CARMEL HILLS WELLNESS & REHABILITATION
CARMEL HILLS WELLNESS & REHABILITATION is a 194-bed nursing home in INDEPENDENCE, Missouri. CMS has certified it for Medicare and Medicaid since 2002-01-04. It averages 156.8 residents a day.
What harm was found in the violations cited at CARMEL HILLS WELLNESS & REHABILITATION?
CMS lists 82 health-inspection deficiencies for CARMEL HILLS WELLNESS & REHABILITATION since 2020-03-09, 40 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-03-31.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-03-31 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-05-21 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-05-21 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2025-05-21 | F0580, F0677, F0689, F0806, F0809 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | D |
| 2025-01-16 | F0550, F0804 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D |
| 2024-11-25 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2024-11-25 | F0695, F0761, F0804 | Provide safe and appropriate respiratory care for a resident when needed. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2024-11-25 | F0550, F0554, F0623, F0625, F0641, F0656, F0657, F0660, F0684, F0689, F0690, F0693, F0698, F0758, F0759, F0760, F0791, F0883, F0887 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to self-administer drugs if determined clinically appropriate. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Plan the resident's discharge to meet the resident's goals and needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / Provide or obtain dental services for each resident. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D |
| 2024-10-16 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E |
| 2024-06-28 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D |
| 2024-02-01 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-02-01 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2023-09-07 | F0623, F0626, F0689 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2023-03-29 | F0725, F0812, F0867, F0908 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Keep all essential equipment working safely. | F |
| 2023-03-29 | F0554, F0584, F0657, F0658, F0676, F0677, F0689, F0695, F0697, F0755, F0761, F0803, F0806, F0947 | Allow residents to self-administer drugs if determined clinically appropriate. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2023-03-29 | F0558, F0690, F0693, F0698, F0756, F0790, F0804, F0813, F0814, F0926 | Reasonably accommodate the needs and preferences of each resident. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Provide routine and 24-hour emergency dental care for each resident. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Dispose of garbage and refuse properly. / Have policies on smoking. | D |
| 2020-03-09 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2020-03-09 | F0585, F0804, F0806, F0812, F0908 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Keep all essential equipment working safely. | E |
| 2020-03-09 | F0604, F0641, F0655, F0656, F0686, F0690, F0740, F0742 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D |
Why was CARMEL HILLS WELLNESS & REHABILITATION fined?
| Date | Type | Amount |
|---|---|---|
| 2024-02-01 | Fine | $20,787 |
How is CARMEL HILLS WELLNESS & REHABILITATION staffed relative to the MO average?
| Measure | This facility | MO average |
|---|---|---|
| Total nurse staffing hours per resident per day | 2.74656 | 3.43324 |
| Total nursing staff turnover (%) | 54.7 | 56.0 |
| Average number of residents per day | 156.8 | 73.0 |
Who owns CARMEL HILLS WELLNESS & REHABILITATION, and what chain is it in?
CARMEL HILLS WELLNESS & REHABILITATION is registered with CMS as For profit - Limited Liability company, operates under the legal business name 810 OPCO LLC and belongs to the OPCO SKILLED MANAGEMENT chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | EL DORADO NURSING AND REHABILITATION LLC | since 12/12/2022 |
| INDIRECT OWNERSHIP INTEREST | CALIBER ADVISORS LLC, CRESTVIEW TRUST, FIRST SWEETZER HOLDINGS LLC, HATTERAS INVESTMENTS LLC, RIMPAU HOLDINGS TRUST, SASEM INVESTMENTS LLC | since 12/12/2022 |
| 5% OR GREATER MORTGAGE INTEREST | 810 E WALNUT STREET MO LLC, EMERALD PROPERTY PARTNERS LLC, GIBRALTAR TRUST, MONTGOMERY SKY TRUST, OZARK HEALTHCARE REALTY LLC | since 12/12/2022 |
| OPERATIONAL/MANAGERIAL CONTROL | GARETZ, DAVID | since 12/12/2022 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | HAGINS, ELIZABETH, KAPLAN, ESTHER, KAPLAN, MORDECHAI, KAPLAN, MOSHA, STERNSHEIN, JENNIFER, UNGER, JEFFREY, ZIMMERMAN, CAROLINE | since 04/30/2025 |
| ADP OF THE SNF | 810 E WALNUT STREET MO LLC, EMERALD PROPERTY PARTNERS LLC, ESDOV INVESTMENTS LLC, FIRST SWEETZER HOLDINGS LLC, GIBRALTAR TRUST, HATTERAS INVESTMENTS LLC, JUBILEE MASTER HOLDINGS LLC, MONTGOMERY SKY TRUST, OZARK HEALTHCARE REALTY LLC, COFFMAN-WILLIAMS, CHARMAINE, TADAKAMALLA, SRINATH | since 12/12/2022 |
Were you or a family member harmed at CARMEL HILLS WELLNESS & REHABILITATION?