Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
172
171 employees · 1 contractor · 58 on an average day Alpine Breeze Health and Wellness
Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Raytown, MO
ALM Inspection Grade
C-
ALM's inspection grade is 70 / 100, a C- — 13 points below the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 70 / 100, a C- — 13 points below the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
2/5
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.
2/5
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.
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Alpine Breeze Health and Wellness
Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Raytown, MO
ALM Inspection Grade
C-
ALM's inspection grade is 70 / 100, a C- — 13 points below the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 70 / 100, a C- — 13 points below the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
2/5
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.
2/5
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.
Alpine Breeze Health and Wellness accepts Medicare, Medicaid, and private pay.
Overview of Alpine Breeze Health and Wellness
Alpine Breeze Health and Wellness offers nursing home, skilled nursing, hospice, memory care, palliative care, and respite care in Raytown, Missouri. Skilled nursing provides licensed nursing care on site around the clock, while nursing home care supports residents who need ongoing nursing oversight.
Hospice and palliative care focus on comfort and symptom management. Respite care provides a short stay for a family caregiver who needs time to travel or recover. Memory care provides a secured setting with supervision for someone at risk of wandering.
Memory care may be a good fit for someone living with dementia who needs a secured, supervised setting, while respite care can suit a family caregiver who needs short term support. The community also offers rehabilitation and therapy services to support recovery or maintenance of physical function.
The home has 154 beds. Total nurse staffing is 2 hours and 2 minutes per resident per day, representing the daily nursing time allocated to each resident. Medicare, Medicaid, and private pay are accepted, giving families public coverage options through Medicare or Medicaid alongside direct payment.
A Walk Score of 73 places the area in the very walkable band, so most errands can be done on foot and a resident who no longer drives can still get out independently. Micah Davis serves as administrator, and Raytown Road Healthcare operates the community.
Quality ratings
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 266th out of 275 nursing homes we track in Missouri for nurse hours. 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 2m
This nursing home is ranked 266th out of 275 nursing homes we track in Missouri for nurse hours. 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 2mStandout metric: Physical therapist is +95% above Missouri average
5 of 6 metrics below Missouri average
Daily care time per resident, by role
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. All 12 are the facility's own employees; no agency contractors work in this role.
12 staff · 9-hour shifts
13m
↓ 53% · MO 28mThis facility: 13m per resident per day, 53% below the Missouri average of 28m (among Missouri facilities reporting a recent figure).
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. All 12 are the facility's own employees; no agency contractors work in this role.
12 staff · 9-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. All 18 are the facility's own employees; no agency contractors work in this role.
18 staff · 7.8-hour shifts
19m
↓ 55% · MO 41mThis facility: 19m per resident per day, 55% below the Missouri average of 41m (among Missouri facilities reporting a recent figure).
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. All 18 are the facility's own employees; no agency contractors work in this role.
18 staff · 7.8-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 83 are the facility's own employees; no agency contractors work in this role.
83 staff · 7.7-hour shifts
1h 30m
↓ 35% · MO 2h 19mThis facility: 1h 30m per resident per day, 35% below the Missouri average of 2h 19m (among Missouri facilities reporting a recent figure).
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. All 83 are the facility's own employees; no agency contractors work in this role.
83 staff · 7.7-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
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
↑ 95% · MO 2mThis facility: 4m per resident per day, 95% above the Missouri average of 2m (among Missouri facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
1h 46m
↓ 42% · MO 3h 3mThis facility: 1h 46m per resident per day, 42% below the Missouri average of 3h 3m (among Missouri facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
12m
↓ 41% · MO 20mThis facility: 12m per resident per day, 41% below the Missouri average of 20m (among Missouri facilities reporting a recent figure).
