Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Meadow View Health & Rehabilitation during CMS and state inspections, most recent first.
Surveyors found that kitchen refrigeration units lacked internal thermometers to verify safe food storage temperatures, while staff relied only on external gauges. In dry storage, several large dented cans of food were stored with other items instead of being separated as damaged goods. Inspectors also observed heavily scored cutting boards and a manual can opener with excessive greasy buildup and debris, indicating that food-contact surfaces were not maintained in a cleanable, sanitary condition. The Dietary Manager acknowledged that damaged foodstuffs should have been separated, cutting boards replaced when heavily scored, damaged items discarded, and the can opener cleaned after each meal, consistent with facility policy and food code requirements.
Multiple shower rooms were found with black mold-like or grime buildup, missing tiles, exposed building materials, and unclean toilets. Staff interviews revealed a lack of awareness and communication regarding these issues, and housekeeping had not been instructed to deep clean the affected areas. These deficiencies potentially affected all residents using the shower rooms.
A resident with quadriplegia and limited ROM did not receive necessary restorative therapy services due to staffing issues and lack of clarity among staff. Despite having an active order for therapy, the resident received only ten minutes of therapy over several weeks, as the facility had been without a Restorative Aide for months. Staff were unsure of who was responsible for ensuring the therapy was completed.
The facility failed to provide sufficient staffing to meet residents' needs, particularly on weekends, as shown in PBJ data. A resident with Alzheimer's was left in bed due to lack of staff, while another was left on the toilet for 25 minutes. Staff interviews revealed frequent understaffing, leading to unmet care needs and infrequent showers for residents.
The facility failed to maintain cleanliness and proper maintenance in the kitchen, affecting 87 residents. Issues included dust and grime buildup, damaged gaskets, insufficient spatulas, and improper milk temperature. Staff had to manually open trash lids, requiring frequent handwashing. The Dietary Director acknowledged these issues, noting pre-existing conditions and expectations for cleanliness.
The facility failed to maintain a clean environment, with dust and debris found in multiple resident rooms and common areas. Observations and interviews revealed that the housekeeping department was understaffed, leading to inadequate cleaning. Residents and staff reported insufficient cleaning due to time constraints, affecting at least 30 residents.
The facility failed to provide scheduled showers or baths for residents with severe cognitive and physical impairments, leading to deficiencies in personal hygiene care. Residents were often not bathed as scheduled due to understaffing and inconsistent documentation, with some going weeks without proper bathing. The lack of a dedicated bath aide and confusion over documentation processes contributed to the issue.
The facility failed to prepare broccoli properly, resulting in mushy and bland pureed broccoli due to incorrect ingredient use by an inadequately trained dietary staff member. Additionally, room trays were not maintained at the required temperature, with several residents reporting cold meals. The Dietary Director acknowledged the lack of processes for checking meal temperatures upon delivery.
The facility failed to maintain negative airflow in the restrooms of several resident rooms, affecting at least 20 residents. Observations showed no negative airflow in rooms 106, 102, 210, 209, 206/204, 205, 311/309, and 302/304. The Maintenance Director was unsure if the issue was related to electrical wiring and noted that some fans needed a bigger motor, with issues varying by hall.
A resident with dementia and a Stage II pressure ulcer had a low air loss (LAL) mattress set incorrectly at 200 pounds, despite weighing 130.8 pounds. Facility staff lacked training on adjusting LAL settings, and there was no physician order specifying the correct setting based on weight. The Wound Nurse monitored settings but did not document them, and the Assistant Director of Nursing acknowledged the need for settings to match the resident's weight. This deficiency was due to inadequate documentation and communication regarding LAL mattress settings.
A resident with a gastrostomy and multiple health issues frequently refused enteral feeding, but the LTC facility failed to accurately document these refusals or notify the physician. Despite the resident's distress and refusal, the Treatment Administration Record (TAR) did not consistently reflect these refusals, and the facility did not monitor the total formula intake per shift.
