Shirkey Nursing and Rehabilitation Center

Nursing Home · Richmond, MO

CMS overall rating 3/5 Government - County

CMS certification number265708

Contact & location

804 Wollard Blvd
Richmond, MO 64085
Ray County
Phone
(816) 776-5403
ZIP code
64085 – all care providers

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Facility details

Certified beds
197
Residents per day
94.5 (48% occupied)
Ownership
Government - County
Legal name
Senior Citizens Nursing Home District of Ray County
Medicare certified since
October 1, 2000
Participates in
Medicare and Medicaid

CMS star ratings

Overall★★★★★ 3/5
State avg 2.5
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 2.2
Quality measures★★★★★ 4/5
State avg 2.7
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.08 (state 3.43 · U.S. 3.86)
Registered nurses (RN)
0.36 (state 0.46 · U.S. 0.69)
Licensed practical nurses
0.94 (state 0.68 · U.S. 0.86)
Nurse aides
2.79 (state 2.29 · U.S. 2.32)
Weekend total
3.66 (state 3.02 · U.S. 3.42)
Nursing staff turnover
37.6 (state 56.0 · U.S. 45.8)%
RN turnover
63.6 (state 47.8 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
May 8, 2025
Health deficiencies (last cycle)
10.0 (state 11.5 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
47 health · 33 fire safety · includes actual harm
DateCitationSeverityStatus
2025-05-08 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-22
2025-05-08 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-22
2025-05-08 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.
F0584 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-22
2025-05-08 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.
F0585 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-22
2025-05-08 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-22
2025-05-08 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-22
2025-05-08 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-22
2025-05-08 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-22
2025-05-08 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-22
2025-05-08 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-22
2024-04-05 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-05-20
2024-04-05 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-05-20
2024-04-05 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-20
2024-04-05 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-20
2024-04-05 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-20
2024-04-05 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-20
2024-04-05 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-20
2024-04-05 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.
F0758 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-20
2024-04-05 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-20
2024-04-05 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-20
2024-04-05 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-20
2024-04-05 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-20
2024-04-05 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-20
2024-04-05 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.
F0726 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-20
2022-04-20 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2022-06-02
2022-04-20 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
F0569 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 Assure the security of all personal funds of residents deposited with the facility.
F0570 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 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.
F0584 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 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.
F0625 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 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.
F0758 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-06-02
2022-04-20 Ensure staff are vaccinated for COVID-19
F0888 · Infection Control Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2022-06-02

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Burnham, Lois (individual)Corporate Director · NOT APPLICABLE
Estes, Dennis (individual)Corporate Director · NOT APPLICABLE
Swafford, Richard (individual)Corporate Director · NOT APPLICABLE
Brown, Chris (individual)Corporate Officer · NOT APPLICABLE
Brown, Chris (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Shirkey Nursing and Rehabilitation Center?

Shirkey Nursing and Rehabilitation Center has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.

How many beds does Shirkey Nursing and Rehabilitation Center have?

It has 197 certified beds and cares for about 95 residents per day.

Has Shirkey Nursing and Rehabilitation Center been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Shirkey Nursing and Rehabilitation Center?

(816) 776-5403. The facility is located at 804 Wollard Blvd, Richmond, MO 64085.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.