nursing home in Excelsior Springs, MO

Valley Manor and Rehabilitation Center

1410 Hospital Drive, Excelsior Springs, MO 64024 · (816) 637-1010

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★2
  • Quality measures★★★★★4

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Valley Manor and Rehabilitation Center at a glance

Valley Manor and Rehabilitation Center is a 120-bed for-profit nursing home in Excelsior Springs, Missouri (Clay County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Missouri average of 2.5.

Residents receive about 3.4 hours of nursing care per day (0.4 of them from registered nurses), close to the state average of 3.4 hours.

Its most recent standard health inspection (December 18, 2025) found 21 health citations. The Missouri average is 11.4.

It has not received a federal fine in the past three years.

Nursing staff turnover is 64% per year (state average 56%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
120
Certified for
Medicare and Medicaid
Chain / affiliated entity
Circle B Enterprises
Medicare-certified since
March 1, 1989
Resident/family council
Resident
County
Clay County
CMS Certification Number
265356

Ratings

MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.5 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)2 / 52.2 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)4 / 52.7 / 53.6 / 5Average
Long-stay quality rating (higher is better)2 / 52.8 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)5 / 52.7 / 53.3 / 5Better

Staffing

This facility3.36 hrsMissouri average3.43 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.36 hrs3.43 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.36 hrs0.46 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.31 hrs2.29 hrs2.32 hrsAverage
Weekend nurse staff hours per resident per day (higher is better)3.05 hrs3.01 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)64%56%45.8%Worse
Registered nurse turnover (yearly) (lower is better)57.1%47.8%42.9%Worse
Administrators who left in the past year (lower is better)111Worse

Inspections

This facility21Missouri average11U.S. average9
Health citations in the most recent inspection: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)21119Worse
Citations from complaint investigations (latest cycle) (lower is better)533Worse
Weighted health inspection score ⓘ (lower is better)179111.880.6Worse

Penalties

This facility0Missouri average1U.S. average1
Fines in the past 3 years: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$37,425$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Certified beds120103107
Average residents per day677386
Occupancy55.4%72.4%80.9%

Long-stay residents

This facility1.6%Missouri average4.1%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)1.6%4.1%3.2%Better
Long-stay residents with pressure ulcers (lower is better)3.6%4.5%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)11.9%23.5%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)2%2.3%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)4.8%1.1%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)29.5%18.1%13.9%Worse
Long-stay residents whose walking worsened (lower is better)34%17.4%14.1%Worse
Long-stay residents who lose too much weight (lower is better)3.2%5.3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)26.4%18.5%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)14.7%25.6%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)21.2%17.8%19%Worse
Long-stay residents given a flu vaccine (higher is better)81.2%90.9%95.5%Worse
Long-stay residents given a pneumonia vaccine (higher is better)91.6%84.1%93.6%Average

Short-stay residents

This facility0%Missouri average2.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0%2.2%1.6%Better
Short-stay residents given a flu vaccine (higher is better)5.9%63.5%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)48.6%65.7%82%Worse

Inspection citations

State inspectors cited this home for 45 health deficiencies and 19 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.

