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Nursing home report

VALLEY MANOR AND REHABILITATION CENTER

EXCELSIOR SPRINGS, MO · Medicare-certified · 120 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

1 of 5 stars overall, with a 1-star health inspection rating, 2-star staffing, and 4-star quality measures. It has the lowest overall rating, reported nurse staffing below the federal benchmark (3.36 vs 4.1 hours/resident/day), and $0 in fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.3561 hrs/resident/day

Quality measures

Last inspection: December 18, 2025Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3561.

Staffing detail

Registered nurses
0.36
Licensed practical nurses
0.68
Nurse aides
2.31
Weekend nursing
3.05

Hours per resident per day.

Total staff turnover: 64%
Registered nurse turnover: 57%

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).

Long-stay residents on antipsychotic medication

10.6%9.6%Improving

Residents with a fall causing major injury

1.7%1.6%No change

Residents with pressure ulcers (bedsores)

1.6%4.2%Worsening

Residents with a urinary tract infection

3.4%1.6%Improving

Residents who lost too much weight

0%5.5%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

26%46%Worsening

Residents whose ability to walk got worse

43.4%55.1%Worsening

Long-stay residents on antianxiety or sleep medication

11.1%17.9%Worsening

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

6.8%2.5%Improving

Residents with new or worsening incontinence

16.7%21.5%Worsening

Residents with depressive symptoms

28.3%26.8%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

81.2%

Long-stay residents given the pneumonia vaccine

94.8%95.2%No change

Short-stay residents given the seasonal flu vaccine

5.9%

Short-stay residents given the pneumonia vaccine

42.4%61%Improving

What the inspectors found

The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited December 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 726 — 42 CFR §483.35 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited December 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 865 — 42 CFR §483.75 — S/S: F

The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited December 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 867 — 42 CFR §483.75 — S/S: F

The home failed to ensure nurse aides had the skills and training needed to care for residents safely, including dementia care and abuse prevention. Cited December 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 947 — 42 CFR §483.95 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 18 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of CIRCLE B ENTERPRISES · 36 homes · 2.5 stars avg
Occupancy
66.5 residents on an average day (55% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 37 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.