Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (43% of admissions), and a typical Medicaid stay runs around 4 - 5 months.
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.
Alpine Breeze Health and Wellness is legally operated by Raytown Road Healthcare LLC, and administered 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.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
| 159 | 35 | This facility has 354% more total deficiencies than a typical Missouri nursing home (159 vs. MO avg 35).↑ 354% worse |
|
Deficiencies per inspection
| 6.9 | 2.9 | This facility has 138% more deficiencies per inspection than a typical Missouri nursing home (6.9 vs. MO avg 2.9).↑ 138% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
| 23 | 12 | This facility has had 92% more total inspections than the Missouri average (23 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 92% more |
State average 6.6
Last Health inspection on Apr 2025
State average 36.5
State 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.
State average: 0.7
State average: 1
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
547 contractor hours this quarter
| 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)
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.
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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)
Residents 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.
Historical financial and operational data for Alpine Breeze Health and Wellness from 2011–2022, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2022 — the home's most recent complete cost report, an older period than most facilities report.
Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2022. This is an older period than most facilities report, so compare with that in mind.
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (43% of admissions), and a typical Medicaid stay runs around 4 - 5 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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
Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Ignite Medical Resort Blue Springs | NH PC SNF | Blue Springs | 90
Facility
90
MO AVG
96
Rank
#225 / 450 |
98.9%
Facility
98.9%
MO AVG
65.1
Rank
#5 / 418 | +52% | 3.14
Facility
3.14
MO AVG
3.74
Rank
#214 / 270 | +136% | -16% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 16
Facility
16
MO AVG
36.5
Rank
#50 / 274 | 3.2
Facility
3.2
MO AVG
5.7
Rank
#29 / 274 | - | 89 | - |
68
Facility
68
MO AVG
45
Rank
#92 / 563 | Ignite Ind LLC | $14.2MFiscal year ending 12/2023
Facility
$14.2MFiscal year ending 12/2023
MO AVG
$8.4M
Rank
#17 / 277 | $5.1MFiscal year ending 12/2023
Facility
$5.1MFiscal year ending 12/2023
MO AVG
$3.3M
Rank
#39 / 277 | 36.2%Fiscal year ending 12/2023
Facility
36.2%Fiscal year ending 12/2023
MO AVG
45.6%
Rank
#268 / 277 | 265880 | ||||
| Nixa Nursing &Amp; Rehab | NH HOS SNF | Nixa | 82
Facility
82
MO AVG
96
Rank
#262 / 450 |
79.3%
Facility
79.3%
MO AVG
65.1
Rank
#112 / 418 | +22% | 3.78
Facility
3.78
MO AVG
3.74
Rank
#121 / 270 | -32% | +1% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 9
Facility
9
MO AVG
36.5
Rank
#10 / 274 | 3.0
Facility
3.0
MO AVG
5.7
Rank
#22 / 274 | - | 65 | - |
63
Facility
63
MO AVG
45
Rank
#141 / 563 | N & R Of Nixa, LLC | $6.0MFiscal year ending 12/2023
Facility
$6.0MFiscal year ending 12/2023
MO AVG
$8.4M
Rank
#137 / 277 | $2.8MFiscal year ending 12/2023
Facility
$2.8MFiscal year ending 12/2023
MO AVG
$3.3M
Rank
#131 / 277 | 47.2%Fiscal year ending 12/2023
Facility
47.2%Fiscal year ending 12/2023
MO AVG
45.6%
Rank
#96 / 277 | 265322 | ||||
| Aberdeen Heights | NH AL HOS IL MC SNF | Kirkwood | 91
Facility
91
MO AVG
96
Rank
#219 / 450 |
37.4%
Facility
37.4%
MO AVG
65.1
Rank
#380 / 418 | -43% | 5.18
Facility
5.18
MO AVG
3.74
Rank
#20 / 270 | -52% | +39% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 9
Facility
9
MO AVG
36.5
Rank
#10 / 274 | 2.3
Facility
2.3
MO AVG
5.7
Rank
#10 / 274 | - | 34 | - |
89
Facility
89
MO AVG
45
Rank
#29 / 563 | Ashfield Active Living And Wellness Communities, Inc | $23.4MFiscal year ending 06/2024
Facility
$23.4MFiscal year ending 06/2024
MO AVG
$8.4M
Rank
#4 / 277 | $8.1MFiscal year ending 06/2024
Facility
$8.1MFiscal year ending 06/2024
MO AVG
$3.3M
Rank
#11 / 277 | 34.7%Fiscal year ending 06/2024
Facility
34.7%Fiscal year ending 06/2024
MO AVG
45.6%
Rank
#270 / 277 | 265841 | ||||
| Good Shepherd Care Center | NH HOS PC RC SNF | Versailles | 164
Facility
164
MO AVG
96
Rank
#38 / 450 |
29.9%
Facility
29.9%
MO AVG
65.1
Rank
#397 / 418 | -54% | 4.09
Facility
4.09
MO AVG
3.74
Rank
#82 / 270 | -5% | +10% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 10
Facility
10
MO AVG
36.5
Rank
#17 / 274 | 5.0
Facility
5.0
MO AVG
5.7
Rank
#120 / 274 | - | 49 | - |
46
Facility
46
MO AVG
45
Rank
#283 / 563 | Good Shepherd Care Center | $5.4MFiscal year ending 06/2024
Facility
$5.4MFiscal year ending 06/2024
MO AVG
$8.4M
Rank
#120 / 277 | $3.1MFiscal year ending 06/2024
Facility
$3.1MFiscal year ending 06/2024
MO AVG
$3.3M
Rank
#161 / 277 | 56.6%Fiscal year ending 06/2024
Facility
56.6%Fiscal year ending 06/2024
MO AVG
45.6%
Rank
#218 / 277 | 265528 | ||||
| Alpine Breeze Health and Wellness | NH HOS MC PC RC SNF | Raytown | 154
Facility
154
MO AVG
96
Rank
#46 / 450 |
89.6%
Facility
89.6%
MO AVG
65.1
Rank
#36 / 418 | +38% | 2.14
Facility
2.14
MO AVG
3.74
Rank
#261 / 270 | -14% | -43% | $19.7k
Facility
$19.7k
MO AVG
$76.9k
Rank
#192 / 276 | 55
Facility
55
MO AVG
36.5
Rank
#227 / 274 | 5.0
Facility
5.0
MO AVG
5.7
Rank
#120 / 274 | 4 | 138 | - |
73
Facility
73
MO AVG
45
Rank
#70 / 563 | Raytown Road Consulting LLC | $8.2M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$8.2M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MO AVG
$8.4M
Rank
#86 / 277 | $5.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$5.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MO AVG
$3.3M
Rank
#61 / 277 | 69.9%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
69.9%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MO AVG
45.6%
Rank
#52 / 277 | 265339 |
Alpine Breeze Health and Wellness is legally operated by Raytown Road Healthcare LLC, and administered by Micah Davis.
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.
According to MO state health department records, Alpine Breeze Health and Wellness's license number is 052092.
According to MO state health department records, Alpine Breeze Health and Wellness's license expires on August 31, 2026.
Alpine Breeze Health and Wellness's occupancy is 90%.
Alpine Breeze Health and Wellness has been operating for approximately 1 year, based on available licensing and registration records.
No, Alpine Breeze Health and Wellness has a no-pet policy.
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