• CMS rates this facility 2/5 stars (below average)
• Has 197 certified beds with an average of 90.3 residents per day (46% occupancy)
• Last health inspection found 10 deficiencies (inspected May 8, 2025)
• No fines on record
• Total nursing staff: 0.00 hours per resident per day
• Staff turnover rate: 42.3%
Shirkey Nursing and Rehabilitation Center is a 2-star Medicare and Medicaid certified nursing home in Richmond, Missouri with 197 certified beds. It has been operating since 2000. The facility scored below average compared to Missouri facilities.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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.
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.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Ensure that residents are fully informed and understand their health status, care and treatments.
Respond appropriately to all alleged violations.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Provide activities to meet all resident's needs.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe and appropriate respiratory care for a resident when needed.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
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.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Assure the security of all personal funds of residents deposited with the facility.
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.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
+ 17 more deficiencies
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| BURNHAM, LOIS | CORPORATE DIRECTOR | Individual | N/A | Dec 15, 2004 |
| ESTES, DENNIS | CORPORATE DIRECTOR | Individual | N/A | Dec 15, 2004 |
| SWAFFORD, RICHARD | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2011 |
| BROWN, CHRIS | CORPORATE OFFICER | Individual | N/A | Apr 1, 2000 |
| BROWN, CHRIS | W-2 MANAGING EMPLOYEE | Individual | N/A | Apr 1, 2000 |