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

HIGHLAND REHABILITATION & HEALTH CARE CENTER

KANSAS CITY, MO · 162 certified beds · Last Life Safety survey February 8, 2025

CMS Certification Number 265167 · first certified June 1982

Ownership

Operated by TUTERA SENIOR LIVING & HEALTH CARE · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within MO

42 citations — more than 94% of the 487 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 the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 20. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: April 2026 to October 2026. This facility’s last Life Safety survey was February 2025. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 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 three years in Maryland. How the window is measured

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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 ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 42 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)

8 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 42 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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-0880 Provide and implement an infection prevention and control program.
F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

How that compares

Citations on file over three years

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

Citations on file over three years, compared
Measure	Citations
This facility	42
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
November 23, 2021	33
July 7, 2023	7
February 8, 2025	2

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-0281	Install proper backup exit lighting.	2	2023-07-07
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	2	2023-07-07
K-0712	Have simulated fire drills held at unexpected times.	2	2023-07-07
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	2	2025-02-08
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	2	2023-07-07
K-0531	Have elevators that firefighters can control in the event of a fire.	2	2023-07-07
K-0771	Ensure that smoke control systems are tested and documented in accordance with established engineering principles.	2	2023-07-07
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2025-02-08

What the citations cover

Citations by CMS category

Smoke Deficiencies 15
Miscellaneous Deficiencies 9
Gas, Vacuum, and Electrical Systems Deficiencies 7
Egress Deficiencies 5
Other 6

Citations by CMS category
Category	Citations
Smoke Deficiencies	15
Miscellaneous Deficiencies	9
Gas, Vacuum, and Electrical Systems Deficiencies	7
Egress Deficiencies	5
Services Deficiencies	3
Emergency Preparedness Deficiencies	2
Construction Deficiencies	1

Every citation on file

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

February 8, 2025 — 2 citations

Citations issued on February 8, 2025
Tag	What the surveyor checks	Status
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 21, 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 (March 21, 2025)

July 7, 2023 — 7 citations

Citations issued on July 7, 2023
Tag	What the surveyor checks	Status
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (August 4, 2023)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (August 4, 2023)
K-0531	Have elevators that firefighters can control in the event of a fire.	Waiver has been granted (August 4, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (August 4, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (August 4, 2023)
K-0771	Ensure that smoke control systems are tested and documented in accordance with established engineering principles.	Deficient, Provider has date of correction (August 4, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (August 4, 2023)

November 23, 2021 — 33 citations

Citations issued on November 23, 2021
Tag	What the surveyor checks	Status
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (January 7, 2022)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (January 7, 2022)
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (January 7, 2022)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (January 7, 2022)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (January 7, 2022)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (January 7, 2022)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (January 7, 2022)
K-0311	Have an enclosure around a vertical opening shaft.	Deficient, Provider has date of correction (January 7, 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 (January 7, 2022)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (January 7, 2022)
K-0331	Construct fire resistant interior walls.	Deficient, Provider has date of correction (January 7, 2022)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (January 7, 2022)
K-0343	Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.	Deficient, Provider has date of correction (January 7, 2022)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (January 7, 2022)
K-0347	Properly provide smoke detection systems in areas open to corridors.	Deficient, Provider has date of correction (January 7, 2022)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (January 7, 2022)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (January 7, 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 (January 7, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (January 7, 2022)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (January 7, 2022)
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has date of correction (January 7, 2022)
K-0541	Install properly constructed and protected linen or trash chutes.	Deficient, Provider has date of correction (January 7, 2022)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (January 7, 2022)
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 (January 7, 2022)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (January 7, 2022)
K-0771	Ensure that smoke control systems are tested and documented in accordance with established engineering principles.	Deficient, Provider has date of correction (January 7, 2022)
K-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (January 7, 2022)
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 (January 7, 2022)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (January 7, 2022)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (January 7, 2022)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (January 7, 2022)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (January 7, 2022)
K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	Deficient, Provider has date of correction (January 7, 2022)

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