Carmel Hills Wellness & Rehabilitation
A nursing home in Independence, Missouri 64050
810 East Walnut, Independence, Missouri 64050. (816) 461-9600.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 24 health citations at the latest inspection cycle Missouri average: 11.4
- 2.72 nurse hours per resident per day Missouri average: 3.40
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
24 health citations at the latest inspection cycle
The Missouri average is 11.4.
Last standard inspection Nov 25, 2024.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Feb 1, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
37 citations in 7 months of the last 36. Last cited Mar 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 37 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 16 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Mar 31, 2026: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 21, 2025: complaint inspection7 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Ensure 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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Jan 16, 2025: complaint inspection2 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nov 25, 2024: standard inspection21 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Allow residents to self-administer drugs if determined clinically appropriate.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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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.
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Ensure each resident receives an accurate assessment.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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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.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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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.
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Ensure medication error rates are not 5 percent or greater.
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Ensure that residents are free from significant medication errors.
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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.
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Provide or obtain dental services for each resident.
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Provide and implement an infection prevention and control program.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
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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.
Nov 25, 2024: standard and complaint inspection2 citations
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Plan the resident’s discharge to meet the resident’s goals and needs.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Oct 16, 2024: complaint inspection1 citation
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Protect each resident from the wrongful use of the resident’s belongings or money.
Jun 28, 2024: complaint inspection1 citation
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Feb 1, 2024: complaint inspection2 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 4, 2002.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 194 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $20,787 in all.
- No Medicare payment denials in the last three years.
- 16 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Feb 1, 2024 | Fine | $20,787 |
Who does the caring?
2.72 nurse hours per resident per day
The Missouri average is 3.40.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Missouri average |
|---|---|---|
| Nurse hours per resident per day | 2.72 | 3.40 |
| Of which registered nurses | 0.26 | 0.46 |
| At weekends | 2.35 | 2.96 |
| Nursing staff turnover | 50% | 56.9% |
| Registered nurse turnover | 60% | 50% |
| Administrators who left | 0 | Not given |
Who owns it?
- El Dorado Nursing and Rehabilitation LLC owns 100% directly since Dec 12, 2022.
- 3 owners or officers are people: Charmaine Denise Coffman-Williams (additional disclosable party (controls, leases property to, or provides services to the home)); David Garetz (runs it (operational or managerial control)); Srinath Tadakamalla (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Opco Skilled Management (68 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| 810 E Walnut Street Mo LLC | Holds 5% or more of the mortgage | 100% | Dec 12, 2022 |
| El Dorado Nursing and Rehabilitation LLC | Owns a share directly | 100% | Dec 12, 2022 |
| Ozark Healthcare Realty LLC | Holds 5% or more of the mortgage | 100% | Dec 12, 2022 |
| Montgomery Sky Trust | Holds 5% or more of the mortgage | 99% | Dec 12, 2022 |
| Caliber Advisors LLC | Owns a share through other companies | 97% | Dec 12, 2022 |
| Emerald Property Partners LLC | Holds 5% or more of the mortgage | 74.5% | Dec 12, 2022 |
| Crestview Trust | Owns a share through other companies | 63.33% | Dec 12, 2022 |
| Rimpau Holdings Trust | Owns a share through other companies | 34.1% | Dec 12, 2022 |
| Gibraltar Trust | Holds 5% or more of the mortgage | 20% | Dec 12, 2022 |
| Sasem Investments LLC | Owns a share through other companies | 2.58% | Dec 12, 2022 |
| First Sweetzer Holdings LLC | Owns a share through other companies | 2% | Dec 12, 2022 |
| Hatteras Investments LLC | Owns a share through other companies | 1% | Dec 12, 2022 |
| Esdov Investments LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 12, 2022 | |
| First Sweetzer Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 12, 2022 | |
| 810 E Walnut Street Mo LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 12, 2022 | |
| Ozark Healthcare Realty LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 12, 2022 | |
| Montgomery Sky Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 12, 2022 | |
| Emerald Property Partners LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 12, 2022 | |
| Jubilee Master Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 12, 2022 | |
| Hatteras Investments LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 12, 2022 | |
| Gibraltar Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 12, 2022 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Missouri average 2.9).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 6.4 miles, this one had the 3rd most health citations at the latest inspection cycle (24; the middle value was 14.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Carmel Hills Wellness & Rehabilitation This nursing home | 24 | |
| Heritage Wellness & Rehabilitation | 1.7 | 47 |
| Rosewood Rehab and Healthcare Center | 1.8 | 16 |
| Independence Manor Care Center | 1.8 | 7 |
| The Rehabilitation Center of Independence | 1.8 | 22 |
| Maywood Terrace Living Center | 2.9 | 23 |
| Sunterra Springs Independence | 3.6 | 3 |
| Villages of Jackson Creek | 4.1 | 13 |
| Monterey Park Rehabilitation & Health Care Center | 4.9 | 5 |
| Ignite Medical Resort Blue Springs | 5.1 | 7 |
| Alpine Breeze Health and Wellness | 6.3 | 12 |
| Parkview Healthcare | 6.4 | 34 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.