Inspection Reports for
McCrite Plaza at Briarcliff

1201-1301 NW Tullison Rd, Kansas City, MO 64116, MO, 64116

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 5.4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

2% better than Missouri average
Missouri average: 5.5 deficiencies/year

Deficiencies per year

8 6 4 2 0
2019
2022
2023
2024
2025

Occupancy

Latest occupancy rate 40% occupied

Based on a October 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

0% 30% 60% 90% 120% Jun 2019 May 2022 Mar 2023 Oct 2024 May 2025 Oct 2025

Inspection Report

Plan of Correction
Census: 66 Deficiencies: 1 Date: Oct 14, 2025

Visit Reason
The inspection was conducted to assess compliance with licensing requirements, specifically regarding the designation of a licensed administrator for the assisted living facility.

Findings
The facility failed to ensure the administrator maintained a current license as required by the Missouri Board of Nursing Home Administrators. The administrator had been acting on an expired license and the facility lacked a policy for employing a licensed administrator.

Deficiencies (1)
19 CSR 30-86.047(5) Administrator - Licensed. The facility failed to ensure the administrator maintained a current license as required by the Missouri Board of Nursing Home Administrators. The census was 66.
Report Facts
Census: 66

Inspection Report

Complaint Investigation
Census: 66 Deficiencies: 1 Date: Sep 10, 2025

Visit Reason
The inspection was conducted as a complaint investigation following an incident where a resident was injured after being repositioned by staff without adequate assistance.

Complaint Details
At the time of the complaint investigation, the violation was determined to be an imminent danger Class I level. After corrective actions were implemented during the onsite visit, the severity was lowered to Class II.
Findings
The facility failed to provide protective oversight and ensure two staff members assisted with repositioning a resident, resulting in the resident falling out of bed and sustaining severe injuries. Neglect was identified due to failure to follow policies requiring two caregivers for transfers and repositioning.

Deficiencies (1)
19 CSR 30-86.047(35) Protective Oversight: The facility failed to ensure two staff members assisted with repositioning a resident, resulting in the resident falling out of bed and sustaining multiple injuries including a broken neck and hematoma. The resident later died from these injuries.
Report Facts
Facility census: 66 Dates related to incident: Aug 10, 2025 Dates related to incident: Aug 16, 2025

Inspection Report

Plan of Correction
Census: 51 Deficiencies: 3 Date: May 13, 2025

Visit Reason
The document is a Plan of Correction following a survey conducted on May 13, 2025, addressing deficiencies found during the inspection of McCrite Plaza at Briarcliff Assisted Living.

Findings
The facility failed to ensure that only metal or UL- or FM-fire-resistant rated wastebaskets were used for trash, with multiple observations of non-fire-resistant wastebaskets in resident rooms. Additional deficiencies included issues with building maintenance and the use of extension cords and multi-plug adapters exceeding allowed limits.

Deficiencies (3)
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements: The facility failed to ensure only metal or UL- or FM-fire-resistant rated wastebaskets were used for trash. Multiple resident rooms were observed with non-fire-resistant wastebaskets in use.
19 CSR 30-86.032(2) Substantially Constructed & Maintained: The building was not substantially constructed and maintained in good repair as required. A missing sheet rock was observed in the mechanical room.
19 CSR 30-86.032(18) Extension Cords/Duplex Receptacles: The facility failed to ensure no more than two appliances were served by one duplex outlet and that only approved extension cords and power strips were used. Multiple resident rooms had multi-plug adapters and extension cords in use that allowed more than two appliances to be plugged in.
Report Facts
Facility census: 51

Employees mentioned
NameTitleContext
Facility Maintenance SupervisorInterviewed regarding wastebasket replacement and electrical device repairs

Inspection Report

Plan of Correction
Census: 42 Deficiencies: 1 Date: Jan 13, 2025

Visit Reason
The inspection was conducted to assess compliance with regulations regarding individualized service plans (ISP) for residents in an assisted living facility, specifically reviewing the facility's failure to update ISPs after significant changes in residents' conditions.

Findings
The facility failed to review and update individualized service plans for residents after significant changes in their conditions, affecting four of five sampled residents. Multiple falls and incidents were documented without timely updates to the residents' ISPs, and no policy was provided regarding updating ISPs.

