Willow Point Rehabilitation and Nursing CenterCMS ratings, inspections and fines
- Address
- 6500 Greeley Avenue, Kansas City, KS 66104
- CCN
- 175135
- Ownership type
- For-profit, corporation
- Certified beds
- 56
- Chain
- The Ensign Group
- Residents per day
- 35
- CMS flags
- Ownership changed in the last 12 months
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Willow Point Rehabilitation and Nursing Center an overall rating of 1 of 5 stars. The last standard survey was on 24 Oct 2024. The latest survey cycle has 10 health citations. The median for nursing homes in Kansas is 8. CMS lists 1 fine of $15,421 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Wyandotte County median | Kansas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 4.0 | 2.9 |
| Quality measure rating | 2 | 5.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 9 homes in the county, 296 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Kansas median |
|---|---|---|---|
| Cycle 1 (latest) | 24 Oct 2024 | 10 | 8 |
| Cycle 2 | 4 May 2023 | 24 | 8 |
| Cycle 3 | No date | 23 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Oct 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 25 Nov 2024 |
| 24 Oct 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 25 Nov 2024 |
| 24 Oct 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint investigation | 25 Nov 2024 |
| 24 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 25 Nov 2024 |
| 24 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 25 Nov 2024 |
| 24 Oct 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 25 Nov 2024 |
| 24 Oct 2024 | F0700 | Try 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. | E | Complaint investigation | 25 Nov 2024 |
| 24 Oct 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 25 Nov 2024 |
| 24 Oct 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Complaint investigation | 25 Nov 2024 |
| 24 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 25 Nov 2024 |
Survey cycle 2: 24 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 May 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0732 | Post nurse staffing information every day. | C | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0761 | 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. | E | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0880 | Provide and implement an infection prevention and control program. | L | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 1 Jun 2023 |
| 4 May 2023 | F0887 | 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 | Standard survey | 1 Jun 2023 |
Survey cycle 3: 23 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Apr 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 24 May 2024 |
| 11 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 15 Apr 2024 |
| 20 Feb 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Complaint investigation | 19 Feb 2024 |
| 13 Oct 2021 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 21 Nov 2021 |
| 13 Oct 2021 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 21 Nov 2021 |
| 13 Oct 2021 | F0584 | 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. | E | Standard survey | 21 Nov 2021 |
| 13 Oct 2021 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 21 Nov 2021 |
| 13 Oct 2021 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 21 Nov 2021 |
| 13 Oct 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 21 Nov 2021 |
| 13 Oct 2021 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 21 Nov 2021 |
| 13 Oct 2021 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Standard survey | 21 Nov 2021 |
| 13 Oct 2021 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 21 Nov 2021 |
| 13 Oct 2021 | F0693 | 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. | D | Standard survey | 21 Nov 2021 |
| 13 Oct 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 21 Nov 2021 |
| 13 Oct 2021 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 21 Nov 2021 |
| 13 Oct 2021 | F0732 | Post nurse staffing information every day. | C | Standard survey | 21 Nov 2021 |
| 13 Oct 2021 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 21 Nov 2021 |
| 13 Oct 2021 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 21 Nov 2021 |
| 13 Oct 2021 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 21 Nov 2021 |
| 13 Oct 2021 | F0758 | 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. | D | Standard survey | 21 Nov 2021 |
| 13 Oct 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Nov 2021 |
| 13 Oct 2021 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 21 Nov 2021 |
| 13 Oct 2021 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 21 Nov 2021 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 20 Feb 2024 | Fine | $15,421 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Kansas median | Kansas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.85 | 3.90 | 4.07 |
| Registered nurses (RN) | 0.64 | 0.60 | 0.71 |
| Licensed practical nurses (LPN) | 0.67 | 0.65 | |
| Nurse aides | 2.54 | 2.70 | |
| All nurse staff, weekends | 3.32 | 3.50 | 3.60 |
- Nurse staff turnover in a year
- 80.0%
- Nurse staff turnover, Kansas median
- 47.4%
- RN turnover in a year
- No data
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Kansas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.7% | 17.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.6% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.8% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 8.3% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.1% | 15.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.2% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.5% | 15.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Hickory Creek Healthcare LLC
- Chain
- The Ensign Group (342 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Gateway Healthcare LLC | Direct ownership interest | 16 Sep 2025 | |
| The Ensign Group Inc | Indirect ownership interest | 1 Dec 2025 | |
| Ensign Services, Inc. | Adp of the snf | 16 Sep 2025 | |
| Mount Sunflower Health Holdings LLC | Adp of the snf | 1 Dec 2025 | |
| Standard Bearer Healthcare Op, LP | Adp of the snf | 1 Dec 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Wyandotte County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Life Care Center of Kansas City | Kansas City | 3 of 5 | 13 | $0 | 20 Aug 2025 | |
| Riverbend Post Acute Rehabilitation | Kansas City | 3 of 5 | 12 | $84,023 | 7 May 2026 | |
| Providence Place | Kansas City | 4 of 5 | 10 | $0 | 12 Aug 2025 | |
| The Healthcare Resort of Kansas City | Kansas City | 2 of 5 | 26 | $28,834 | 14 May 2026 | |
| Edwardsville Care and Rehab | Edwardsville | 2 of 5 | 11 | $38,753 | 21 Aug 2024 | |
| Kaw River Care and Rehab | Edwardsville | 1 of 5 | 14 | $0 | 7 May 2025 | |
| Parkway Operator LLC | Edwardsville | 3 of 5 | 9 | $14,385 | 7 Aug 2024 | |
| Bonner Springs Nursing & Rehab Center | Bonner Springs | 1 of 5 | 18 | $39,696 | 16 Apr 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Willow Point Rehabilitation and Nursing Center (CCN 175135). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/willow-point-rehabilitation-and-nursing-center-kansas-city-ks-175135/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Willow Point Rehabilitation and Nursing Center last inspected?
- The latest inspection with a citation in the CMS record was on 24 Oct 2024. It was a complaint investigation. It gave 10 citations. The standard survey before the last one was on 4 May 2023.
- Who operates Willow Point Rehabilitation and Nursing Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain The Ensign Group. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Willow Point Rehabilitation and Nursing Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Kansas as a Special Focus Facility and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.