Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

BLUE SPRINGS WELLNESS & REHABILITATION

BLUE SPRINGS, MO · 120 certified beds · Last Life Safety survey March 28, 2025

CMS Certification Number 265595 · first certified December 1994

Ownership

Operated by OPCO SKILLED MANAGEMENT · For profit - Limited Liability company

New ownershipOwnership changed December 2, 2024 (change of ownership)from SHANGRI LA HCO, LLC

Citations on file

CMS's current file

Life Safety surveys

CMS's current file

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within MO

38 citations — more than 90% of the 486 certified nursing homes in MO. Compared within MO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 5 citations; the earlier surveys on file averaged 8.3. With 5 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: June 2026 to December 2026. This facility’s last Life Safety survey was March 2025. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 523 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

Get an email about BLUE SPRINGS WELLNESS & REHABILITATION

One email when it happens. No account; stop it any time with one click.

5 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

9 of the 38 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

14 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 38 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0584 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.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F-0923 Have enough outside ventilation via a window or mechanical ventilation, or both.
F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

How that compares

Citations in CMS's current file

Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.

Citations in CMS's current file, compared
Measure	Citations
This facility	38
Median facility in MO	18
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
April 7, 2022	20
July 21, 2023	11
October 17, 2024	1
December 2, 2024	1
March 28, 2025	5

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0712	Have simulated fire drills held at unexpected times.	2	2023-07-21
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	2	2023-07-21
K-0324	Provide properly protected cooking facilities.	2	2024-10-17
E-0025	Create arrangements with other facilities to receive patients.	2	2023-07-21
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	2	2023-07-21
E-0015	Address subsistence needs for staff and patients.	2	2023-07-21
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2024-12-02
K-0363	Install corridor and hallway doors that block smoke.	2	2023-07-21

What the citations cover

Citations by CMS category

Smoke Deficiencies 16
Emergency Preparedness Deficiencies 9
Gas, Vacuum, and Electrical Systems Deficiencies 5
Miscellaneous Deficiencies 4
Other 4

Citations by CMS category
Category	Citations
Smoke Deficiencies	16
Emergency Preparedness Deficiencies	9
Gas, Vacuum, and Electrical Systems Deficiencies	5
Miscellaneous Deficiencies	4
Egress Deficiencies	3
Services Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 28, 2025 — 5 citations

Citations issued on March 28, 2025
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (May 12, 2025)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (May 12, 2025)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (May 12, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (May 12, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (May 12, 2025)

December 2, 2024 — 1 citation

Citations issued on December 2, 2024
Tag	What the surveyor checks	Status
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Waiver has been granted (January 15, 2025)

October 17, 2024 — 1 citation

Citations issued on October 17, 2024
Tag	What the surveyor checks	Status
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (October 23, 2024)

July 21, 2023 — 11 citations

Citations issued on July 21, 2023
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (September 1, 2023)
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (September 1, 2023)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (September 1, 2023)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (September 1, 2023)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (September 1, 2023)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (September 1, 2023)
K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	Deficient, Provider has date of correction (September 1, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (September 1, 2023)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (September 1, 2023)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (September 1, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (September 1, 2023)

April 7, 2022 — 20 citations

Citations issued on April 7, 2022
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (May 11, 2022)
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (May 11, 2022)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (May 11, 2022)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (May 11, 2022)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (May 11, 2022)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (May 11, 2022)
K-0300	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (May 11, 2022)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (May 11, 2022)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (May 11, 2022)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (May 11, 2022)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (May 11, 2022)
K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	Deficient, Provider has date of correction (May 11, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (May 11, 2022)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (May 11, 2022)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (May 11, 2022)
K-0500	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (May 11, 2022)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (May 11, 2022)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (May 11, 2022)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (May 11, 2022)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (May 11, 2022)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.