Deficiencies (1)
19 CSR 30-86.047(28)(H) Individual Service Plan - Review Requirements: The facility failed to review the individualized service plan with the resident or legal representative after significant changes in condition, affecting four of five sampled residents. No policy was provided regarding updating ISPs.
Report Facts
Facility census: 42 Residents affected: 4

Employees mentioned
NameTitleContext
Cassidy McCriteProvider/Supplier Representative who signed the report
Director of NursingNamed in interview regarding updating ISPs at change of condition

Inspection Report

Complaint Investigation
Census: 49 Deficiencies: 1 Date: Oct 24, 2024

Visit Reason
The inspection was conducted due to a complaint alleging staff abuse of Resident #1 by Nurse A at McCrite Plaza at Briarcliff Assisted Living.

Complaint Details
The complaint alleged Nurse A abused Resident #1. The investigation included interviews and record reviews but the Administrator was unable to substantiate the allegations. Nurse A was suspended pending investigation and later allowed to return to work.
Findings
The facility failed to immediately report the alleged abuse to the Department of Health and Senior Services as required by policy. The investigation found conflicting statements regarding Nurse A's conduct, and the Administrator was unable to substantiate the allegations.

Deficiencies (1)
19 CSR 30-88.010(25) requires immediate reporting of suspected abuse or neglect to DHSS/DMH. The facility failed to follow policy to immediately report an allegation of staff to resident abuse of Resident #1 by Nurse A.
Report Facts
Facility census: 49

Employees mentioned
NameTitleContext
Nurse ANamed in abuse allegation and investigation
Cassidy McCriteProvider/Supplier name on Plan of Correction

Inspection Report

Plan of Correction
Census: 48 Deficiencies: 1 Date: Apr 25, 2024

Visit Reason
The visit was conducted to assess compliance with sprinkler system maintenance requirements as part of a regulatory inspection.

Findings
The facility failed to inspect part of the sprinkler system monthly as required by NFPA 13, 1999 edition. Specifically, the 3rd floor East mechanical room riser was not inspected or documented in 2023 check sheets.

Deficiencies (1)
19 CSR 30-86.022(11)(A) Complete Sprinkler System-NFPA 13. The facility failed to inspect part of the sprinkler system monthly to ensure pressure gage readings and valve positions were checked as required. The 3rd floor East mechanical room riser was skipped in 2023 monthly checks.
Report Facts
Facility census: 48

Employees mentioned
NameTitleContext
Cassidy McCriteDirector of MaintenanceInterviewed regarding the sprinkler system inspection deficiency

Inspection Report

Plan of Correction
Census: 55 Deficiencies: 6 Date: Mar 23, 2023

Visit Reason
The document is a Plan of Correction submitted in response to deficiencies cited during a state survey conducted on 03/23/2023 at McCrite Plaza at Briarcliff Assisted Living.

Findings
The facility was found deficient in maintaining clean and safe kitchen floor surfaces, covering kitchen waste containers, proper handwashing and glove use by food service staff, designated employee dining areas, food safety including labeling and dating of food, and sanitizing kitchenware and food-contact surfaces. Multiple observations and interviews confirmed these issues.

Deficiencies (6)
19 CSR 30-87.020(12) Floor Surfaces: The facility failed to keep kitchen floors clean and free from greasy buildup and residue as observed on 3/21/23. The facility census was 55.
19 CSR 30-87.020(31) Kitchen Waste Containers Covered: The facility failed to ensure garbage cans in food preparation areas were covered when not in use, with four uncovered cans observed on 3/21/23. The census was 55.
19 CSR 30-87.030(2) Wash Hands/Arms & Clean Fingernails: The facility failed to ensure staff properly washed hands and changed gloves during food preparation, risking foodborne illness. The census was 55.
19 CSR 30-87.030(4) Employee Dining, Designated Areas: Staff consumed food and drinks in non-designated areas, including the kitchen food preparation area, risking contamination. The census was 55.
19 CSR 30-87.030(11) Food-Safe, Obtain From Appropriate Sources: The facility failed to label and date opened food items, with multiple unlabeled containers observed on 3/21/23. The census was 55.
19 CSR 30-87.030(62) Kitchenware/Surfaces/Pitchers-Clean/Sanitize: Staff placed thermometers directly into sanitizer water and failed to properly clean them, risking contamination. The census was 44.
Report Facts
Facility census: 55 Facility census: 44

Inspection Report

Plan of Correction
Census: 14 Deficiencies: 1 Date: Oct 27, 2022

Visit Reason
The inspection was conducted to assess compliance with individualized service plan requirements for residents in an assisted living facility.

