Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Alpine Breeze Health And Wellness during CMS and state inspections, most recent first.
Two residents sharing a room were involved in an assault when one resident with a long-standing history of schizophrenia, schizoaffective disorder, antisocial personality disorder, hallucinations, delusions, and documented potential aggression related to spiritual beliefs struck a cognitively impaired roommate with cerebral palsy and stroke sequelae in the face while the roommate was sleeping. The aggressor had a PASRR Level II showing paranoid ideation and psychosis, prior notes of spiritual battles and metaphysical threats, and a recent failed GDR of antipsychotic medications, with the care plan identifying risk of aggression when perceiving others as the devil. During the incident, the aggressor exhibited delusional, religiously preoccupied speech about the roommate being the devil, while the injured resident presented to staff with facial bleeding and later was found to have facial contusions and an intraoral laceration requiring sutures. Despite the facility’s abuse policy defining abuse to include resident-to-resident altercations and physical abuse such as hitting and punching, leadership later stated they did not view the event as abuse or intentional, even though the victim reported being punched multiple times in the face after refusing a sexual statement from the roommate.
A resident with a history of behavioral altercations became agitated during a supervised smoke break and threw a rock intended for another resident, but instead struck a third resident on the head, causing a laceration that required hospital evaluation. The incident occurred despite prior documentation of behavioral issues and interventions, and both the aggressor and the injured resident were cognitively intact at the time.
The facility failed to pay a water service vendor on time, resulting in the water being shut off and affecting all residents. Staff, including CNAs, were not notified in advance and discovered the lack of water while providing care, having to use hand sanitizer until service was restored. The issue arose during a transition between billing companies, with the administrator and account manager unaware of the payment status due to delays and lack of training on a new system.
A CNA misappropriated $617.89 from a resident's bank account after being given access to the resident's debit card to order food. The CNA used the card for multiple unauthorized transactions, including Cash App withdrawals, despite facility policies prohibiting such actions. The incident was discovered when the resident and a family member reviewed the account and found charges not authorized by the resident.
A resident with multiple diagnoses was improperly discharged from an LTC facility without a proper notice that included appeal rights and discharge location. The facility discharged the resident to a hospital due to safety concerns but failed to comply with regulatory requirements, leading to the dismissal of the discharge by the Missouri DHSS Appeals Unit.
A resident was not allowed to return to the facility after hospitalization, despite being stable and ready for discharge. The facility cited safety concerns due to the resident's behavior and intentions to become pregnant. The discharge notice was deemed inadequate, leading to legal actions and an amended discharge notice.
Resident-to-resident assault following unmanaged psychotic and delusional behaviors
Penalty
Summary
The deficiency involves the facility’s failure to protect a resident from abuse when a cognitively impaired resident with cerebral palsy and sequelae of cerebral infarction was struck in the face by a roommate while sleeping. The assaulted resident had been admitted days earlier and had an MDS indicating cognitive impairment, with a care plan noting impaired cognitive function/dementia and impaired thought processes with neurological symptoms. In the early morning hours, this resident approached the south nurses’ station with visible bleeding from the nose, appeared upset, and reported that the roommate had woken them, proclaimed they were the devil, and struck them in the face while they were in bed. The charge nurse observed bleeding, assisted with cleaning the face, applied ice, and administered PRN Tylenol, and the resident was placed at the nurses’ station for close observation. The aggressor resident had a documented long-standing history of serious psychiatric diagnoses, including schizophrenia (paranoid type), schizoaffective disorder (bipolar type), antisocial personality disorder, personality disorder, insomnia, and positive symptoms of schizophrenia such as auditory and visual hallucinations, delusional thinking, and psychosis. The PASRR/MI Level II evaluation documented paranoid ideation, delusional thinking, reality testing problems, and suspiciousness of others, including not trusting other residents. Progress notes referenced complaints of spiritual battles, metaphysical spears, and a foreign presence attempting to steal money, as well as increased delusions and hallucinations when antipsychotic medications such as Risperdal or Clozaril were decreased, and poor response to Zyprexa. The resident’s care plan identified a behavior problem of