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.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
172
171 employees · 1 contractor · 58 on an average day
172 total staff / 91 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.89 : 1
↑ 21% · MO 1.57This facility: 1.89 staff per resident, 21% above the Missouri average of 1.57 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
172 staff ÷ 91 residents
See full Missouri ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.9 h
↓ 2% · MO 8.1 hThis facility: 7.9 h, 2% below the Missouri average of 8.1 h (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
41,453 staff hours this quarter
See full Missouri ranking →99.9% of staff hours were worked by the facility's own employees
Missouri average: 92.6% · Contractors this quarter: Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
154
Rank #45 / 287Bed count — State benchmarked This nursing home is ranked 45th out of 287 nursing homes we track in Missouri for bed count. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
154
Rank #45 / 287Bed count — State benchmarked This nursing home is ranked 45th out of 287 nursing homes we track in Missouri for bed count. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Years of operating
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #47 / 172Years in operation — State benchmarked This nursing home is ranked 47th out of 172 nursing homes we track in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #47 / 172Years in operation — State benchmarked This nursing home is ranked 47th out of 172 nursing homes we track in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
2
years
Walk Score
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #43 / 294Walk Score — State benchmarked This nursing home is ranked 43rd out of 294 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #43 / 294Walk Score — State benchmarked This nursing home is ranked 43rd out of 294 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
73
/ 100
Occupancy rate
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Rank #8 / 265Occupancy rate — State benchmarked This nursing home is ranked 8th out of 265 nursing homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 265. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Rank #8 / 265Occupancy rate — State benchmarked This nursing home is ranked 8th out of 265 nursing homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 265. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
95.1%
This home is often near full
Based on 146.4 residents and 154 beds. Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Higher than the Missouri average: 69.5%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
168
days
About This Community
Facility TypeSkilled Nursing Facility
IssuanceSeptember 1, 2024
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
Resident Council
Dedicated Alzheimer's Unit
Pets not allowed
CMS Health Inspection History
ALM Inspection Grade
70 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
13 points below the Missouri average for CMS-certified facilities (83/100)
Category breakdown
Citations
Concern
165 severity-weighted points (52 deficiencies) · 2× higher than the typical CMS-certified MO facility (median: 88)
Enforcement
Concern
3 enforcement actions · above the typical CMS-certified MO facility (median: 0) · $35,683 in fines
Persistence
Typical
41 days to fix issues · faster than the typical CMS-certified MO facility (median: 42)
Total health inspections
9
↑ 36% · MO 6.6This facility: 9, 36% above the MO average of 6.6 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
52
Rank #226 / 277Health citations — State benchmarked This nursing home is ranked 226th out of 277 nursing homes we track in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 277 MO facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 44% · MO 36.1This facility: 52, 44% above the MO average of 36.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
5.78
Rank #174 / 277Citations per inspection — State benchmarked This nursing home is ranked 174th out of 277 nursing homes we track in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 277 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 3% · MO 5.61This facility: 5.78, 3% above the MO average of 5.61 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
96% corrected
50 of 52 citations corrected · 2 still open
Critical
J–L
1
↑ 67% · MO 0.6This facility: 1, 67% above the MO average of 0.6 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
100% corrected
Immediate jeopardy
Serious
G–I
2
↑ 82% · MO 1.1This facility: 2, 82% above the MO average of 1.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
50% corrected · 1 open
Actual harm
Moderate
D–F
49
↑ 47% · MO 33.3This facility: 49, 47% above the MO average of 33.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
97% corrected · 1 open
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · MO 1.1This facility: 0, 100% below the MO average of 1.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: May 07, 2026 · 1 citation (Quality of Care, moderate), not yet corrected
Most cited category: Quality of Life & Care, 16 of 52 citations · 9 categories in total
Citations history
Most recent first
May 07, 2026
1 citation
Quality of Care moderate citation
Feb 23, 2026
1 citation
Abuse/Neglect serious citation
Aug 20, 2025
10 citations
Quality of Care moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Apr 23, 2025
1 citation
Abuse/Neglect serious citation
Corrected
Corrected
Jan 30, 2025
1 citation
Administration critical citation
Corrected
Corrected
Jan 24, 2025
1 citation
Abuse/Neglect moderate citation
Corrected
Corrected
Oct 09, 2024
2 citations
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Oct 23, 2023
21 citations
Nutrition moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
May 26, 2022
12 citations
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Showing the 50 most recent of 52 citations.
