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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Alpine Breeze Health and Wellness is a 154-bed skilled nursing facility in Raytown, Jackson County, Missouri, operated by Raytown Road Healthcare LLC with Micah Davis as administrator. The facility specializes in memory care and provides rehabilitation services, accepting Medicare, Medicaid, and private pay residents.
Staffing presents critical deficiencies. Registered nurse coverage is 13 minutes/day, 54% below average. Licensed practical nurse hours are 25 minutes/day, 39% below average. Certified nurse aide staffing is 1 hour 51 minutes/day, 20% below average.
Total adjusted nursing care is 2 hours 9 minutes/day, 44% below average, ranking the facility 267th of 276 Missouri facilities. Weekend total nursing is 2 hours 4 minutes/day, 32% below average, with weekend RN coverage at 10 minutes/day, 50% below average. This staffing profile indicates substantially reduced clinical oversight, particularly on weekends.
Quality measures show contrasting patterns. Clinical outcome measures are strong: high-risk clinical events score is 2.9 (74% better than average), functional decline score is 8.1 (58% better), pressure ulcer rates are 2.1% (58% better), hospitalization rates are 1.55 per 1,000 days (25% better), and ED visits are 0.49 per 1,000 days (79% better). Vaccination rates exceed 99%. However, depressive symptoms affect 72.6% of long-stay residents, 465% worse than the average of 12.8%.
Occupancy is 90% (138 of 154 beds), above the Missouri average of 66.6%. Current resident payer mix is 12.1% Medicare, 85.7% Medicaid, and 2.2% private pay. Gross revenue is $4.9 million with an operating loss of $459.6 thousand; payroll represents 64.3% of revenue. Walk score is 73.
The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, conducts inspections for all long-term care providers. Alpine Breeze received 10 inspections since 2019, with 48 total deficiencies (37% above average). The facility received two critical citations and two serious citations, rates 186% and 100% worse than average, respectively.
Recent inspections identify serious patterns. April 2025: resident-to-resident physical injury resulting in hospitalization. January 2025: water service shutdown due to failure to pay vendors, constituting immediate jeopardy affecting 138 residents. January 2025: substantiated financial exploitation by CNA involving unauthorized Cash App withdrawals of $617.89 from a resident’s account.
October 2024: failure to provide proper discharge notice and refusal to readmit a resident after hospitalization; state appeals unit ordered readmission.
October 2023 routine inspection identified 18 deficiencies including failure to ensure resident privacy, widespread environmental cleanliness failures with mouse droppings, failure to follow wound care orders, unsafe resident transfers, inadequate infection control practices, improper food temperature maintenance, and delayed vendor payments. June 2023 complaint investigation identified three deficiencies: failure to provide behavioral monitoring for dementia residents resulting in resident-to-resident altercation, missing safety signage and handrails.
The inspection record demonstrates recurring deficiencies across six years in environmental maintenance, vendor payment administration, infection control, wound care, safe resident handling, behavioral monitoring for dementia residents, and food safety. The facility received $19,000 in civil money penalties in 2025.
Families considering Alpine Breeze should request corrective action plans addressing the January 2025 water shutdown, financial exploitation incident, and April 2025 resident injury.
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.
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.
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.
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.
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.
This home is ranked 267th out of 276 homes in Missouri. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 13m per day | ▼ 54% State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 25m per day | ▼ 39% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 1h 51m per day | ▼ 20% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 4m per day | ▼ 32% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Physical Therapist
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 | ▲ 100% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
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.
| 10m per day | ▼ 50% State avg: 20m per day · National avg: 28m per day |
Higher than the Missouri average: 66.6%Alpine Breeze Health and Wellness is legally operated by Raytown Road Healthcare Llc, and administrated by Micah Davis.
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.
This scorecard compares key inspection, citation, 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.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 48 | 35 | This facility has 37% more total deficiencies than a typical Missouri nursing home (48 vs. MO avg 35).↑ 37% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 6.9 | 5 | This facility has 38% more deficiencies per year than a typical Missouri nursing home (6.9 vs. MO avg 5).↑ 38% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4.8 | 5 | This facility has 4% fewer deficiencies per inspection than a typical Missouri nursing home (4.8 vs. MO avg 5).↓ 4% better |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 10 | 7 | This facility has 43% more total inspections than a typical Missouri nursing home (10 vs. MO avg 7).↑ 43% worse |
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsMissouri average 6.6
Last Health inspection on Apr 2025
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
44 of 55 citations resulted from standard inspections; and 11 of 55 resulted from complaint investigations.
