Country Club Rehab and Healthcare Center
Warrensburg, Missouri · CCN 265645
19 surveys since 2012. The first finding at harm level was recorded in 2023.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 136
- Surveys
- 19
- Harm or worse
- 1
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 73
- Ownership
- For profit - Limited Liability company
- Chain
- AMA HOLDINGS
- County
- Johnson · rural
- Medicare-certified since
- 1996
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 113 for-profit facilities of 66–99 beds in Missouri.
Last survey on record
Mar 14, 2025
605 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.97 | 3.32 |
| Registered-nurse hours per resident day | 0.40 | — |
| Annual nurse turnover | 55.4% | 60.2% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G11.8% | H— | I— |
| No harm, potential for more than minimal | D1933.9% | E2341.1% | F1323.2% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8804×
Provide and implement an infection prevention and control program.
- F6863×
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F6893×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5502×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
In the surveyor’s words
From the most serious findings on record at Country Club Rehab and Healthcare Center, in the surveyor’s own words.
- Actual harm, isolatedF698Aug 11, 2023
Based on observation, interview, and record review, the facility failed to ensure coordination of care was completed for one sampled resident (Resident #72) who missed a hemodialysis (dialysis a procedure involving diverting blood into an external machine, where it is filtered before being returned to the body to remove waste products and excess fluid from the blood when the kidneys stop working properly) treatment resulting in an emergency hospitalization out of 19 sampled residents. […]
- No harm, potential for more than minimal, widespreadF727Mar 14, 2025
Based on interview, and record review, the facility failed to have a Registered Nurse (RN) at least eight consecutive hours a day for seven days a week. This was evidenced by the facility's documentation indicating RNs were not working in the facility for 11 out of 30 days, from 2/11/25 through 3/11/25. The facility census was 65 residents. 1. Review of the staffing sheet dated 2/12/25 showed there was no RN coverage all day. -Review of the Staffing Sheet dated 2/13/25 showed there was no RN coverage all day. -Review of the Staffing Sheet dated 2/14/25 showed there was no RN coverage all day. -Review of the Staffing Sheet dated 2/16/25 showed there was no RN coverage all day. -Review of the Staffing Sheet dated 2/17/25 showed there was no RN coverage all day. […]
- No harm, potential for more than minimal, widespreadF801Mar 14, 2025
Based on observation, interviews, and record review, the facility failed to designate a qualified person to serve as the Director of Food and Nutrition Services. The facility did not employ a qualified Dietitian or other clinically qualified nutrition professional on a full-time basis, The facility census was 65 residents. Review of information titled, Director of Food and Nutrition Services Qualifications, and posted on 2/16/24 by the Missouri Department of Health & Senior Services (https://ltc.health.mo.gov/archives/16528), found the following: -We have recently received in influx of questions related to the qualifications for director of food and nutrition services in skilled nursing facilities. […]
- No harm, potential for more than minimal, widespreadF802Mar 14, 2025
Based on interviews, and record review the facility failed to employ sufficient staff to carry out the functions of the Food and Nutrition Service department; and failed to ensure the Dietary Department had received adequate training and/or skills competency verification to ensure they were able to prepare and serve foods to residents in accordance with planned menus and their associated recipes. This deficient practice had the potential to affect 64 of 65 residents who received oral nutrition prepared and served by the facility's dietary department. The facility census was 65 residents. […]
- No harm, potential for more than minimal, widespreadF803Mar 14, 2025
Based on observation, interview, record review, the facility failed to ensure meals were prepared in accordance with planned menus approved by the Consultant Dietitian using the corresponding recipes for the menu items, which resulted in foods not being attractive and palatable when served. This deficient practice had the potential to affect 64 of 65 residents who received oral nutrition prepared and served by the facility's dietary department. The facility census was 65 residents. Review of the facility's policy titled Dietary Department - General, revised on 10/24/22, showed: -Policy: The dietary department is responsible for establishing a program that meets the nutritional needs of the residents and accounts for cultural, religious, physical, psychological, and social needs. […]
Read 20 findings in full →The most serious and the most recent: 20 of 136 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 14, 2025Standard11 findings
- Oct 8, 2024Complaint2 findings
- Apr 4, 2024Complaint1 finding
- Oct 30, 2023Complaint3 findings
- Aug 11, 2023Standard19 findings · 1 harm
- Jun 8, 2023Complaint1 finding
- May 18, 2023Complaint1 finding
- Feb 27, 2023Complaint1 finding
Show the 11 earlier surveys
- Feb 16, 2022Standard20 findings
- May 14, 2021Standard and complaint7 findings
- Jan 22, 2021Complaint1 finding
- Mar 28, 2019Standard6 findings
- Apr 17, 2018Standard5 findings
- Jan 27, 2017Standard7 findings
- Jan 15, 2016Standard6 findings
- Nov 10, 2014Standard30 findings
- Nov 8, 2013—2 findings
- Jan 25, 2013—7 findings
- Apr 6, 2012—6 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction