Starfile

Starfile / Missouri

SHIRKEY NURSING AND REHABILITATION CENTER

804 WOLLARD BLVD, RICHMOND, MO 64085 · CCN 265708

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★★☆☆ 3
Quality measures
★★★★☆ 4
Staffing
★☆☆☆☆ 1

Facility

Ownership type
Government - County
Certified beds
197
Avg residents/day
90.3
Phone
8167765403

Inspection history vs Missouri & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityMissouri avgNational avgvs state
12025-05-081011.99.5-1.9 better
22024-04-051413.09.8+1.0 worse
32022-04-202311.09.3+12.0 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Resident rights5
Nutrition and dietary2
Pharmacy service1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)42.3%
RN staffing (reported)40.0%
Total nurse staffing (adjusted)

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Inspection citations (47)1 actual harm

  1. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-08 · Health · corrected 2025-06-22

    Potential for more than minimal harm

  2. EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-05-08 · Health · corrected 2025-06-22

    Potential for more than minimal harm

  3. EF0584Honor 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.2025-05-08 · Health · corrected 2025-06-22

    Potential for more than minimal harm

  4. EF0585Honor 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.2025-05-08 · Health · corrected 2025-06-22

    Potential for more than minimal harm

  5. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-05-08 · Health · corrected 2025-06-22

    Potential for more than minimal harm

  6. EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-08 · Health · corrected 2025-06-22

    Potential for more than minimal harm

  7. EF0761Ensure 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.2025-05-08 · Health · corrected 2025-06-22

    Potential for more than minimal harm

  8. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-05-08 · Health · corrected 2025-06-22

    Potential for more than minimal harm

  9. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-08 · Health · corrected 2025-06-22

    Potential for more than minimal harm

  10. EF0880Provide and implement an infection prevention and control program.2025-05-08 · Health · corrected 2025-06-22

    Potential for more than minimal harm

  11. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-04-05 · Health · corrected 2024-05-20

    Potential for more than minimal harm

  12. DF0610Respond appropriately to all alleged violations.2024-04-05 · Health · corrected 2024-05-20

    Potential for more than minimal harm

  13. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-05 · Health · corrected 2024-05-20

    Potential for more than minimal harm

  14. EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-04-05 · Health · corrected 2024-05-20

    Potential for more than minimal harm

  15. DF0679Provide activities to meet all resident's needs.2024-04-05 · Health · corrected 2024-05-20

    Potential for more than minimal harm

  16. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-05 · Health · corrected 2024-05-20

    Potential for more than minimal harm

  17. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-04-05 · Health · corrected 2024-05-20

    Potential for more than minimal harm

  18. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-04-05 · Health · corrected 2024-05-20

    Potential for more than minimal harm

  19. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-04-05 · Health · corrected 2024-05-20

    Potential for more than minimal harm

  20. EF0758Implement 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.2024-04-05 · Health · corrected 2024-05-20

    Potential for more than minimal harm

  21. EF0761Ensure 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.2024-04-05 · Health · corrected 2024-05-20

    Potential for more than minimal harm

  22. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-05 · Health · corrected 2024-05-20

    Potential for more than minimal harm

  23. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-04-05 · Health · corrected 2024-05-20

    Potential for more than minimal harm

  24. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-04-05 · Health · corrected 2024-05-20

    Potential for more than minimal harm

  25. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

  26. EF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

  27. EF0570Assure the security of all personal funds of residents deposited with the facility.2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

  28. EF0584Honor 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.2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

  29. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

  30. EF0625Notify 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.2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

  31. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

  32. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

  33. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

  34. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

  35. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

  36. GF0692Provide enough food/fluids to maintain a resident's health.2022-04-20 · Health · corrected 2022-06-02

    Actual harm

  37. EF0695Provide safe and appropriate respiratory care for a resident when needed.2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

  38. EF0697Provide safe, appropriate pain management for a resident who requires such services.2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

  39. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

  40. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

  41. EF0758Implement 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.2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

  42. EF0759Ensure medication error rates are not 5 percent or greater.2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

  43. EF0761Ensure 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.2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

  44. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

  45. EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

  46. CF0888Ensure staff are vaccinated for COVID-192022-04-20 · Health · corrected 2022-06-02

    Potential for minimal harm

  47. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-04-20 · Health · corrected 2022-06-02

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
BURNHAM, LOISIndividualCORPORATE DIRECTOR2004-12-15
ESTES, DENNISIndividualCORPORATE DIRECTOR2004-12-15
SWAFFORD, RICHARDIndividualCORPORATE DIRECTOR2011-01-01
BROWN, CHRISIndividualCORPORATE OFFICER2000-04-01
BROWN, CHRISIndividualW-2 MANAGING EMPLOYEE2000-04-01

Other facilities in RICHMOND

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.