Top deficiency categories
Share of 52 citations
Quality of Life & Care
16 deficiencies (31%)
Resident Rights
8 deficiencies (15%)
Nutrition & Dietary
7 deficiencies (13%)
Abuse, Neglect & Exploitation
6 deficiencies (12%)
Environmental
6 deficiencies (12%)
Administration
5 deficiencies (10%)
Resident Assessment & Care Planning
2 deficiencies (4%)
Infection Control
1 deficiency (2%)
Nursing & Physician Services
1 deficiency (2%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
45 of 52 citations resulted from standard inspections; and 7 of 52 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
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 Oct 2026
3 penalties in the past 3 years
Latest: Feb 23, 2026 · $10,358 civil money penalty
Feb 23, 2026 · $10,358 civil money penalty
Apr 23, 2025 · $10,550 civil money penalty
Jan 30, 2025 · $9,198 civil money penalty
Total fines
$30,106
↓ 64% · MO $84KThis facility: $30,106, 64% below the Missouri average of $83,906. Average among the 213 Missouri facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #212 / 279Federal fines — State benchmarked This nursing home is ranked 212th out of 279 nursing homes we track in Missouri for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 279 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
3
↑ 68% · MO 1.79This facility: 3, 68% above the Missouri average of 1.79. Average among the 213 Missouri facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
MO avg 0.72Missouri average: 0.72. Average among the 213 Missouri facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Feb 23, 2026
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$10,358
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$10,358
Apr 23, 2025
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$10,550
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$10,550
Jan 30, 2025
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$9,198
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$9,198Fine amount comparison
This facility
$30,106
Missouri average
$83,906
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. Missouri and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Missouri average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 83% · MO 2.7This facility: 5.0, 83% above the MO average of 2.7 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
3
/ 5
Average
↑ 42% · MO 2.1This facility: 3.0, 42% above the MO average of 2.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
3.0
Score · lower is better
↓ 68% · MO 9.3This facility: 3.0, 68% below the MO average of 9.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
5.7
Score · lower is better
↓ 66% · MO 16.8This facility: 5.7, 66% below the MO average of 16.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 11 better, 1 worse, 1 near MO average
4 short-stay measures: 1 better, 2 worse, 1 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
3.8%
↓ 78% · MO 17.4This facility: 3.8, 78% below the MO average of 17.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
3.8%
↓ 78% · MO 17.4This facility: 3.8, 78% below the MO average of 17.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
2.7%
↓ 83% · MO 15.8This facility: 2.7, 83% below the MO average of 15.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
2.7%
↓ 83% · MO 15.8This facility: 2.7, 83% below the MO average of 15.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.5%
↓ 38% · MO 17.0This facility: 10.5, 38% below the MO average of 17.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.5%
↓ 38% · MO 17.0This facility: 10.5, 38% below the MO average of 17.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · MO 2.2This facility: 0.0, 100% below the MO average of 2.2 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · MO 2.2This facility: 0.0, 100% below the MO average of 2.2 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
↓ 58% · MO 4.0This facility: 1.7, 58% below the MO average of 4.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
↓ 58% · MO 4.0This facility: 1.7, 58% below the MO average of 4.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
2.2%
↓ 51% · MO 4.5This facility: 2.2, 51% below the MO average of 4.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
2.2%
↓ 51% · MO 4.5This facility: 2.2, 51% below the MO average of 4.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
4.4%
↓ 14% · MO 5.1This facility: 4.4, 14% below the MO average of 5.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
4.4%
↓ 14% · MO 5.1This facility: 4.4, 14% below the MO average of 5.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
78.3%
↑ 291% · MO 20.0This facility: 78.3, 291% above the MO average of 20.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
78.3%
↑ 291% · MO 20.0This facility: 78.3, 291% above the MO average of 20.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
14.5%
↓ 38% · MO 23.5This facility: 14.5, 38% below the MO average of 23.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
14.5%
↓ 38% · MO 23.5This facility: 14.5, 38% below the MO average of 23.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.6%
↑ 5% · MO 84.0This facility: 88.6, 5% above the MO average of 84.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.6%
↑ 5% · MO 84.0This facility: 88.6, 5% above the MO average of 84.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.0%
↑ 4% · MO 90.8This facility: 94.0, 4% above the MO average of 90.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.0%
↑ 4% · MO 90.8This facility: 94.0, 4% above the MO average of 90.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.55
