Valley Manor and Rehabilitation Center

Nursing Home & Skilled Nursing · Excelsior Springs, MO

CMS overall rating

1410 Hospital Dr, Excelsior Springs, MO 64024-1168 View map

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Valley Manor and Rehabilitation Center accepts Medicaid, Medicare, and private pay.

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Valley Manor and Rehabilitation Center accepts Medicaid, Medicare, and private pay.

Overview of Valley Manor and Rehabilitation Center

Valley Manor and Rehabilitation Center is a nursing home in Excelsior Springs, Missouri. It is located on Hospital Drive in a moderately walkable neighborhood with easy access to nearby services. The 120-bed facility is operated by Excelsior Springs #1, Inc., with Robert Buzard as owner and Nellie Peeler administering daily operations. It accepts Medicare, Medicaid, and private pay, offering multiple ways for families to cover the costs of short-term rehabilitation or ongoing nursing care.

As a newer facility, Valley Manor focuses on short-term rehabilitation and respite care. Residents stay an average of 113 days. The community has 56% occupancy, which is typical for a recently opened home that is still establishing its resident base. Daily nursing staffing averages 3 hours per resident. Residents are supported by registered nurses, nurse aides, and licensed practical nurses on a 24-hour staff.

State inspections noted gaps in medication management, infection control, food safety practices, and care documentation. Families should ask about these issues during a tour to understand how the facility addresses these concerns in daily operations and training.

Residents enjoy nutritious meals and social spaces to spend time with visiting families. Families evaluating short-term rehab or respite options in the Excelsior Springs area should take a tour of the facility to get a clearer idea of how the facility handles resident care and the quality of the daily environment.

Facility Direct Line (816) 637-1010 adm@valleymanor.net

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

3h 0m per day

vs avg

2 of 6 metrics below state avg

Standout metric Physical Therapist is +86% 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.	17m per day	▼ 38% 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.	41m per day	■ Avg 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 25m per day	▲ 4% 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.	3h 5m per day	■ Avg 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	▲ 86% 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.	12m per day	▼ 39% State avg: 20m per day · National avg: 28m per day

Capacity and availability

113 days

120-bed community

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

2 years in operation

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

Walk Score: 52 / 100

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

About this community

Occupancy

Occupancy rate

56%

Lower than the Missouri average: 66.6%

Occupied beds

67 / 120

Average occupied beds in Missouri homes 72 beds

2018

2019 and 2020 Nursing Deficiency Free State Survey

Facility TypeSkilled Nursing Facility

IssuanceJuly 1, 2024

ExpirationJune 30, 2026 Expired

CountyClay

License Number051930

CMS Certification Number265356

Certification TypeMedicare / Medicaid

AccreditationsMedicare and Medicaid certified

Inspection RatingFOUR star facility

Valley Manor and Rehabilitation Center is legally operated by Excelsior Springs #1, Inc, and administered by Nellie Peeler.

Corporate EntityEXCELSIOR SPRINGS #1, INC

Owner NameExcelsior Springs #1, Inc

Skilled Nursing Facility

120 units

Total beds

120 units

Accept Medicaid

Accept Medicare

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Pets not allowed

Trained Staff

24-Hr Nursing

Nutritious Meals

Social Spaces

Operating Hours24 hours a day, 7 days a week

Since 2018 · 8 years of data 93 deficiencies 13 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 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection December 18, 2025 Annual Inspection

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.	93	35	This facility has 166% more total deficiencies than a typical Missouri assisted living residence (93 vs. MO avg 35).↑ 166% worse
Deficiencies per year Average deficiencies per year since 2018.	11.6	4.4	This facility has 164% more deficiencies per year than a typical Missouri assisted living residence (11.6 vs. MO avg 4.4).↑ 164% worse
Deficiencies per inspection Average deficiencies per inspection.	7.2	2.9	This facility has 148% more deficiencies per inspection than a typical Missouri assisted living residence (7.2 vs. MO avg 2.9).↑ 148% 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.	13	12	This facility has had 8% more total inspections than the Missouri average (13 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 8% more

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

December 18, 2025 annual inspection found five deficiencies including inaccurate care plans, failure to provide timely showers, poor food safety, and inadequate infection control practices.
July 10, 2024 routine inspection cited 11 deficiencies covering resident rights violations, medication errors, poor hygiene, unsafe environment, and failures in infection control and food safety.
May 1, 2025 routine inspection found one medication administration failure causing unnecessary pain, indicating ongoing issues with medication management despite prior citations.

