ElderGrade
B

83.5/100

Above average

Shirkey Nursing And Rehabilitation Center

804 Wollard Blvd, Richmond, MO 64085

CMS 3/5 stars #1 of 2 in Ray County (816) 776-5403
Certified beds
197
Occupancy
48%
Ownership
Government
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.

  • 1 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.

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

27.5/30

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

  • -2.5 for 24 total citations against a national median of 17

Staffing

22/30

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

  • 4.93 total nurse hours per resident per day (national median 3.77)
  • 0.36 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

12/15

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

  • 38% of nursing staff left in the last year

Resident outcomes

12/15

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

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

Enforcement history

10/10

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

  • No federal fines on record

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 4.08 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.36 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 3.66 hrs
National average 3.42 hrs Better than average

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

Nursing staff turnover 37.60%
National average 45.80% Better than average

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

Recent inspection findings

All 47 citations

Last standard health inspection: May 8, 2025 (1 year ago).

E May 8, 2025 F0550

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

E May 8, 2025 F0582

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

No actual harm, potential for more than minimal harm

E May 8, 2025 F0584

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

No actual harm, potential for more than minimal harm

E May 8, 2025 F0585

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

No actual harm, potential for more than minimal harm

E May 8, 2025 F0607

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

No actual harm, potential for more than minimal harm

E May 8, 2025 F0628

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

E May 8, 2025 F0761

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled...

No actual harm, potential for more than minimal harm

E May 8, 2025 F0804

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

Who owns this home

Full record
Owner Type Role Since
BROWN, CHRIS Individual W-2 MANAGING EMPLOYEE
BURNHAM, LOIS Individual CORPORATE DIRECTOR
ESTES, DENNIS Individual CORPORATE DIRECTOR
SWAFFORD, RICHARD Individual CORPORATE DIRECTOR
BROWN, CHRIS Individual CORPORATE OFFICER

What families say

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Common questions about Shirkey Nursing And Rehabilitation Center

What is the ElderGrade for Shirkey Nursing And Rehabilitation Center? +

Shirkey Nursing And Rehabilitation Center holds an ElderGrade of B (83.5 out of 100), which we describe as "above 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 Shirkey Nursing And Rehabilitation Center? +

Residents receive an average of 4.08 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Shirkey Nursing And Rehabilitation Center been cited for harming residents? +

Yes. 1 of the 47 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 Shirkey Nursing And Rehabilitation Center accept Medicaid? +

Yes, Shirkey Nursing And Rehabilitation Center 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.