Inspection Reports for
Trustwell Living of Raytown
9110 E 63rd St, Raytown, MO 64133, United States, MO, 64133
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
8.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
53% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
20
15
10
5
0
Occupancy
Latest occupancy rate
62% occupied
Based on a May 2025 inspection.
Occupancy rate over time
Inspection Report
Plan of Correction
Census: 47
Deficiencies: 16
Date: May 20, 2025
Visit Reason
The inspection was conducted to identify deficiencies related to fire safety, emergency preparedness, and building maintenance at Trustwell Living of Raytown on May 20, 2025.
Findings
The facility was found deficient in multiple areas including fire hazard prevention, fire drill and evacuation plan consultation, exit sign illumination, fire alarm system maintenance, sprinkler system maintenance, wastebasket compliance, oxygen storage, building maintenance, electrical wiring, extension cord use, elevator certification, and room cleanliness. The facility census was 47 residents affected by these deficiencies.
Deficiencies (16)
19 CSR 30-86.022(2)(D) Inspection Rights, No Fire Hazard. The facility failed to ensure the right of inspection of any building portion unless separated by two-hour fire-resistant construction. Dryer lint and socks in the laundry room caused a fire hazard.
19 CSR 30-86.022(5)(A) Fire Drill/Evacuation Plan, Consultation. The facility failed to request annual consultation and assistance from the local fire unit for fire and evacuation plans.
19 CSR 30-86.022(5)(D) Fire Drill Requirements, Evacuation. The facility failed to conduct one fire drill every three months on each shift and a full resident evacuation annually.
19 CSR 30-86.022(8)(C) Exit Sign-Illumination. The facility failed to ensure all required exit signs and directional indicators were illuminated during testing.
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain. The facility failed to test and maintain the complete fire alarm system in accordance with NFPA 72, 1999 edition.
19 CSR 30-86.022(10)(B) Combustible Materials, Unnecessary Storage Of. The facility failed to ensure storage of unnecessary combustible materials was prohibited in any part of the building.
19 CSR 30-86.022(11)(B) Sprinkler System Maintenance/Testing. The facility failed to install and maintain a complete sprinkler system in accordance with NFPA 13, 1999 edition.
19 CSR 30-86.022(12)(C) Emergency Lighting - Battery Powered, 1.5 hrs. The facility failed to ensure battery-powered lights operated for at least one and one-half hours.
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements. The facility failed to ensure all wastebaskets were metal or UL/FM-fire-resistant rated.
19 CSR 30-86.022(17) Oxygen Storage Requirements. The facility failed to store portable oxygen cylinders in accordance with NFPA 99, 1999 edition.
19 CSR 30-86.032(2) Substantially Constructed & Maintained. The facility failed to maintain the building in good repair, including holes and cracks in walls and ceilings.
19 CSR 30-86.032(10) Heaters-Approved Label, Venting, No Portable. The facility failed to ensure the use of portable space heaters was prohibited.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility failed to install and maintain electrical wiring in accordance with the National Electrical Code, including unsecured light switches and exposed wiring.
19 CSR 30-86.032(18) Extension Cords/Duplex Receptacles. The facility failed to prevent improper use of extension cords, power strips, and multi-plug adapters.
19 CSR 30-86.032(19) Elevator Requirements. The facility failed to have a current approved elevator inspection certification.
19 CSR 30-86.032(23) Rooms Neat, Orderly, Cleaned Daily. The facility failed to keep rooms neat and orderly, with excessive clutter impeding exit pathways.
Report Facts
Facility census: 47
Fire drills conducted: 4
Oxygen cylinders observed: 13
Sprinkler heads scheduled for replacement: 63
Inspection Report
Plan of Correction
Census: 39
Deficiencies: 1
Date: Dec 4, 2024
Visit Reason
The inspection was conducted to investigate a deficiency related to protective oversight and the use of gait belts during resident transfers.
Findings
The facility failed to use a gait belt during the transfer of a resident who required it, despite staff training and expectations. The resident needed physical assistance and was unable to bear weight, but staff did not use the gait belt as required.
