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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 272nd out of 276 homes in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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.
| 18m per day | ▼ 35% 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.
| 29m per day | ▼ 28% 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 0m per day | ▼ 14% State avg: 2h 20m per day · National avg: 2h 21m 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 28m per day | ▼ 19% 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.
| 2m per day | ▼ 20% 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.
| 9m per day | ▼ 53% State avg: 20m per day · National avg: 29m per day |
Higher than the Missouri average: 66.6%Carmel Hills Wellness & Rehabilitation is legally operated by 810 Opco Llc, and administrated by Charmaine Coffman Williams.
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.
This scorecard compares key inspection, citation, 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
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 167 | 35 | This facility has 377% more total deficiencies than a typical Missouri nursing home (167 vs. MO avg 35).↑ 377% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 20.9 | 4.4 | This facility has 375% more deficiencies per year than a typical Missouri nursing home (20.9 vs. MO avg 4.4).↑ 375% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 6.4 | 5 | This facility has 28% more deficiencies per inspection than a typical Missouri nursing home (6.4 vs. MO avg 5).↑ 28% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 26 | 7 | This facility has 271% more total inspections than a typical Missouri nursing home (26 vs. MO avg 7).↑ 271% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Missouri average 6.6
Last Health inspection on May 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.
56 of 84 citations resulted from standard inspections; 19 of 84 resulted from complaint investigations; and 9 of 84 came from combined inspections (standard and complaint).
43% worse than Missouri averageMissouri average: 0.7
In line with Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
39% fewer staff per resident than Missouri average
0% compared with Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursAssists with medical care and medications.
All 13 LPN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursHelps with daily care and mobility.
All 59 CNA Staff are full-time employees. No contractors work on this role.
59
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,739 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 59 | 0 | 59 | 20,261 | 92 | 100% | 8.1 |
| Medication Aide/Technician | 19 | 0 | 19 | 8,464 | 92 | 100% | 8.9 |
| Licensed Practical Nurse | 13 | 0 | 13 | 5,518 | 92 | 100% | 9.8 |
| Physical Therapist | 18 | 0 | 18 | 4,994 | 92 | 100% | 8.8 |
| Registered Nurse | 8 | 0 | 8 | 2,832 | 92 | 100% | 9.3 |
| Other Dietary Services Staff | 8 | 0 | 8 | 2,528 | 91 | 99% | 7.1 |
| RN Director of Nursing | 3 | 0 | 3 | 1,525 | 88 | 96% | 9 |
| Physical Therapy Aide | 0 | 9 | 9 | 1,425 | 76 | 83% | 6.7 |
| Therapeutic Recreation Specialist | 0 | 4 | 4 | 1,314 | 77 | 84% | 6.7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 973 | 68 | 74% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 542 | 61 | 66% | 8.9 |
| Administrator | 1 | 0 | 1 | 505 | 64 | 70% | 7.9 |
| Qualified Social Worker | 0 | 4 | 4 | 480 | 65 | 71% | 7.2 |
| Occupational Therapy Aide | 1 | 0 | 1 | 469 | 62 | 67% | 7.6 |
| Dietitian | 1 | 0 | 1 | 459 | 57 | 62% | 8.1 |
| Dental Services Staff | 1 | 0 | 1 | 455 | 57 | 62% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 380 | 64 | 70% | 5.9 |
| Physical Therapy Assistant | 0 | 2 | 2 | 141 | 29 | 32% | 4.9 |
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)
72% lower than Missouri averageMissouri average: $73K
59% fewer fines than Missouri averageMissouri average: 2.4
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 1, 2024 · $21K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 1, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.3
51% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.6
30% better than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
9.2%
54% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
6.0%
71% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.8%
42% worse than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
12% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
3.3%
35% better than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
4.7%
15% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
71.3%
455% worse than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
8.0%
63% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
78.7%
8% worse than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
6% better than Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.05
In line with Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.63
31% better than Missouri averageMissouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
22.3%
66% worse than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.3%
In line with Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
35.6%
44% worse than Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.8%
18% worse than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
3.0%
78% better than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
1.5%
94% worse than Missouri averageMissouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
47.5%
12% worse than Missouri averageMissouri average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
41.9%
17% worse than Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
15% of new residents, usually for short-term rehab.
45% of new residents, often for short stays.
40% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
151Residents 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Carmel Hills Wellness & Rehabilitation based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #27 / 286Payroll — State benchmarkedThis home is ranked 27th out of 286 homes in Missouri for payroll. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
1 mile from city center
— 4.1 miles to nearest hospital (Centerpoint Medical Center)
Add your location
Carmel Hills Wellness & Rehabilitation is located in Independence, 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.
| Sunterra Springs Independence |
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.
N Nursing | Independence | 38
Facility
38
MO AVG
97
Rank
#424 / 454 | 100.0% | +50% | 3.37 | +95% | -10% | $0 | 22 | 4.4 | - | 36 |
30
Facility
30
MO AVG
45
Rank
#386 / 563 | Johnathan Bangerter | $6.5M | $2.8M | 43.6% | 265864 | ||||
| The Rehabilitation Center of Independence |
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.
N Nursing | Independence | 130
Facility
130
MO AVG
97
Rank
#77 / 454 | 90.8% | +36% | 2.85 | -81% | -24% | $135.7k | 56 | 11.2 | 5 | 118 |
18
Facility
18
MO AVG
45
Rank
#460 / 563 | Kendel Brooks | $12.2M | $6.5M | 52.9% | 265693 | ||||
| Maywood Terrace Living 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.
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.
N Nursing | Independence (Maywood) | 89
Facility
89
MO AVG
97
Rank
#248 / 454 | 46.1% | -31% | 3.14 | -16% | -16% | $0 | 55 | 9.2 | 1 | 41 |
46
Facility
46
MO AVG
45
Rank
#283 / 563 | Rhonda Moore | $4.6M | $1.9M | 42.6% | 265404 | ||||
| Carmel Hills Wellness & Rehabilitation |
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).
N Nursing | Independence | 194
Facility
194
MO AVG
97
Rank
#17 / 454 | 73.7% | +11% | 2.04 | -34% | -45% | $20.8k | 84 | 8.4 | 2 | 143 |
29
Facility
29
MO AVG
45
Rank
#396 / 563 | 810 Opco LLC | $18.8M | $7.9M | 41.7% | 265727 |
The legal owner and operator of Carmel Hills Wellness & Rehabilitation is 810 Opco Llc.
Carmel Hills Wellness & Rehabilitation has a walk score of 29. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Carmel Hills Wellness & Rehabilitation's occupancy is 74%.
Charmaine Coffman Williams is the administrator of Carmel Hills Wellness & Rehabilitation.
Carmel Hills Wellness & Rehabilitation has 194 beds.
Yes — there are 6 photos of Carmel Hills Wellness & Rehabilitation in the photo gallery on this page.
(816) 461-9600 will put you in contact with the team at Carmel Hills Wellness & Rehabilitation.
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