Alpine Breeze Health and Wellness

Nursing Home, Hospice Care, Memory Care, Palliative Care & Respite Care · Raytown, MO

CMS overall rating

6124 Raytown Rd, Raytown, MO 64133-4007 View map

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Alpine Breeze Health and Wellness accepts Medicare, Medicaid, and private pay.

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Alpine Breeze Health and Wellness accepts Medicare, Medicaid, and private pay.

Overview of Alpine Breeze Health and Wellness

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.

Facility Direct Line (816) 358-8222 Info@alpinebreezehw.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

2h 9m per day

vs avg

5 of 6 metrics below state avg

Standout metric Physical Therapist is +95% above state avg

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	▼ 52% 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.	26m per day	▼ 37% 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 48m per day	▼ 23% 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 9m per day	▼ 29% 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	▲ 95% 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.	12m per day	▼ 41% State avg: 20m per day · National avg: 28m per day

Capacity and availability

2,020 days

154-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 73 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

90%

Higher than the Missouri average: 66.6%

Occupied beds

138 / 154

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceSeptember 1, 2024

ExpirationAugust 31, 2026

CountyJackson

License Number052092

CMS Certification Number265339

Certification TypeMedicare / Medicaid

Alpine Breeze Health and Wellness is legally operated by Raytown Road Healthcare Llc, and administered by Micah Davis.

Corporate EntityRAYTOWN ROAD HEALTHCARE LLC

Owner NameRaytown Road Healthcare LLC

Skilled Nursing Facility

154 units

Total beds

154 units

Rehabilitation Services

24-Hour Staffing

Dedicated Alzheimer's Unit

Operating HoursOpen 24 Hours/7 Days A Week

Since 2018 · 8 years of data 159 deficiencies 23 inspections

Inspection Scorecard 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 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection April 23, 2025 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	159	35	This facility has 354% more total deficiencies than a typical Missouri assisted living residence (159 vs. MO avg 35).↑ 354% worse
Deficiencies per year Average deficiencies per year since 2018.	19.9	4.4	This facility has 352% more deficiencies per year than a typical Missouri assisted living residence (19.9 vs. MO avg 4.4).↑ 352% worse
Deficiencies per inspection Average deficiencies per inspection.	6.9	5	This facility has 38% more deficiencies per inspection than a typical Missouri assisted living residence (6.9 vs. MO avg 5).↑ 38% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	23	7	This facility has 229% more total inspections than a typical Missouri assisted living residence (23 vs. MO avg 7).↑ 229% worse

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

April 23, 2025 complaint investigation found one physical abuse incident where a resident struck another with a rock causing injury and hospital evaluation; deficiency was corrected promptly with supervision and staff education.
January 30, 2025 inspection found failure to pay a vendor timely resulting in water shut off affecting 113 residents and an outstanding balance of $14,000.81; corrective actions included partial payment and auto pay setup.
October 9, 2024 complaint investigation identified failure to provide proper discharge notice including appeal rights and refusal to readmit a resident after hospitalization, resulting in state appeals unit dismissal of the discharge notice.

Show Inspection Reports

Inspections since 2019

Total health inspections 11

State average N/A

Last Health inspection on Apr 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

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.

Breakdown of citation severity (last 7 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

2 critical citations State average: N/A

2 serious citations State average: N/A

50 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 7 years)

Abuse/Neglect serious citation Apr 23, 2025

Corrected

Administration critical citation Jan 30, 2025

Corrected

Abuse/Neglect moderate citation Jan 24, 2025

Corrected

Resident Rights moderate citation Oct 09, 2024

Corrected

Total staff 271

Employees 267

Contractors 4

Staff to resident ratio 2.98 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 55

Average shift 7.8 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 39,654

Nursing staff breakdown

9.3 hours

7.4 hours

119

7.6 hours

Contractor staffing

547 contractor hours this quarter

Qualified Social Worker: 2 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category