Deficiencies (1)
19 CSR 30-86.047(35) Protective Oversight: The facility failed to provide protective oversight by not using a gait belt during transfer of a resident who required it, risking resident safety.
Report Facts
Census: 39
Inspection Report
Plan of Correction
Census: 51
Deficiencies: 16
Date: May 20, 2024
Visit Reason
The inspection was conducted to assess compliance with fire drill, evacuation, and fire safety regulations at Trustwell Living of Raytown.
Findings
The facility failed to meet multiple fire safety regulations including lack of annual fire drill consultation, incomplete fire drill documentation, inadequate fire alarm activation records, insufficient fire safety training for employees, and deficiencies in fire safety equipment and emergency lighting. These deficiencies potentially affected all 51 residents.
Deficiencies (16)
19 CSR 30-86.022(5)(A) Fire Drill/Evacuation Plan, Consultation. The facility failed to provide documentation of annual consultation and assistance from a local fire unit. This affected all 51 residents.
19 CSR 30-86.022(5)(B)(1-10) Fire Drill/Evacuation Plan Requirements. The facility lacked written policies and procedures for emergencies or disasters. This affected all 51 residents.
19 CSR 30-86.022(5)(D) Fire Drill Requirements, Evacuation. The facility failed to produce documentation of at least 12 fire drills annually and unannounced drills each shift. This affected all 51 residents.
19 CSR 30-86.022(5)(F) Fire Alarm Activation Requirements. The facility failed to document fire alarm activation during drills outside 9 p.m. to 6 a.m. This affected all 51 residents.
19 CSR 30-86.022(6)(A)(1-3) Fire Safety Training Requirements-employees. The facility failed to provide documentation of fire safety training for staff. This affected all 51 residents.
19 CSR 30-86.022(7)(D)(1-8) Area of Refuge Requirements. The facility lacked accessible exits and proper signage for areas of refuge. This affected all 51 residents.
19 CSR 30-86.022(9)(E) Fire Alarm System Monthly Test. The facility failed to document monthly fire alarm tests for all months in the last year. This affected all 51 residents.
19 CSR 30-86.022(10)(H) Smoke Sections. The facility failed to ensure smoke sections were divided on every level and had blocked or malfunctioning smoke doors. This affected all 51 residents.
19 CSR 30-86.022(11)(A) Complete Sprinkler System-NFPA 13. The facility failed to ensure monthly pressure gauge readings and valve position checks were done and documented. This affected all 51 residents.
19 CSR 30-86.022(11)(B) Sprinkler System Maintenance/Testing. The facility failed to maintain the sprinkler system and had sprinkler deflector damage. This affected all 51 residents.
19 CSR 30-86.022(12)(A) Emergency Lighting - locations. The facility failed to maintain all emergency lights in good repair. This affected all 51 residents.
19 CSR 30-86.022(13)(D) Curtains/Drapes, Flame Resistant. The facility failed to provide documentation that curtains were flame-resistant and had unlabeled curtains. This affected all 51 residents.
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements. The facility used improper wastebaskets in multiple rooms. This affected all 51 residents.
19 CSR 30-86.022(17) Oxygen Storage Requirements. The facility failed to provide a proper oxygen storage room and had excess oxygen bottles in a resident room. This affected all 51 residents.
19 CSR 30-86.032(10) Heaters-Approved Label, Venting, No Portable. The facility used a portable electric heater which is prohibited. This affected all 51 residents.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility failed to maintain electrical wiring and provide documentation of inspections within the last two years. This affected all 51 residents.
Report Facts
Facility census: 51
Number of fire drills required annually: 12
Inspection Report
Plan of Correction
Census: 50
Deficiencies: 1
Date: Jan 5, 2024
Visit Reason
The inspection was conducted to assess compliance with tuberculosis screening requirements for residents and staff at the facility.
Findings
The facility failed to ensure the required two-step tuberculosis screening test was administered to all employees upon hire and annually. The administrator was unaware that employees did not have current TB tests, and a policy for TB testing was requested but not received.
