SHIRKEY NURSING AND REHABILITATION CENTER

804 WOLLARD BLVD, RICHMOND, MO 64085

Provider number (CCN): 265708
Certification: Medicare and Medicaid
Ownership: Government - County
Certified beds: 197
Phone: (816) 776-5403
CMS data as of: July 1, 2026

What the records show

CMS rates SHIRKEY NURSING AND REHABILITATION CENTER 3 out of 5 stars overall, with 3 of 5 for health inspections, 3 of 5 for staffing, 4 of 5 for quality measures. Federal inspectors cited 47 health deficiencies across the last three survey cycles, most recently surveyed in 2025, 1 at actual-harm level or higher, 10 still recorded as uncorrected. CMS lists no fines or payment denials for this facility in the covered period.

Facility Assessment 10 federal violations at this facility remain unresolved. Inspectors recorded 1 citation at the actual-harm level or worse in the last three survey cycles. This facility staffs below 0.55 RN hours per resident day — the level the 2024 federal rule, repealed in February 2026, would have required.

Reviews, Ratings and Official Records

This page reviews SHIRKEY NURSING AND REHABILITATION CENTER using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.

Below the repealed 0.55 hr RN benchmark — review inspection history before visiting.

Ratings and Grade Breakdown

RN Staffing Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.	0.36 — Below the repealed 0.55 hr benchmark
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why
Health Deficiencies (last 3 survey cycles) Violations found during federal inspections, with how many remain open and how many involved actual harm.	Total 47 Outstanding 10 Actual harm or worse (G–L) 1
CMS Ratings Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.	Overall: ★★★☆☆ (3/5) Health inspection: ★★★☆☆ (3/5) Quality: ★★★★☆ (4/5) Staffing: ★★★☆☆ (3/5)
NursingHomeGrade Score	29/100

Loaded into NursingHomeGrade on August 7, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.

CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.

Staffing Compared With State and National Levels

Registered nurse hours per resident per day compared with state and national levels
This facility	0.36 hrs
MO median	0.39 hrs
National average	0.69 hrs

Registered nurse turnover: 63.6% · Total nursing staff turnover: 37.6%

Staffing figures are the values CMS published in its file processed July 1, 2026, drawn from payroll-based journal reporting.

Audit and Inspection Reports

SHIRKEY NURSING AND REHABILITATION CENTER is a Government - County facility. The records on this page are the federal health-inspection and enforcement records CMS publishes. We do not hold, and have not reviewed, any separate financial or performance audit issued by a county, state or independent auditor — if one exists for this facility, it is not part of the data described below.

Most recent standard health survey: May 8, 2025.
Citations shown below span 3 recorded inspection cycles.
Survey dates on file range from April 20, 2022 to May 8, 2025.

Source records: CMS Care Compare profile for provider 265708 ↗ · the federal files we load and when.

Inspection Deficiencies

Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).

1 actual harm issue found among 47 total deficiencies. 37 corrected. — 10 still outstanding

Most recent inspection (May 8, 2025)

E Potential harm — pattern F0607 Status: Outstanding — Plan Filed

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies — Deficient, Provider has plan of correction, corrected June 22, 2025

E Potential harm — pattern F0880 Status: Outstanding — Plan Filed

Provide and implement an infection prevention and control program.

Infection Control Deficiencies — Deficient, Provider has plan of correction, corrected June 22, 2025

E Potential harm — pattern F0804 Status: Outstanding — Plan Filed

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

Nutrition and Dietary Deficiencies — Deficient, Provider has plan of correction, corrected June 22, 2025

E Potential harm — pattern F0812 Status: Outstanding — Plan Filed

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

Nutrition and Dietary Deficiencies — Deficient, Provider has plan of correction, corrected June 22, 2025

E Potential harm — pattern F0761 Status: Outstanding — Plan Filed

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.

Pharmacy Service Deficiencies — Deficient, Provider has plan of correction, corrected June 22, 2025

E Potential harm — pattern F0550 Status: Outstanding — Plan Filed

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

Resident Rights Deficiencies — Deficient, Provider has plan of correction, corrected June 22, 2025

E Potential harm — pattern F0582 Status: Outstanding — Plan Filed

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

Resident Rights Deficiencies — Deficient, Provider has plan of correction, corrected June 22, 2025

E Potential harm — pattern F0584 Status: Outstanding — Plan Filed

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.

Resident Rights Deficiencies — Deficient, Provider has plan of correction, corrected June 22, 2025

E Potential harm — pattern F0585 Status: Outstanding — Plan Filed

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.

Resident Rights Deficiencies — Deficient, Provider has plan of correction, corrected June 22, 2025

E Potential harm — pattern F0628 Status: Outstanding — Plan Filed

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

Resident Rights Deficiencies — Deficient, Provider has plan of correction, corrected June 22, 2025

Inspection cycle 2 (April 5, 2024)

F Potential harm — widespread F0868 Status: Corrected

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

Administration Deficiencies — Deficient, Provider has date of correction, corrected May 20, 2024

D Potential harm — isolated F0610 Status: Corrected

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies — Deficient, Provider has date of correction, corrected May 20, 2024

E Potential harm — pattern F0725 Status: Corrected

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

Nursing and Physician Services Deficiencies — Deficient, Provider has date of correction, corrected May 20, 2024

E Potential harm — pattern F0947 Status: Corrected

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

Nursing and Physician Services Deficiencies — Deficient, Provider has date of correction, corrected May 20, 2024

D Potential harm — isolated F0726 Status: Corrected

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.

Nursing and Physician Services Deficiencies — Deficient, Provider has date of correction, corrected May 20, 2024

F Potential harm — widespread F0812 Status: Corrected

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

Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected May 20, 2024

E Potential harm — pattern F0758 Status: Corrected

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 — Deficient, Provider has date of correction, corrected May 20, 2024

E Potential harm — pattern F0761 Status: Corrected

Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected May 20, 2024

E Potential harm — pattern F0676 Status: Corrected

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

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected May 20, 2024

E Potential harm — pattern F0689 Status: Corrected

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

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected May 20, 2024

E Potential harm — pattern F0695 Status: Corrected

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

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected May 20, 2024

D Potential harm — isolated F0679 Status: Corrected

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected May 20, 2024

E Potential harm — pattern F0657 Status: Corrected

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

Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected May 20, 2024

D Potential harm — isolated F0552 Status: Corrected

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

Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected May 20, 2024

Inspection cycle 3 (April 20, 2022)

E Potential harm — pattern F0868 Status: Corrected

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

Administration Deficiencies — Deficient, Provider has date of correction, corrected June 2, 2022

E Potential harm — pattern F0921 Status: Corrected

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

Environmental Deficiencies — Deficient, Provider has date of correction, corrected June 2, 2022

C No harm — widespread F0888 Status: Corrected

Ensure staff are vaccinated for COVID-19

Infection Control Deficiencies — Deficient, Provider has date of correction, corrected June 2, 2022

E Potential harm — pattern F0812 Status: Corrected

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

Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected June 2, 2022

E Potential harm — pattern F0756 Status: Corrected

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected June 2, 2022

E Potential harm — pattern F0758 Status: Corrected

Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected June 2, 2022

E Potential harm — pattern F0759 Status: Corrected

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected June 2, 2022

E Potential harm — pattern F0761 Status: Corrected

Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected June 2, 2022

G Actual harm — isolated F0692 Status: Corrected

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