Carmel Hills Wellness & Rehabilitation

Carmel Hills Wellness & Rehabilitation operates 194 beds at 810 East Walnut Street in Independence, Jackson County, Missouri, under private ownership (810 Opco LLC) and the administration of Charmaine Coffman Williams.

The facility’s resident census skews heavily Medicaid-dependent; 81% of current residents rely on Medicaid funding, with another portion covered by Medicare or private payment. Average resident tenure spans 112 days, reflecting a mixed population of short-term post-acute and longer-term care admissions. Current occupancy of 74% exceeds the Missouri state average, yet utilization masks a facilities crisis.

The facility earned a 1-star health inspection rating, placing it 65.5% below Missouri state performance standards. Since 2018, inspectors documented 73 deficiencies; 109% worse than the state baseline. Over just the past three years, 84 health citations accumulated, nearly triple the frequency of typical Missouri facilities.

Most critically, May 2025 findings identified six deficiencies spanning resident notification failures (a family guardian learned of a death 14 days after it occurred), inadequate personal care (missed bathing assistance), and catastrophic safety breakdowns. One resident’s hair ignited during unsupervised smoking; burn treatment was delayed. Food temperatures ranged from dangerously cold (100-107°F) to unsafe extremes, with sanitation violations including grime under dishwashers and unrefrigerated items left exposed.

Earlier complaint investigations substantiated abuse allegations and documented a resident abandoned overnight in a hospital lobby after dialysis. In October 2024, 47 Oxycodone pills went missing under the watch of a nurse who later resigned. A February 2024 inspection identified immediate jeopardy: unsafe resident transfers resulted in fractures and bruising.

Deficiencies repeat across inspection cycles with no clear trajectory of sustained correction.

Daily direct care averages 2 hours 2 minutes per resident; nearly half the 3-hour 48-minute Missouri standard and far below the 3.0-hour threshold flagging minimal care adequacy. Registered nurses provide only 14 minutes daily per resident; weekends drop to 7 minutes. This facility ranks 272nd of 276 Missouri nursing homes in nurse hours.

Long-stay residents report depressive symptoms at 71.3%; an astounding 455% worse than the 12.8% state average, indicating systemic failure in behavioral health and emotional support. Short-stay vaccination rates collapse: pneumococcal vaccine at 22.3% (66% below average), influenza vaccine at 35.6% (44% below average).

Carmel Hills Wellness & Rehabilitation operates with dangerously inadequate staffing and a persistent pattern of safety violations unsuitable for vulnerable long-term care residents.

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Facility Direct Line (816) 461-9600