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Avalon View Health and Wellness
Nursing Home, Hospice Care, Memory Care, Palliative Care & Respite Care · Liberty, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Front entrance of Avalon View Health and Wellness facility Bright common area with couches and natural light Cozy seating area with decor and clock

Avalon View Health and Wellness

Nursing Home, Hospice Care, Memory Care, Palliative Care & Respite Care · Liberty, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1200 West College St, Liberty, MO 64068-1036 View map Calculator: See prices in your area
Avalon View Health and Wellness accepts Medicare, Medicaid, and private pay.
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Avalon View Health and Wellness accepts Medicare, Medicaid, and private pay.

Overview of Avalon View Health and Wellness

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College St Healthcare LLC, owner of College St Consulting LLC, and administrator Ashlee Siard handle the daily routines at Avalon View Health and Wellness, a 140-bed skilled nursing center located on West College Street in Liberty, Missouri. Families managing payment logistics can process care costs through standard accounts like private funds, Medicaid, and Medicare. If you plan to drop by for a visit, the neighborhood scores a 69 out of 100 for walkability, showing that the local setup is moderately friendly to pedestrians and lets you run a few quick errands on foot.

The building stays around 84 percent full, providing continuous care lines for residents who require ongoing medical attention or rehabilitation. To manage daily health schedules and treatments, the 24-hour shift framework provides an average of 2 hours and 13 minutes of direct nursing care per resident each day, utilizing a combined staff of registered nurses, practical nurses, and nurse aides.

Since this building opened its doors in 2024, regular survey evaluations and foundational oversight checks have focused on monitoring baseline clinical capabilities and early employee routines, keeping the total citation rate above zero.

Interested individuals can look into the on-site physical therapy services, clinical capabilities, and shared social lounges. The daily program relies on partnerships with local medical providers to manage active recovery tracks, combining these health services with standard amenities like managed laundry assistance and central housekeeping. Anyone checking out regional care choices can call the admissions desk directly to check current bed openings, verify insurance network rules, or set up a regular tour.

Facility Direct Line (816) 781-3020
Facility Direct Line (816) 781-3020 info@avalonviewhw.com
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 13m per day
Rank #270 / 282Nurse hours — State benchmarkedThis home is ranked 270th out of 282 homes in Missouri. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 282 Missouri facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

5 of 6 metrics below state avg

Standout metric Physical Therapist is +78% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 20m per day ▼ 27% State avg: 28m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 37m per day ▼ 11% State avg: 41m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 6m per day ▼ 9% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 2h 42m per day ▼ 11% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 4m per day ▲ 78% State avg: 2m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 13m per day ▼ 34% State avg: 20m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
1,950 days
Bed community size
140-bed community Rank #66 / 454Bed count — State benchmarkedThis home is ranked 66th out of 454 homes in Missouri. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
1 year in operation Rank #98 / 209Years in operation — State benchmarkedThis home is ranked 98th out of 209 homes in Missouri. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 69 / 100 Rank #87 / 563Walk Score — State benchmarkedThis home is ranked 87th out of 563 homes in Missouri. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
84%
Rank #83 / 434Occupancy rate — State benchmarkedThis home is ranked 83rd out of 434 homes in Missouri. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 434. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Missouri average: 66.6%
Occupied beds
118 / 140
Average occupied beds in Missouri homes 72 beds

License Details

Facility TypeSkilled Nursing Facility
StatusActive
IssuanceNovember 1, 2024
ExpirationOctober 31, 2026
CountyClay
License Number052263
CMS Certification Number265437
Certification TypeMedicare / Medicaid

Ownership & Operating Entity

Avalon View Health and Wellness is legally operated by College St Healthcare Llc, and administered by Ashlee Siard.

Corporate EntityCOLLEGE ST HEALTHCARE LLC
Owner NameCollege St Healthcare LLC

Type Of Units

Skilled Nursing Facility
140 units
Total beds
140 units

Staffing & Medical

1 service
24-Hour Staffing

Memory & Specialized Care

1 service
Dedicated Alzheimer's Unit

Amenities & Lifestyle

Specific ProgramsClinical Capabilities, Therapy Services, Community Partnerships
Operating HoursOpen 24 Hours/7 Days A Week

Contact Avalon View Health and Wellness

Inspection History

In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.