The facility failed to properly puree turkey for residents on pureed diets, resulting in a stringy texture. The dietary staff did not follow the recipe or taste the food before serving, as required. Interviews revealed that in-services for dietary staff were infrequent due to turnover and scheduling issues.
Food Storage, Equipment Sanitation, and Damaged Food Handling Deficiencies in Dietary Services
Penalty
Summary
Surveyors identified multiple food safety deficiencies in the facility’s kitchen related to storage, equipment condition, and sanitation. During kitchen sanitation inspections, refrigeration units labeled A, B, and C did not contain internal thermometers to verify that the external temperature gauges accurately reflected safe internal food storage temperatures. The [NAME] reported that staff relied solely on the external thermometers and did not verify temperatures with thermometers inside the units. In dry storage, surveyors observed several large canned food items with dents located on or just above the bottom rim, including cans of garbanzo beans, cream of mushroom soup, and chicken and dumplings, which were not separated from other foodstuffs as required by facility policy and state and FDA Food Codes. Surveyors also observed that several food-contact items and equipment were not maintained in a sanitary or safe condition. Red, white, and green cutting boards stored on a bottom shelf were heavily scored, contrary to FDA Food Code requirements that such surfaces be durable, smooth, easily cleanable, and either resurfaced or discarded when no longer effectively cleanable. A manual can opener across from the three-compartment sink had excessive greasy buildup and unknown debris and paper on it. In an interview, the Dietary Manager stated that damaged foodstuffs were supposed to be separated and returned to the vendor, cutting boards should have been replaced when heavily scored, damaged food preparation items were to be discarded and replaced, food was expected to be free of foreign substances, and the can opener was expected to be cleaned in the dishwasher after each meal. These observations and statements showed the facility did not follow its own food safety policy or applicable food code standards.
Failure to Maintain Clean and Safe Shower Rooms
Penalty
Summary
The facility failed to maintain resident shower rooms in a clean and safe condition, as evidenced by observations of black mold-like or grime buildup in the lower corners of shower walls and floors, missing baseboard and floor tiles, and exposed building materials in multiple shower rooms. Specific observations included a musty odor, large sections of missing floor tile, and unclean toilets with old brown substance splatter. These deficiencies were noted in the 200 hallway and memory care shower rooms, and potentially affected all residents using these areas, with a facility census of 82 residents. Interviews with staff revealed a lack of awareness and communication regarding the presence of mold and maintenance issues. Shower aides and CMTs were not aware of the extent of the mold or grime, while housekeeping staff acknowledged the presence of black mold-like buildup but had not been instructed to deep clean the shower rooms. The maintenance director was unaware of missing tiles or exposed wall materials and had only recently been notified of mold buildup under a shower mat. The administrator stated expectations for staff to report such issues but acknowledged that monitoring and maintenance had not been adequately performed.
Failure to Provide Restorative Therapy Services
Penalty
Summary
The facility failed to provide restorative therapy services to a resident with limited range of motion (ROM), which was necessary to prevent further decline in their condition. The resident, who was admitted with multiple spinal injuries and quadriplegia, was supposed to receive active assisted range of motion (AAROM) exercises three times a week. However, the resident did not receive any restorative therapy in the three months leading up to the survey, despite having an active order for such services. Interviews with the resident and staff revealed that the lack of restorative therapy was attributed to staffing issues, specifically the absence of a Restorative Aide. The resident expressed that they had not received the therapy and believed it was due to staffing shortages. Staff members, including a Certified Medication Technician (CMT) and a Licensed Practical Nurse (LPN), were unsure of the therapy services the resident was supposed to receive, and there was confusion about whether the resident had an active order for restorative therapy. The facility had been without a Restorative Aide since July or August, and there was uncertainty among staff about who was responsible for completing the restorative therapy in the aide's absence. The Assistant Director of Nursing (ADON) and other staff members were unclear about who should ensure the completion of restorative therapy, leading to the resident receiving only ten minutes of therapy over a period of several weeks. This lack of clarity and staffing issues resulted in the resident not receiving the necessary care to maintain or improve their ROM.