Show Inspection Reports

Inspections since 2020

Total health inspections 4

State average N/A

Last Health inspection on May 2025

Total health citations

State average N/A

Citations per inspection

6.25

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

22 of 25 citations resulted from standard inspections; 1 of 25 resulted from complaint investigations; and 2 of 25 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 6 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

0 critical citations State average: N/A

0 serious citations State average: N/A

25 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 6 years)

Quality of Care moderate citation May 01, 2025

Corrected

Infection Control moderate citation Jul 10, 2024

Corrected

Infection Control moderate citation Jul 10, 2024

Corrected

Nutrition moderate citation Jul 10, 2024

Corrected

Total staff 98

Employees 85

Contractors 13

Staff to resident ratio 1.42 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 33

Average shift 8.1 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 24,503

Nursing staff breakdown

8.2 hours

8.9 hours

8.2 hours

Contractor staffing

1,887 contractor hours this quarter

Speech Language Pathologist: 3 Physical Therapy Aide: 3 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 1 Qualified Social Worker: 1 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	27	0	27	7,830	92	100%	8.2
Nurse Aide in Training	17	0	17	4,504	92	100%	8.9
Licensed Practical Nurse	13	0	13	4,213	92	100%	8.9
Medication Aide/Technician	8	0	8	2,703	92	100%	9.2
Registered Nurse	9	0	9	1,285	82	89%	8.2
Dental Services Staff	2	0	2	575	58	63%	8.1
Administrator	3	0	3	528	66	72%	8
Qualified Social Worker	0	1	1	485	70	76%	6.9
Physical Therapy Aide	0	3	3	483	69	75%	6.3
Dietitian	2	0	2	466	56	61%	8.2
Nurse Practitioner	2	0	2	464	58	63%	8
Respiratory Therapy Technician	0	1	1	387	61	66%	6.3
Speech Language Pathologist	0	3	3	381	65	71%	5
Physical Therapy Assistant	0	2	2	83	66	72%	1
Clinical Nurse Specialist	2	0	2	49	25	27%	2
Occupational Therapy Aide	0	1	1	34	3	3%	11.4
Medical Director	0	1	1	24	3	3%	8
Occupational Therapy Assistant	0	1	1	11	2	2%	5.5