Since 2022 · 4 years of data 96 deficiencies 16 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Missouri state average
Overall vs. MO average 4 Worse Metrics worse than Missouri average:
• Total deficiencies (174% above)
• Deficiencies per year (173% above)
• Deficiencies per inspection (20% above)
• Total inspections (129% above) 0 Better No metrics in this bucket.
Latest Inspection November 20, 2025 Routine

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 9635 This facility has 174% more total deficiencies than a typical Missouri assisted living residence (96 vs. MO avg 35).↑ 174% worse
Deficiencies per year Info Average deficiencies per year since 2022. 248.8 This facility has 173% more deficiencies per year than a typical Missouri assisted living residence (24 vs. MO avg 8.8).↑ 173% worse
Deficiencies per inspection Info Average deficiencies per inspection. 65 This facility has 20% more deficiencies per inspection than a typical Missouri assisted living residence (6 vs. MO avg 5).↑ 20% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 167 This facility has 129% more total inspections than a typical Missouri assisted living residence (16 vs. MO avg 7).↑ 129% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • November 20, 2025 inspection found failure to implement contact precautions for three residents with scabies, causing prophylactic treatment of all special care unit residents.
  • September 19, 2025 complaint investigation substantiated injury from improper restraint during transport, with staff suspensions and re-education following the incident.
  • September 23, 2024 routine inspection cited 21 deficiencies including breaches in confidentiality, unsanitary environment, insufficient staffing, inadequate care, and poor infection control practices.
Show Inspection Reports

Health Inspection History

Inspections since 2021
Total health inspections 10

State average N/A

Last Health inspection on Sep 2025

Total health citations
101 Rank #282 / 287Health citations — State benchmarkedThis home is ranked 282nd out of 287 homes in Missouri. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 287 MO facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
10.1 Rank #276 / 287Citations per inspection — State benchmarkedThis home is ranked 276th out of 287 homes in Missouri. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 287 facilities with citation data. Lower is better.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

82 of 101 citations resulted from standard inspections; 13 of 101 resulted from complaint investigations; and 6 of 101 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 5 years)
Critical health citations
1
In line with State average

State average: N/A

Serious health citations
3
In line with State average

State average: N/A

1 critical citation State average: N/A
3 serious citations State average: N/A
97 moderate citations State average: N/A
0 minor citations State average: N/A
Citations history (last 5 years)
Quality of Care moderate citation Sep 19, 2025
Corrected
Abuse/Neglect moderate citation Apr 02, 2025
Corrected
Environmental moderate citation Sep 23, 2024
Corrected
Environmental moderate citation Sep 23, 2024
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 248
Employees 246
Contractors 2
Staff to resident ratio 2.23 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 52
Average shift 8.3 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 39,782

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 19 RN Staff are full-time employees. No contractors work on this role. 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 29 LPN Staff are full-time employees. No contractors work on this role. 29
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 107 CNA Staff are full-time employees. No contractors work on this role. 107
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.1%

48 contractor hours this quarter

Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant107010717,55792100%8.4
Licensed Practical Nurse290295,97092100%8.5
Medication Aide/Technician230234,33492100%10.6
Registered Nurse190192,5799199%9.1
Other Dietary Services Staff140142,38292100%7.3
Therapeutic Recreation Specialist7076916065%4.9
Respiratory Therapy Technician8086276571%7.2
Administrator2025126470%8
Nurse Practitioner2025126470%8
Dietitian2025126470%8
Mental Health Service Worker2025126470%8
Clinical Nurse Specialist3035045459%8
Qualified Activities Professional2025036368%8
Physical Therapy Aide5054996571%6.1
Physical Therapy Assistant6064965964%6.4
RN Director of Nursing2024886166%8
Qualified Social Worker6064565863%6.4
Nurse Aide in Training1013363639%9.3
Occupational Therapy Aide1011603538%4.6
Speech Language Pathologist505107910%4.3
Medical Director0112467%4
Occupational Therapy Assistant0112467%4
107 Certified Nursing Assistant
% of Days 100%
29 Licensed Practical Nurse
% of Days 100%
23 Medication Aide/Technician
% of Days 100%
19 Registered Nurse
% of Days 99%
14 Other Dietary Services Staff
% of Days 100%
7 Therapeutic Recreation Specialist
% of Days 65%
8 Respiratory Therapy Technician
% of Days 71%
2 Administrator
% of Days 70%
2 Nurse Practitioner
% of Days 70%
2 Dietitian
% of Days 70%
2 Mental Health Service Worker
% of Days 70%
3 Clinical Nurse Specialist
% of Days 59%
2 Qualified Activities Professional
% of Days 68%
5 Physical Therapy Aide
% of Days 71%
6 Physical Therapy Assistant
% of Days 64%
2 RN Director of Nursing
% of Days 66%
6 Qualified Social Worker
% of Days 63%
1 Nurse Aide in Training
% of Days 39%
1 Occupational Therapy Aide
% of Days 38%
5 Speech Language Pathologist
% of Days 10%
1 Medical Director
% of Days 7%
1 Occupational Therapy Assistant
% of Days 7%
View All Staffing Data

