Deficiencies (last 8 years)
Deficiencies (over 8 years)
4.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
16% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
53% occupied
Based on a October 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 47
Deficiencies: 1
Date: Oct 29, 2025
Visit Reason
The inspection was conducted due to a failure by the facility to report and investigate an injury of unknown origin for one sampled resident, involving alleged abuse and neglect.
Findings
The facility failed to report and investigate a bruise of unknown origin on a resident's face observed after assistance with a shower. The investigation did not adequately address the bruises or allegations of sexual abuse, and staff failed to report or follow up on the injury properly.
Deficiencies (1)
19 CSR 30-88.010(25) requires reporting to DHSS/DMH when a resident is suspected of abuse or neglect. The facility failed to report and investigate an injury of unknown origin on a resident's face and did not follow proper procedures for suspected abuse.
Report Facts
Facility census: 47
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Care Partner J | Reported observing a bruise on the resident's face and reported it to the medication technician | |
| Director of Nursing | Director of Nursing | Observed the bruise on the resident's face and was involved in the investigation |
| Executive Director | Executive Director | Responsible for collecting statements and interviews about alleged abuse |
Inspection Report
Plan of Correction
Census: 69
Deficiencies: 1
Date: Sep 23, 2025
Visit Reason
The inspection was conducted to assess compliance with the Employee Disqualification List (EDL) requirements for volunteers at the facility.
Findings
The facility failed to check the Employee Disqualification List (EDL) for four sampled volunteers. The administrator was unaware that volunteers needed an EDL check but planned to begin compliance for all current and future volunteers.
Deficiencies (1)
19 CSR 30-86.047(12) EDL Requirements: The facility did not check the Employee Disqualification List for four sampled volunteers, violating the regulation. The administrator was unaware of the requirement but committed to correcting this.
Report Facts
Resident census: 69
Number of volunteers not checked against EDL: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Interviewed on 09/18/25 regarding EDL checks for volunteers | |
| Executive Director | Signed the statement of deficiencies and plan of correction |
Inspection Report
Plan of Correction
Census: 68
Deficiencies: 3
Date: Nov 25, 2024
Visit Reason
The inspection was conducted to assess compliance with fire safety and emergency lighting regulations, including exit sign illumination, sprinkler system completeness, and emergency lighting battery duration.
Findings
The facility failed to ensure all exit signs and emergency lights would illuminate when tested, and the sprinkler system was incomplete with missing escutcheon rings allowing smoke travel. The maintenance director acknowledged the issues and planned corrective actions.
Deficiencies (3)
19 CSR 30-86.022(8)(C) Exit Sign-Illumination: The facility failed to ensure all exit signs would light up when pressing the test button, affecting all 68 residents.
19 CSR 30-86.022(11)(A) Complete Sprinkler System-NFPA 13: The facility failed to install and maintain a complete sprinkler system, with missing escutcheon rings in multiple locations affecting all 68 residents.
19 CSR 30-86.022(12)(C) Emergency Lighting-Battery Powered, 1.5 hrs: The facility failed to ensure all emergency lights would light up for at least 1.5 hours when tested, affecting all 68 residents.
Report Facts
Facility census: 68
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Interviewed regarding deficiencies and corrective actions for exit signs and sprinkler system |
Inspection Report
Complaint Investigation
Census: 66
Deficiencies: 1
Date: Nov 13, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding protective oversight and alleged abuse of a resident at Addington Place of Lee's Summit.
Complaint Details
The complaint investigation substantiated that a resident was grabbed by a care manager causing a bruise. The facility conducted an internal investigation and took corrective actions including suspension and termination of the involved staff member.
Findings
The facility failed to provide protective oversight for a resident who was grabbed by a care manager, resulting in a bruise on the resident's left forearm. The investigation included interviews, record reviews, and observations confirming the incident and the resident's distress.
Deficiencies (1)
19 CSR 30-86.047(35) Protective Oversight was not met as the facility failed to ensure one sampled resident received protective oversight during care, resulting in a bruise from staff grabbing the resident's arm.
Report Facts
Facility census: 66
Inspection Report
Re-Inspection
Census: 63
Deficiencies: 3
Date: Jul 28, 2023
Visit Reason
The visit was a reinspection to verify correction of previously identified deficiencies related to fire alarm system faults, oxygen storage requirements, and building maintenance.
Findings
The facility failed to correct faults with the fire alarm system, oxygen storage signage, and building maintenance issues. Deficiencies affected all 63 residents present during the inspection.
Deficiencies (3)
19 CSR 30-86.022(9)(G) Fire Alarm System-Correct Faults. The facility failed to ensure faults with the fire alarm system were corrected upon discovery, affecting all 63 residents.
19 CSR 30-86.022(17) Oxygen Storage Requirements. The facility failed to ensure oxygen storage was in accordance with NFPA 99, 1999 Edition, as evidenced by missing signage on a door with oxygen equipment.
