Deficiency Index

Linden Woods Village

Gladstone, Missouri · CCN 265855

7 surveys since 2017, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
31
Surveys
7
Harm or worse
0
Immediate jeopardy
0
The record, 2017–2026
’17’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file3/7

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
40
Ownership
For profit - Limited Liability company
Chain
PIVOTAL HEALTH CARE
County
Clay
Medicare-certified since
2016

CMS ratings

Overall
4
Health inspection
3
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=17, floor 20).

Last survey on record

May 7, 2026

186 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.003.20
Registered-nurse hours per resident day0.98—
Annual nurse turnover61.1%57.5%

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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD838.1%E1152.4%F29.5%
No harm, potential for minimalA—B—C—
CMS’s current file: 21 of the 31 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6232×

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F6902×

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • F7592×

    Ensure medication error rates are not 5 percent or greater.

  • F7612×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

In the surveyor’s words

From the most serious findings on record at Linden Woods Village, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812May 7, 2026

    Based on observation, interview and record review, the facility failed to ensure staff stored food in a sanitary manner and failed to ensure the kitchen was clean and in good repair. The facility census was 32. Review of the facility policy titled, Food Storage Policy, dated October 2018, showed:-Foods shall be stored in a manner that complies with safe food handling practices;-Staff will maintain clean food storage areas at all times;-Food in dry storage will be kept off the floor;-All foods stored in the refrigerator or the freezer will covered, labeled and dated with a use by date;-Open container must be dated and sealed.The facility did not provide a policy for cleaning and repair of the kitchen.Observation on 05/04/2026 at 08:20 A.M., showed:-Microwave with dirt and food debris inside… […]

  • No harm, potential for more than minimal, widespreadF812Jan 2, 2025

    Based on observations, interviews, and facility policy review, the facility failed to ensure the sanitizer used to sanitize food contact surfaces was at a level effective to sanitize the surfaces and failed to ensure food stored in the walk-in refrigerator and the refrigerator on the unit was labeled and discarded after the use-by date and/or expiration date for 38 census residents residing in and receiving food from the dietary department. This had the potential to result in food borne illness and cross contamination. The facility census was 37. Findings include: Review of the facility's policy titled, Food Receiving and Storage with a revised date of October 2018, revealed all food must be labeled with a use by date. […]

  • No harm, potential for more than minimal, patternF584May 7, 2026

    Based on observation and interview, the facility failed to provide a clean and home like environment when the facility did not ensure vents in the hallways and the vents outside resident rooms were clean and free of debris, the ceiling in the dining room was clean and in good repair and when the facility failed to ensure the handrail by the dining room was clean. This had the potential to affect all residents who had the right live in a clean environment that was free from dirt, dust and in good repair. The facility census was 32. […]

  • No harm, potential for more than minimal, patternF677May 7, 2026

    Based on observation, interview, and record review, the facility failed to ensure dependent residents who were unable to carry out activities of daily living (ADLs) received the necessary services to maintain good personal hygiene when staff did not provide proper peri-care for three of 12 sampled residents (Resident #6, #11, and #30). The facility census was 32.Review of the facility training and competency, titled, Combined Perineal Care Female and Male, undated, showed:- Once a gloved hand has touched something soiled (old depends, garbage can, used trash bags, etc), it cannot be used to touch something clean without removing gloves and performing hand hygiene;- Having a second clean person can assist with this procedure;- Do not place soiled items on the clean surface or bed;- One… […]

  • No harm, potential for more than minimal, patternF690May 7, 2026

    Based on observation, interview, and record review, the facility failed to ensure a residents received the appropriate care and services to prevent urinary tract infections to the extent possible and when the facility staff failed to ensure proper urinary catheter care was performed for one resident (Resident #6), and additionally when the facility failed to collect a physician ordered urine sample for eight days causing delay in start of treatment for one resident (Resident #30) of the 12 sampled. […]

Read 20 findings in full →The most serious and the most recent: 20 of 31 on record.

Every survey on record

FindingsAt actual harm or above

  • May 7, 2026Standard9 findings
  • Jan 2, 2025Standard6 findings
  • Mar 9, 2023Standard2 findings
  • Jan 9, 2020Standard4 findings
  • Mar 26, 2018Complaint1 finding
  • Feb 27, 2018Standard8 findings
  • Jun 2, 2017Standard1 finding

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.

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