Avalon View Health and Wellness

Nursing Home, Hospice Care, Memory Care, Palliative Care & Respite Care · Liberty, MO

CMS overall rating

1200 West College St, Liberty, MO 64068-1036 View map

Calculator: See prices in your area

Avalon View Health and Wellness accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Avalon View Health and Wellness accepts Medicare, Medicaid, and private pay.

Overview of Avalon View Health and Wellness

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.

Facility Direct Line (816) 781-3020 info@avalonviewhw.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

2h 13m per day

vs avg

5 of 6 metrics below state avg

Standout metric Physical Therapist is +78% above state avg

Staff type	Hours / Day / Resident	vs state avg
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.	20m per day	▼ 27% State avg: 28m per day · National avg: 41m per day
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.	37m per day	▼ 11% State avg: 41m per day · National avg: 52m per day
Nurse Aide 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.	2h 6m per day	▼ 9% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing 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.	2h 42m per day	▼ 11% State avg: 3h 3m per day · National avg: 3h 26m per day
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 per day	▲ 78% State avg: 2m per day · National avg: 4m per day
Weekend RN 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.	13m per day	▼ 34% State avg: 20m per day · National avg: 28m per day

Capacity and availability

1,950 days

140-bed community

A larger shared setting that may offer more common spaces and organized community services.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 69 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

84%

Higher than the Missouri average: 66.6%

Occupied beds

118 / 140

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceNovember 1, 2024

ExpirationOctober 31, 2026

CountyClay

License Number052263

CMS Certification Number265437

Certification TypeMedicare / Medicaid

Avalon View Health and Wellness is legally operated by College St Healthcare Llc, and administered by Ashlee Siard.

Corporate EntityCOLLEGE ST HEALTHCARE LLC

Owner NameCollege St Healthcare LLC

Skilled Nursing Facility

140 units

Total beds

140 units

24-Hour Staffing

Dedicated Alzheimer's Unit

Operating HoursOpen 24 Hours/7 Days A Week

Since 2022 · 4 years of data 96 deficiencies 16 inspections

Inspection Scorecard 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

Latest Inspection November 20, 2025 Routine

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	96	35	This facility has 174% more total deficiencies than a typical Missouri assisted living residence (96 vs. MO avg 35).↑ 174% worse
Deficiencies per year Average deficiencies per year since 2022.	24	8.8	This facility has 173% more deficiencies per year than a typical Missouri assisted living residence (24 vs. MO avg 8.8).↑ 173% worse
Deficiencies per inspection Average deficiencies per inspection.	6	5	This facility has 20% more deficiencies per inspection than a typical Missouri assisted living residence (6 vs. MO avg 5).↑ 20% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	16	7	This facility has 129% more total inspections than a typical Missouri assisted living residence (16 vs. MO avg 7).↑ 129% worse

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

November 20, 2025 inspection found failure to implement contact precautions for three residents with scabies, causing prophylactic treatment of all special care unit residents.
September 19, 2025 complaint investigation substantiated injury from improper restraint during transport, with staff suspensions and re-education following the incident.
September 23, 2024 routine inspection cited 21 deficiencies including breaches in confidentiality, unsanitary environment, insufficient staffing, inadequate care, and poor infection control practices.

Show Inspection Reports

Inspections since 2021

Total health inspections 10

State average N/A

Last Health inspection on Sep 2025

Total health citations

101

State average N/A

Citations per inspection

10.1

State average N/A

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 5 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

1 critical citation State average: N/A

3 serious citations State average: N/A

97 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 5 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

Total staff 248

Employees 246

Contractors 2

Staff to resident ratio 2.23 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 52

