Avalon View Health and Wellness in Liberty, MO has a 3-star overall rating, with 1-star staffing despite 3.05 reported nurse hours per resident per day versus the 4.1 federal benchmark. It also has a recent federal penalty and $14,267 in fines over the last 24 months, while quality measures are rated 5 stars.
Last inspection: November 20, 2025Penalties, last 24 months: $14,267recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0492.
Staffing detail
Registered nurses
0.34
Licensed practical nurses
0.61
Nurse aides
2.10
Weekend nursing
2.70
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 63%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
38.2%28.8%Improving
Residents with a fall causing major injury
1%4%Worsening
Residents with pressure ulcers (bedsores)
3.3%2.3%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
13.3%4.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.8%5.9%Worsening
Residents whose ability to walk got worse
4.8%3.7%Improving
Long-stay residents on antianxiety or sleep medication
34.9%36%Worsening
Short-stay residents newly given an antipsychotic
4%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
24.1%13.8%Improving
Residents with depressive symptoms
89.8%73.3%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
99%100%Improving
Short-stay residents given the seasonal flu vaccine
—76.7%—
Short-stay residents given the pneumonia vaccine
76.8%98.6%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2025 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: E
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — limited pattern, potential for harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $14,267 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $14,267 in total fines.
Federal fine
Sep 23, 2024
$14,267
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of VERTICAL HEALTH SERVICES · 16 homes · 1.8 stars avg
Occupancy
115.1 residents on an average day (82% of 140 beds)
Resident voice
Resident council
Medicare history
Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.