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Nursing HomeMedicaid

Avalon View Health and Wellness

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1200 West College Street, Liberty, MO 64068140 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 173 Google reviews

5
4
3
2
1
Avalon View Health and Wellness Nursing Home in Liberty, MO — Street View
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What this means for your family

While recent reviews suggest a positive cultural shift under new management, the facility has a history of serious, recurring complaints regarding medical neglect and staffing shortages. If you are considering this facility, we strongly recommend conducting an unannounced visit during evening or weekend hours to observe staffing levels and response times firsthand, and asking specifically about their protocols for wound care and medication administration.

Google Reviews

Google Reviews

173 reviews on Google
Avalon View Health and Wellness presents a polarizing experience, with a significant divide between older, highly critical reviews detailing severe neglect and newer reviews praising a recent turnaround under new management. While recent visitors highlight improved facility aesthetics, a more engaged activities program, and a dedicated leadership team, long-term concerns regarding staffing levels, responsiveness, and basic hygiene persist in some accounts. Families should be aware that while many report a positive shift, serious allegations of medical neglect and communication failures remain a recurring theme in negative feedback.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean5.0Activities8.0Meds2.0Memory6.0Comms3.0ValueN/A

Strengths

  • Recent improvements in facility aesthetics and cleanliness
  • Engaged and active therapy department
  • Positive, visible leadership under current administration
  • Improved activities and resident engagement programs

Concerns

  • Significant understaffing leading to slow call-light response times (mentioned by 6 reviewers)
  • Allegations of neglect, including untreated bed sores and hygiene failures (mentioned by 7 reviewers)
  • Poor communication and difficulty reaching staff or administration (mentioned by 5 reviewers)
  • Inconsistent or poor quality of food service (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'11(1)'17(4)'19(3)'21(13)'23(5)'25(10)'26(19)

Distribution · 177 analyzed

5
112
4
17
3
4
2
0
1
44
24 reviews posted between Jun 9, 2024Jun 14, 2024 · 21 were 5-star
12 reviews posted between Nov 24, 2024Nov 26, 2024 · 11 were 5-star
10 reviews posted between Jan 6, 2022Jan 6, 2022 · 10 were 5-star

How They Respond to Reviews

98%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1It is wonderful to see how much care has gone into the recent aesthetic and cleanliness improvements here; what other recent facility upgrades can we look forward to?
  • 2We are so glad to see the active therapy department mentioned in recent feedback; how does the therapy team work with residents to ensure they stay mobile and engaged?
  • 3With the new administration in place, what specific steps are being taken to ensure that communication between the nursing staff and family members is consistent and timely?
  • 4How does the nursing team manage medication administration and monitor for any changes in a resident's skin integrity or physical condition?
  • 5Could you tell us more about the current activities program and how you ensure residents are regularly engaged in social events?
  • 6How does the facility handle call-light responses during the night shifts to ensure residents receive timely assistance with their needs?

Personalized based on this facility's data


Key Review Excerpts

The Physical therapy department are a dedicated group with the Philosophy of making you a better, stronger, healthier person than when you arrived. Thankfully that Philosophy has done wonders for me.

Rehab patient · 2025★★★★

The new management has made major changes and really care about the residents and the staff.

Family member · 2024★★★★★

My dad went from walking to completely wheelchair bound with contractures AND down 50 lbs in the matter of 6 months. They did not have his bed plugged in and an even a year after escaping this facility he is still healing from the bed sores.

Long-term resident's family · 2024☆☆☆☆
Source: 173 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.34hrs
45%
Registered nurses for medical care
Total Nursing
3.05hrs
74%
All nurses + aides combined
Staff Turnover
59%
Lower is better (< 30% = good)
RN Turnover
63%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility81.8%
Worse than Avg
Here
81.8%
US
12.1%
MO
16.7%
Clay
9.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility33.1%
Worse than Avg
Here
33.1%
US
15.4%
MO
23.6%
Clay
18.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.2%
Better than Avg
Here
3.2%
US
14.4%
MO
19.1%
Clay
15.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility35.0%
Worse than Avg
Here
35.0%
US
19.5%
MO
25.4%
Clay
20.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.8%
Better than Avg
Here
99.8%
US
93.4%
MO
84.4%
Clay
96.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.4%
Better than Avg
Here
4.4%
US
15.3%
MO
18.9%
Clay
14.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility88.6%
Better than Avg
Here
88.6%
US
81.8%
MO
65.9%
Clay
85.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility76.7%
Mixed vs Avgs
Here
76.7%
US
79.7%
MO
63.5%
Clay
81.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.2%
Mixed vs Avgs
Here
2.2%
US
1.6%
MO
2.2%
Clay
2.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
1penalties
Well below state avg (12.0)
16 complaint-triggered
$14,267 in fines

This facility shows concerning patterns with 68 deficiencies across 8 surveys and families filing 15 complaint-triggered reports about care issues. The most recurring problems involve environmental cleanliness and safety, fire safety systems, and resident rights violations. Issues persist across multiple surveys, with repeated violations in environmental conditions, medication management, and infection control. While the facility corrects deficiencies when cited, the high complaint volume and recurring safety concerns warrant careful consideration before placement.

Nov 20, 2025Complaint
1
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 19, 2025Routine
7
0100Potential for harm · WidespreadCorrected

Construction Deficiencies

Meet other general requirements.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0578Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Sep 19, 2025Complaint
1
0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Apr 2, 2025Complaint
2
0600Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0600Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Sep 23, 2024Routine
23
0222Immediate jeopardy · WidespreadCorrected

Egress Deficiencies

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.

0161Potential for harm · WidespreadCorrected

Construction Deficiencies

Use approved construction type or materials.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0680Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0692Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0699Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0802Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0567Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to manage his or her financial affairs.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0925Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Sep 23, 2024Complaint
4
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Federal Penalties

Fine

Sep 23, 2024

$14,267

Ownership & Operations

Who Operates This Facility

Owner / Operator

Avalon View Health and Wellness

Organization Type

for profit

Chain Affiliation

Chain Name

Vertical Health Services

Chain Size

16 facilities nationwide

Chain avg rating: 1.6/5 · Rank 4 of 17

Ownership & Management

Owners

Vhs Mo Opco Holdings LLC

Owner · Organization

Vertical Health Services LLC

Owner (parent company) · Organization

Vhs Holdco LLC

Owner (parent company) · Organization

Vhs Ultimate Parent LLC

Owner (parent company) · Organization

Miller, William

Owner (parent company)

Key personnel

College St Consulting LLCManagerGatapia, RamiloManagerMiller, WilliamManagerSiard, AshleeManagerCollege St Consulting LLCAdp of the Snf
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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