Amberwood Estates Nursing and Rehabilitation
Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Normandy, MO
CMS overall rating Info 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.

Amberwood Estates Nursing and Rehabilitation

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Normandy, MO
CMS overall rating Info 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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Amberwood Estates Nursing and Rehabilitation accepts Medicare, Medicaid, and private pay.

Inspection History

In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.

Since 2022 · 4 years of data 130 deficiencies 14 inspections

Inspection Scorecard Info 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 2022 vs. Missouri state average
Overall vs. MO average 2 Worse Metrics worse than Missouri average:
• Total deficiencies (271% above)
• Deficiencies per inspection (221% above)
0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 13035 This facility has 271% more total deficiencies than a typical Missouri nursing home (130 vs. MO avg 35).↑ 271% worse
Deficiencies per inspection Info Average deficiencies per inspection. 9.32.9 This facility has 221% more deficiencies per inspection than a typical Missouri nursing home (9.3 vs. MO avg 2.9).↑ 221% worse

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

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all inspections conducted at this facility. 1412 This facility has had 17% more total inspections than the Missouri average (14 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 17% more

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

  • September 9, 2025 routine inspection found 3 deficiencies including pest infestations, air conditioning leaks causing damage, and incomplete maintenance logs.
  • August 6, 2025 complaint investigation substantiated failure to immediately remove a CNA after abuse allegation and failure to notify administration promptly.
  • May 1, 2025 inspection identified 3 medication management deficiencies including 6 missed narcotic doses and inaccurate medication administration documentation.

Health Inspection History

Inspections since 2022
Total health inspections 14

State average 6.6


Last Health inspection on Sep 2025

Total health citations
72 Rank #256 / 274Health citations — State benchmarkedThis home is ranked 256th out of 274 homes in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 274 MO facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 36.5

Citations per inspection
5.14 Rank #132 / 274Citations per inspection — State benchmarkedThis home is ranked 132nd out of 274 homes in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 274 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 5.67


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

41 of 72 citations resulted from standard inspections; 27 of 72 resulted from complaint investigations; and 4 of 72 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)
Critical health citations
1
43% worse than State average

State average: 0.7


Serious health citations
0
100% better than State average

State average: 1

1 critical citation State average: 0.7

0 serious citations State average: 1

70 moderate citations State average: 33.6

1 minor citation State average: 1.2
Citations history (last 4 years)
Resident Rights moderate citation Sep 09, 2025
Corrected

Abuse/Neglect moderate citation Aug 06, 2025
Corrected

Care Planning moderate citation May 01, 2025
Corrected

Quality of Care moderate citation Nov 22, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 107
Employees 107
Contractors 0
Staff to resident ratio 1.23 : 1
27% fewer staff per resident than Missouri average
Missouri average ratio: 1.69 : 1 Missouri average ratio: 1.69 : 1See full Missouri ranking
Avg staff/day 31
Average shift 8.4 hours
0% compared with Missouri average
Missouri average: 8.1 hours Missouri average shift: 8.1 hoursSee full Missouri ranking
Total staff hours (quarter) 24,055

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 5 RN Staff are full-time employees. No contractors work on this role. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 18 LPN Staff are full-time employees. No contractors work on this role. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 48 CNA Staff are full-time employees. No contractors work on this role. 48
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4804810,9038997%9
Licensed Practical Nurse180184,4198997%9.1
Medication Aide/Technician140142,7998896%9.9
Physical Therapy Assistant3031,0476975%7.5
Registered Nurse5056746368%8
RN Director of Nursing3036236773%7.7
Other Dietary Services Staff2025646571%7.6
Dietitian1015486571%8.4
Nurse Practitioner2025126368%8
Respiratory Therapy Technician2024615661%6
Clinical Nurse Specialist1014325560%7.9
Administrator2024325358%8
Mental Health Service Worker2023304448%7
Physical Therapy Aide1011654852%3.4
Qualified Social Worker2021413740%3.4
Therapeutic Recreation Specialist101611%6
48 Certified Nursing Assistant
% of Days 97%
18 Licensed Practical Nurse
% of Days 97%
14 Medication Aide/Technician
% of Days 96%
3 Physical Therapy Assistant
% of Days 75%
5 Registered Nurse
% of Days 68%
3 RN Director of Nursing
% of Days 73%
2 Other Dietary Services Staff
% of Days 71%
1 Dietitian
% of Days 71%
2 Nurse Practitioner
% of Days 68%
2 Respiratory Therapy Technician
% of Days 61%
1 Clinical Nurse Specialist
% of Days 60%
2 Administrator
% of Days 58%
2 Mental Health Service Worker
% of Days 48%
1 Physical Therapy Aide
% of Days 52%
2 Qualified Social Worker
% of Days 40%
1 Therapeutic Recreation Specialist
% of Days 1%