Insufficient Staffing Leads to Inadequate Resident Care
Penalty
Summary
The facility failed to ensure sufficient staffing numbers to consistently provide timely Activities of Daily Living (ADL) assistance for residents, particularly on weekends. The Payroll Based Journal (PBJ) data for the fourth quarter of 2023 and the first quarter of 2024 showed excessively low weekend staffing, which had the potential to affect all residents. The facility's staffing policy required sufficient numbers of staff with the necessary skills and competencies to provide care and services for all residents according to their needs. However, the facility's staffing schedules revealed significant gaps, particularly on the [NAME] Side, where there were instances of only one Certified Nurse Assistant (CNA) being scheduled for shifts that required more staff. Resident #77, who was severely cognitively impaired and dependent on staff for various ADLs, was observed lying in bed without assistance due to insufficient staffing. On one occasion, a Certified Medication Technician (CMT) was the only staff member on the Special Care Unit (SCU) from 7:00 A.M., and was unable to provide the necessary care for Resident #77, who required a two-person mechanical lift for transfers. Similarly, Resident #69, who required maximal assistance for showering and moderate assistance for transferring, reported being left on the toilet for 25 minutes during the night shift due to a lack of staff response to the bathroom call light. Interviews with staff members revealed that the facility often operated with minimal staffing, which was insufficient to meet the residents' needs. CNAs reported being unable to keep up with all the required cares during their shifts, and residents often did not receive showers or baths as scheduled due to staffing shortages. The Assistant Director of Nursing (ADON) confirmed that the facility's staffing assignment sheets should reflect the actual nursing staff working on any given shift, but the reported staffing levels did not meet the facility's minimum requirements. The Administrator was unaware of the low weekend staffing reported in the PBJ data, indicating a lack of oversight in addressing staffing deficiencies.
Deficiencies in Kitchen Maintenance and Food Safety
Penalty
Summary
The facility failed to maintain cleanliness and proper maintenance in the kitchen and food storage areas, which potentially affected 87 residents. Observations revealed a buildup of dust and debris under the refrigerator in the storage room, dust on sprinkler heads over the handwashing station and food preparation table, and greasy grime under the deep fat fryer. Additionally, the gasket of the reach-in refrigerator was held together with black tape, and the gasket of the walk-in freezer was in disrepair, causing the freezer not to close properly. Dust was also found on the ceiling vent over the clean side of the automated dishwasher, and debris was present in the nozzle of the upper spray wand. The handle of a spatula was melted and not easily cleanable, and there were not enough spatulas available for use. The dietary staff had to use their hands to open the trash container lid, requiring them to wash their hands each time they disposed of trash. The temperature of the milk served in the dining room was found to be 50 F, which is above the recommended 41 F. The Dietary Director (DD) acknowledged these issues during interviews, noting that the gasket had been taped before their employment and that the freezer's lever was not functioning properly. The DD also admitted to not checking the milk temperature in the dining rooms and expected staff to maintain cleanliness under the refrigerator and fryer. The DD was aware of the spatula handle issue but not of the specific spatula in question. The Dietary Manager (DM) expected cooks to check the temperatures of potentially hazardous foods.
Facility Fails to Maintain Clean Environment Due to Staffing Issues
Penalty
Summary
The facility failed to maintain a clean and safe environment for its residents, as evidenced by the heavy buildup of dust and debris in multiple resident rooms and common areas. Observations revealed dust accumulation on floors, fans, and ceiling vents in various rooms, including the 500 Hall shower room. Interviews with residents and staff indicated that the housekeeping department was understaffed, leading to inadequate cleaning practices. Residents reported noticing debris in their rooms, and staff confirmed that they were unable to clean thoroughly due to time constraints and insufficient personnel. The facility's housekeeping route sheet outlined an 8-step cleaning process, but the observations and interviews suggested that these steps were not consistently followed. The Maintenance Director and other staff members acknowledged the presence of dust and debris, attributing it to the limited number of housekeepers available. The report highlighted that at least 30 residents were potentially affected by these conditions, with a facility census of 88 residents. The deficiency was further corroborated by interviews with cognitively intact residents who expressed dissatisfaction with the cleanliness of their living spaces.
