Total health inspections
10
Missouri average 6.6
Last Health inspection on Sep 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Avalon View Health and Wellness
Nursing Home
Avalon View Health and Wellness
Nursing Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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
Proprietary home
Other
Home revenue
$4.6M
Operating loss
-$204.6K
Proprietary home
Other
Home revenue
$4,591,094.00
Operating loss
$-204,591.00
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
Facility Type
SNF
Additional licensing details
CMS Certification Number:
265437
Certification type:
Medicare/Medicaid
County:
CLAY
Ownership & operating entity
Avalon View Health and Wellness is administrated by ASHLEE SIARD.
Owner name:
COLLEGE ST HEALTHCARE LLC
Care Services
Memory Care
24-Hour Staffing
Programs & Activities
Specific Programs
About Us, Clinical Capabilities, Therapy Services, Memory Support, Community Partnerships, Careers, Contact Us
Operating Hours
Open 24 Hours/7 Days A Week
Compare Nursing Homes around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
No
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34.30
5.1831
-
9
-
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
No
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
53.70
3.6515
-
10
-
+42%-2%+18%
Adair Village
-2%
+5%
-67%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 64735-1127
120
No
-
VOGT, MARK
21.7%
$2,609,859.00
$1,035,294.00
39.7%
51.50
3.9409
-
29
2
-2%+5%-67%
Avalon View Health and Wellness
+12%
-41%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 64068-1036
140
No
-
COLLEGE ST CONSULTING LLC
58.6%
$4,591,084.00
$2,472,333.00
53.9%
110.00
2.2239
1
101
4
+12%-41%-12%
Good Shepherd Care Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Concordia
-
No
38
-
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Pets Allowed:
No
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34.30
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
Bertrand Nursing And Rehab Center
Type of care:
SNF
AL
Community:
Bertrand
Bed Count:
60
Pets Allowed:
No
Operator:
CHANCE, DON
CCN:
265678
Occupancy:
78.8%
Home Revenue:
$5,145,452.00
Payroll Costs:
$2,268,233.00
Payroll %:
44.1%
Avg Residents/Day:
53.70
Overall Rating:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
Adair Village
Type of care:
SNF
AL
Community:
MO 64735-1127
Bed Count:
120
Pets Allowed:
No
Operator:
VOGT, MARK
CCN:
265347
Occupancy:
21.7%
Home Revenue:
$2,609,859.00
Payroll Costs:
$1,035,294.00
Payroll %:
39.7%
Avg Residents/Day:
51.50
Overall Rating:
Adj Nurse Hours:
3.9409
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
29
Severe Citations:
2
RN share vs State Avg:
-2%
-2%
Staffing vs State Avg:
+5%
+5%
Occupancy vs State Avg:
-67%
-67%
Avalon View Health and Wellness
Type of care:
SNF
AL
Community:
MO 64068-1036
Bed Count:
140
Pets Allowed:
No
Operator:
COLLEGE ST CONSULTING LLC
CCN:
265437
Occupancy:
58.6%
Home Revenue:
$4,591,084.00
Payroll Costs:
$2,472,333.00
Payroll %:
53.9%
Avg Residents/Day:
110.00
Overall Rating:
Adj Nurse Hours:
2.2239
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
101
Severe Citations:
4
RN share vs State Avg:
+12%
+12%
Staffing vs State Avg:
-41%
-41%
Occupancy vs State Avg:
-12%
-12%Places of interest near Avalon View Health and Wellness
0.0 miles from city center
LIBERTY, MO 64068-1036
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
148
Total Staff
146
Employees
2
Contractors
34,559
Total Hours (Quarter)
45
Avg Staff/Day
8.4
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 13 | 8.2 | No |
| Licensed Practical Nurse | 21 | 8.9 | No |
| Certified Nursing Assistant | 61 | 8.5 | No |
Staff by Category
Administration ⓘ
2 staff
6.5hs shift avg
Nursing Staff ⓘ
113 staff
8.9hs shift avg
Physicians & Practitioners ⓘ
2 staff
8hs shift avg
Therapy Services ⓘ
10 staff
6.7hs shift avg
Activities & Recreation ⓘ
5 staff
6.6hs shift avg
Social Services ⓘ
4 staff
6.1hs shift avg
Dietary Services ⓘ
9 staff
7.5hs shift avg
Other Services ⓘ
3 staff
8hs shift avg
Contractor Analysis
0.3%
of total hours from contractors
95 contractor hours this quarter
Medical Director: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Health Inspection History
Inspections
Total health citations
101
Citations per inspection
10.1
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
Sep 19, 2025
Corrected
Abuse/Neglect moderate citation
Apr 02, 2025
Corrected
Environmental moderate citation
Sep 23, 2024
Corrected
Environmental moderate citation
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Part of: Vertical Health Services
Resident Census by Payment Source
111
Total Residents
Medicare
9
(8.1%)
ⓘ
Medicaid
82
(73.9%)
ⓘ
Private Pay/Other
20
(18%)
ⓘ
Specialized Care Beds
34
Total Specialty Beds
24.3%
of Bed Capacity
34
Alzheimer's / Dementia Beds ⓘ
24.3%
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
-$204,591
↑ ~$2.1M vs 2022
Total Payroll
$2,834,553
↓ ~$3.3M vs 2022
Profit Margin
-4.5%
↑ 23.7pp vs 2022
Loading trend charts...
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