DateCitationSeverityStatus
December 18, 2025
Fire safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Smoke Deficiencies · Tag K0362
F
Potential harm, widespread
Corrected February 1, 2026
December 18, 2025
Fire safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Smoke Deficiencies · Tag K0354
F
Potential harm, widespread
Corrected February 1, 2026
December 18, 2025
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected February 1, 2026
December 18, 2025
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
E
Potential harm, pattern
Corrected February 1, 2026
December 18, 2025
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected February 1, 2026
December 18, 2025
Fire safety
Have exits that are accessible at all times.
Egress Deficiencies · Tag K0271
E
Potential harm, pattern
Corrected February 1, 2026
December 18, 2025
Standard
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
Potential harm, widespread
Corrected February 1, 2026
December 18, 2025
Standard
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Tag F0865
F
Potential harm, widespread
Corrected February 1, 2026
December 18, 2025
Complaint
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
Potential harm, widespread
Corrected February 1, 2026
December 18, 2025
Standard
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
Potential harm, widespread
Corrected February 1, 2026
December 18, 2025
Standard
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Tag F0867
F
Potential harm, widespread
Corrected February 1, 2026
December 18, 2025
Complaint
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
Potential harm, pattern
Corrected February 1, 2026
December 18, 2025
Standard
Assure the security of all personal funds of residents deposited with the facility.
Resident Rights Deficiencies · Tag F0570
E
Potential harm, pattern
Corrected February 1, 2026
December 18, 2025
Standard
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
Potential harm, pattern
Corrected February 1, 2026
December 18, 2025
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
E
Potential harm, pattern
Corrected February 1, 2026
December 18, 2025
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected February 1, 2026
December 18, 2025
Standard
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
Potential harm, pattern
Corrected February 1, 2026
December 18, 2025
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
E
Potential harm, pattern
Corrected February 1, 2026
December 18, 2025
Standard
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
E
Potential harm, pattern
Corrected February 1, 2026
December 18, 2025
Complaint
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
Potential harm, pattern
Corrected February 1, 2026
December 18, 2025
Standard
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
Potential harm, pattern
Corrected February 1, 2026
December 18, 2025
Standard
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
E
Potential harm, pattern
Corrected February 1, 2026
December 18, 2025
Standard
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Tag F0881
D
Potential harm, isolated
Corrected February 1, 2026
December 18, 2025
Complaint
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
Potential harm, isolated
Corrected February 1, 2026
December 18, 2025
Standard
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
Potential harm, isolated
Corrected February 1, 2026
December 18, 2025
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected February 1, 2026
December 18, 2025
Standard
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
Potential harm, isolated
Corrected February 1, 2026
May 1, 2025
Complaint
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
D
Potential harm, isolated
Corrected June 12, 2025
July 10, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected August 20, 2024
July 10, 2024
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected August 20, 2024
July 10, 2024
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
F
Potential harm, widespread
Corrected August 20, 2024
July 10, 2024
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
F
Potential harm, widespread
Corrected August 20, 2024
July 10, 2024
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
F
Potential harm, widespread
Corrected August 20, 2024
July 10, 2024
Fire safety
Use approved construction type or materials.
Construction Deficiencies · Tag K0161
E
Potential harm, pattern
Corrected August 20, 2024
July 10, 2024
Fire safety
Properly provide smoke detection systems in areas open to corridors.
Smoke Deficiencies · Tag K0347
E
Potential harm, pattern
Corrected August 20, 2024
July 10, 2024
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
E
Potential harm, pattern
Corrected August 20, 2024
July 10, 2024
Standard
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
Potential harm, widespread
Corrected August 17, 2024
July 10, 2024
Complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected August 17, 2024
July 10, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected August 17, 2024
July 10, 2024
Standard
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Tag F0881
E
Potential harm, pattern
Corrected August 17, 2024
July 10, 2024
Complaint
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
Potential harm, pattern
Corrected August 17, 2024
July 10, 2024
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected August 17, 2024
July 10, 2024
Standard
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
Potential harm, pattern
