Occupancy rate
59%
In line with Missouri averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home in Missouri
CMS overall rating
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.
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.
Avalon View Health and Wellness
Nursing Home in Missouri
CMS overall rating
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.
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.
Avalon View Health and Wellness
Avalon View Health and Wellness is a senior living community located in Liberty, MO. It specializes in memory care and offers a range of therapy services tailored to individual needs. The facility emphasizes a commitment to high-quality care and community engagement.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
140
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
58.6%
Residents per day (avg)
110
Occupancy rate
58.6%
Residents per day (avg)
110
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
16% of new residents, usually for short-term rehab.
Typical stay
20 days
Private pay
13% of new residents, often for short stays.
Typical stay
2 months
Medicaid
71% of new residents, often for long-term daily care.
Typical stay
2 - 3 months
Finances and operations
Privately-owned community
Home revenue
$4.6M
Operating loss
-$204.6K
Privately-owned community
Home revenue
$4.6M
Operating loss
-$204.6K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.8M
140-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy
In line with Missouri averageOccupied beds
82 / 140
Average residents
72 per day
Facility TypeSnf
CountyCLAY
CMS Certification Number265437
Certification TypeMedicare/Medicaid
Avalon View Health and Wellness is administrated by Ashlee Siard.
Owner NameCOLLEGE ST HEALTHCARE LLC
24-Hour Staffing
Specific ProgramsAbout Us, Clinical Capabilities, Therapy Services, Memory Support, Community Partnerships, Careers, Contact Us
Operating HoursOpen 24 Hours/7 Days A Week
Health Inspection History
Inspections
Total health inspections
10
Missouri average 6.6
Last Health inspection on Sep 2025
Total health citations
101
Missouri average 36.5
Citations per inspection
10.1
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
82 of 101 citations resulted from standard inspections; 13 of 101 resulted from complaint investigations; and 6 of 101 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
43% worse than Missouri averageMissouri average: 0.7
Serious Health citations
3
3
200% worse than Missouri averageMissouri average: 1
1 critical citation
3 serious citations
97 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 19, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 19, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 02, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 02, 2025
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Sep 23, 2024
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Sep 23, 2024
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Sep 23, 2024
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Sep 23, 2024
Corrected
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.
Compare Nursing Homes around Missouri The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
Aberdeen Heights
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Kirkwood
38
92.6%
+39%
5.18
+39%
0
9
2.3
0
34
-
-
Ashfield Active Living And Wellness Communities, Inc.
$27.3M
$7.2M
26.3%
265841
Bertrand Nursing And Rehab Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Bertrand
60
78.8%
+18%
3.65
-2%
0
10
3.3
0
54
-
5
Chance, Don
$5.1M
$2.3M
44.1%
265678
Avalon View Health and Wellness
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Liberty
140
58.6%
-12%
2.22
-41%
1
101
10.1
4
110
-
-
College St Consulting Llc
$4.6M
$2.5M
53.9%
265437
Good Shepherd Care Community
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Concordia
-
-
-
-
-
0
0
0.0
0
-
-
38
-
-
-
-
-
Abbey Senior Health
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
O'fallon
55
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
148
Employees
146
Contractors
2
Staff to resident ratio
1.33:1
22% worse than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
45
Average shift
8.4 hours
0% compared with Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
34,559
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
61
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.3%
95 contractor hours this quarter
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 61 | 0 | 61 | 14,789 | 91 | 100% | 8.5 |
| Licensed Practical Nurse | 21 | 0 | 21 | 5,898 | 91 | 100% | 8.9 |
| Medication Aide/Technician | 16 | 0 | 16 | 4,437 | 91 | 100% | 10.8 |
| Other Dietary Services Staff | 8 | 0 | 8 | 1,515 | 88 | 97% | 7.3 |
| Registered Nurse | 13 | 0 | 13 | 1,498 | 87 | 96% | 8.2 |
| Therapeutic Recreation Specialist | 4 | 0 | 4 | 827 | 66 | 73% | 6.1 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 658 | 65 | 71% | 6.9 |
| Physical Therapy Assistant | 1 | 0 | 1 | 519 | 65 | 71% | 8 |
| Administrator | 1 | 0 | 1 | 516 | 65 | 71% | 7.9 |
| RN Director of Nursing | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Dietitian | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Qualified Activities Professional | 1 | 0 | 1 | 480 | 63 | 69% | 7.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 468 | 59 | 65% | 7.9 |
| Physical Therapy Aide | 3 | 0 | 3 | 434 | 65 | 71% | 6.6 |
| Qualified Social Worker | 4 | 0 | 4 | 419 | 64 | 70% | 6.1 |
| Mental Health Service Worker | 3 | 0 | 3 | 304 | 38 | 42% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 163 | 41 | 45% | 4 |
| Nurse Aide in Training | 1 | 0 | 1 | 49 | 7 | 8% | 7 |
| Medical Director | 0 | 1 | 1 | 48 | 22 | 24% | 2.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 47 | 6 | 7% | 7.8 |
61 Certified Nursing Assistant
% of Days
100%
21 Licensed Practical Nurse
% of Days
100%
16 Medication Aide/Technician
% of Days
100%
8 Other Dietary Services Staff
% of Days
97%
13 Registered Nurse
% of Days
96%
4 Therapeutic Recreation Specialist
% of Days
73%
4 Respiratory Therapy Technician
% of Days
71%
1 Physical Therapy Assistant
% of Days
71%
1 Administrator
% of Days
71%
1 RN Director of Nursing
% of Days
69%
1 Dietitian
% of Days
68%
1 Nurse Practitioner
% of Days
67%
1 Qualified Activities Professional
% of Days
69%
1 Clinical Nurse Specialist
% of Days
65%
3 Physical Therapy Aide
% of Days
71%
4 Qualified Social Worker
% of Days
70%
3 Mental Health Service Worker
% of Days
42%
1 Occupational Therapy Aide
% of Days
45%
1 Nurse Aide in Training
% of Days
8%
1 Medical Director
% of Days
24%
1 Occupational Therapy Assistant
% of Days
7%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
111 residents
Residents by payment source
Medicare
9 residents (8.1%)
Medicaid
82 residents (73.9%)
Private pay or other
20 residents (18%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.7
57% better than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.5
56% better than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
3.4%
Percent of long-stay residents whose need for help with daily activities has increased
3.4%
83% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
3.5%
Percent of long-stay residents whose ability to move independently worsened
3.5%
83% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.5%
In line with Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
62% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.8%
Percent of long-stay high risk residents with pressure ulcers
4.8%
In line with Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
10.0%
Percent of long-stay residents who lose too much weight
10.0%
79% worse than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
87.1%
Percent of long-stay residents who have depressive symptoms
87.1%
578% worse than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
36.5%
Percent of long-stay residents who received an antipsychotic medication
36.5%
66% worse than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
17% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.5%
22% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
59% worse than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
76.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
76.7%
21% better than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 Jan 2026)
Total fines amount
$14K
80% lower than Missouri averageMissouri average: $73K
Number of fines
1
59% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$14K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 23, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 23, 2024
$14K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Avalon View Health and Wellness based on CMS SNF Cost Reports.
Occupancy Rate
58.6%
↓ 6.2pp vs 2022
Net Income
-$204.6K
↑ ~$2.1M vs 2022
Total Payroll
$2.8M
↓ ~$3.3M vs 2022
Profit Margin
-4.5%
↑ 23.7pp vs 2022
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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