Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.

We arrange tours, appointments, and even moving support so you don’t have to
College St Healthcare LLC, owner of College St Consulting LLC, and administrator Ashlee Siard handle the daily routines at Avalon View Health and Wellness, a 140-bed skilled nursing center located on West College Street in Liberty, Missouri. Families managing payment logistics can process care costs through standard accounts like private funds, Medicaid, and Medicare. If you plan to drop by for a visit, the neighborhood scores a 69 out of 100 for walkability, showing that the local setup is moderately friendly to pedestrians and lets you run a few quick errands on foot.
The building stays around 84 percent full, providing continuous care lines for residents who require ongoing medical attention or rehabilitation. To manage daily health schedules and treatments, the 24-hour shift framework provides an average of 2 hours and 13 minutes of direct nursing care per resident each day, utilizing a combined staff of registered nurses, practical nurses, and nurse aides.
Since this building opened its doors in 2024, regular survey evaluations and foundational oversight checks have focused on monitoring baseline clinical capabilities and early employee routines, keeping the total citation rate above zero.
Interested individuals can look into the on-site physical therapy services, clinical capabilities, and shared social lounges. The daily program relies on partnerships with local medical providers to manage active recovery tracks, combining these health services with standard amenities like managed laundry assistance and central housekeeping. Anyone checking out regional care choices can call the admissions desk directly to check current bed openings, verify insurance network rules, or set up a regular tour.
Avalon View Health and Wellness is legally operated by College St Healthcare Llc, and administrated by Ashlee Siard.
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.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
| 96 | 35 | This facility has 174% more total deficiencies than a typical Missouri nursing home (96 vs. MO avg 35).↑ 174% worse |
|
Deficiencies per year
| 24 | 8.8 | This facility has 173% more deficiencies per year than a typical Missouri nursing home (24 vs. MO avg 8.8).↑ 173% worse |
|
Deficiencies per inspection
| 6 | 5 | This facility has 20% more deficiencies per inspection than a typical Missouri nursing home (6 vs. MO avg 5).↑ 20% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
| 16 | 7 | This facility has 129% more total inspections than a typical Missouri nursing home (16 vs. MO avg 7).↑ 129% worse |
Missouri average 6.6
Last Health inspection on Sep 2025
Missouri average 36.5
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).
Missouri average: 0.7
Missouri average: 1
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
48 contractor hours this quarter
| Certified Nursing Assistant | 107 | 0 | 107 | 17,557 | 92 | 100% | 8.4 |
| Licensed Practical Nurse | 29 | 0 | 29 | 5,970 | 92 | 100% | 8.5 |
| Medication Aide/Technician | 23 | 0 | 23 | 4,334 | 92 | 100% | 10.6 |
| Registered Nurse | 19 | 0 | 19 | 2,579 | 91 | 99% | 9.1 |
| Other Dietary Services Staff | 14 | 0 | 14 | 2,382 | 92 | 100% | 7.3 |
| Therapeutic Recreation Specialist | 7 | 0 | 7 | 691 | 60 | 65% | 4.9 |
| Respiratory Therapy Technician | 8 | 0 | 8 | 627 | 65 | 71% | 7.2 |
| Administrator | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| Dietitian | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 504 | 54 | 59% | 8 |
| Qualified Activities Professional | 2 | 0 | 2 | 503 | 63 | 68% | 8 |
| Physical Therapy Aide | 5 | 0 | 5 | 499 | 65 | 71% | 6.1 |
| Physical Therapy Assistant | 6 | 0 | 6 | 496 | 59 | 64% | 6.4 |
| RN Director of Nursing | 2 | 0 | 2 | 488 | 61 | 66% | 8 |
| Qualified Social Worker | 6 | 0 | 6 | 456 | 58 | 63% | 6.4 |
| Nurse Aide in Training | 1 | 0 | 1 | 336 | 36 | 39% | 9.3 |
| Occupational Therapy Aide | 1 | 0 | 1 | 160 | 35 | 38% | 4.6 |
| Speech Language Pathologist | 5 | 0 | 5 | 107 | 9 | 10% | 4.3 |
| Medical Director | 0 | 1 | 1 | 24 | 6 | 7% | 4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 6 | 7% | 4 |
Includes penalties issued in 2024
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Sep 23, 2024 · $14K
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
16% of new residents, usually for short-term rehab.
13% of new residents, often for short stays.
71% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Avalon View Health and Wellness based on CMS SNF Cost Reports.
Most residents stay for extended periods and receive ongoing daily care.
0.0 miles from city center
Estimated distance in miles from Liberty's city center to Avalon View Health and Wellness's address, calculated via Google Maps.
Add your location
Avalon View Health and Wellness is located in LIBERTY, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Breeze Park – Lutheran Senior Services |
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.