Inadequate Bathing Care and Documentation in LTC Facility
Penalty
Summary
The facility failed to ensure a consistent system for monitoring and providing showers or baths as scheduled for several residents, leading to deficiencies in personal hygiene care. Residents with severe cognitive impairments and physical disabilities, such as cerebral palsy and quadriplegia, were particularly affected. These residents were dependent on staff for all activities related to bathing and showering. Despite being scheduled for showers or baths twice a week, many residents received significantly fewer than scheduled, with some going weeks without proper bathing. Documentation was inconsistent, with missing records and unsigned shower sheets, indicating a lack of proper tracking and accountability. Resident #32, for example, was scheduled for showers twice a week but received only a fraction of the scheduled baths over several months. The resident's care plan indicated total dependence on staff for bathing, yet the facility failed to meet these needs consistently. Similarly, Resident #58, who was also severely cognitively impaired and dependent on staff, received fewer showers than scheduled, with family members stepping in to provide care when the facility did not. The lack of documentation and communication between staff and family members further exacerbated the issue. Interviews with staff revealed systemic issues, including understaffing and a lack of a dedicated bath aide, which contributed to the failure to provide adequate bathing care. Staff reported that residents were often not bathed as scheduled due to insufficient staffing, and there was confusion about the documentation process, which had recently transitioned from electronic to paper records. The Assistant Director of Nursing acknowledged the problem and mentioned a performance improvement plan, but the lack of a consistent system for tracking and ensuring showers were given remained a significant deficiency.
Deficiency in Food Preparation and Temperature Maintenance
Penalty
Summary
The facility failed to ensure that food and drink were palatable, attractive, and served at a safe and appetizing temperature. Specifically, the facility did not properly prepare broccoli florets, resulting in a mushy and overcooked texture. The dietary staff did not follow the recipe for pureed broccoli, using water instead of broth, which led to a bland taste. The dietary staff member responsible for preparing the pureed broccoli was new and had not been adequately trained, as evidenced by the lack of recipe book usage and incorrect ingredient substitution. The Dietary Director expected staff to taste the food for temperature and taste, but this was not consistently done. Additionally, the facility failed to maintain room trays at the required temperature, with food temperatures recorded significantly below the standard of 120 F at the time of service. Observations showed that food trays were not covered, and no one from the dietary department checked the temperatures of the room trays. Several residents reported that their meals were often cold, which made them feel less valued compared to those dining in the dining room. The Dietary Director acknowledged the lack of processes for checking meal temperatures upon delivery to residents and was aware of only a few complaints about cold food.
Failure to Ensure Negative Airflow in Resident Restrooms
Penalty
Summary
The facility failed to ensure negative airflow in the restrooms of several resident rooms, potentially affecting at least 20 residents. Observations conducted with the Maintenance Director and the Regional Maintenance Person revealed the absence of negative airflow in the restrooms of rooms 106, 102, 210, 209, 206/204, 205, 311/309, and 302/304. The airflow was tested by holding a piece of tissue paper to the ceiling vent; if the paper was not drawn up, negative airflow was absent. During a telephone interview, the Maintenance Director expressed uncertainty about whether the issue was related to electrical wiring and noted that some fans required a bigger motor. The issues affecting the fans varied for each hall.
