Wilshire at Lakewood Rehab CenterCMS ratings, inspections and fines
- Address
- 600 N E Meadowview Drive, Lees Summit, MO 64064
- CCN
- 265700
- Ownership type
- For-profit, limited liability company
- Certified beds
- 170
- Chain
- Ama Holdings
- Residents per day
- 132
- CMS flags
- None in the CMS record
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 Wilshire at Lakewood Rehab Center an overall rating of 3 of 5 stars. The last standard survey was on 18 Nov 2025. The latest survey cycle has 7 health citations. The median for nursing homes in Missouri is 9. CMS lists no fines 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 | Jackson County median | Missouri median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 2.0 | 2.0 | 3.0 |
| Health inspection rating | 4 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 1.0 | 2.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 39 homes in the county, 487 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 | Missouri median |
|---|---|---|---|
| Cycle 1 (latest) | 18 Nov 2025 | 7 | 9 |
| Cycle 2 | 21 Nov 2023 | 12 | 10 |
| Cycle 3 | No date | 15 | 9 |
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 | J0 | K0 | L0 |
| 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 | C0 |
Survey cycle 1 (latest): 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 21 Nov 2025 |
| 18 Nov 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Complaint investigation | 8 Nov 2024 |
| 18 Nov 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 21 Nov 2025 |
| 18 Nov 2025 | 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 2025 |
| 18 Nov 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 21 Nov 2025 |
| 18 Nov 2025 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 21 Nov 2025 |
| 18 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 21 Nov 2025 |
Survey cycle 2: 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 21 Nov 2023 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 5 Jan 2024 |
| 21 Nov 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 5 Jan 2024 |
| 21 Nov 2023 | 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 | 5 Jan 2024 |
| 21 Nov 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 5 Jan 2024 |
| 21 Nov 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 5 Jan 2024 |
| 21 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 5 Jan 2024 |
| 21 Nov 2023 | F0687 | Provide appropriate foot care. | D | Standard survey | 5 Jan 2024 |
| 21 Nov 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 | 5 Jan 2024 |
| 21 Nov 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 5 Jan 2024 |
| 21 Nov 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 | 5 Jan 2024 |
| 21 Nov 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 | 5 Jan 2024 |
| 21 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 5 Jan 2024 |
Survey cycle 3: 15 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 |
|---|---|---|---|---|---|
| 22 Mar 2022 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | F | Standard survey | 29 Apr 2022 |
| 22 Mar 2022 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 29 Apr 2022 |
| 22 Mar 2022 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 29 Apr 2022 |
| 22 Mar 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 29 Apr 2022 |
| 22 Mar 2022 | F0625 | 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. | D | Standard survey | 29 Apr 2022 |
| 22 Mar 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 29 Apr 2022 |
| 22 Mar 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 29 Apr 2022 |
| 22 Mar 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 25 Feb 2022 |
| 22 Mar 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 29 Apr 2022 |
| 22 Mar 2022 | 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 | 29 Apr 2022 |
| 22 Mar 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 29 Apr 2022 |
| 22 Mar 2022 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 29 Apr 2022 |
| 22 Mar 2022 | 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 | 29 Apr 2022 |
| 22 Mar 2022 | 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 | 29 Apr 2022 |
| 22 Mar 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 29 Apr 2022 |
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.
CMS lists no fine and no payment denial for this home in its penalties file.
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 | Missouri median | Missouri average (CMS) |
|---|---|---|---|
| All nurse staff | 3.43 | 3.40 | 3.43 |
| Registered nurses (RN) | 0.49 | 0.40 | 0.46 |
| Licensed practical nurses (LPN) | 0.83 | 0.68 | |
| Nurse aides | 2.11 | 2.29 | |
| All nurse staff, weekends | 3.03 | 2.90 | 3.02 |
- Nurse staff turnover in a year
- 66.5%
- Nurse staff turnover, Missouri median
- 56.1%
- RN turnover in a year
- 56.7%
- Administrators who left in a year
- 0
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 | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.3% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.9% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.5% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.3% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.0% | 21.0% | 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, limited liability company
- Legal business name
- Wilshire Operator LLC
- Chain
- Ama Holdings (13 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Mo Operation Holdings De Spe LLC | 5% or greater direct ownership interest | 99% | 25 Jan 2024 |
| Ama Holdings LLC | 5% or greater indirect ownership interest | 1 Jan 2022 | |
| Def Holdings LLC | 5% or greater indirect ownership interest | 1 Jan 2022 | |
| Mo Operation Holdings De Spe LLC | Operational/managerial control | 25 Jan 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in Jackson County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| University Health Lakewood Medical Center | Kansas City | 4 of 5 | 5 | $14,901 | 22 Aug 2025 | |
| Seasons Rehab and Healthcare Center | Kansas City | 4 of 5 | 6 | $0 | 31 Jan 2025 | |
| Monterey Park Rehabilitation & Health Care Center | Independence | 3 of 5 | 5 | $0 | 18 Nov 2025 | |
| Ignite Medical Resort Blue Springs | Blue Springs | 5 of 5 | 7 | $0 | 10 Oct 2024 | |
| Edgewood Manor Health Care Center | Raytown | 1 of 5 | 31 | $135,307 | 1 Oct 2024 | |
| Villages of Jackson Creek | Independence | 2 of 5 | 13 | $29,186 | 5 Dec 2025 | |
| Sunterra Springs Independence | Independence | 5 of 5 | 3 | $0 | 10 Feb 2025 | |
| John Knox Village Care Center | Lees Summit | 4 of 5 | 4 | $0 | 14 Jan 2025 | |
| Lee's Summit Place | Lees Summit | 3 of 5 | 5 | $0 | 7 Apr 2025 | |
| Jefferson Health Care | Lees Summit | 1 of 5 | 22 | $34,459 | 4 Apr 2025 | |
| Alpine Breeze Health and Wellness | Raytown | 2 of 5 | 12 | $35,683 | 20 Aug 2025 | |
| Ignite Medical Resort St Marys LLC | Blue Springs | 2 of 5 | 19 | $0 | 27 Aug 2024 |
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 Wilshire at Lakewood Rehab Center (CCN 265700). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/wilshire-at-lakewood-rehab-center-lees-summit-mo-265700/
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 Wilshire at Lakewood Rehab Center last inspected?
- The latest inspection with a citation in the CMS record was on 18 Nov 2025. It was a standard survey and a complaint investigation. It gave 7 citations. The standard survey before the last one was on 21 Nov 2023.
- Who operates Wilshire at Lakewood Rehab Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Ama Holdings. The CMS ownership file names Mo Operation Holdings De Spe LLC for operational or managerial control. This site does not show the names of persons.
- Is Wilshire at Lakewood Rehab Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Missouri as Special Focus Facilities and 15 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.