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. | Weldon Spring | 50
Facility
50
MO AVG
97
Rank
#390 / 454 | - | - | 5.01
Facility
5.01
MO AVG
3.74
Rank
#31 / 276 | -16% | +34% | $41.3k
Facility
$41.3k
MO AVG
$76.9k
Rank
#222 / 283 | 16
Facility
16
MO AVG
36.5
Rank
#55 / 281 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#75 / 281 | 2 | 46 | A+ |
2
Facility
2
MO AVG
45
Rank
#545 / 563 | Holly Stevens | $20.9M
Facility
$20.9M
MO AVG
$8.4M
Rank
#17 / 286 | $12.2M
Facility
$12.2M
MO AVG
$3.3M
Rank
#6 / 286 | 58.6%
Facility
58.6%
MO AVG
45.6%
Rank
#105 / 286 | 265767 | ||||
| Farmington Presbyterian Manor |
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.
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. | Farmington | 90
Facility
90
MO AVG
97
Rank
#227 / 454 |
74.4%
Facility
74.4%
MO AVG
66.6%
Rank
#150 / 428 | +12% | 4.58
Facility
4.58
MO AVG
3.74
Rank
#43 / 276 | +49% | +23% | $12.6k
Facility
$12.6k
MO AVG
$76.9k
Rank
#167 / 283 | 9
Facility
9
MO AVG
36.5
Rank
#11 / 281 | 2.3
Facility
2.3
MO AVG
5.7
Rank
#11 / 281 | 1 | 70 | A+ |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | Jane Hull | $9.9M
Facility
$9.9M
MO AVG
$8.4M
Rank
#73 / 286 | $6.3M
Facility
$6.3M
MO AVG
$3.3M
Rank
#52 / 286 | 63%
Facility
63%
MO AVG
45.6%
Rank
#74 / 286 | 265583 | ||||
| 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
Facility
140
MO AVG
97
Rank
#66 / 454 |
84.3%
Facility
84.3%
MO AVG
66.6%
Rank
#82 / 428 | +27% | 2.22
Facility
2.22
MO AVG
3.74
Rank
#265 / 276 | 0% | -41% | $14.3k
Facility
$14.3k
MO AVG
$76.9k
Rank
#182 / 283 | 101
Facility
101
MO AVG
36.5
Rank
#276 / 281 | 10.1
Facility
10.1
MO AVG
5.7
Rank
#271 / 281 | 4 | 115 | - |
69
Facility
69
MO AVG
45
Rank
#87 / 563 | College St Consulting LLC | $4.6M
Facility
$4.6M
MO AVG
$8.4M
Rank
#218 / 286 | $2.8M
Facility
$2.8M
MO AVG
$3.3M
Rank
#186 / 286 | 61.7%
Facility
61.7%
MO AVG
45.6%
Rank
#79 / 286 | 265437 | ||||
| Armour Oaks Senior Living Community |
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.
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.
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. | Kansas City (Waldo Homes) | 38
Facility
38
MO AVG
97
Rank
#424 / 454 |
100.0%
Facility
100.0%
MO AVG
66.6%
Rank
#1 / 428 | +50% | 3.03
Facility
3.03
MO AVG
3.74
Rank
#230 / 276 | -27% | -19% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 39
Facility
39
MO AVG
36.5
Rank
#183 / 281 | 6.5
Facility
6.5
MO AVG
5.7
Rank
#200 / 281 | - | 100 | A+ |
73
Facility
73
MO AVG
45
Rank
#70 / 563 | Womens Christian Association Of Kansas City Missouri | $2.9M
Facility
$2.9M
MO AVG
$8.4M
Rank
#264 / 286 | $2.4M
Facility
$2.4M
MO AVG
$3.3M
Rank
#221 / 286 | 81.6%
Facility
81.6%
MO AVG
45.6%
Rank
#13 / 286 | 265802 | ||||
| Sunrise of Des Peres |
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.
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. | Des Peres | 102
Facility
102
MO AVG
97
Rank
#169 / 454 |
72.5%
Facility
72.5%
MO AVG
66.6%
Rank
#166 / 428 | +9% | 3.50
Facility
3.50
MO AVG
3.74
Rank
#168 / 276 | +4% | -6% | $334.9k
Facility
$334.9k
MO AVG
$76.9k
Rank
#277 / 283 | 87
Facility
87
MO AVG
36.5
Rank
#272 / 281 | 7.9
Facility
7.9
MO AVG
5.7
Rank
#243 / 281 | 13 | 74 | A+ |
50
Facility
50
MO AVG
45
Rank
#244 / 563 | Mary Grodeon | $15.6M
Facility
$15.6M
MO AVG
$8.4M
Rank
#32 / 286 | $7.7M
Facility
$7.7M
MO AVG
$3.3M
Rank
#31 / 286 | 49.2%
Facility
49.2%
MO AVG
45.6%
Rank
#186 / 286 | 265834 |
The legal owner and operator of Avalon View Health and Wellness is College St Healthcare Llc.
Avalon View Health and Wellness has a walk score of 69. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MO state health department records, Avalon View Health and Wellness's license number is 052263.
According to MO state health department records, Avalon View Health and Wellness's license expires on October 31, 2026.
Avalon View Health and Wellness's occupancy is 84%.
Ashlee Siard is the administrator of Avalon View Health and Wellness.
Avalon View Health and Wellness has 140 beds.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Thank you for your interest!
Our team will be in touch shortly to help with next steps.