19 CSR 30-86.032(2) Substantially Constructed & Maintained. The facility failed to maintain the building in good repair, including gaps around sprinkler heads and a broken wall light, affecting all 63 residents.
Report Facts
Facility census: 63
Batteries not replaced: 8
Batteries installed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Zapien | Provided email reply regarding fire alarm battery replacement |
Inspection Report
Plan of Correction
Census: 63
Deficiencies: 10
Date: Oct 25, 2022
Visit Reason
The inspection was conducted to assess compliance with fire safety regulations, including fire drill requirements, fire safety training for employees, fire alarm system maintenance, and other life safety code provisions.
Findings
The facility failed to meet multiple fire safety requirements including documentation of fire drills, employee fire safety training, semi-annual fire alarm testing, storage of combustible materials, smoke section partitions, sprinkler system maintenance, emergency lighting, oxygen storage signage, heater labeling, and electrical wiring inspections. Deficiencies affected all 63 residents present during the inspection.
Deficiencies (10)
19 CSR 30-86.022(5)(D) Fire Drill Requirements, Evacuation. The facility failed to provide documentation of monthly fire drills for the past twelve months, including details on timing, evacuation duration, and alarm activation.
19 CSR 30-86.022(6)(A)(1-3) Fire Safety Training Requirements-employees. The facility failed to provide staff fire safety training upon hiring and at least every six months, and did not document training needs identified from fire drill evaluations.
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain. The facility failed to test and maintain the complete fire alarm system semi-annually as required by NFPA 72, 1999 edition.
19 CSR 30-86.022(10)(B) Combustible Materials, Unnecessary Storage Of. The facility failed to prohibit storage of unnecessary combustible materials in parts of the building, creating fire hazards.
19 CSR 30-86.022(10)(I) Smoke Section Partitions > than 20 beds. The facility failed to ensure smoke partitions were separated by one-hour fire-rated smoke partitions with properly functioning doors.
19 CSR 30-86.022(11)(B) Sprinkler System Maintenance/Testing. The facility failed to maintain a complete sprinkler system and conduct monthly checks as required.
19 CSR 30-86.022(12)(A) Emergency Lighting - locations. The facility failed to provide emergency lighting of sufficient intensity for exits, stairs, resident corridors, and required attendants' stations.
19 CSR 30-86.022(17) Oxygen Storage Requirements. The facility failed to ensure oxygen storage was in accordance with NFPA 99, 1999 Edition, including proper signage on doors where oxygen is used.
19 CSR 30-86.032(10) Heaters-Approved Label, Venting, No Portable. The facility failed to prohibit the use of portable heaters and ensure heating appliances were properly vented and labeled.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility failed to have electrical wiring inspected every two years by a qualified electrician and maintain wiring in good repair without safety hazards.
Report Facts
Deficiencies cited: 10
Resident census: 63
Inspection Report
Plan of Correction
Census: 67
Deficiencies: 1
Date: Sep 14, 2022
Visit Reason
The inspection was conducted to investigate deficiencies related to the development and implementation of policies prohibiting mistreatment, neglect, abuse, and misappropriation of resident property and funds.
Findings
The facility failed to ensure that two sampled residents were free from misappropriation of their funds. Investigations revealed incidents involving missing credit cards and unauthorized charges linked to a housekeeping staff member, who was subsequently terminated.
Deficiencies (1)
19 CSR 30-88.010(23) Develop/Implement A/N Policies. The facility failed to develop and implement written policies to prohibit mistreatment, neglect, abuse, and misappropriation of resident property and funds. Two sampled residents were found to have experienced misappropriation of funds.
Report Facts
Resident census: 67
Unauthorized charges: 1000
Unauthorized charges: 800
Unauthorized charges: 900
Theft amount: 20000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Housekeeper A | Named in investigation and termination related to theft and misappropriation of resident property |
Inspection Report
Plan of Correction
Census: 57
Deficiencies: 1
Date: Feb 23, 2021
Visit Reason
The inspection was conducted due to a failure to immediately report an allegation of resident abuse by facility staff, affecting two residents.
Findings
The facility failed to immediately report alleged resident abuse as required by policy and regulations. Interviews and record reviews showed conflicting statements about the abuse allegations, which were ultimately found to be unsubstantiated.
Deficiencies (1)
19 CSR 30-88.010(25) requires immediate reporting of suspected abuse or neglect. The facility failed to immediately report an allegation of resident abuse affecting two residents.
Report Facts
Facility census: 57
Dates of incidents: Feb 15, 2021
Date of survey: Feb 23, 2021
Inspection Report
Renewal
Census: 69
Deficiencies: 2
Date: Mar 10, 2020
Visit Reason
The inspection was conducted as part of the licensure inspection including the fire safety portion on 03/10/2020.
Findings
The facility failed to ensure a current annual fire alarm system certification and a complete sprinkler system as required by regulations. The deficiencies affected all sixty-nine residents present during the inspection.
