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Nursing Home Violations
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Heritage Wellness & Rehabilitation, Independence, Missouri

80
Citations from health inspectionsMissouri average: 36 a home
1
Residents harmed or put in dangerMissouri average: 1.7 a home
$228,192
Fines from the federal governmentMissouri average: $37,425 a home
1 out of 5
Overall rating in starsMissouri average: 2.5

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

10 inspection visits produced 80 citations. Residents were in immediate danger in one finding. Federal fines came to $228,192 (17 fines). Once, Medicare stopped paying for new admissions.

A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.

The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.

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Quick Look at the Record

The home's overall star rating
1 out of 5
Rating for health inspections
1 out of 5
Rating for staffing
1 out of 5
Rating for quality of care
1 out of 5
Nurse time for each resident
4.21 hours each dayThe Missouri average is 3.43 hours
Time from registered nurses
0.28 hours each dayThe Missouri average is 0.46 hours
Nursing staff who left during one year
Not sent to CMS
Beds that are certified
118
Ownership
Corporation (non profit)
Chain
Blue Sky Basin, LLC, with five homes
Street address
17451 Medical Center Parkway, Independence, Missouri 64057
County
Jackson

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

Three citations dated May 14, 2026

  • F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated Jan. 23, 2026

  • F569 Return Resident Funds After Discharge or Death: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Two citations dated Dec. 19, 2025

  • F760 Significant Medication Errors: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Two citations dated May 14, 2025

  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

41 citations dated Feb. 19, 2025

  • F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, a pattern, several residents.
  • F887 Coronavirus Vaccine Education, Offering, and Records: risk of harm, no one found hurt, a pattern, several residents.
  • F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, a pattern, several residents.
  • F882 Qualified Infection Prevention Leader: risk of harm, no one found hurt, widespread.
  • F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, a pattern, several residents.
  • F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread, found on a complaint visit.
  • F867 Ongoing Quality Review Group and Correction Plans: risk of harm, no one found hurt, widespread.
  • F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread.
  • F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
  • F800 Nutritious, Tasty, Balanced Meals: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
  • F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, one or a few residents.
  • F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
  • F745 Medically Related Social Services: risk of harm, no one found hurt, one or a few residents.
  • F732 Post Daily Nurse Staffing Information: risk of harm, no one found hurt, a pattern, several residents.
  • F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
  • F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F697 Pain Management: risk of harm, no one found hurt, one or a few residents.
  • F695 Breathing and Oxygen Care: risk of harm, no one found hurt, a pattern, several residents.
  • F693 Feeding Tube Care: risk of harm, no one found hurt, one or a few residents.
  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents.
  • F684 Quality of Care: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F680 Qualified Activities Director: risk of harm, no one found hurt, a pattern, several residents.
  • F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, one or a few residents.
  • F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents.
  • F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
  • F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
  • F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents.
  • F641 Accurate Resident Assessments: risk of harm, no one found hurt, a pattern, several residents.
  • F625 Written Notice of Bed Hold Policy: risk of harm, no one found hurt, one or a few residents.
  • F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents.
  • F610 Investigating Abuse Allegations: immediate danger to residents, one or a few residents, found on a complaint visit.
  • F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, a pattern, several residents.
  • F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
  • F568 Properly Manage Resident Money Held by Facility: risk of harm, no one found hurt, a pattern, several residents.
  • F567 Right to Manage Own Finances: risk of harm, no one found hurt, a pattern, several residents.

Two citations dated Nov. 21, 2024

  • F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F569 Return Resident Funds After Discharge or Death: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated April 22, 2024

  • F557 Respect, Dignity, and Personal Belongings: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Two citations dated Feb. 13, 2024

  • F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

21 citations dated June 5, 2023

  • F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
  • F851 Submit Accurate Staffing Data to Federal Government: risk of harm, no one found hurt, widespread.
  • F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, one or a few residents.
  • F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
  • F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
  • F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, one or a few residents.
  • F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, widespread.
  • F695 Breathing and Oxygen Care: risk of harm, no one found hurt, a pattern, several residents.
  • F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
  • F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, a pattern, several residents.
  • F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents.
  • F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
  • F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
  • F637 Reassess After a Major Change in Condition: risk of harm, no one found hurt, one or a few residents.
  • F625 Written Notice of Bed Hold Policy: risk of harm, no one found hurt, one or a few residents.
  • F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents.
  • F604 Freedom From Physical Restraints: risk of harm, no one found hurt, one or a few residents.
  • F569 Return Resident Funds After Discharge or Death: risk of harm, no one found hurt, one or a few residents.
  • F568 Properly Manage Resident Money Held by Facility: risk of harm, no one found hurt, one or a few residents.
  • F567 Right to Manage Own Finances: risk of harm, no one found hurt, one or a few residents.

Five citations dated Aug. 9, 2021

  • F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, a pattern, several residents.
  • F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
  • F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, one or a few residents.
  • F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread.
  • F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.

Payment Denials and Fines

DatePenaltyAmount
Feb. 19, 2025Fine$134,345
Feb. 19, 2025Payment denial for new admissions75 days
Feb. 20, 2024Fine$4,938
Feb. 12, 2024Fine$4,938
Jan. 22, 2024Fine$14,814
Jan. 8, 2024Fine$4,938
Jan. 2, 2024Fine$4,587
Dec. 11, 2023Fine$13,762
Nov. 20, 2023Fine$4,587
Nov. 13, 2023Fine$4,587
Nov. 6, 2023Fine$4,587
Oct. 30, 2023Fine$4,587
Oct. 23, 2023Fine$4,587
Oct. 17, 2023Fine$4,587
Oct. 10, 2023Fine$4,587
Oct. 2, 2023Fine$4,587
Sept. 25, 2023Fine$4,587
Sept. 18, 2023Fine$4,587

Ownership and Management of the Home

  • The direct 100% owner is Independence Opco Holdings, LLC.
  • Owns a share through another company: Dkdp Missouri LLC.
  • Owns a share through another company: Dkyh Missouri LLC.

Three people with an ownership stake are also listed by CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 265456. Other homes in Missouri.