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

119 Certified Nursing Assistant

% of Days 100%

38 Medication Aide/Technician

% of Days 100%

28 Licensed Practical Nurse

% of Days 100%

18 Registered Nurse

% of Days 100%

10 Other Dietary Services Staff

% of Days 92%

7 Qualified Social Worker

% of Days 84%

3 RN Director of Nursing

% of Days 70%

6 Respiratory Therapy Technician

% of Days 73%

5 Therapeutic Recreation Specialist

% of Days 67%

10 Physical Therapy Aide

% of Days 80%

3 Dietitian

% of Days 73%

5 Physical Therapy Assistant

% of Days 68%

2 Administrator

% of Days 70%

2 Nurse Practitioner

% of Days 70%

2 Mental Health Service Worker

% of Days 66%

5 Speech Language Pathologist

% of Days 17%

1 Occupational Therapy Aide

% of Days 24%

3 Nurse Aide in Training

% of Days 12%

1 Occupational Therapy Assistant

% of Days 8%

1 Clinical Nurse Specialist

% of Days 8%

1 Medical Director

% of Days 3%

1 Qualified Activities Professional

% of Days 4%

View All Staffing Data

Total fines amount $28K

62% lower than State average

State average: $73K

Number of fines 3

23% more fines than State average

State average: 2.4

Payment Denials 0

100% fewer payment denials than State average

State average: 0.7

Fines amount comparison

This facility $28K

State average $73K

Penalty History

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.

Civil Money Penalty Apr 23, 2025

$10K

Civil Money Penalty Jan 30, 2025

$9K

Last updated: Jan 2026

High-risk clinical events score 2.9

74% better than State average

State average: 10.9

Functional decline score 8.1

58% better than State average

State average: 19.5

Long-stay resident measures

Significantly above average State avg: 2.7

Need for Help with Daily Activities Increased 3.7%

81% better than State average

State average: 19.8%

Walking Ability Worsened 2.8%

87% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 17.8%

In line with State average

State average: 18.1%

Falls with Major Injury 2.8%

32% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 2.1%

58% better than State average

State average: 5.0%

Urinary Tract Infection 0.0%

100% better than State average

State average: 2.7%

Lost Too Much Weight 3.1%

44% better than State average

State average: 5.6%

Depressive Symptoms 72.6%

465% worse than State average

State average: 12.8%

Antipsychotic Use 18.8%

14% better than State average

State average: 22.0%

Pneumococcal Vaccine 99.5%

17% better than State average

State average: 85.2%

Influenza Vaccine 99.2%

9% better than State average

State average: 90.9%

Hospitalizations per 1,000 days 1.55

25% better than State average

State average: 2.08

ED visits per 1,000 days 0.49

79% better than State average

State average: 2.35

Short-stay resident measures

Pneumococcal Vaccine 73.2%

10% better than State average

State average: 66.6%

Antipsychotic medication increase 4.5%

103% worse than State average

State average: 2.2%

Influenza Vaccine 70.1%

10% better than State average

State average: 63.5%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Breakdown by payment type

Medicare

22% of new residents, usually for short-term rehab.

Typical stay 14 days

Private pay

35% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

43% of new residents, often for long-term daily care.

Typical stay 4 - 5 months

Total residents 91

Medicare

12.1% of residents

Medicaid

85.7% of residents

Private pay or other

2.2% 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.

Financial Trends

Historical financial and operational data for Alpine Breeze Health and Wellness from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 61.3% ↓ 9.5pp vs 2022

Net Patient Income -$460.0K ↑ ~$925.8K vs 2022

Payroll Costs $3.1M ↓ ~$2.6M vs 2022

Operating Margin -9.9% ↑ 7.0pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	64.3%	72.5%	63.4%	66.0%	67.7%	68.4%	67.7%	68.3%	68.4%	64.4%	73.0%	70.8%	61.3%
Beds	154	154	154	154	154	154	154	154	154	154	154	154	154
Net Income	$591,477	$80,680	$149,427	$222,912	$241,087	-$336,565	-$432,800	$498,654	$1,129,338	$1,657,599	$758,496	-$1,370,401	-$459,587
Gross Revenue	$8,759,480	$9,612,632	$2,310,709	$8,032,483	$9,537,670	$9,183,162	$8,880,556	$4,931,949	$9,329,296	$9,250,016	$8,840,906	$8,521,074	$4,938,967
Operating Expenses	$6,477,737	$8,007,338	$1,779,159	$6,654,547	$7,267,067	$7,591,621	$7,504,728	$4,088,442	$7,266,288	$7,772,191	$8,521,583	$9,553,650	$5,091,596
Net Patient Income	$582,825	$81,443	$148,524	$220,406	$239,984	-$337,989	-$541,727	$498,428	$1,129,272	$753,233	$50,342	-$1,385,716	-$459,955
Net Patient Revenue	$7,060,562	$8,088,781	$1,927,683	$6,874,953	$7,507,051	$7,253,632	$6,963,001	$4,586,870	$8,395,560	$8,525,424	$8,571,925	$8,167,934	$4,631,641
Payroll Costs	$3,009,921	$3,321,661	$798,645	$2,791,852	$3,134,015	$3,515,379	$3,480,039	$1,932,214	$3,472,790	$3,923,281	$4,874,961	$5,711,900	$3,133,715
Operating Margin %	8.3%	1.0%	7.7%	3.2%	3.2%	-4.7%	-7.8%	10.9%	13.5%	8.8%	0.6%	-17.0%	-9.9%
Medicare %	10.1%	9.0%	7.8%	6.6%	9.1%	4.0%	3.5%	6.4%	9.2%	13.1%	3.4%	3.1%	4.0%
Medicaid %	69.6%	64.0%	67.8%	71.2%	69.8%	76.5%	77.4%	84.0%	79.6%	76.6%	82.8%	81.8%	76.5%
Private %	20.2%	27.0%	24.4%	22.2%	21.1%	19.5%	19.1%	9.6%	11.2%	10.2%	13.8%	15.1%	19.5%
Net Patient Revenue/Day	$195	$198	$184	$185	$197	$188	$183	$204	$218	$235	$209	$205	$229
Cost/Day	$179	$196	$170	$179	$191	$197	$197	$182	$189	$214	$208	$240	$252
Avg Length of Stay	256.2 days	274.4 days	209.0 days	181.8 days	255.3 days	301.4 days	264.1 days	132.3 days	145.1 days	98.9 days	168.1 days	155.4 days	2,019.8 days

