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Nursing HomeMedicaid

Shirkey Nursing and Rehabilitation Center

Strong Medicare quality ratings; families often praise knowledgeable dementia care staff. Still worth an in-person visit.

804 Wollard Blvd, Richmond, MO 64085197 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 10 Google reviews

5
4
3
2
1
Shirkey Nursing and Rehabilitation Center Nursing Home in Richmond, MO — Street View
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What this means for your family

While some families have had positive experiences with the dementia care unit, the recent reports of severe neglect, medication delays, and dangerous staffing levels are deeply concerning. We strongly advise families to conduct unannounced visits and speak directly with current residents and staff to verify the quality of care before making a decision.

Google Reviews

Google Reviews

10 reviews on Google
Shirkey Nursing and Rehabilitation Center receives highly polarized feedback, with some families praising the knowledgeable staff for dementia care, while others report severe neglect. Critical concerns include inadequate nutrition, medication management failures, and dangerous staffing levels that lead to poor patient hygiene and care. Families considering this facility should be aware of significant reports of neglect and inconsistent standards of care.

Quality Themes

Tap a score for details
Food1.0Staff3.0Clean2.0ActivitiesN/AMeds1.0Memory7.0Comms2.0Value5.0

Strengths

  • Knowledgeable dementia care staff
  • Supportive nursing staff
  • Resident preference for facility over alternatives

Concerns

  • Dangerous or inadequate staffing levels (mentioned by 3 reviewers)
  • Inadequate nutrition and repetitive menu (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.02018(1)5.02019(2)3.02024(2)2.02025(4)5.02026(2)

Distribution · 11 analyzed

5
6
4
0
3
0
2
0
1
5

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the current staffing ratings, could you walk me through how you ensure consistent, hands-on care for residents throughout all three shifts?
  • 2I understand that nutrition is vital for recovery; how do you manage dietary preferences and ensure variety in the daily meal service?
  • 3What specific protocols are in place to ensure medications are managed accurately and administered on time for every resident?
  • 4How do you maintain a high standard of cleanliness and hygiene in resident rooms and common areas on a daily basis?
  • 5Could you describe how your team communicates with families regarding changes in a resident's health or daily status?
  • 6I’ve heard positive things about your dementia care team; what specific training or approaches do they use to support residents with memory needs?

Personalized based on this facility's data


Key Review Excerpts

They took very good care of my mom who suffered with Alzheimer’s. The facility is a little outdated, but don’t let that fool you. The staff is very knowledgeable and know how to care for dementia patients very well.

Memory care family member · 2019★★★★★

My dad was there and after two days they forgot to feed him and when I told them they said the kitchen was closed and gave him a pb&j sandwich….. they put the commode by his bed. Set him on it and then the aid sat down in a chair staring at him while he had to poop!!!!

Long-term resident's family · 2024☆☆☆☆

This place is criminal, no adequate nutrition- and same food on the menu every other day. DANGEROUS staffing. Expect your loved one to be neglected.

Family member · 2025☆☆☆☆
Source: 10 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.29hrs
39%
Registered nurses for medical care
Total Nursing
4.04hrs
99%
All nurses + aides combined
Staff Turnover
42%
Lower is better (< 30% = good)
RN Turnover
78%
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

14

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
MO
16.7%

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 Facility8.0%
Better than Avg
Here
8.0%
US
15.5%
MO
23.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.5%
Better than Avg
Here
98.5%
US
93.4%
MO
84.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.6%
Better than Avg
Here
8.6%
US
15.3%
MO
18.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.6%
Better than Avg
Here
11.6%
US
14.4%
MO
19.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility13.5%
Better than Avg
Here
13.5%
US
19.4%
MO
17.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility78.0%
Mixed vs Avgs
Here
78.0%
US
81.8%
MO
65.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility72.2%
Mixed vs Avgs
Here
72.2%
US
79.8%
MO
63.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.4%
Better than Avg
Here
1.4%
US
1.6%
MO
2.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
Near state avg (12.0)

This facility shows persistent challenges across multiple care areas, with 82 deficiencies spanning three surveys from 2022 to 2025. The most recurring problems involve fire safety systems, medication management, and resident rights protections. While all deficiencies have been addressed with correction plans, the pattern of repeated issues in similar areas—particularly fire safety equipment and medication practices—suggests ongoing operational challenges that families should discuss directly with facility leadership before making placement decisions.

May 8, 2025Routine
15
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0582Potential for harm · PatternCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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.

0585Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0607Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0628Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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.

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0271Potential for harm · PatternCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Apr 5, 2024Routine
26
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0868Potential for harm · WidespreadCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

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.

0914Potential for harm · WidespreadCorrected

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.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0676Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

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.

0758Potential for harm · PatternCorrected

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.

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.

0947Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0222Potential for harm · PatternCorrected

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.

0281Potential for harm · PatternCorrected

Egress Deficiencies

Install proper backup exit lighting.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0341Potential for harm · PatternCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0753Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

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

Apr 20, 2022Routine
41
0692Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0022Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for sheltering.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0569Potential for harm · PatternCorrected

Resident Rights Deficiencies

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

0570Potential for harm · PatternCorrected

Resident Rights Deficiencies

Assure the security of all personal funds of residents deposited with the facility.

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.

0623Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625Potential for harm · PatternCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

0655Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656Potential for harm · PatternCorrected

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.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

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.

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.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0697Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0698Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0756Potential for harm · PatternCorrected

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.

0758Potential for harm · PatternCorrected

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.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

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.

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.

0868Potential for harm · PatternCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

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.

0100Potential for harm · PatternCorrected

Construction Deficiencies

Meet other general requirements.

0161Potential for harm · PatternCorrected

Construction Deficiencies

Use approved construction type or materials.

0211Potential for harm · PatternCorrected

Egress Deficiencies

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

0222Potential for harm · PatternCorrected

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.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

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

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0531Potential for harm · PatternCorrected

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

0711Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0888Minimal · WidespreadCorrected

Infection Control Deficiencies

Ensure staff are vaccinated for COVID-19

Ownership & Operations

Who Operates This Facility

Owner / Operator

Shirkey Nursing and Rehabilitation Center

Organization Type

government

Ownership & Management

Key personnel

Brown, ChrisW-2 Managing EmployeeBurnham, LoisOfficer / DirectorEstes, DennisOfficer / DirectorSwafford, RichardOfficer / DirectorBrown, ChrisOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

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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