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

WILSHIRE AT LAKEWOOD REHAB CENTER

LEES SUMMIT, MO · 170 certified beds · Last Life Safety survey November 18, 2025

CMS Certification Number 265700 · first certified June 1999

Ownership

Operated by AMA HOLDINGS · For profit - Limited Liability company

Ownership changed January 1, 2022 (change of ownership)from LAKEWOOD CARE CENTER OF LEE'S SUMMIT, L.C.

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

26 citations — more than 70% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 9 citations; the earlier surveys in the window averaged 8.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was November 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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4 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

5 of the 26 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)

3 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 26 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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	26
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
March 22, 2022	7
November 21, 2023	10
November 18, 2025	9

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-0711	Provide a written emergency evacuation plan.	2	2025-11-18
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	2	2023-11-21
E-0015	Address subsistence needs for staff and patients.	2	2025-11-18
K-0712	Have simulated fire drills held at unexpected times.	2	2023-11-21
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	2	2025-11-18
K-0920	Ensure proper usage of power strips and extension cords.	2	2025-11-18
K-0324	Provide properly protected cooking facilities.	2	2023-11-21
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2025-11-18

What the citations cover

Citations by CMS category

Smoke Deficiencies 9
Miscellaneous Deficiencies 5
Emergency Preparedness Deficiencies 5
Gas, Vacuum, and Electrical Systems Deficiencies 5
Other 2

Citations by CMS category
Category	Citations
Smoke Deficiencies	9
Miscellaneous Deficiencies	5
Emergency Preparedness Deficiencies	5
Gas, Vacuum, and Electrical Systems Deficiencies	5
Egress Deficiencies	2

Every citation on file

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

November 18, 2025 — 9 citations

Citations issued on November 18, 2025
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (November 21, 2025)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (November 21, 2025)
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (November 21, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (November 21, 2025)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (November 21, 2025)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (November 21, 2025)
K-0917	Ensure electrical receptacles or cover plates have distinctive color or marking.	Deficient, Provider has date of correction (November 21, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (November 21, 2025)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (November 21, 2025)

November 21, 2023 — 10 citations

Citations issued on November 21, 2023
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (January 5, 2024)
E-0031	Provide emergency officials' contact information.	Deficient, Provider has date of correction (January 5, 2024)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (January 5, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (January 5, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (January 5, 2024)
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 (January 5, 2024)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (January 5, 2024)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (January 5, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (January 5, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (January 5, 2024)

March 22, 2022 — 7 citations

Citations issued on March 22, 2022
Tag	What the surveyor checks	Status
E-0001	Establish an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (April 29, 2022)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (April 29, 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 (April 29, 2022)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Waiver has been granted (November 17, 2022)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (April 29, 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 (April 29, 2022)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (April 29, 2022)

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