↓ 25% · MO 2.08This facility: 1.55, 25% below the MO average of 2.08 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.55
↓ 25% · MO 2.08This facility: 1.55, 25% below the MO average of 2.08 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.49
↓ 79% · MO 2.35This facility: 0.49, 79% below the MO average of 2.35 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.49
↓ 79% · MO 2.35This facility: 0.49, 79% below the MO average of 2.35 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 4 measures
Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
↓ 38% · MO 2.1This facility: 1.3, 38% below the MO average of 2.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
↓ 38% · MO 2.1This facility: 1.3, 38% below the MO average of 2.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
25.6%
↓ 61% · MO 65.8This facility: 25.6, 61% below the MO average of 65.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
25.6%
↓ 61% · MO 65.8This facility: 25.6, 61% below the MO average of 65.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
32.9%
↓ 46% · MO 61.5This facility: 32.9, 46% below the MO average of 61.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
32.9%
↓ 46% · MO 61.5This facility: 32.9, 46% below the MO average of 61.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Alpine Breeze Health and Wellness’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 270 Missouri nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Profitable on care
14.7% operating margin
+31.7 pts vs prior year
Positive margin in 5 of the last 8 reported years. Net income $1.7M after other income.
Does it invest in staff?
Spends less on payroll than most Missouri homes
45.0% payroll share of revenue
MO average 55.0%Rank #219 / 270Payroll % of net patient revenue — State benchmarked This nursing home is ranked 219th out of 270 nursing homes we track in Missouri for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll fell $0.5M while revenue rose $3.5M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Missouri homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2015 → 2024Trend | MO median | Compared with MO homesRank in MO | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $11.6M | +$3.5M | Trend 20152024 | MO median $6.2M | Rank in MO Rank #49 / 270Net patient revenue — State benchmarked This nursing home is ranked 49th out of 270 nursing homes we track in Missouri for net patient revenue. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 82% of homes | Above MO median Higher net patient revenue than 82% of MO homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $9.9M | +$0.4M | Trend 20152024 | MO median $6.5M | Rank in MO Rank #67 / 270Operating expenses — State benchmarked This nursing home is ranked 67th out of 270 nursing homes we track in Missouri for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Missouri homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 75% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $1.7M | +$3.1M | Trend 20152024 | MO median −$0.1M | Rank in MO Rank #9 / 270Net patient income — State benchmarked This nursing home is ranked 9th out of 270 nursing homes we track in Missouri for net patient income. Shows net patient revenue minus operating expenses, compared with other Missouri homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 97% of homes | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 14.7% | +31.7 pts | Trend 20152024 | MO median −1.4% | Rank in MO Rank #11 / 270Operating margin — State benchmarked This nursing home is ranked 11th out of 270 nursing homes we track in Missouri for operating margin. Shows net patient income as a share of net patient revenue, compared with other Missouri homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 96% of homes | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | MO median $0.0M | Rank in MO Rank #176 / 264Other income — State benchmarked This nursing home is ranked 176th out of 264 nursing homes we track in Missouri for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Missouri homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 33% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $1.7M | +$3.1M | Trend — | MO median $0.0M | Rank in MO Rank #10 / 270Net income — State benchmarked This nursing home is ranked 10th out of 270 nursing homes we track in Missouri for net income. Shows the bottom line after other income, compared with other Missouri homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 97% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Missouri homes
| Metric | FY 2024 | vs prior year | Trend 2015 → 2024Trend | MO median | Compared with MO homesRank in MO | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $5.2M | −$0.5M | Trend 20152024 | MO median $3.5M | Rank in MO Rank #64 / 270Payroll costs — State benchmarked This nursing home is ranked 64th out of 270 nursing homes we track in Missouri for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 77% of homes | Above MO median Higher payroll than 77% of MO homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 45.0% | −24.9 pts | Trend 20152024 | MO median 52.4% | Rank in MO Rank #219 / 270Payroll % of net patient revenue — State benchmarked This nursing home is ranked 219th out of 270 nursing homes we track in Missouri for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 19% of homes | 10.0 pts under MO average The MO average is 55.0% of revenue. Within 3 points of it reads as near the average. |
Charts, 2015–2024 2 charts · MO benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Missouri payroll average.