potential aggression related to spiritual beliefs that others may be the devil or working with the devil, with interventions including administering psychotropic medications as ordered and monitoring for side effects and effectiveness. A recent GDR of psychotropic medication had been attempted and failed shortly before the incident. On the night of the incident, progress notes for the aggressor resident documented that, following the altercation, the resident was alert but exhibited delusional and religiously preoccupied speech, stating that the event was about the roommate being the devil, that they had been awake for days trying to trap the devil’s power, and that they were trying to do the right thing. The resident reported believing the roommate was using the devil’s power and described paranoid and delusional content consistent with prior documented symptoms. The assaulted resident’s trauma-informed care documentation indicated they had been physically assaulted, and a skin check showed a laceration to the inner lip and minor swelling to the left eye. An emergency provider report later documented head and facial contusions, intraoral laceration, left facial and periorbital soft tissue swelling, and a 2.5 cm inner lower lip laceration requiring sutures. A police report recorded the victim’s account that the roommate approached while they were in bed, made a sexual statement, and then punched them multiple times in the face while repeatedly shouting, “I’m the devil,” until the victim was able to push the aggressor away and escape to the nurses’ station. Facility leadership, including the DON and Administrator, later stated they did not anticipate such an event, did not believe the aggressor acted with intent, and did not consider the incident to be abuse, despite the facility’s abuse policy defining abuse to include resident-to-resident altercations and physical abuse such as hitting and punching.
Resident-to-Resident Physical Abuse Resulting in Injury
Penalty
Summary
The facility failed to protect a resident from physical abuse when one resident struck another on the head with a rock, resulting in a laceration and a hospital visit. The incident occurred outside during a supervised smoke break, where one resident became agitated at another and, after a verbal altercation, threw a rock intended for a different resident but instead hit a third resident. The injured resident sustained a 3 cm laceration to the back of the head and required hospital evaluation due to being on blood thinners. Prior to the incident, the resident who threw the rock had a documented history of altercations with other residents, including being the instigator in a previous dispute and having another altercation just days before the event. Care plans and assessments noted these behavioral issues, and interventions such as increased supervision and trauma-informed assessments were implemented after previous incidents. However, despite these measures, the resident was able to access an area where rocks were present and engage in another altercation. Interviews and record reviews confirmed that the resident who threw the rock was cognitively intact but had a history of mood and anxiety disorders, as well as a history of behavioral issues with peers. The injured resident was also cognitively intact and had no involvement in the altercation prior to being struck. The facility's policies defined abuse to include resident-to-resident altercations resulting in physical harm, and the incident met this definition as the action was deliberate, even if not intended to harm the specific resident who was injured.
Water Service Disruption Due to Untimely Vendor Payment
Penalty
Summary
The facility management company failed to ensure timely payment to a vendor responsible for providing water services, resulting in the facility's water being shut off for non-payment. The facility had received a 10-day shut-off notice from the vendor, which was forwarded to the facility management account manager and the Chief Financial Officer. Despite receiving multiple late and shut-off notices, payment was not made in time, and the water was disconnected at 9:02 A.M., affecting all 113 residents in the building. The administrator and staff were unaware of the impending shut-off until the water was already turned off. Interviews revealed that the facility was in a transition period between billing companies, which led to confusion and delays in processing the water bill. The original bill was sent to the previous billing company and was not received by the new billing company until the shut-off notice was forwarded. The account manager indicated that a check was cut and mailed, but it was assumed it would arrive before the shut-off deadline. The administrator had not yet received training on the new bill-paying system, and the vendor responsible for water services had not been set up for auto-pay at the time of the incident. During the water shut-off, staff members, including CNAs, were not notified in advance and discovered the lack of water while performing resident care tasks. They had to use hand sanitizer for hygiene until the water was restored. The deficiency was determined to be at the immediate and serious jeopardy level due to the impact on resident care and facility operations.
