Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
ALPINE BREEZE HEALTH AND WELLNESS
RAYTOWN, MO · 154 certified beds · Last Life Safety survey August 20, 2025
CMS Certification Number 265339 · first certified December 1988
Ownership
Operated by VERTICAL HEALTH SERVICES · For profit - Corporation
- Ownership changed June 1, 2023 (change of ownership)from SRZ OP AUTUMN LLC
Position within MO
45 citations — more than 97% 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
The latest survey found 14 citations; the earlier surveys in the window averaged 15.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens October 2026 — about 1 month from now. This facility’s last Life Safety survey was August 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
8 of the 45 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)
12 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 45 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-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-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-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
How that compares
Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 45 |
| Median facility in MO | 18 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| May 26, 2022 | 15 |
| October 23, 2023 | 16 |
| August 20, 2025 | 14 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0324 | Provide properly protected cooking facilities. | 3 | 2025-08-20 |
| K-0712 | Have simulated fire drills held at unexpected times. | 3 | 2025-08-20 |
| E-0015 | Address subsistence needs for staff and patients. | 3 | 2025-08-20 |
| K-0271 | Have exits that are accessible at all times. | 3 | 2025-08-20 |
| K-0300 | Meet other general requirements that are deficient. | 3 | 2025-08-20 |
| K-0363 | Install corridor and hallway doors that block smoke. | 3 | 2025-08-20 |
| K-0161 | Use approved construction type or materials. | 2 | 2025-08-20 |
| E-0020 | Establish policies and procedures including evacuation. | 2 | 2025-08-20 |
What the citations cover
- Smoke Deficiencies 16
- Egress Deficiencies 9
- Emergency Preparedness Deficiencies 8
- Miscellaneous Deficiencies 6
- Other 6
| Category | Citations |
|---|---|
| Smoke Deficiencies | 16 |
| Egress Deficiencies | 9 |
| Emergency Preparedness Deficiencies | 8 |
| Miscellaneous Deficiencies | 6 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 4 |
| Construction Deficiencies | 2 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
August 20, 2025 — 14 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (September 24, 2025) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (September 24, 2025) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (September 24, 2025) |
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (September 24, 2025) |
| K-0271 | Have exits that are accessible at all times. | Deficient, Provider has date of correction (September 24, 2025) |
| K-0300 | Meet other general requirements that are deficient. | Deficient, Provider has date of correction (September 24, 2025) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (September 24, 2025) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (September 24, 2025) |
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Deficient, Provider has date of correction (September 24, 2025) |
| K-0711 | Provide a written emergency evacuation plan. | Deficient, Provider has date of correction (September 24, 2025) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (September 24, 2025) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (September 24, 2025) |
| K-0919 | Meet requirements for the use of electrical equipment. | Deficient, Provider has date of correction (September 24, 2025) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (September 24, 2025) |
October 23, 2023 — 16 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (December 7, 2023) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (December 7, 2023) |
| K-0200 | Meet other general requirements. | Deficient, Provider has date of correction (December 7, 2023) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (December 7, 2023) |
| K-0271 | Have exits that are accessible at all times. | Deficient, Provider has date of correction (December 7, 2023) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (December 7, 2023) |
| K-0300 | Meet other general requirements that are deficient. | Deficient, Provider has date of correction (December 7, 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 plan of correction (December 12, 2023) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (December 7, 2023) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has plan of correction (December 12, 2023) |
| 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 (December 7, 2023) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (December 7, 2023) |
| K-0364 | Install properly constructed windows in hallway walls or doors. | Deficient, Provider has date of correction (December 7, 2023) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (December 7, 2023) |
| 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 (December 7, 2023) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (December 7, 2023) |
May 26, 2022 — 15 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (July 7, 2022) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (June 8, 2022) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (July 7, 2022) |
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (July 7, 2022) |
| K-0271 | Have exits that are accessible at all times. | Deficient, Provider has date of correction (July 7, 2022) |
| K-0300 | Meet other general requirements that are deficient. | Deficient, Provider has date of correction (July 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 (July 7, 2022) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (July 7, 2022) |
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | Deficient, Provider has date of correction (May 26, 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 (June 8, 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 (July 7, 2022) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (July 7, 2022) |
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Deficient, Provider has date of correction (July 7, 2022) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (June 20, 2022) |
| K-0919 | Meet requirements for the use of electrical equipment. | Deficient, Provider has date of correction (July 7, 2022) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.