% of net patient revenue
Payroll share Operating margin MO payroll average No report
Year-by-year data, 2015–2024 every reported year · latest first, scroll sideways
| Metric | 2015 | 2016 | 2017 | 2018no report | 2019 | 2020 | 2021 | 2022 | 2023no report | 2024 |
|---|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $7.5M | $7.3M | $7.0M | $8.4M | $8.5M | $8.6M | $8.2M | $11.6M | ||
| Operating expenses | $7.3M | $7.6M | $7.5M | $7.3M | $7.8M | $8.5M | $9.6M | $9.9M | ||
| Net patient income | $0.2M | −$0.3M | −$0.5M | $1.1M | $0.8M | $0.1M | −$1.4M | $1.7M | ||
| Operating margin | 3.2% | −4.7% | −7.8% | 13.5% | 8.8% | 0.6% | −17.0% | 14.7% | ||
| Net income | $0.2M | −$0.3M | −$0.4M | $1.1M | $1.7M | $0.8M | −$1.4M | $1.7M | ||
| Payroll costs | $3.1M | $3.5M | $3.5M | $3.5M | $3.9M | $4.9M | $5.7M | $5.2M | ||
| Payroll share of revenue | 41.7% | 48.5% | 50.0% | 41.4% | 46.0% | 56.9% | 69.9% | 45.0% | ||
| Beds | 154 | 154 | 154 | 154 | 154 | 154 | 154 | 154 | ||
| Gross revenue | $9.5M | $9.2M | $8.9M | $9.3M | $9.3M | $8.8M | $8.5M | $13.7M | ||
| Salaries | $2.7M | $3.1M | $3.1M | $3.0M | $3.4M | $4.3M | $5.0M | $4.8M | ||
| Wage-related costs | $0.4M | $0.4M | $0.4M | $0.4M | $0.5M | $0.5M | $0.7M | $0.4M | ||
| Contract labor | — | — | $0.4M | $0.7M | $0.2M | $0.1M | $0.0M | — | ||
| Other operating costs | $4.1M | $4.1M | $4.0M | $3.8M | $3.8M | $3.6M | $3.8M | $4.7M | ||
| Net patient revenue per day | $197 | $188 | $183 | $218 | $235 | $209 | $205 | $284 | ||
| Cost per day | $191 | $197 | $197 | $189 | $214 | $208 | $240 | $242 | ||
| Average length of stay | 255.3 days | 301.4 days | 264.1 days | 145.1 days | 98.9 days | 168.1 days | 155.4 days | 168.1 days |
Showing 2024–2022 · scroll sideways for 7 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
329 admissions · FY2024
Residents admitted during the year.
Medicare
34 · 10%
Medicaid
253 · 77%
Private pay & other
42 · 13%
Resident snapshot
91 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
11 · 12%
Medicaid
78 · 86%
Private pay & other
2 · 2%
Leaving
244 discharges · FY2024
Residents discharged during the year.