186% worse than Missouri averageMissouri average: 0.7
100% worse than Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
76% better than Missouri average
0% compared with Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
547 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 119 | 0 | 119 | 17,772 | 92 | 100% | 7.6 |
| Medication Aide/Technician | 38 | 0 | 38 | 6,153 | 92 | 100% | 9.5 |
| Licensed Practical Nurse | 28 | 0 | 28 | 4,817 | 92 | 100% | 7.4 |
| Registered Nurse | 18 | 0 | 18 | 2,470 | 92 | 100% | 9.3 |
| Other Dietary Services Staff | 10 | 0 | 10 | 1,079 | 85 | 92% | 6.1 |
| Qualified Social Worker | 5 | 2 | 7 | 978 | 77 | 84% | 7.5 |
| RN Director of Nursing | 3 | 0 | 3 | 904 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 871 | 67 | 73% | 6.6 |
| Therapeutic Recreation Specialist | 5 | 0 | 5 | 834 | 62 | 67% | 7.4 |
| Physical Therapy Aide | 10 | 0 | 10 | 649 | 74 | 80% | 6.2 |
| Dietitian | 3 | 0 | 3 | 567 | 67 | 73% | 8.2 |
| Physical Therapy Assistant | 5 | 0 | 5 | 540 | 63 | 68% | 7.1 |
| Administrator | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 488 | 61 | 66% | 8 |
| Speech Language Pathologist | 5 | 0 | 5 | 186 | 16 | 17% | 6.9 |
| Occupational Therapy Aide | 1 | 0 | 1 | 110 | 22 | 24% | 5 |
| Nurse Aide in Training | 3 | 0 | 3 | 96 | 11 | 12% | 6.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 51 | 7 | 8% | 7.2 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 28 | 7 | 8% | 4 |
| Medical Director | 0 | 1 | 1 | 23 | 3 | 3% | 7.5 |
| Qualified Activities Professional | 1 | 0 | 1 | 17 | 4 | 4% | 4.1 |
Includes penalties issued in 2025
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)
62% lower than Missouri averageMissouri average: $73K
23% more fines than Missouri averageMissouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 23, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 30, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
2.9
74% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.1
58% better than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
3.7%
81% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
2.8%
87% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.8%
In line with Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
32% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
2.1%
58% better than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
3.1%
44% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
72.6%
465% worse than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
18.8%
14% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
17% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.2%
9% better than Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.55
25% better than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.49
79% better than Missouri averageMissouri average: 2.35
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
73.2%
10% better than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
4.5%
103% worse than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
70.1%
10% better than Missouri averageMissouri average: 63.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
22% of new residents, usually for short-term rehab.
35% of new residents, often for short stays.
43% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
91Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Alpine Breeze Health and Wellness based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #168 / 286Payroll — State benchmarkedThis home is ranked 168th out of 286 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
0.0 miles from city center
Estimated distance in miles from Raytown's city center to Alpine Breeze Health and Wellness's address, calculated via Google Maps.
Add your location
Alpine Breeze Health and Wellness is located in RAYTOWN, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
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MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Weldon Spring | 81 | 74.9% | +12% | 5.01 | -16% | +34% | $41.3k | 16 | 4.0 | 2 | 46 | A+ | 2 | Holly Stevens | $20.9M | $12.2M | 58.6% | 265767 | ||||
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| Alpine Breeze Health and Wellness |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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The legal owner and operator of Alpine Breeze Health and Wellness is Raytown Road Healthcare Llc.
Alpine Breeze Health and Wellness has a walk score of 73. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Alpine Breeze Health and Wellness's occupancy is 90%.
Micah Davis is the administrator of Alpine Breeze Health and Wellness.
Alpine Breeze Health and Wellness has 154 beds.
Yes — there are 4 photos of Alpine Breeze Health and Wellness in the photo gallery on this page.
Alpine Breeze Health and Wellness is located at 6124 RAYTOWN RD.
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