Corrected August 17, 2024
July 10, 2024
Standard
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
Potential harm, pattern
Corrected August 17, 2024
July 10, 2024
Standard
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
Potential harm, pattern
Corrected August 17, 2024
July 10, 2024
Standard
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
Potential harm, pattern
Corrected August 17, 2024
July 10, 2024
Standard
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies · Tag F0567
E
Potential harm, pattern
Corrected August 17, 2024
July 10, 2024
Standard
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Tag F0565
E
Potential harm, pattern
Corrected August 17, 2024
July 10, 2024
Standard
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
Potential harm, pattern
Corrected August 17, 2024
July 10, 2024
Standard
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
Potential harm, pattern
Corrected August 17, 2024
July 10, 2024
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
E
Potential harm, pattern
Corrected August 17, 2024
July 10, 2024
Standard
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
Potential harm, pattern
Corrected August 17, 2024
July 10, 2024
Standard
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
Potential harm, pattern
Corrected August 17, 2024
July 10, 2024
Standard
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
Potential harm, isolated
Corrected August 17, 2024
February 23, 2023
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
F
Potential harm, widespread
Corrected April 20, 2023
February 23, 2023
Fire safety
Develop a communication plan.
Emergency Preparedness Deficiencies · Tag E0029
F
Potential harm, widespread
Corrected April 20, 2023
February 23, 2023
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected April 20, 2023
February 23, 2023
Fire safety
Meet other general requirements.
Construction Deficiencies · Tag K0100
E
Potential harm, pattern
Corrected April 20, 2023
February 23, 2023
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected April 20, 2023
February 23, 2023
Standard
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
Potential harm, pattern
Corrected April 20, 2023
February 23, 2023
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
E
Potential harm, pattern
Corrected April 20, 2023
February 23, 2023
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
E
Potential harm, pattern
Corrected April 20, 2023
February 23, 2023
Standard
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies · Tag F0569
D
Potential harm, isolated
Corrected April 20, 2023
February 23, 2023
Standard
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
Potential harm, isolated
Corrected April 20, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
CIRCLE B ENTERPRISES HOLDING COMPANY INC
Organization
5% or greater direct ownership interest100%01/01/1996
AGH1 LLC
Organization
adp of the snfNOT APPLICABLE03/25/2025
BEAIRD, TODD
Individual
adp of the snfNOT APPLICABLE01/01/2022
BRITTON, KEVIN
Individual
adp of the snfNOT APPLICABLE11/01/2022
BUZARD, ROBERT
Individual
adp of the snfNOT APPLICABLE01/01/1995
DCB REAL ESTATE PARTNERSHIP LP
Organization
adp of the snfNOT APPLICABLE01/01/2010
EXCELSIOR REAL ESTATE LLC
Organization
adp of the snfNOT APPLICABLE01/01/2010
FG LLC
Organization
adp of the snfNOT APPLICABLE12/02/2016
FORVIS MAZARS LLP
Organization
adp of the snfNOT APPLICABLE08/16/2021
MID STATES INC
Organization
adp of the snfNOT APPLICABLE11/01/2010
PEELER, NELLIE
Individual
adp of the snfNOT APPLICABLE12/01/2025
SOVEREIGN HEALTHCARE GROUP LLC
Organization
adp of the snfNOT APPLICABLE04/06/2025
VAN DE VEN LLC
Organization
adp of the snfNOT APPLICABLE01/01/2000
BEDELL, DONALD
Individual
corporate directorNOT APPLICABLE10/31/2000
BEAIRD, TODD
Individual
corporate officerNOT APPLICABLE01/01/2022
BEDELL, DONALD
Individual
corporate officerNOT APPLICABLE01/06/1997
BRITTON, KEVIN
Individual
corporate officerNOT APPLICABLE11/01/2022
BEDELL, BRYAN
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE05/12/2025
AGH1 LLC
Organization
operational/managerial controlNOT APPLICABLE12/02/2016
BEDELL, DONALD
Individual
operational/managerial controlNOT APPLICABLE01/06/1997
BUZARD, ROBERT
Individual
operational/managerial controlNOT APPLICABLE01/01/1995
PEELER, NELLIE
Individual
operational/managerial controlNOT APPLICABLE10/01/2025
SOVEREIGN HEALTHCARE GROUP LLC
Organization
operational/managerial controlNOT APPLICABLE04/23/2021

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  5. Shirkey Nursing and Rehabilitation Center

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Frequently asked questions

What is Valley Manor and Rehabilitation Center's rating?

Valley Manor and Rehabilitation Center has 1 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.

How many inspection citations did Valley Manor and Rehabilitation Center receive?

Its most recent standard health inspection found 21 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.

Does Valley Manor and Rehabilitation Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Valley Manor and Rehabilitation Center?

It is for profit - limited liability company and part of Circle B Enterprises. The ownership section on this page lists the owners and managers reported to CMS.

Where is Valley Manor and Rehabilitation Center and how do I contact it?

Valley Manor and Rehabilitation Center is at 1410 Hospital Drive, Excelsior Springs, MO 64024. Phone: (816) 637-1010.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.