Deficiencies (1)
19 CSR 30-86.047(19) TB Screen Residents & Staff: The facility failed to ensure the required two-step tuberculosis screening test was administered to employees upon hire and annually. Two of three sampled employees did not have current TB tests.
Report Facts
Facility census: 50
Inspection Report
Plan of Correction
Census: 50
Deficiencies: 1
Date: Jan 14, 2022
Visit Reason
The inspection was conducted to evaluate compliance with discharge appeal rights regulations following a deficiency related to discharge notice procedures.
Findings
The facility failed to provide proper discharge notice to one sampled resident, violating discharge appeal rights requirements. The facility census was 50 residents at the time of inspection.
Deficiencies (1)
19 CSR 30-88.010(17) Discharge Appeal Rights: The facility failed to ensure that a proper notice of discharge was issued to one sampled resident. The notice did not meet the requirement of providing at least 30 days advance written notice except in emergencies.
Report Facts
Facility census: 50
Inspection Report
Plan of Correction
Census: 51
Deficiencies: 2
Date: Dec 27, 2021
Visit Reason
The inspection was conducted to evaluate compliance with medication system safety and staffing requirements at Raytown Bickford House, including review of deficiencies related to medication administration and staffing ratios.
Findings
The facility failed to ensure a safe and effective medication system for one sampled resident and did not employ adequate licensed nursing staff to oversee care. Deficiencies included failure to follow up with physicians on resident condition changes and inadequate training and oversight of medication aides and certified medication technicians.
Deficiencies (2)
19 CSR 30-86.047(46) Safe & Effective Medication System: The facility failed to ensure a safe and effective medication system for one resident by not following up with the physician on condition changes and lacking policies and training related to wound care and dressing changes.
19 CSR 30-86.047(61)(A) Staffing Ration, Resident Care & Fire Safety: The facility failed to employ adequate licensed nursing staff to oversee care, allowing medication aides and certified medication technicians to provide care without proper supervision or guidance.
Report Facts
Facility census: 51
Sampled residents: 6
Medication aide hours: 8
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 2
Date: Nov 1, 2021
Visit Reason
The inspection was conducted as a complaint investigation related to the facility's failure to develop and implement individualized service plans and provide adequate protective oversight for residents.
Complaint Details
The complaint investigation substantiated that the facility did not have complete individualized service plans and failed to provide adequate protective oversight and post-fall monitoring for sampled residents.
Findings
The facility failed to ensure individualized service plans were developed and implemented for sampled residents, including diabetic care plans. The facility also failed to provide adequate protective oversight and post-fall monitoring for residents, resulting in safety risks.
Deficiencies (2)
19 CSR 30-86.047(28)(G) Individual Service Plan - Develop. The facility failed to develop an individualized service plan for Resident #1 and failed to ensure Resident #3 had a diabetic care plan with directions for staff, resulting in hospitalization after a fall with a blood sugar reading of 1000.
19 CSR 30-86.047(35) Protective Oversight. The facility failed to provide adequate protective oversight for Residents #3, #4, and #6 by not ensuring staff conducted post-fall monitoring, provided guidance for ongoing monitoring, and followed the facility's incident report policy.
Report Facts
Resident census: 50
Blood sugar reading: 1000
Dates of resident face sheets and ISP reviews: Various dates between 4/1/21 and 9/22/21 for Residents #1, #3, #4, and #6
Inspection Report
Plan of Correction
Census: 48
Deficiencies: 1
Date: Aug 26, 2021
Visit Reason
The inspection was conducted to assess substantial construction and maintenance compliance related to water damage and mold issues in the facility.
Findings
The facility failed to ensure timely repairs to water-damaged ceilings and mold growth in resident rooms and hallways, potentially affecting all residents. Multiple observations and interviews confirmed ongoing leaks, visible mold, and delayed repairs.
Deficiencies (1)
19 CSR 30-86.032(2) Substantially Constructed and Maintained: The facility failed to repair water-damaged ceilings and mold growth in resident room 201 and hallways in a timely manner, affecting all residents.
