Capitol River Wellness & Rehabilitation faces challenges in its CMS ratings, earning a D grade with a score of 41/100. The facility ranks in the 48th percentile among Missouri nursing homes, suggesting significant room for improvement.
Staffing at Capitol River Wellness & Rehabilitation is near the national average, with 4.01 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 31 deficiencies at Capitol River Wellness & Rehabilitation, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.01 | 3.8 | Average |
| Registered Nurses (RN) | 0.41 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.07 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.53 | 2.4 | Average |
| Weekend Total Nursing | 3.51 | 3.8 | Average |
| Weekend RN Hours | 0.22 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Apr 27, 2025 · Resident Rights Deficiencies
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Mar 3, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0725 Severity DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Mar 3, 2025 · Nursing and Physician Services Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Dec 18, 2024 · Nutrition and Dietary Deficiencies
- Tag 0567 Severity EHonor the resident's right to manage his or her financial affairs.Dec 18, 2024 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 11.9% | 4.5% | Worse |
| Falls with major injury | 4.7% | 3.0% | Worse |
| On antipsychotic medication | 21.6% | 14.5% | Worse |
| Urinary tract infections | 1.7% | 2.5% | Better |
| ADL decline (daily activities) | 18.1% | 14.0% | Worse |
| Excessive weight loss | 3.7% | 7.5% | Better |
| New/worsened incontinence | 18.3% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $14,446
How This Grade Was Calculated
This facility's grade of D is based on a score of 41 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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