Penalties and fines

Includes penalties issued in 2023

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $23K Rank #197 / 276Federal fines — State benchmarkedThis home is ranked 197th out of 276 homes 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 276 facilities in the pool. Lower total dollars mean a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
69% lower than Missouri average

Missouri average: $73K

Number of fines 4
64% more fines than Missouri average

Missouri average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Missouri average

Missouri average: 0.7

Fines amount comparison
Fines amount comparison
This facility $23K
Missouri average $73K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

3 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 25, 2023
$4K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 5, 2023
$10K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 31, 2023
$6K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 13.6
24% worse than Missouri average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.6
11% worse than Missouri average

Missouri average: 19.5

Long-stay resident measures
Significantly below average Missouri avg: 2.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 25.2%
27% worse than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 29.2%
41% worse than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 10.4%
43% better than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.3%
69% better than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 10.7%
112% worse than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.7%
76% better than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.7%
70% better than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 14.2%
10% worse than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 13.6%
38% better than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 72.2%
15% worse than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 77.8%
14% worse than Missouri average

Missouri average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.83
36% worse than Missouri average

Missouri average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.73
16% worse than Missouri average

Missouri average: 2.35

Short-stay resident measures
Significantly below average Missouri avg: 2.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 40.7%
39% worse than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 45.0%
29% worse than Missouri average

Missouri average: 63.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 31.5%
25% worse than Missouri average

Missouri average: 25.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 13.8%
In line with Missouri average

Missouri average: 13.4%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Missouri average

Missouri average: 0.8%

Breakdown by payment type

Medicare

32% of new residents, usually for short-term rehab.

Typical stay 19 days

Private pay

12% of new residents, often for short stays.

Typical stay 1 months

Medicaid

56% of new residents, often for long-term daily care.

Typical stay 4 - 5 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 87
Medicare
6
6.9% of residents
Medicaid
81
93.1% 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.

Finances and operations

Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2022. This is an older period than most facilities report, so compare with that in mind.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.2M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$977.6K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.2M Rank #124 / 277Revenue — State benchmarkedThis home is ranked 124th out of 277 homes in Missouri for revenue. Shows this facility's annual revenue compared to the Missouri average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$977.6K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #115 / 277Payroll — State benchmarkedThis home is ranked 115th out of 277 homes in Missouri for payroll. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.1M 65.3% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #117 / 277Payroll % — State benchmarkedThis home is ranked 117th out of 277 homes in Missouri for payroll %. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–72% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.2M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (56% of admissions), and a typical Medicaid stay runs around 4 - 5 months.

Admissions
242 total

Coverage residents most often arrive under.

Medicare 32%
Private pay 12%
Medicaid 56%
Discharges
24 total

Coverage residents most often leave under.

Medicare 11%
Private pay 18%
Medicaid 71%

Places of interest near Amberwood Estates Nursing and Rehabilitation

Address 0.0 miles from city center Info Estimated distance in miles from Normandy's city center to Amberwood Estates Nursing and Rehabilitation's address, calculated via Google Maps.

Calculate Travel Distance to Amberwood Estates Nursing and Rehabilitation

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Address

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Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

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265528
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265719

Frequently Asked Questions about Amberwood Estates Nursing and Rehabilitation

Who is the owner of Amberwood Estates Nursing and Rehabilitation?

Amberwood Estates Nursing and Rehabilitation is legally operated by Island Hc Operations LLC, and administered by Arthur Williams Jr.

Is Amberwood Estates Nursing and Rehabilitation in a walkable area?

Amberwood Estates Nursing and Rehabilitation has a walk score of 12. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Amberwood Estates Nursing and Rehabilitation?

According to MO state health department records, Amberwood Estates Nursing and Rehabilitation's license number is 052508.

What is the occupancy rate at Amberwood Estates Nursing and Rehabilitation?

Amberwood Estates Nursing and Rehabilitation's occupancy is 69%.

How long has Amberwood Estates Nursing and Rehabilitation been in business?

Amberwood Estates Nursing and Rehabilitation has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Amberwood Estates Nursing and Rehabilitation?

No, Amberwood Estates Nursing and Rehabilitation has a no-pet policy.

Does Amberwood Estates Nursing and Rehabilitation operate as a for-profit or non-profit?

Amberwood Estates Nursing and Rehabilitation is registered as a for-profit in MO.

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