Report Facts
Resident census: 48
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Carol Beth Rigby | Executive Director | Signed the statement of deficiencies |
Inspection Report
Plan of Correction
Census: 40
Deficiencies: 4
Date: Jan 31, 2020
Visit Reason
The inspection was conducted to assess compliance with staffing ratios, medication orders, resident condition/medication review, and other regulatory requirements at Raytown Bickford House.
Findings
The facility was found to be short staffed with inadequate personnel on duty to meet required minimums. Medication orders were not properly followed for one resident, and the facility failed to maintain monthly weights and vitals for several residents. Staff were not properly trained on the use of sit to stand lifts and appropriate equipment use.
Deficiencies (4)
19 CSR 30-86.045(4)(A) Staffing Ratio, Resident Care & Fire Safety: The facility failed to ensure adequate staffing levels to meet the care needs of residents during all shifts.
19 CSR 30-86.047(47)(A) Physicians Orders Followed: The facility failed to ensure medication orders were properly authorized and followed for one resident.
The facility failed to ensure one resident had physician orders for use of sit to stand lift and low air loss mattress, and staff were not properly trained on equipment use.
19 CSR 30-86.047(58)(B) Resident Condition/Medication Review: The facility failed to maintain monthly weights and vitals for three out of five sampled residents.
Report Facts
Facility census: 40
Staffing minimum required: 3
Staffing minimum required: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Medication Aide A | Certified Medication Aide | Interviewed regarding staffing and duties |
| Certified Medication Aide B | Certified Medication Aide | Interviewed regarding staff workload |
| Director of Nursing | Director of Nursing | Interviewed regarding staff training and transfers |
| Certified Nurse Assistant A | Certified Nurse Assistant | Interviewed regarding resident weights and staffing |
| Certified Nurse Assistant B | Certified Nurse Assistant | Interviewed regarding resident weights and staffing |
| Administrator | Administrator | Interviewed regarding hiring and staffing |
Inspection Report
Plan of Correction
Census: 42
Deficiencies: 1
Date: Sep 13, 2019
Visit Reason
The inspection was conducted to evaluate compliance with medication administration regulations and to address deficiencies related to the safe and effective medication system at the facility.
Findings
The facility failed to ensure a safe and effective medication system as staff did not ensure a licensed or certified caregiver administered medications to one resident. The Administrator was not licensed or certified to pass medications in Missouri and was observed passing medications without proper credentials.
Deficiencies (1)
19 CSR 30-86.047(46) Safe & Effective Medication System: The facility failed to have a safe and effective system of medication pass when staff did not ensure a licensed or certified caregiver administered medications to one resident. The Administrator was not licensed or certified to pass medications in Missouri.
Report Facts
Resident census: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Shoemaker | Administrator | Named in medication administration deficiency and termination after investigation |
Inspection Report
Complaint Investigation
Census: 66
Deficiencies: 1
Date: Jun 12, 2019
Visit Reason
The inspection was conducted due to a complaint regarding the facility's failure to provide protective oversight and supervision for a resident with known exit-seeking behaviors, resulting in the resident eloping from the facility on 6/8/19.
Complaint Details
The complaint was substantiated as the facility did not provide adequate protective oversight for Resident #1, who eloped on 6/8/19. Staff interviews confirmed the resident's exit-seeking behavior and lack of proper monitoring.
Findings
The facility failed to provide adequate protective oversight and supervision for a resident with dementia who had increasing exit-seeking behaviors, leading to the resident eloping. Interviews with staff revealed gaps in training and communication regarding monitoring and redirecting the resident.
Deficiencies (1)
19 CSR 30-86.047(35) Protective Oversight was not met as the facility failed to provide twenty-four hour protective oversight and supervision for a resident with known exit-seeking behaviors, resulting in elopement on 6/8/19.
Report Facts
Facility census: 66
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Samantha Swan | Director of Bickford Mission Springs | Re-educated staff on Missing Resident procedure on 6/12/19 and 6/13/19 |
Inspection Report
Life Safety
Census: 45
Deficiencies: 7
Date: Apr 9, 2019
Visit Reason
The inspection was a fire safety inspection conducted to evaluate compliance with fire drills, emergency preparedness, exits, hazardous area requirements, sprinkler system maintenance, emergency lighting, and building maintenance.