Penalties and fines

Includes penalties issued in 2024

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $14K Rank #191 / 289Federal fines — State benchmarkedThis home is ranked 191st out of 289 homes in Missouri. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 289 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
80% lower than State average

State average: $73K

Number of fines 1
59% fewer fines than State average

State average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.7

Fines amount comparison
Fines amount comparison
This facility $14K
State average $73K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Sep 23, 2024 · $14K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 23, 2024
$14K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 4.7
57% better than State average

State average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 8.5
56% better than State average

State average: 19.5

Long-stay resident measures
Significantly above average State avg: 2.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 3.4%
83% better than State average

State average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 3.5%
83% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 18.5%
In line with State average

State average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.5%
62% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.8%
In line with State average

State average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 10.0%
79% worse than State average

State average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 87.1%
578% worse than State average

State average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 36.5%
66% worse than State average

State average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
17% better than State average

State average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
10% better than State average

State average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.48
29% better than State average

State average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.94
60% better than State average

State average: 2.35

Short-stay resident measures
Below average State avg: 2.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 81.5%
22% better than State average

State average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.5%
59% worse than State average

State average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 76.7%
21% better than State average

State average: 63.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 21.5%
15% better than State average

State average: 25.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.3%
38% better than State average

State average: 13.4%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

16% of new residents, usually for short-term rehab.

Typical stay 20 days

Private pay

13% of new residents, often for short stays.

Typical stay 2 months

Medicaid

71% of new residents, often for long-term daily care.

Typical stay 2 - 3 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 111
Medicare
9
8.1% of residents
Medicaid
82
73.9% of residents
Private pay or other
20
18% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.4M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$204.6K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.4M Rank #224 / 292Revenue — State benchmarkedThis home is ranked 224th out of 292 homes in Missouri. Shows this facility's annual revenue compared to the Missouri average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$204.6K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$10
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #191 / 292Payroll — State benchmarkedThis home is ranked 191st out of 292 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.8M 62.3% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #79 / 292Payroll % — State benchmarkedThis home is ranked 79th out of 292 homes in Missouri. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–71% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.6M
How we calculate these figures

This home is administered by Ashlee Siard.

This home is owned by College St Consulting LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 265437

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (71% of admissions), and a typical Medicaid stay runs around 2 - 3 months.

Admissions
238 total

Coverage residents most often arrive under.

Medicare 16%
Private pay 13%
Medicaid 71%
Discharges
9 total

Coverage residents most often leave under.

Medicare 4%
Private pay 12%
Medicaid 84%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Avalon View Health and Wellness

Address 0.0 miles from city center Info Estimated distance in miles from Liberty's city center to Avalon View Health and Wellness's address, calculated via Google Maps.

Calculate Travel Distance to Avalon View Health and Wellness

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Address

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Nursing Home Explorer

Frequently Asked Questions about Avalon View Health and Wellness

Who is the owner of Avalon View Health and Wellness?

Avalon View Health and Wellness is legally operated by College St Healthcare Llc, and administered by Ashlee Siard.

Is Avalon View Health and Wellness in a walkable area?

Avalon View Health and Wellness has a walk score of 69. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Avalon View Health and Wellness?

According to MO state health department records, Avalon View Health and Wellness's license number is 052263.

When does Avalon View Health and Wellness's license expire?

According to MO state health department records, Avalon View Health and Wellness's license expires on October 31, 2026.

What is the occupancy rate at Avalon View Health and Wellness?

Avalon View Health and Wellness's occupancy is 84%.

Does Avalon View Health and Wellness operate as a for-profit or non-profit?

Avalon View Health and Wellness is registered as a for-profit in MO.

Who is the administrator of Avalon View Health and Wellness?

Ashlee Siard is the administrator of Avalon View Health and Wellness.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

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