Average shift 8.3 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 39,782

Nursing staff breakdown

9.1 hours

8.5 hours

107

8.4 hours

Contractor staffing

48 contractor hours this quarter

Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category


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

% of Days 10%

1 Medical Director

% of Days 7%

1 Occupational Therapy Assistant

% of Days 7%

View All Staffing Data

Total fines amount $14K

80% lower than State average

State average: $73K

Number of fines 1

59% fewer fines than State average

State average: 2.4

Payment Denials 0

100% fewer payment denials than State average

State average: 0.7

Fines amount comparison

This facility $14K

State average $73K

Penalty History

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

1 penalty in the past 3 years

Sep 23, 2024 · $14K

Civil Money Penalty Sep 23, 2024

$14K

Last updated: Jan 2026

High-risk clinical events score 4.7

57% better than State average

State average: 10.9

Functional decline score 8.5

56% better than State average

State average: 19.5

Long-stay resident measures

Significantly above average State avg: 2.7

Need for Help with Daily Activities Increased 3.4%

83% better than State average

State average: 19.8%

Walking Ability Worsened 3.5%

83% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 18.5%

In line with State average

State average: 18.1%

Falls with Major Injury 1.5%

62% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 4.8%

In line with State average

State average: 5.0%

Urinary Tract Infection 0.0%

100% better than State average

State average: 2.7%

Lost Too Much Weight 10.0%

79% worse than State average

State average: 5.6%

Depressive Symptoms 87.1%

578% worse than State average

State average: 12.8%

Antipsychotic Use 36.5%

66% worse than State average

State average: 22.0%

Pneumococcal Vaccine 99.7%

17% better than State average

State average: 85.2%

Influenza Vaccine 100.0%

10% better than State average

State average: 90.9%

Hospitalizations per 1,000 days 1.48

29% better than State average

State average: 2.08

ED visits per 1,000 days 0.94

60% better than State average

State average: 2.35

Short-stay resident measures

Below average State avg: 2.1

Pneumococcal Vaccine 81.5%

22% better than State average

State average: 66.6%

Antipsychotic medication increase 3.5%

59% worse than State average

State average: 2.2%

Influenza Vaccine 76.7%

21% better than State average

State average: 63.5%

Re-hospitalized after SNF stay 21.5%

15% better than State average

State average: 25.3%

Emergency department visits 8.3%

38% better than State average

State average: 13.4%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

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

Total residents 111

Medicare

8.1% of residents

Medicaid

73.9% of residents

Private pay or other

18% 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.

Financial Trends

Historical financial and operational data for Avalon View Health and Wellness from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 58.6% ↓ 6.2pp vs 2022

Net Patient Income -$204.6K ↑ ~$2.3M vs 2022

Payroll Costs $2.8M ↓ ~$3.0M vs 2022

Operating Margin -4.6% ↑ 28.9pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	87.8%	91.0%	95.2%	96.6%	95.5%	92.9%	85.5%	76.5%	79.4%	62.5%	67.8%	64.7%	58.6%
Beds	140	140	140	140	140	140	140	140	140	140	140	140	140
Net Income	-$183,147	-$109,566	$389,967	$829,547	$875,460	$1,652,794	-$1,773,554	-$2,317,538	$10,147,536	$261,405	$664,029	-$2,263,927	-$204,591
Gross Revenue	$9,811,240	$10,508,068	$11,123,187	$10,963,105	$11,342,638	$11,595,367	$10,993,955	$10,503,565	$10,754,053	$6,624,729	$10,315,287	$8,048,597	$4,591,084
Operating Expenses	$9,296,340	$9,877,946	$9,738,433	$9,343,432	$9,419,272	$8,410,681	$11,189,258	$10,833,150	$9,985,836	$5,816,523	$9,673,457	$9,893,829	$4,624,658
Net Patient Income	-$184,119	-$110,361	$388,575	$829,159	$862,960	$1,658,231	-$1,773,736	-$2,317,864	-$1,300,472	$97,442	-$404,730	-$2,484,891	-$204,601
Net Patient Revenue	$9,112,221	$9,767,585	$10,127,008	$10,172,591	$10,282,232	$10,068,912	$9,415,522	$8,515,286	$8,685,364	$5,913,965	$9,268,727	$7,408,938	$4,420,057
Payroll Costs	$4,256,407	$4,157,317	$3,947,192	$3,921,053	$3,839,409	$4,273,854	$4,155,564	$4,231,559	$4,159,033	$3,126,446	$5,647,939	$5,754,196	$2,751,658
Operating Margin %	-2.0%	-1.1%	3.8%	8.2%	8.4%	16.5%	-18.8%	-27.2%	-15.0%	1.7%	-4.4%	-33.5%	-4.6%
Medicare %	13.3%	14.0%	11.4%	10.6%	11.7%	9.0%	8.6%	6.7%	6.6%	26.5%	12.0%	6.6%	4.4%
Medicaid %	60.5%	58.3%	55.4%	57.7%	59.1%	67.4%	70.2%	72.6%	73.9%	63.1%	69.3%	82.2%	85.0%
Private %	26.2%	27.7%	33.2%	31.8%	29.2%	23.6%	21.2%	20.7%	19.5%	10.4%	18.7%	11.3%	10.6%
Net Patient Revenue/Day	$203	$210	$208	$206	$211	$212	$215	$218	$214	$316	$267	$224	$252
Cost/Day	$207	$212	$200	$189	$193	$177	$256	$277	$246	$311	$279	$299	$264
Avg Length of Stay	113.0 days	118.3 days	119.2 days	154.7 days	136.3 days	157.6 days	166.8 days	167.8 days	157.8 days	56.6 days	106.7 days	131.8 days	1,950.0 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$4.4M