Findings
The facility failed to provide documentation for annual fire department consultation, monthly fire drills, unobstructed exits, protection from hazardous areas, monthly sprinkler system checks, emergency lighting functionality, and building maintenance. Deficiencies affected all 45 residents.
Deficiencies (7)
19 CSR 30-86.022(5)(A) Fire Drill/Evacuation Plan, Consultation. The facility failed to provide documentation of a current annual fire department consultation.
19 CSR 30-86.022(5)(D) Fire Drill Requirements, Evacuation. The facility failed to provide documentation of monthly fire drills being performed as required.
19 CSR 30-86.022(7)(A) Exits-2 per Floor-Remote/Unobstructed. The facility failed to provide unobstructed exits; delayed-egress doors did not activate properly and required excessive force to open.
19 CSR 30-86.022(10)(A) Hazardous Area Requirements. The facility failed to provide protection from hazardous areas; doors were propped open preventing self-closing and proper fire alarm interconnection.
19 CSR 30-86.022(11)(A) Complete Sprinkler System-NFPA 13. The facility failed to provide documentation of monthly sprinkler system checks being performed as required.
19 CSR 30-86.022(12)(C) Emergency Lighting - Battery Powered, 1.5 hrs. The facility failed to ensure all emergency lights operated for at least one and one-half hours as required.
19 CSR 30-86.032(2) Substantially Constructed & Maintained. The facility failed to maintain the building in good repair; exhaust fan in bathroom was malfunctioning and sheetrock ceiling was missing.
Report Facts
Facility census: 45
Inspection Report
Follow-Up
Census: 40
Deficiencies: 1
Date: Jun 1, 2018
Visit Reason
The visit was a follow-up to verify correction of a previously cited deficiency regarding the facility's failure to have a licensed administrator.
Findings
The facility continued to lack a licensed administrator at the time of the visit, affecting all 40 residents. The facility was in the process of hiring and licensing a new administrator and had plans for interim coverage.
Deficiencies (1)
19 CSR 30-86.047(5) Administrator - Licensed. The operator failed to ensure the facility had a licensed administrator, affecting all 40 residents. The facility did not have an administrator license posted during the visit.
Report Facts
Residents affected: 40
Inspection Report
Plan of Correction
Census: 42
Deficiencies: 5
Date: Mar 30, 2018
Visit Reason
The inspection was a fire safety inspection conducted on March 29-30, 2018, to evaluate compliance with fire drill requirements, fire drill records, fire alarm system inspections, building maintenance, and electrical wiring standards.
Findings
The facility failed to conduct the required number of fire drills including resident evacuation drills, maintain proper fire drill records, test and maintain the fire alarm system, keep the building in good repair, and properly maintain the electrical system. These deficiencies affected all 42 residents present during the inspection.
Deficiencies (5)
19 CSR 30-86.022(5)(D) Fire Drill Requirements, Evacuation. The facility failed to conduct the required twelve fire drills annually with at least one every three months on each shift, including a resident evacuation drill at least once a year.
19 CSR 30-86.022(5)(E) Fire Drill Records. The facility failed to maintain records of all fire drills including time, date, personnel, length, and special problems, with no record of a fire drill in June 2017.
19 CSR 30-86.022(9)(D) Fire Alarm System Inspections/Certifications. The facility failed to test and maintain the complete fire alarm system in accordance with NFPA 72, with the last annual inspection performed on February 14, 2017 and no semi-annual inspection recorded.
19 CSR 30-86.032(2) Substantially Constructed & Maintained. The facility failed to maintain the building in good repair, evidenced by a 2 inch by 6 inch piece of drywall missing from the ceiling in the locker room.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility failed to properly maintain the electrical system, with a ground-fault circuit interrupter outlet showing an 'open neutral' when tested in a bathroom.
Report Facts
Facility census: 42
Fire drills required annually: 12
Fire drills conducted: 8
Viewing
Loading inspection reports...
