Nursing Care Index

Valley Manor And Rehabilitation Center

Excelsior Springs, Clay County, Missouri · CCN 265356 · For-profit (LLC) · part of Circle B Enterprises (36 facilities, chain average 2.5 stars)

CMS rates Valley Manor And Rehabilitation Center 1 of 5 overall as of August 2026. 120 certified beds, 67 residents a day on average. 45 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★☆☆☆☆ 1 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay2 / 5 of 5

Staffing

Total nurse staffing3.35613 hours per resident per day
Registered nurses0.36415 hours per resident per day
Weekend total3.04977 hours per resident per day
Nursing staff turnover64% (registered nurses 57.1%)
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-12-18 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · tag F0726
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-02-01
2025-12-18
complaint survey
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-02-01
2025-12-18 Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · tag F0865
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-02-01
2025-12-18 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · tag F0867
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-02-01
2025-12-18 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · tag F0947
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-02-01
2025-12-18 Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · tag F0552
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-01
2025-12-18 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · tag F0561
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-01
2025-12-18 Assure the security of all personal funds of residents deposited with the facility.
Resident Rights Deficiencies · tag F0570
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-01
2025-12-18 Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-01
2025-12-18
complaint survey
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · tag F0636
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-01
2025-12-18 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-01
2025-12-18
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-01
2025-12-18 Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · tag F0679
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-01
2025-12-18 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-01
2025-12-18 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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-01
2025-12-18
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-01
2025-12-18 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-01
2025-12-18 Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Nursing and Physician Services Deficiencies · tag F0728
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-01
2025-12-18
complaint survey
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · tag F0806
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-01
2025-12-18 Implement a program that monitors antibiotic use.
Infection Control Deficiencies · tag F0881
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-01
2025-12-18 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · tag F0882
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-01
2025-05-01
complaint survey
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0697
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-12
2024-07-10 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-08-17
2024-07-10 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-17
2024-07-10 Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · tag F0565
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-17
2024-07-10 Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies · tag F0567
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-17
2024-07-10 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · tag F0578
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-17
2024-07-10 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-17
2024-07-10 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · tag F0585
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-17
2024-07-10 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-17
2024-07-10 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-17
2024-07-10
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-17
2024-07-10 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-17
2024-07-10 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-17
2024-07-10 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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-17
2024-07-10 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · tag F0803
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-17
2024-07-10
complaint survey
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-17
2024-07-10 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-17
2024-07-10 Implement a program that monitors antibiotic use.
Infection Control Deficiencies · tag F0881
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-17
2024-07-10 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.
Nutrition and Dietary Deficiencies · tag F0809
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-17
2023-02-23 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-04-20
2023-02-23 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-04-20
2023-02-23 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-04-20
2023-02-23 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-20
2023-02-23 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies · tag F0569
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-20

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Circle B Enterprises Holding Company Inc.
Organization
5% or greater direct ownership interest100%1996-01-01
Agh1 LLC
Organization
adp of the snf2025-03-25
Dcb Real Estate Partnership Lp
Organization
adp of the snf2010-01-01
Excelsior Real Estate LLC
Organization
adp of the snf2010-01-01
Fg LLC
Organization
adp of the snf2016-12-02
Forvis Mazars LLP
Organization
adp of the snf2021-08-16
Mid States Inc.
Organization
adp of the snf2010-11-01
Sovereign Healthcare Group LLC
Organization
adp of the snf2025-04-06
Van De Ven LLC
Organization
adp of the snf2000-01-01
Agh1 LLC
Organization
operational/managerial control2016-12-02
Sovereign Healthcare Group LLC
Organization
operational/managerial control2021-04-23
Beaird, Todd
Individual
adp of the snf2022-01-01
Britton, Kevin
Individual
adp of the snf2022-11-01
Buzard, Robert
Individual
adp of the snf1995-01-01
Peeler, Nellie
Individual
adp of the snf2025-12-01
Bedell, Donald
Individual
corporate director2000-10-31
Beaird, Todd
Individual
corporate officer2022-01-01
Bedell, Donald
Individual
corporate officer1997-01-06
Britton, Kevin
Individual
corporate officer2022-11-01
Bedell, Bryan
Individual
individual is an owner, partner or trustee of any adp of the snf2025-05-12
Bedell, Donald
Individual
operational/managerial control1997-01-06
Buzard, Robert
Individual
operational/managerial control1995-01-01
Peeler, Nellie
Individual
operational/managerial control2025-10-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Clay County.