Deficiencies (2)
19 CSR 30-86.022(9)(D) Fire Alarm System Inspections/Certifications: The facility failed to ensure a current annual fire alarm system certification was performed as of 03/10/2020.
19 CSR 30-86.022(11)(A) Complete Sprinkler System-NFPA 13: The facility failed to ensure a complete sprinkler system was installed and maintained, with missing and capped sprinkler heads observed on 03/10/2020.
Report Facts
Facility census: 69
Inspection Report
Life Safety
Census: 75
Capacity: 75
Deficiencies: 4
Date: Mar 12, 2019
Visit Reason
The visit was a fire safety inspection conducted to evaluate compliance with fire alarm, sprinkler system, emergency lighting, and locking device regulations.
Findings
The facility failed to have a complete fire alarm system, monthly sprinkler system checks documentation, emergency lighting in the attendants' station, and proper signage for delayed egress doors. Each deficiency affected all 75 residents present during the inspection.
Deficiencies (4)
19 CSR 30-86.022(9)(A) Fire Alarm Complete System. The facility failed to have a complete fire alarm system installed as required, including manual pull stations at required locations.
19 CSR 30-86.022(11)(A) Complete Sprinkler System-NFPA 13. The facility failed to provide documentation of monthly sprinkler system checks being performed as required.
19 CSR 30-86.022(12)(A) Emergency Lighting - locations. The facility failed to provide emergency lighting in the attendants' station.
19 CSR 30-86.022(16)(D)(3)(A - E) Locking Devices Requirements. The facility failed to provide proper signage for delayed egress doors as required.
Report Facts
Facility census: 75
Inspection Report
Complaint Investigation
Census: 68
Deficiencies: 1
Date: Jan 25, 2019
Visit Reason
The inspection was conducted due to a complaint alleging resident mistreatment at the facility.
Complaint Details
The complaint investigation found the allegation of resident mistreatment substantiated due to failure to report and investigate as required.
Findings
The facility failed to investigate an allegation of resident mistreatment according to their written policy, affecting one resident. Staff did not immediately report the incident to the Department of Health and Senior Services as required.
Deficiencies (1)
19 CSR 30-88.010(25) requires immediate reporting to DHSS/DMH when abuse or neglect is suspected. The facility failed to investigate and report an allegation of resident mistreatment affecting one resident as per policy.
Report Facts
Resident census: 68
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amreica Sims Burton | Director of Nursing | Named in interview regarding the investigation and reporting of the resident mistreatment |
Inspection Report
Life Safety
Census: 58
Deficiencies: 9
Date: Feb 6, 2018
Visit Reason
The inspection was a fire safety inspection conducted to evaluate compliance with fire safety regulations including exit sign illumination, fire alarm system maintenance, hazardous area requirements, clothes dryer venting, sprinkler system maintenance, emergency lighting, wastebasket requirements, locking device requirements, and delayed egress door locks.
Findings
The facility failed to meet multiple fire safety regulations including exit sign illumination, fire alarm system maintenance, self-closing hazardous area doors, clothes dryer vent venting, sprinkler system maintenance, emergency lighting, use of approved wastebaskets, locking device requirements, and delayed egress door lock operation. Deficiencies affected all 58 residents present during the inspection.
Deficiencies (9)
19 CSR 30-86.022(8)(C) Exit Sign-Illumination: The facility failed to ensure required exit signs and directional indicators were properly illuminated during the fire safety inspection.
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain: The facility failed to maintain the complete fire alarm system as required and lacked documentation of semi-annual inspections.
19 CSR 30-86.022(10)(A) Hazardous Area Requirements: The facility failed to ensure self-closing doors to hazardous areas remained closed, with a door propped open during inspection.
19 CSR 30-86.022(10)(C) Clothes Dryers Vented, Lint Traps: The facility failed to ensure clothes dryers vented to the outside and lint traps were cleaned regularly; vents were disconnected.
19 CSR 30-86.022(11)(A) Complete Sprinkler System-NFPA 13: The facility failed to maintain a complete sprinkler system, with storage containers placed too close to sprinkler heads and gaps around escutcheon rings.
19 CSR 30-86.022(12)(B) Emergency Lighting - Power Source: The facility failed to ensure emergency lighting illuminated properly in multiple locations during testing.
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements: The facility failed to ensure all wastebaskets were metal or fire-resistant, with unapproved plastic and wicker baskets observed.
19 CSR 30-86.022(16)(D)(3)(A - E) Locking Devices Requirements: The facility failed to ensure exit doors with locking devices complied with delayed egress requirements and proper signage.
19 CSR 30-86.022(16)(D)(3)(A - E) Locking Devices Requirements: The facility failed to ensure delayed egress magnetic door locks operated properly, with three of four doors failing to release on fire alarm activation.
Report Facts
Facility census: 58
Deficiency affected residents: 58
Memory care unit census: 23
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