Failure to Obtain Physician Order for LAL Mattress Setting
Penalty
Summary
The facility failed to obtain a physician order for the appropriate setting of a low air loss (LAL) mattress for a resident who developed a Stage II pressure ulcer. The resident, who was readmitted with dementia and was severely cognitively impaired, was receiving hospice services and was at risk for pressure ulcers. The physician's order indicated that the LAL mattress should be set for the resident's comfort, but did not specify a setting based on the resident's weight, which was 130.8 pounds. Observations showed the LAL mattress was consistently set at 200 pounds, which was not in accordance with the resident's weight. Interviews with facility staff revealed a lack of training and clarity regarding the appropriate settings for LAL mattresses. Certified Medication Technicians (CMTs) and Certified Nurse Assistants (CNAs) were not trained to adjust the LAL settings and were unaware of the need to set the mattress according to the resident's weight. The Wound Nurse monitored the LAL settings during wound treatments but did not document the settings. The Assistant Director of Nursing (ADON) acknowledged that the LAL mattress should be set as close as possible to the resident's weight and that the CMTs should report any discrepancies to the charge nurse or wound nurse. The deficiency was further compounded by the lack of documentation and communication regarding the LAL mattress settings. The Licensed Practical Nurse (LPN) interviewed was unsure how staff were supposed to set the LAL mattresses if the order indicated it should be set for comfort. The LPN also noted that there was no training provided on setting LAL mattresses, and the Treatment Administration Record (TAR) did not reflect checks on the mattress settings. This lack of clear guidance and documentation contributed to the failure to adjust the LAL mattress according to the resident's weight, potentially impacting the resident's skin integrity and comfort.
Inadequate Documentation of Enteral Feeding Refusal
Penalty
Summary
The facility failed to ensure accurate documentation of refusal of enteral feeding via a feeding tube for a resident at risk for weight loss due to declining health and refusal of treatment. The resident, who had a diagnosis of gastrostomy, protein-calorie malnutrition, dysphagia, and adult failure to thrive, was on enteral feedings but frequently refused the procedure. Despite the resident's refusal, the facility did not consistently document these refusals or notify the physician as required by their policy. The resident's care plan indicated the need for tube feeding due to dysphagia and poor intake, yet the facility's records showed multiple instances where the resident refused tube feeding and water flushes. Nursing notes documented the resident's distress and refusal to be connected to the feeding tube, but there were inconsistencies in the Treatment Administration Record (TAR) where refusals were not accurately coded or documented. The facility's Assistant Director of Nursing acknowledged that the documentation should have reflected the resident's refusal and that the physician should have been notified. Interviews with nursing staff revealed that the resident had been refusing tube feedings since the beginning, with the family initially requesting the tube feeding. The facility did not document or monitor the total amount of formula administered each shift, and there was no physician's order specifying the recommended amount of tube feeding formula intake in a 24-hour period. This lack of accurate documentation and communication with the physician contributed to the deficiency in care for the resident.
Improper Pureeing of Turkey for Residents on Pureed Diets
Penalty
Summary
The facility failed to properly puree turkey to a smooth texture, which potentially affected three residents on pureed diets. The recipe for pureed turkey required the turkey to be roasted, rested, and then pureed with a nutritive liquid until the desired consistency was achieved. However, during an observation, it was noted that the dietary staff member did not have the recipe book open and did not taste the pureed turkey for texture before serving it. The pureed turkey was found to be stringy, indicating it did not meet the required smooth texture. Interviews with the Dietary Director and the Consultant Registered Dietitian revealed that the cooks were expected to taste the pureed foods to ensure proper consistency. The Consultant RD mentioned that in-services for dietary staff were planned quarterly but occurred at least twice a year due to staff turnover and scheduling issues. This lack of adherence to the recipe and failure to taste the food before serving led to the deficiency in providing food prepared in a form designed to meet individual needs.
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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 Harrisonville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Crown Rehab And Healthcare Center | 0.7 mi | — | 0 | 0 |
| Golden Years Center For Rehab And Healthcare | 1.4 mi | — | 9 | 3 |
| Aspire Senior Living Pleasant Hill | 9.7 mi | — | 2 | 0 |
| Sunrise Nursing & Rehabilitation | 11.7 mi | — | 0 | 0 |
| Foxwood Springs Living Center | 13.7 mi | — | 1 | 0 |
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