Finances and operations

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

Net patient revenue

$4.6M

Net patient income

-$460.0K

For-profit Corporation

Net patient revenue

$4.6M

Net patient income

-$460.0K

Other income

$368

Payroll costs

$3.1M 67.7% of net patient revenue

Other operating costs

$2.0M

Total costs

$5.1M

TYPE OF STAY

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.

Coverage residents most often arrive under.

Medicare 22%

Private pay 35%

Medicaid 43%

Coverage residents most often leave under.

Medicare 4%

Private pay 33%

Medicaid 63%

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.

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Alpine Breeze Health and Wellness	NH HC MC PC RC	Raytown	-	154	-	73	-
Breeze Park – Lutheran Senior Services	NH AL IL MC	Weldon Spring	-	50	A+	2	1 Bed / 2 Bed
John Knox Village	NH AL HC IL MC RC	Lee's Summit	-	408	A+	58	1 Bed / 2 Bed
Ignite Medical Resort Blue Springs	NH PC	Blue Springs	-	90	-	68	-
Moore-Few Care Center	NH HC MC PC RC	-	-	108	-	39	Private Suites

Nursing Home Explorer

Who is the owner of Alpine Breeze Health and Wellness?

Alpine Breeze Health and Wellness is legally operated by Raytown Road Healthcare Llc, and administered by Micah Davis.

Is Alpine Breeze Health and Wellness in a walkable area?

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.

What is the license number of Alpine Breeze Health and Wellness?

According to MO state health department records, Alpine Breeze Health and Wellness's license number is 052092.

When does Alpine Breeze Health and Wellness's license expire?

According to MO state health department records, Alpine Breeze Health and Wellness's license expires on August 31, 2026.

What is the occupancy rate at Alpine Breeze Health and Wellness?

Alpine Breeze Health and Wellness's occupancy is 90%.

Does Alpine Breeze Health and Wellness operate as a for-profit or non-profit?

Alpine Breeze Health and Wellness is registered as a for-profit in MO.

Who is the administrator of Alpine Breeze Health and Wellness?

Micah Davis is the administrator of Alpine Breeze Health and Wellness.

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Alpine Breeze Health and Wellness

Overview of Alpine Breeze Health and Wellness

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Therapy & Rehabilitation

Staffing & Medical

Memory & Specialized Care

Amenities & Lifestyle

Contact Alpine Breeze Health and Wellness

Inspection History

Inspection Scorecard 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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

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

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

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

119 Certified Nursing Assistant

38 Medication Aide/Technician

28 Licensed Practical Nurse

18 Registered Nurse

10 Other Dietary Services Staff

7 Qualified Social Worker

3 RN Director of Nursing

6 Respiratory Therapy Technician

5 Therapeutic Recreation Specialist

10 Physical Therapy Aide

3 Dietitian

5 Physical Therapy Assistant

2 Administrator

2 Nurse Practitioner

2 Mental Health Service Worker

5 Speech Language Pathologist

1 Occupational Therapy Aide

3 Nurse Aide in Training

1 Occupational Therapy Assistant

1 Clinical Nurse Specialist

1 Medical Director

1 Qualified Activities Professional

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

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