Blue Springs Wellness & Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 49 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (14 vs median 10)
Below average in MO · Below recommended RN staffing · Significantly below average staffing · $116,230 in fines · Abuse citation
What this means for your family
While the activity program is highly praised, the facility has a pattern of serious safety concerns, including bedsores and falls, which suggest significant staffing or oversight issues. We strongly advise families to conduct unannounced visits and specifically ask for the facility's most recent state inspection report regarding wound care and fall prevention protocols.
Google Reviews
Google Reviews
49 reviews on Google“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
Tap a score for detailsStrengths
- Engaging activities and holiday events
- Compassionate nursing staff (noted by some families)
- Helpful and proactive activity director
- Supportive environment for long-term residents
Concerns
- Development of bedsores and infections due to lack of turning/repositioning (mentioned by 3 reviewers)
- Poor communication and difficulty reaching staff via phone (mentioned by 3 reviewers)
- Falls and injuries resulting from lack of supervision (mentioned by 3 reviewers)
- Understaffing leading to delayed care (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 46 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given that staffing levels are a top priority for us, could you walk us through your current staffing ratios and how you ensure residents receive timely assistance, especially during evening and weekend shifts?
- 2We noticed some concerns regarding communication; what is the best way for family members to get timely updates on their loved one’s health status or to reach a nurse when we have questions?
- 3With the facility’s focus on long-term care, what specific protocols do you have in place for skin integrity and repositioning to ensure residents remain comfortable and prevent complications like bedsores?
- 4We’ve heard great things about your activity director and the holiday events; could you share a sample calendar and tell us how you encourage residents with different mobility levels to participate in these social activities?
- 5Safety is very important to our family; what specific measures or monitoring systems do you have in place to prevent falls and ensure residents are supervised appropriately throughout the day?
- 6How does your nursing team coordinate with physicians to manage medication schedules, and what is your process for notifying families if there is a change in a resident's medication or health condition?
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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
11
measures
4
measures
2
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 whose walking got worse
Residents needing more daily help over time
Residents vaccinated for the flu
Residents whose bladder or bowel control got worse
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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.
Nov 18, 2025Complaint2
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.
Mar 28, 2025Routine17
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.
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.
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.
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.
Dec 2, 2024Complaint2
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.
Oct 17, 2024Complaint1
Smoke Deficiencies
Provide properly protected cooking facilities.
Oct 3, 2024Complaint1
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 22, 2024Complaint2
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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
Ownership & Operations
Who Operates This Facility
Blue Springs Wellness & Rehabilitation
for profit
Chain Affiliation
Opco Skilled Management
64 facilities nationwide
Ownership & Management
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
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
49 reviews from families & visitors
Official Website
Visit petersenhealthcare.net
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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