27 Certified Nursing Assistant

% of Days 100%

17 Nurse Aide in Training

% of Days 100%

13 Licensed Practical Nurse

% of Days 100%

8 Medication Aide/Technician

% of Days 100%

9 Registered Nurse

% of Days 89%

2 Dental Services Staff

% of Days 63%

3 Administrator

% of Days 72%

1 Qualified Social Worker

% of Days 76%

3 Physical Therapy Aide

% of Days 75%

2 Dietitian

% of Days 61%

2 Nurse Practitioner

% of Days 63%

1 Respiratory Therapy Technician

% of Days 66%

3 Speech Language Pathologist

% of Days 71%

2 Physical Therapy Assistant

% of Days 72%

2 Clinical Nurse Specialist

% of Days 27%

1 Occupational Therapy Aide

% of Days 3%

1 Medical Director

% of Days 3%

1 Occupational Therapy Assistant

% of Days 2%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 15.8

44% worse than State average

State average: 10.9

Functional decline score 30.5

57% worse than State average

State average: 19.5

Long-stay resident measures

Below average State avg: 2.7

Need for Help with Daily Activities Increased 33.5%

70% worse than State average

State average: 19.8%

Walking Ability Worsened 37.4%

81% worse than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 20.6%

14% worse than State average

State average: 18.1%

Falls with Major Injury 4.1%

In line with State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 3.4%

32% better than State average

State average: 5.0%

Urinary Tract Infection 2.5%

8% better than State average

State average: 2.7%

Lost Too Much Weight 0.5%

92% better than State average

State average: 5.6%

Depressive Symptoms 15.0%

16% worse than State average

State average: 12.8%

Antipsychotic Use 14.6%

34% better than State average

State average: 22.0%

Pneumococcal Vaccine 58.5%

31% worse than State average

State average: 85.2%

Influenza Vaccine 81.2%

11% worse than State average

State average: 90.9%

Hospitalizations per 1,000 days 1.65

21% better than State average

State average: 2.08

ED visits per 1,000 days 1.40

40% better than State average

State average: 2.35

Short-stay resident measures

Significantly above average State avg: 2.1

Pneumococcal Vaccine 29.4%

56% worse than State average

State average: 66.6%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 2.2%

Influenza Vaccine 5.9%

91% worse than State average

State average: 63.5%

Re-hospitalized after SNF stay 14.5%

43% better than State average

State average: 25.3%

Emergency department visits 8.5%

37% better than State average

State average: 13.4%

Falls with major injury 4.6%

491% worse than State average

State average: 0.8%

Ability to care for self at discharge 60.0%

12% better than State average

State average: 53.7%

Successful return to home or community 49.0%

In line with State average

State average: 50.6%

Breakdown by payment type

Medicare

26% of new residents, usually for short-term rehab.

Typical stay 28 days

Private pay

61% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

13% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Total residents 69

Medicare

4.3% of residents

Medicaid

50.7% of residents

Private pay or other

44.9% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

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 Valley Manor and Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 53.2% ↑ 0.7pp vs 2022

Net Patient Income $431.4K ↑ ~$426.8K vs 2022

Payroll Costs $2.0M ↑ ~$152.9K vs 2022

Operating Margin 8.5% ↑ 8.4pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	42.3%	44.8%	43.9%	45.3%	44.2%	44.4%	44.0%	44.7%	49.2%	49.7%	49.7%	52.5%	53.2%
Beds	120	120	120	120	120	120	120	120	120	120	120	120	120
Net Income	$161,620	$204,913	$100,742	$80,537	$213,651	$46,177	-$3,025	-$103,508	$33,153	$1,080,373	$342,143	$108,249	$567,837
Gross Revenue	$4,296,451	$5,044,990	$4,365,345	$4,525,004	$5,033,008	$4,866,680	$4,604,435	$4,460,732	$4,443,249	$4,739,305	$5,674,145	$5,456,009	$5,926,272
Operating Expenses	$3,570,600	$3,975,150	$3,768,954	$3,879,265	$3,971,246	$4,101,614	$3,942,243	$3,978,368	$4,092,412	$4,564,896	$4,507,690	$4,629,517	$4,637,873
Net Patient Income	$130,899	$145,632	$39,690	-$4,773	$118,716	-$44,187	-$95,009	-$165,083	-$32,967	-$96,727	$193,832	$4,651	$431,408
Net Patient Revenue	$3,701,499	$4,120,782	$3,808,644	$3,874,492	$4,089,962	$4,057,427	$3,847,234	$3,813,285	$4,059,445	$4,468,169	$4,701,522	$4,634,168	$5,069,281
Payroll Costs	$1,401,323	$1,525,277	$1,594,463	$1,621,399	$1,658,177	$1,897,930	$1,821,819	$1,769,581	$1,951,465	$2,056,929	$1,866,587	$1,856,449	$2,009,304
Operating Margin %	3.5%	3.5%	1.0%	-0.1%	2.9%	-1.1%	-2.5%	-4.3%	-0.8%	-2.2%	4.1%	0.1%	8.5%
Medicare %	15.8%	16.9%	12.7%	11.4%	16.2%	12.6%	10.7%	7.4%	6.7%	8.7%	8.5%	6.9%	6.3%
Medicaid %	48.9%	46.9%	45.1%	44.0%	39.9%	38.3%	38.2%	47.5%	55.3%	49.7%	61.0%	62.7%	65.6%
Private %	35.2%	36.2%	42.3%	44.6%	43.9%	49.1%	51.0%	45.1%	38.0%	41.6%	30.5%	30.4%	28.1%
Net Patient Revenue/Day	$200	$210	$198	$195	$211	$208	$200	$195	$188	$205	$216	$202	$218
Cost/Day	$193	$202	$196	$195	$205	$211	$205	$203	$190	$209	$207	$201	$199
Avg Length of Stay	107.2 days	97.3 days	102.3 days	94.5 days	8.8 days	67.7 days	64.0 days	79.2 days	6.6 days	132.2 days	122.2 days	130.6 days	113.0 days

