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Medicare shows an abuse citation on record. Review the linked inspection sources and ask the facility about corrective action before deciding.
based on 52 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Medicare shows an abuse citation on record. Read the linked source details, ask the administrator what corrective action was taken, and independently verify the facility’s current status before deciding.
Reviews for Blue Springs Wellness & Rehabilitation (often referred to as Shangri-La) are extremely polarized, with many families reporting severe neglect, including unaddressed bedsores, falls, and poor communication. Conversely, a significant number of reviewers—many of whom appear to be staff or associated with the facility—praise the nursing team's compassion and the quality of activities. Prospective families should be aware of the high volume of critical reports regarding patient safety and administrative oversight.
Quality Themes
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Concerns
Rating Trends
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Distribution · 49 analyzed
Personalized based on this facility's data
Key Review Excerpts
“My 90 year old grandmother has such poor care here, she has fallen out of her bed, broke her foot, and the nurses have yet to do anything about it.”
“My family member was here less then a month, he has got a bed sore due to not turning him every 2 hours like they are supposed to! Within 2 days of finding that bed sore he now has 2 bacterial infections and also sepsis.”
“This facility might look old but that don’t mean anything the staff that works in this building is wonderful! They treat every resident as they would their own family they have an excellent activity director that keeps them happy.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
3
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents whose walking got worse
Residents vaccinated for the flu
Residents who lost too much weight
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Blue Springs Wellness & Rehabilitation shows serious concerns with 12 complaint-driven deficiencies, indicating families have repeatedly filed reports about care problems. The facility has persistent issues with safety and accident prevention, medication management, and maintaining safe, clean living conditions that span multiple years. While the facility corrects most deficiencies when cited, the recurring nature of problems in core care areas and ongoing family complaints suggest underlying quality issues that warrant careful consideration.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
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.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
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.
Smoke Deficiencies
Provide properly protected cooking facilities.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Federal Penalties
Fine
Sep 27, 2024
$96,959
Fine
Jul 21, 2023
$19,271
Blue Springs Wellness & Rehabilitation
for profit
Opco Skilled Management
68 facilities nationwide
Owners
Wildflower Healthcare LLC
Owner · Organization
Blooming Willow Partners LLC
Owner (parent company) · Organization
Derhoben Trust
Owner (parent company) · Organization
Pas B Sol Trust
Owner (parent company) · Organization
Garetz, David
Owner (parent company)
Hagins, Elizabeth
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Kaplan, Mordechai
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Mindle, Adam
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Zimmerman, Caroline
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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