Elder Care Record

Missouri › Clay County › Liberty

Avalon View Health and Wellness

1200 West College Street, Liberty, MO 64068

CCN 265437 · For-profit, limited liability company · 140 certified beds · chain Vertical Health Services

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 140 beds, Avalon View Health and Wellness serves Liberty in Clay County, Missouri and has taken Medicare and Medicaid residents since 1990.

CMS gives it 3 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 3, staffing 1 and quality measures 5.

Inspectors recorded 45 health deficiencies across the three most recent survey cycles (5, 21, 19 by cycle, most recent first), none at the actual-harm level. That is 32.1 per 100 beds, about the same as the state median of 32.1.

CMS lists 1 penalty in the period covered: fines totalling $14K.

Reported nurse staffing is 3.0 hours per resident per day (0.4 RN), close to the Missouri median of 3.4; nursing staff turnover is 54.0%.

45health deficiencies, 3 survey cyclesnone at actual-harm level
$14Kfines listed by CMS1 penalty in period
3.0nurse hours per resident per daystate median 3.4
85%occupancy (residents ÷ beds)119 residents a day

Compared with county, state and nation

MeasureThis facilityClay Co. medianMissouri medianUS average
Overall star rating3323.0
Health citations, 3 cycles45343128.7
Citations per 100 beds32.131.732.126.8
Total nurse hours per resident day3.03.63.43.9
RN hours per resident day0.40.40.40.7
Nursing staff turnover54.0%59.6%56.1%45.8%
Fines listed$14,267$0$0—

County and state figures are medians across facilities (9 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)5
Cycle 221
Cycle 319

Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Sep 2025, 23 Sep 2024.

Severity mix: D ×12 E ×32 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
11 Jun 2026F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DComplaint investigationPast Non-Compliance
4 May 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation14 May 2026
20 Nov 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation10 Dec 2025
19 Sep 2025F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard survey30 Oct 2025
19 Sep 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation25 Aug 2025
2 Apr 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation24 Mar 2025
23 Sep 2024F0584Honor 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.EComplaint investigation30 Oct 2024
23 Sep 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey30 Oct 2024
23 Sep 2024F0679Provide activities to meet all resident's needs.EComplaint investigation30 Oct 2024
23 Sep 2024F0680Ensure the activities program is directed by a qualified professional.EStandard survey30 Oct 2024
23 Sep 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey30 Oct 2024
23 Sep 2024F0692Provide enough food/fluids to maintain a resident's health.EStandard survey30 Oct 2024
23 Sep 2024F0699Provide care or services that was trauma informed and/or culturally competent.EStandard survey30 Oct 2024
23 Sep 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation30 Oct 2024
23 Sep 2024F0761Ensure 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.EStandard survey30 Oct 2024
23 Sep 2024F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard survey30 Oct 2024
23 Sep 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey30 Oct 2024
23 Sep 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey30 Oct 2024
23 Sep 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard survey30 Oct 2024
23 Sep 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey30 Oct 2024
23 Sep 2024F0567Honor the resident's right to manage his or her financial affairs.DStandard survey30 Oct 2024
23 Sep 2024F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey30 Oct 2024
23 Sep 2024F0583Keep residents' personal and medical records private and confidential.DComplaint investigation30 Oct 2024
23 Sep 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey30 Oct 2024
23 Sep 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey30 Oct 2024
23 Sep 2024F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard survey30 Oct 2024
12 Feb 2024F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.EComplaint investigation14 Mar 2024
12 Feb 2024F0584Honor 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.EComplaint investigation14 Mar 2024
12 Feb 2024F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.EComplaint investigation14 Mar 2024
14 Dec 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey14 Mar 2024
14 Dec 2023F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.EComplaint investigation14 Mar 2024
14 Dec 2023F0584Honor 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.EComplaint investigation14 Mar 2024
14 Dec 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey16 Jan 2024
14 Dec 2023F0645PASARR screening for Mental disorders or Intellectual DisabilitiesEStandard survey16 Jan 2024
14 Dec 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey16 Jan 2024
14 Dec 2023F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.EStandard survey14 Mar 2024
14 Dec 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey16 Jan 2024
14 Dec 2023F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard survey16 Jan 2024
14 Dec 2023F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EStandard survey16 Jan 2024
14 Dec 2023F0759Ensure medication error rates are not 5 percent or greater.EStandard survey16 Jan 2024
14 Dec 2023F0760Ensure that residents are free from significant medication errors.EStandard survey16 Jan 2024
14 Dec 2023F0809Ensure 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.EStandard survey12 Feb 2024
14 Dec 2023F0880Provide and implement an infection prevention and control program.EStandard survey16 Jan 2024
14 Dec 2023F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard survey14 Mar 2024
14 Dec 2023F0791Provide or obtain dental services for each resident.DStandard survey16 Jan 2024

Penalties

DateTypeAmountDetail
23 Sep 2024Fine$14,267

Staffing

Total nursing2.98 h
Nurse aides2.02 h
LPN0.58 h
RN0.38 h
Weekend total2.69 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 54.0%, RNs 60.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMissouri medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay3.4%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.9%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.8%1.3%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay4.5%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.9%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay28.4%21.0%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: College St Healthcare Llc. Chain: Vertical Health Services (15 facilities).

OrganisationRole in the CMS recordInterestSince
Vhs Mo Opco Holdings LLCDirect ownership interestNOT APPLICABLE06/01/2023
Vertical Health Services LLCIndirect ownership interestNOT APPLICABLE06/01/2023
Vhs Holdco LLCIndirect ownership interestNOT APPLICABLE06/01/2023
Vhs Ultimate Parent LLCIndirect ownership interestNOT APPLICABLE06/01/2023
College St Consulting LLCOperational/managerial controlNOT APPLICABLE06/01/2023
College St Consulting LLCAdp of the snfNOT APPLICABLE04/04/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Clay County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Linden Woods VillageGladstone404341742.5—7 May 2026
Pleasant Valley Manor Care CenterLiberty1024442423.5$24K5 Sep 2025
NorterreLiberty603331931.7—20 Nov 2025
Northland Rehabilitation & Health Care CenterKansas City1183322016.9—21 Apr 2026
Aspire Senior Living Excelsior SpringsExcelsior Springs1082313431.5—8 Jan 2026
Mccrite Plaza At Briarcliff Skilled FacilityKansas City562243766.1$31K3 Mar 2026
New Mark Rehab and Healthcare CenterKansas City1991214422.1$12K26 Jan 2026
Valley Manor and Rehabilitation CenterExcelsior Springs1201124537.5—18 Dec 2025

All 9 facilities in Clay County

Questions and answers

How many deficiencies has Avalon View Health and Wellness been cited for?

45 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.

Has Avalon View Health and Wellness been fined?

Yes. CMS lists fines totalling $14K in the period covered.

How does staffing at Avalon View Health and Wellness compare?

Reported total nurse staffing is 3.0 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.

Who operates Avalon View Health and Wellness?

It is part of the Vertical Health Services chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Vhs Mo Opco Holdings LLC, Vertical Health Services LLC and Vhs Holdco LLC. Individual owners and managers are not listed on this site.

When was Avalon View Health and Wellness last inspected?

The most recent survey or investigation in the CMS record is dated 11 Jun 2026; the most recent standard health survey was 19 Sep 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.