★★ | 16 | 2 |
| Northland Rehabilitation & Health Care Center | 4.4 mi | ★★★★★ | 2 | 0 |
| Mccrite Plaza At Briarcliff Skilled Facility | 5 mi | ★★★★★ | 4 | 0 |
| Pinnacle Point Wellness & Rehabilitation | 5.2 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.