Medicare
20 · 8%
Medicaid
189 · 77%
Private pay & other
35 · 14%
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Places of interest near Alpine Breeze Health and Wellness
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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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Compare Nursing Homes around the area
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-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 55.0% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Life Care Center of St Louis | NH SNF | Saint Louis | 100
Facility
100
MO AVG
112
Rank
#154 / 287 | B+ |
83.3%
Facility
83.3%
MO AVG
69.5%
Rank
#67 / 265 | +20% | 4.43
Facility
4.43
MO AVG
3.65
Rank
#51 / 275 | -25% | +21% | $15.6k
Facility
$15.6k
MO AVG
$89.7k
Rank
#191 / 279 | 39
Facility
39
MO AVG
36.1
Rank
#182 / 277 | 6.5
Facility
6.5
MO AVG
5.6
Rank
#210 / 277 | 1 | 83 | A+ |
92
Facility
92
MO AVG
50
Rank
#15 / 294 | Cmc Extended Care Center, Inc | $11.2MFiscal year ending 02/2025
Facility
$11.2MFiscal year ending 02/2025
MO AVG
$8.1M
Rank
#56 / 270 | $6.2MFiscal year ending 02/2025
Facility
$6.2MFiscal year ending 02/2025
MO AVG
$4.2M
Rank
#41 / 270 | 55.2%Fiscal year ending 02/2025
Facility
55.2%Fiscal year ending 02/2025
MO AVG
55%
Rank
#117 / 270 | 265610 | ||||
| The Manor | NH MC SNF | Poplar Bluff | 90
Facility
90
MO AVG
112
Rank
#189 / 287 | A- |
73.0%
Facility
73.0%
MO AVG
69.5%
Rank
#120 / 265 | +5% | 3.55
Facility
3.55
MO AVG
3.65
Rank
#156 / 275 | +31% | -3% | $0
Facility
$0
MO AVG
$89.7k
Rank
#1 / 279 | 26
Facility
26
MO AVG
36.1
Rank
#113 / 277 | 8.7
Facility
8.7
MO AVG
5.6
Rank
#253 / 277 | - | 66 | A+ |
67
Facility
67
MO AVG
50
Rank
#65 / 294 | Poplar Bluff No 1, Inc | $5.4MFiscal year ending 12/2024
Facility
$5.4MFiscal year ending 12/2024
MO AVG
$8.1M
Rank
#166 / 270 | $2.4MFiscal year ending 12/2024
Facility
$2.4MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#208 / 270 | 44.8%Fiscal year ending 12/2024
Facility
44.8%Fiscal year ending 12/2024
MO AVG
55%
Rank
#223 / 270 | 265442 | ||||
| Delhaven Manor | NH SNF | Saint Louis | 156
Facility
156
MO AVG
112
Rank
#44 / 287 | B- |
29.4%
Facility
29.4%
MO AVG
69.5%
Rank
#261 / 265 | -58% | 4.65
Facility
4.65
MO AVG
3.65
Rank
#33 / 275 | -46% | +28% | $73.0k
Facility
$73.0k
MO AVG
$89.7k
Rank
#238 / 279 | 48
Facility
48
MO AVG
36.1
Rank
#216 / 277 | 4.8
Facility
4.8
MO AVG
5.6
Rank
#116 / 277 | 1 | 46 | A+ |
92
Facility
92
MO AVG
50
Rank
#15 / 294 | Delhaven Manor No. 2, Inc | $4.9MFiscal year ending 12/2024
Facility
$4.9MFiscal year ending 12/2024
MO AVG
$8.1M
Rank
#188 / 270 | $2.9MFiscal year ending 12/2024
Facility
$2.9MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#169 / 270 | 59.3%Fiscal year ending 12/2024
Facility
59.3%Fiscal year ending 12/2024
MO AVG
55%
Rank
#85 / 270 | 265392 | ||||
| Alpine Breeze Health and Wellness | NH HOS MC PC RC SNF | Raytown | 154
Facility
154
MO AVG
112
Rank
#45 / 287 | C- |
95.1%
Facility
95.1%
MO AVG
69.5%
Rank
#8 / 265 | +37% | 2.03
Facility
2.03
MO AVG
3.65
Rank
#266 / 275 | -12% | -44% | $30.1k
Facility
$30.1k
MO AVG
$89.7k
Rank
#212 / 279 | 52
