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BLUE SKY BASIN, LLC

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

5

States

1

Beds

415

Avg score

54.6

Avg turnover

65%

Federal fines

$460,444

Flags across this group

1 of the group's homes carry a CMS abuse icon. 3 homes are in or a candidate for the Special Focus Facility programme.

All 5 homes

C

65/100

Pleasant View Nursing Home

Rock Port, MO · Atchison County

CMS 3/560 bedsFor-profitMedicaid
Nurse hours
2.40 /day
Staff turnover
45%
Serious cites
0

Pleasant View runs about 24% below the national average for total nurse staffing, 2.40 hours per resident day against 3.86, and weekends dip roughly 11% below its own weekday levels, so coverage thins exactly when families tend to visit. That shortfall anchors its one-star staffing rating, even though turnover at 45% is essentially in line with the national figure. The health inspection side looks stronger: 24 deficiencies on record with none at the harm or jeopardy level, one tied to abuse, and a survey as recent as May 2025. Quality measures sit at two stars. With 60 certified beds under corporate for-profit ownership, the gap between decent inspections and thin daily staffing is what pulls the overall picture down to average.

D

54/100

Heritage Wellness & Rehabilitation

Independence, MO · Jackson County

CMS 1/5118 bedsNon-profitMedicaid
Nurse hours
4.21 /day
Staff turnover
n/a
Serious cites
0

Abuse icon on record

Abode Health and Wellness Center in Independence has more direct-care nursing hours than the typical U.S. nursing home, 4.21 per resident day against a national average of 3.86. That's the one number here that looks reassuring, and it comes with a caveat: weekend staffing drops about 4% below the home's own weekday level. Everything else on the record is hard to get past. CMS has cited 80 deficiencies, including one at the harm or jeopardy level and nine tied to abuse. Fines total $269,476 across 24 penalties, and the home sits in Medicare's Special Focus Facility program, reserved for the country's most persistently troubled homes. Its last inspection was in February 2025. Staffing hours don't fix an inspection record like that.

D

54/100

Kirkwood Wellness & Rehabilitation

Kirkwood, MO · St. Louis County

CMS 1/5117 bedsFor-profitMedicaid
Nurse hours
3.86 /day
Staff turnover
n/a
Serious cites
0

Special Focus Facility

Grove At Kirkwood runs 117 certified beds as a nonprofit corporation, and its total nurse staffing sits at 3.86 hours per resident day, essentially matching the national average, not exceeding it. The problem isn't the raw staffing number; it's that weekends run about 10% below the home's own weekday level, and CMS gives just 1 of 5 stars on staffing overall, plus 2 of 5 on quality measures and 1 of 5 on health inspections. That inspection record includes 52 deficiencies, six at harm or jeopardy level, one abuse-related, and a single $172,400 fine. The last inspection was May 2024, so the picture isn't stale.

D

54/100

Nodaway Healthcare

Maryville, MO · Nodaway County

CMS 1/560 bedsFor-profitMedicaid
Nurse hours
3.09 /day
Staff turnover
73%
Serious cites
0

Nodaway Healthcare runs 60 beds in Maryville under for-profit LLC ownership, and the numbers behind its grade point to a building stretched thin on direct care. Nurse staffing sits at 3.09 hours per resident day, roughly a fifth below the national average, and it drops another 13% on weekends, when coverage is already thinnest. Staff turnover tells its own story: 73% of the workforce leaves each year, against a national rate near 46%. That churn shows up in the inspection record too, where 41 deficiencies are logged, including one tied to abuse, alongside a 2-out-of-5 health inspection rating and 1-out-of-5 marks for both quality measures and staffing. The most recent inspection was August 2025.

D

46/100

Buffalo Prairie Center For Rehab And Healthcare

Buffalo, MO · Dallas County

CMS 1/560 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
77%
Serious cites
0

Special Focus Facility

Buffalo Prairie Center has 66 deficiencies on its record, including two at the harm or jeopardy level and three tied to abuse. CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with a pattern of serious problems, and the last inspection in October 2024 was recent enough that this is a current picture, not an old one. The one number that looks fine, 4.03 nurse hours per resident day, slightly above the national average, is undercut by 77.2% annual staff turnover, well above the 45.8% national figure. Ownership is a for-profit limited liability company, and a $92,080 fine is on file. High turnover means the people providing that care keep changing.