Misappropriation of Resident Funds by CNA
Penalty
Summary
A certified nurse aide (CNA) misappropriated funds from a resident who was cognitively intact and responsible for their own finances. The resident had asked the CNA to assist with ordering food through Door Dash, as the resident was unfamiliar with the process. The CNA subsequently gained access to the resident's debit card and used it for multiple unauthorized transactions, including Cash App withdrawals and other purchases, totaling $617.89 that were not authorized by the resident. The resident only authorized the CNA to use the card for the specific food order and did not permit any other use. The incident was discovered when the resident noticed their card was not working and contacted a family member to review the account. Upon reviewing the bank statement, the resident and family member identified several unauthorized transactions, including those associated with the CNA's name on Cash App. The resident reported the incident to facility administration, who then initiated an investigation. The CNA denied using the resident's debit card for unauthorized purchases but admitted to helping the resident order food on the resident's phone. The CNA had previously received training on abuse, neglect, and misappropriation of resident property, and had signed off on the relevant policies. The facility's policies required that staff not use residents' credit or debit cards or non-cash forms of payment on personal devices, and that any transaction involving resident funds be documented with a receipt. Despite these policies, the CNA exploited their access to the resident's financial information, resulting in the misappropriation of funds. The incident was reported to law enforcement, and the facility's administration, DON, and other relevant parties were notified. The resident expressed feelings of distrust and anger following the event, which affected their overall well-being.
Improper Discharge Notice and Procedure
Penalty
Summary
The facility failed to provide a proper discharge notice for a resident, which included the right to appeal and the location to which the resident was transferred. The resident, who was cognitively intact, had multiple diagnoses including paraplegia, depression, PTSD, and bipolar disorder, and required assistance with personal care. The facility's policy required a 30-day notice of discharge, including the reason, effective date, and contact information for the Ombudsman, which was not adhered to in this case. The resident was initially discharged to a family member's home, despite the family member's refusal to accept the resident due to behavioral issues. The facility then discharged the resident to a hospital without proper notice, as confirmed by interviews with the hospital staff and the family member. The discharge notice lacked information on the resident's right to appeal, which led to the dismissal of the discharge by the Missouri Department of Health & Senior Services Appeals Unit. The facility's decision to discharge the resident was based on concerns about safety due to the resident's behavior, including bringing unknown individuals into the facility. However, the discharge process was not conducted in compliance with regulatory requirements, as the notice was deemed inadequate. The resident filed an appeal, and the facility was directed to allow the resident to remain or return to the facility due to the defective notice.
Facility Fails to Readmit Resident Post-Hospitalization
Penalty
Summary
The facility failed to permit a resident to return after hospitalization, violating the bed-hold policy. The resident, who had been admitted with diagnoses including paraplegia, depression, PTSD, and bipolar disorder, was cognitively intact and required assistance with personal care. Despite being stable and ready for discharge from the hospital, the facility refused to readmit the resident, citing safety concerns related to the resident's behavior and intentions to become pregnant while in the facility. The facility issued an Immediate Involuntary Discharge Notice, which lacked the required information for the resident to appeal the decision. The discharge was based on the resident's alleged non-compliance with facility policies, including bringing unknown males into the facility and potentially introducing illicit substances. The facility's actions were deemed inappropriate as the discharge notice did not meet regulatory requirements, leading to the dismissal of the discharge by the Missouri Department of Health & Senior Services Appeals Unit. Interviews with facility staff and the resident revealed that the facility was not equipped to handle a resident attempting to become pregnant, and the resident's behavior was perceived as a safety risk. Despite the resident's appeal and the involvement of an attorney, the facility maintained its stance on not readmitting the resident, leading to further legal actions and the issuance of an amended discharge notice.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Raytown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Edgewood Manor Health Care Center | 2.6 mi | — | 5 | 0 |
| Jeanne Jugan Center | 3.6 mi | — | 0 | 0 |
| Seasons Rehab And Healthcare Center | 4 mi | — | 2 | 0 |
| Gregory Ridge Health Care Center | 4.4 mi | — | 13 | 1 |
| University Health Lakewood Medical Center | 4.5 mi | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.