Net patient income

-$204.6K

For-profit Operated by a single business entity.

Net patient revenue

$4.4M

Net patient income

-$204.6K

Other income

$10

Payroll costs

$2.8M 62.3% of net patient revenue

Other operating costs

$1.9M

Total costs

$4.6M

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 (71% of admissions), and a typical Medicaid stay runs around 2 - 3 months.

Coverage residents most often arrive under.

Medicare 16%

Private pay 13%

Medicaid 71%

Coverage residents most often leave under.

Medicare 4%

Private pay 12%

Medicaid 84%

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.

Quick search

Calculate Travel Distance to Avalon View Health and Wellness

Add your location

Compare Nursing Homes around the area

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Avalon View Health and Wellness	NH HC MC PC RC	Liberty	-	140	-	69	-
Breeze Park – Lutheran Senior Services	NH AL IL MC	Weldon Spring	-	50	A+	2	1 Bed / 2 Bed
John Knox Village	NH AL HC IL MC RC	Lee's Summit	-	408	A+	58	1 Bed / 2 Bed
Ignite Medical Resort Blue Springs	NH PC	Blue Springs	-	90	-	68	-
Moore-Few Care Center	NH HC MC PC RC	-	-	108	-	39	Private Suites

Nursing Home Explorer

Who is the owner of Avalon View Health and Wellness?

Avalon View Health and Wellness is legally operated by College St Healthcare Llc, and administered by Ashlee Siard.

Is Avalon View Health and Wellness in a walkable area?

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.

What is the license number of Avalon View Health and Wellness?

According to MO state health department records, Avalon View Health and Wellness's license number is 052263.

When does Avalon View Health and Wellness's license expire?

According to MO state health department records, Avalon View Health and Wellness's license expires on October 31, 2026.

What is the occupancy rate at Avalon View Health and Wellness?

Avalon View Health and Wellness's occupancy is 84%.

Does Avalon View Health and Wellness operate as a for-profit or non-profit?

Avalon View Health and Wellness is registered as a for-profit in MO.

Who is the administrator of Avalon View Health and Wellness?

Ashlee Siard is the administrator of Avalon View Health and Wellness.

Guides for Better Senior Living

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

Avalon View Health and Wellness

Overview of Avalon View Health and Wellness

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Staffing & Medical

Memory & Specialized Care

Amenities & Lifestyle

Contact Avalon View Health and Wellness

Inspection History

Inspection Scorecard 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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

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

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

Health Inspection History

Inspections since 2021

Breakdown of citation severity (last 5 years)

Citations history (last 5 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

107 Certified Nursing Assistant

29 Licensed Practical Nurse

23 Medication Aide/Technician

19 Registered Nurse

14 Other Dietary Services Staff

7 Therapeutic Recreation Specialist

8 Respiratory Therapy Technician

2 Administrator

2 Nurse Practitioner

2 Dietitian

2 Mental Health Service Worker

3 Clinical Nurse Specialist

2 Qualified Activities Professional

5 Physical Therapy Aide

6 Physical Therapy Assistant

2 RN Director of Nursing

6 Qualified Social Worker

1 Nurse Aide in Training

1 Occupational Therapy Aide

5 Speech Language Pathologist

1 Medical Director

1 Occupational Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Places of interest near Avalon View Health and Wellness

Calculate Travel Distance to Avalon View Health and Wellness

Compare Nursing Homes around the area

Guides for Better Senior Living