Finances and operations

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

Net patient revenue

$5.1M

Net patient income

$431.4K

For-profit Corporation

Net patient revenue

$5.1M

Net patient income

$431.4K

Other income

$136.4K

Payroll costs

$2.0M 39.6% of net patient revenue

Other operating costs

$2.6M

Total costs

$4.6M

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (61% of admissions), and a typical private pay stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 26%

Private pay 61%

Medicaid 13%

Coverage residents most often leave under.

Medicare 22%

Private pay 55%

Medicaid 22%

0.0 miles from city center Estimated distance in miles from Excelsior Springs's city center to Valley Manor and Rehabilitation Center's address, calculated via Google Maps.

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


Laclede Groves	NH AL IL MC	St. Louis	-	251	-	35	-
Republic Nursing and Rehab	NH SNF	Republic	-	127	-	48	Private / Semi-Private Rooms
Chaffee Nursing Center	NH HOS SNF	Chaffee	-	71	-	25	Studio
Heisinger Bluffs	NH AL IL MC RC SNF	Jefferson City	-	111	-	32	1 Bed / 2 Bed / 3 Bed
Valley Manor and Rehabilitation Center	NH SNF	Excelsior Springs	-	120	-	52	-

Nursing Home Explorer

Who is the owner of Valley Manor and Rehabilitation Center?

Valley Manor and Rehabilitation Center is legally operated by Excelsior Springs #1, Inc, and administered by Nellie Peeler.

Is Valley Manor and Rehabilitation Center in a walkable area?

Valley Manor and Rehabilitation Center has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Valley Manor and Rehabilitation Center?

According to MO state health department records, Valley Manor and Rehabilitation Center's license number is 051930.

When does Valley Manor and Rehabilitation Center's license expire?

According to MO state health department records, Valley Manor and Rehabilitation Center's license expires on June 30, 2026.

What is the occupancy rate at Valley Manor and Rehabilitation Center?

Valley Manor and Rehabilitation Center's occupancy is 56%.

Are pets allowed at Valley Manor and Rehabilitation Center?

No, Valley Manor and Rehabilitation Center has a no-pet policy.

Does Valley Manor and Rehabilitation Center operate as a for-profit or non-profit?

Valley Manor and Rehabilitation Center is registered as a for-profit in MO.

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Valley Manor and Rehabilitation Center

Overview of Valley Manor and Rehabilitation Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

Awards

License Details

Ownership & Operating Entity

Type Of Units

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Amenities & Lifestyle

Contact Valley Manor and Rehabilitation Center

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 2020

Breakdown of citation severity (last 6 years)

Citations history (last 6 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

27 Certified Nursing Assistant

17 Nurse Aide in Training

13 Licensed Practical Nurse

8 Medication Aide/Technician

9 Registered Nurse

2 Dental Services Staff

3 Administrator

1 Qualified Social Worker

3 Physical Therapy Aide

2 Dietitian

2 Nurse Practitioner

1 Respiratory Therapy Technician

3 Speech Language Pathologist

2 Physical Therapy Assistant

2 Clinical Nurse Specialist

1 Occupational Therapy Aide

1 Medical Director

1 Occupational Therapy Assistant

Penalties and fines

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

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Primarily short stays

Admissions

Discharges

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