SHIRKEY NURSING AND REHABILITATION CENTER
SHIRKEY NURSING AND REHABILITATION CENTER is a 197-bed nursing home in RICHMOND, Missouri. CMS has certified it for Medicare and Medicaid since 2000-10-01. It averages 94.5 residents a day.
What harm was found in the violations cited at SHIRKEY NURSING AND REHABILITATION CENTER?
CMS lists 47 health-inspection deficiencies for SHIRKEY NURSING AND REHABILITATION CENTER since 2022-04-20, 24 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-05-08.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-05-08 | F0550, F0582, F0584, F0585, F0607, F0628, F0761, F0804, F0812, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2024-04-05 | F0812, F0868 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F |
| 2024-04-05 | F0657, F0676, F0689, F0695, F0725, F0758, F0761, F0947 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / 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 enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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 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 nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2024-04-05 | F0552, F0610, F0679, F0726 | Ensure that residents are fully informed and understand their health status, care and treatments. / Respond appropriately to all alleged violations. / Provide activities to meet all resident's needs. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D |
| 2022-04-20 | F0692 | Provide enough food/fluids to maintain a resident's health. | G |
| 2022-04-20 | F0550, F0569, F0570, F0584, F0623, F0625, F0655, F0656, F0658, F0677, F0689, F0695, F0697, F0698, F0756, F0758, F0759, F0761, F0812, F0868, F0921 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / Assure the security of all personal funds of residents deposited with the facility. / 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. / 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. / 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. / Ensure services provided by the nursing facility meet professional standards of quality. / 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 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. / 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 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2022-04-20 | F0888 | Ensure staff are vaccinated for COVID-19 | C |
How is SHIRKEY NURSING AND REHABILITATION CENTER staffed?
| Measure | This facility | MO average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.08429 | 3.43324 |
| Total nursing staff turnover (%) | 37.6 | 56.0 |
| Average number of residents per day | 94.5 | 73.0 |
Who owns SHIRKEY NURSING AND REHABILITATION CENTER?
SHIRKEY NURSING AND REHABILITATION CENTER is registered with CMS as Government - County, operates under the legal business name SENIOR CITIZENS NURSING HOME DISTRICT OF RAY COUNTY.
| Role | Owner | Association date |
|---|---|---|
| W-2 MANAGING EMPLOYEE | BROWN, CHRIS | since 04/01/2000 |
| CORPORATE DIRECTOR | BURNHAM, LOIS, ESTES, DENNIS, SWAFFORD, RICHARD | since 01/01/2011 |
| CORPORATE OFFICER | BROWN, CHRIS | since 04/01/2000 |
Were you or a family member harmed at SHIRKEY NURSING AND REHABILITATION CENTER?