ElderGrade
D

45.9/100

Below average

Carmel Hills Wellness & Rehabilitation

810 East Walnut, Independence, MO 64050

CMS 1/5 stars #26 of 38 in Jackson County (816) 461-9600
Certified beds
194
Occupancy
81%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

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.

  • 2 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.

  • $20,787 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

11.9/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -8.1 for 40 total citations against a national median of 17

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 2.03 total nurse hours per resident per day (national median 3.77)
  • 0.3 RN hours per resident per day
  • Weekend staffing drops 11% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 55% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $20,787 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.75 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.30 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.46 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 54.70%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 82 citations

Last standard health inspection: November 25, 2024 (1 year ago).

D Mar 31, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

F May 21, 2025 F0812 From a complaint

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

E May 21, 2025 F0804 From a complaint

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

No actual harm, potential for more than minimal harm

D May 21, 2025 F0580 From a complaint

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

No actual harm, potential for more than minimal harm

D May 21, 2025 F0677 From a complaint

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

No actual harm, potential for more than minimal harm

D May 21, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D May 21, 2025 F0806 From a complaint

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

No actual harm, potential for more than minimal harm

D May 21, 2025 F0809 From a complaint

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or out...

No actual harm, potential for more than minimal harm

Who owns this home

Full record

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
EL DORADO NURSING AND REHABILITATION LLC Organization DIRECT OWNERSHIP INTEREST
CALIBER ADVISORS LLC Organization INDIRECT OWNERSHIP INTEREST
CRESTVIEW TRUST Organization INDIRECT OWNERSHIP INTEREST
FIRST SWEETZER HOLDINGS LLC Organization INDIRECT OWNERSHIP INTEREST
HATTERAS INVESTMENTS LLC Organization INDIRECT OWNERSHIP INTEREST
RIMPAU HOLDINGS TRUST Organization INDIRECT OWNERSHIP INTEREST
SASEM INVESTMENTS LLC Organization INDIRECT OWNERSHIP INTEREST
810 E WALNUT STREET MO LLC Organization 5% OR GREATER MORTGAGE INTEREST
EMERALD PROPERTY PARTNERS LLC Organization 5% OR GREATER MORTGAGE INTEREST
GIBRALTAR TRUST Organization 5% OR GREATER MORTGAGE INTEREST
MONTGOMERY SKY TRUST Organization 5% OR GREATER MORTGAGE INTEREST
OZARK HEALTHCARE REALTY LLC Organization 5% OR GREATER MORTGAGE INTEREST

What families say

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Common questions about Carmel Hills Wellness & Rehabilitation

What is the ElderGrade for Carmel Hills Wellness & Rehabilitation? +

Carmel Hills Wellness & Rehabilitation holds an ElderGrade of D (45.9 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Carmel Hills Wellness & Rehabilitation? +

Residents receive an average of 2.75 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Carmel Hills Wellness & Rehabilitation been cited for harming residents? +

Yes. 2 of the 82 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.

Does Carmel Hills Wellness & Rehabilitation accept Medicaid? +

Yes, Carmel Hills 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.