Facility
52
MO AVG
36.1
Rank
#226 / 277 | 5.8
Facility
5.8
MO AVG
5.6
Rank
#174 / 277 | 3 | 146 | - |
73
Facility
73
MO AVG
50
Rank
#43 / 294 | Raytown Road Healthcare LLC | $11.6MFiscal year ending 12/2024
Facility
$11.6MFiscal year ending 12/2024
MO AVG
$8.1M
Rank
#49 / 270 | $5.2MFiscal year ending 12/2024
Facility
$5.2MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#64 / 270 | 45%Fiscal year ending 12/2024
Facility
45%Fiscal year ending 12/2024
MO AVG
55%
Rank
#219 / 270 | 265339 | ||||
| Lakeview Post Acute | NH HOS SNF | Florissant (Old Town Florissant) | 120
Facility
120
MO AVG
112
Rank
#76 / 287 | D- |
82.8%
Facility
82.8%
MO AVG
69.5%
Rank
#71 / 265 | +19% | 3.69
Facility
3.69
MO AVG
3.65
Rank
#124 / 275 | -37% | +1% | $66.0k
Facility
$66.0k
MO AVG
$89.7k
Rank
#235 / 279 | 86
Facility
86
MO AVG
36.1
Rank
#273 / 277 | 5.7
Facility
5.7
MO AVG
5.6
Rank
#168 / 277 | 5 | 99 | A+ |
63
Facility
63
MO AVG
50
Rank
#89 / 294 | Florissant Skilled Nursing LLC | $13.5MFiscal year ending 12/2024
Facility
$13.5MFiscal year ending 12/2024
MO AVG
$8.1M
Rank
#30 / 270 | $6.2MFiscal year ending 12/2024
Facility
$6.2MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#40 / 270 | 45.9%Fiscal year ending 12/2024
Facility
45.9%Fiscal year ending 12/2024
MO AVG
55%
Rank
#210 / 270 | 265838 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other MO nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial assistance
Get financial aid guidance Programs that may help with care and living costs in Missouri
Alpine Breeze Health and Wellness is in RAYTOWN, Missouri. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
Missouri Supplemental Nursing Care (SNC)
MO SNC
- Income limit
- Income is assessed against the applicable facility charge and program rules.
Eligibility
- General
- Eligible aged, blind or disabled adults age 21 or older in approved residential/assisted-living or other qualifying licensed settings, with insufficient income for the applicable facility charge.
- MO specifics
- SNC is not restricted to people age 65 and older.
What it provides
- Monthly cash assistance toward approved residential living expenses; actual grant depends on facility level and resident income.
VA Aid and Attendance (A&A) and Housebound Benefits
VA Pension Aid and Attendance and Housebound Benefits (Federal)
- Who it is for
- Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
- Income limit
- No single monthly income cutoff. VA compares countable annual income, after permitted deductions, with the applicable Maximum Annual Pension Rate for the household and benefit category.
- Asset limit
- Net-worth limit is $163,699 from December 1, 2025 through November 30, 2026. Net worth includes countable assets plus annual income; exclusions and transfer rules apply.
Eligibility
- General
- Veterans or eligible survivors who qualify for VA Pension or Survivors Pension and meet the additional Aid and Attendance or Housebound criteria. Service, discharge, family status and pension eligibility rules also apply.
- MO specifics
- A federal VA pension benefit; Aid and Attendance and Housebound enhancements cannot be received together.
