Valley Manor and Rehabilitation Center
Excelsior Springs, Missouri · CCN 265356
17 surveys since 2011. The first finding at harm level was recorded in 2015.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 104
- Surveys
- 17
- Harm or worse
- 1
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 120
- Ownership
- For profit - Limited Liability company
- Chain
- CIRCLE B ENTERPRISES
- County
- Clay
- Medicare-certified since
- 1989
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 2
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 118 for-profit facilities of 100–127 beds in Missouri.
Last survey on record
Dec 18, 2025
326 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 | 3.36 | 3.32 |
| Registered-nurse hours per resident day | 0.36 | — |
| Annual nurse turnover | 64.0% | 57.7% |
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 | G— | H— | I— |
| No harm, potential for more than minimal | D920.0% | E3066.7% | F613.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- 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.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6772×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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 Valley Manor and Rehabilitation Center, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF726Dec 18, 2025
Based on observation, interview and record review the facility failed to have sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to maintain the highest practicable physical wellbeing of the residents when no annual training records were found for, Nurse Aide (NA) A, Certified Nurse Aide (CNA) A and CNA C, when staff failed to adhere to proper infection control practices and when the facility did not have an a infection surveillance program. The facility census was 67. […]
- No harm, potential for more than minimal, widespreadF812Dec 18, 2025
Based on observation and interview, the facility failed to prepare and serve food in accordance with professional standards for food service safety when facility staff failed to observe proper handwashing and hairnet procedures in the kitchen, routinely sanitize food surfaces, or maintain kitchen cleanliness standards, failed to properly monitor food storage temperatures, failed to present food that was attractive on the plate, and additionally failed to properly store and monitor food items for expiration dates. This had the potential to affect all residents in the facility. […]
- No harm, potential for more than minimal, widespreadF865Dec 18, 2025
Based on interview and record review the facility failed to make a good faith attempt at utilizing the best available evidence to define and measure indicators of quality and facility goals that reflect processes of care and facility operations that have been shown to be predictive of desired outcomes for residents, when the facility did not monitor and review performance improvement plans (PIPs) for 2025 regarding resident pressure ulcers, resident snacks, and medication administration. This had the potential to affect all residents. The facility census was 67. […]
- No harm, potential for more than minimal, widespreadF867Dec 18, 2025
Based on interview and record review the facility failed to prioritize its improvement activities; measure the success of actions, track performance; regularly review, analyze, and act on data collected regarding the facilities performance improvement plan. The facility census was 67. Review of the facilities Quality Assurance and Performance Improvement (QAPI) Program policy, dated February 2020, showed:-This facility shall develop, implement, and maintain an ongoing, facility-wide, data-driven QAPI program that is focused on indicators of the outcomes of care and quality of life for our residents;-The objectives of the QAPI program are to: provide a means to measure current and potential indicators for outcomes of care and quality of life, provide a means to establish and implement… […]
- No harm, potential for more than minimal, widespreadF947Dec 18, 2025
Based on interview and record review, the facility failed to ensure that an effective training program for all new and existing staff was in place, when the facility failed to complete a facility assessment to include: Staff competencies and skill sets that are necessary to provide the level and types of care needed for the resident population. Furthermore, the facility failed to track attendance and hours of training for staff members who required at least 12 hours of education yearly. The facility census was 67. The facility did not provide a policy on education or of staff competencies. […]
Read 21 findings in full →The most serious and the most recent: 21 of 104 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 4, 2026Complaint1 finding
- Dec 18, 2025Standard and complaint21 findings
- May 1, 2025Complaint1 finding
- Jul 10, 2024Standard and complaint18 findings
- Feb 23, 2023Standard5 findings
- Nov 23, 2020Complaint2 findings
- Jan 8, 2020Standard1 finding
- Apr 25, 2019Standard4 findings
Show the 9 earlier surveys
- Aug 16, 2018Complaint3 findings
- Feb 16, 2017Standard3 findings
- Jan 28, 2016Standard8 findings
- Sep 28, 2015Complaint1 finding · 1 harm
- Feb 26, 2015Standard and complaint11 findings
- Mar 13, 2014Standard2 findings
- Feb 4, 2013—12 findings
- Feb 9, 2012—5 findings
- Jan 27, 2011—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.
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