Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Actual harm to a resident
32.3/100
Poor
930 Ne Duncan Road, Blue Springs, MO 64014
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
Abuse icon on record
CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.
3 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$116,230 in federal fines
CMS has fined this facility across 2 penalty action(s).
Nursing staff turnover of 69%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: March 28, 2025 (1 year ago).
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Actual harm to a resident
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
No actual harm, potential for more than minimal harm
Part of OPCO SKILLED MANAGEMENT, which operates 68 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| GARETZ, DAVID | Individual | INDIRECT OWNERSHIP INTEREST | — |
| 930 NE DUNCAN ROAD MO, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — |
| BROOK PARTNERS LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — |
| KNOBEL REALTY TRUST | Organization | 5% OR GREATER MORTGAGE INTEREST | — |
| LINZ TRUST | Organization | 5% OR GREATER MORTGAGE INTEREST | — |
| REMBRANDT REALTY TRUST | Organization | 5% OR GREATER MORTGAGE INTEREST | — |
| SESAME REALTY TRUST | Organization | 5% OR GREATER MORTGAGE INTEREST | — |
| WILLOWBROOK INVESTORS LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — |
| GARETZ, DAVID | Individual | CORPORATE OFFICER | — |
| WILDFLOWER HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| GARETZ, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| HAGINS, ELIZABETH | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O... | — |
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Blue Springs Wellness & Rehabilitation holds an ElderGrade of F (32.3 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 2.69 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 3 of the 66 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Blue Springs Wellness & Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.