What it provides
- A higher pension ceiling for eligible Aid and Attendance or Housebound recipients. Actual pension equals the applicable annual maximum minus countable income; the two enhancements cannot be paid together.
MO HealthNet State Plan Personal Care Services
Missouri MO HealthNet State Plan Personal Care Services
Eligibility
- General
- Adults 18 or older with active qualifying Medicaid coverage, assessed nursing-facility-level care needs and authorized personal care. Consumer-directed services additionally require a physical disability and ability to self-direct.
What it provides
- Authorized assistance with daily activities through agency or consumer-directed services. Qualifying RCF/ALF residents may receive agency personal care for needs beyond the facility’s basic licensing obligations.
Aged and Disabled Waiver
Missouri Medicaid A&D Waiver
Eligibility
- General
- MO HealthNet-eligible people age 63 or older with assessed needs that would require nursing-home care without waiver services.
- MO specifics
- Minimum age is 63, not 65; current Medicaid financial standards and functional assessment apply.
What it provides
- Authorized homemaker; chore; respite; home-delivered meals and adult day care.
Structured Family Caregiving Waiver (SFCW)
Missouri Structured Family Caregiving Waiver
Eligibility
- General
- Adults age 21 or older with Alzheimer's disease or a related disorder who meet Medicaid and nursing-facility-level-of-care requirements and can receive approved care at home.
What it provides
- Authorized structured caregiving support in the home under the waiver and provider plan.
Missouri Caregiver Program (Customized Caregiver Training & Relief)
Missouri Caregiver Program
Eligibility
- General
- Caregiver living in the same home as a Missouri resident with probable Alzheimer's disease or a related dementia; residents of long-term-care facilities are excluded.
- MO specifics
- Enrollment is first-come, first-served subject to funding.
What it provides
- Customized caregiver training; approved respite-related financial relief and assistive technology; availability depends on funding.
Show-Me Home
Missouri Show-Me Home
Eligibility
- General
- People age 63 or older or adults with a physical disability who have lived in a nursing facility for at least 60 days and have qualifying MO HealthNet coverage before transition. Additional Medicare and safe-community-placement rules apply.
What it provides
- Transition planning; housing search; community support connections and help setting up a home; followed by supports during the transition period.
MO HealthNet Aged, Blind, and Disabled (ABD)
Missouri MO HealthNet ABD
Eligibility
- General
- People meeting MO HealthNet aged, blind or disabled coverage criteria; a need for help with one ADL is not a universal eligibility requirement for medical coverage.
- MO specifics
- Spenddown may be relevant depending on the coverage category.
What it provides
- MO HealthNet medical coverage; personal care and other long-term services require their own assessment and authorization.
Medicare Savings Program (MSP)
Missouri Medicare Savings Program
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
Eligibility
- General
- Medicare beneficiaries meeting the applicable state Medicare Savings Program eligibility rules.
- MO specifics
- Applications are administered by the state Medicaid program.
What it provides
- Assistance with Medicare premiums and; for qualified QMB beneficiaries; Medicare-covered deductibles and coinsurance. The qualifying category determines which costs are paid.
Know before you visit
Frequently Asked Questions about Alpine Breeze Health and Wellness
Quick answers from public records and the community's own listing.01 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.
02 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.
03 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.
04 What is the occupancy rate at Alpine Breeze Health and Wellness?
Alpine Breeze Health and Wellness's occupancy is 95.1%.
05 How long has Alpine Breeze Health and Wellness been in business?
Alpine Breeze Health and Wellness has been operating for approximately 2 years, based on available licensing and registration records.
06 Are pets allowed at Alpine Breeze Health and Wellness?
No, Alpine Breeze Health and Wellness has a no-pet policy.
07 What is the best email address for Alpine Breeze Health and Wellness?
The team at Alpine Breeze Health and Wellness can be reached at Info@alpinebreezehw.com.
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