Findings
The facility failed to develop and revise individualized service plans for two of four sampled residents, resulting in noncompliance with regulatory requirements related to resident needs, preferences, and expected goals.

Deficiencies (1)
19 CSR 30-86.047(28)(G) Individual Service Plan - Develop: The facility failed to develop and revise individualized service plans for two of four sampled residents, not meeting regulatory requirements.
Report Facts
Census: 14

Inspection Report

Plan of Correction
Census: 40 Deficiencies: 6 Date: May 10, 2022

Visit Reason
The document is a plan of correction submitted following a deficiency survey conducted on 05/10/2022 at McCrite Plaza at Briarcliff Assisted Living.

Findings
The facility failed to meet multiple fire safety and maintenance regulations including fire safety training for employees, smoke section partitions, use of approved wastebaskets, electrical wiring inspections, extension cord usage, and elevator inspection certifications. These deficiencies potentially affected all 40 residents present during the inspection.

Deficiencies (6)
19 CSR 30-86.022(6)(A)(1 - 3) Fire Safety Training Requirements. The facility failed to produce documentation or records of fire safety training for employees. This affected all 40 residents.
19 CSR 30-86.022(10)(I) Smoke Section Partitions > than 20 beds. The facility failed to ensure the integrity of one-hour fire-rated smoke partitions and self-closing doors, with doors mechanically blocked open. This affected all 40 residents.
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements. The facility used non-approved wastebaskets in multiple rooms. This affected all 40 residents.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility failed to show documentation of electrical wiring inspections within the last two years. This affected all 40 residents.
19 CSR 30-86.032(18) Extension Cords/Duplex Receptacles. The facility failed to prevent use of extension cords with more than one electrical item plugged in and limit duplex receptacle usage. This affected all 40 residents.
State Statute. The facility failed to have current approved elevator inspection certifications, with the last certificate expired in 2018. This affected all 40 residents.
Report Facts
Facility census: 40 Deficiencies cited: 6

Inspection Report

Plan of Correction
Census: 68 Deficiencies: 2 Date: Nov 21, 2019

Visit Reason
The inspection was conducted to evaluate compliance with fire drill requirements and building construction and maintenance regulations.

Findings
The facility failed to conduct at least four unannounced fire drills annually and did not maintain smoke barrier walls free of penetrations. These deficiencies posed potential risks to resident safety and fire preparedness.

Deficiencies (2)
19 CSR 30-86.022(5)(D) Fire Drill Requirements, Evacuation. The facility failed to conduct at least four unannounced fire drills annually, affecting resident readiness for actual fires.
19 CSR 30-86.032(2) Substantially Constructed & Maintained. The facility failed to maintain smoke barrier walls free of penetrations, with holes up to 4 inches wide and 3 inches long visible in multiple locations.
Report Facts
Fire drills required annually: 12 Fire drills conducted annually: 4 Census: 68

Employees mentioned
NameTitleContext
Maintenance DirectorInterviewed regarding fire alarm and smoke barrier wall conditions
Maintenance SupervisorResponsible for training staff and ensuring fire walls are sealed as part of plan of correction

Inspection Report

Plan of Correction
Census: 60 Deficiencies: 4 Date: Jun 13, 2019

Visit Reason
The inspection was conducted to identify deficiencies related to safety, tuberculosis screening, medication administration, and staff hygiene compliance at McCrite Plaza at Briarcliff Assisted Living.

Findings
The facility was found deficient in safe use of extension cords and power strips, tuberculosis screening compliance for staff, safe and effective medication administration, and staff hair restraint policies. The facility census was consistently reported as 60 during the inspection.

Deficiencies (4)
19 CSR 30-86.032(18) Extension Cords/Duplex Receptacles. The facility failed to use power strips and extension cords safely, connecting medical equipment and appliances improperly, affecting 43 residents.
19 CSR 30-86.047(19) TB Screen Residents & Staff. The facility failed to complete two-step Mantoux Purified Protein Derivative tuberculosis screening on two of seven sampled employees.
19 CSR 30-86.047(46) Safe & Effective Medication System. The facility failed to ensure medication orders were transcribed correctly and did not have a policy for medication administration, affecting one resident.
19 CSR 30-87.030(3) Clean Clothing, Hair Restraints. The facility failed to ensure staff secured their hair with effective hair restraints, risking contamination of food or food-contact surfaces.
Report Facts
Residents affected: 43 Facility census: 60 Employees sampled: 7 Residents sampled: 4

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