Valley Manor and Rehabilitation Center

Name: Valley Manor and Rehabilitation Center
Address: 1410 HOSPITAL DRIVE, Excelsior Springs, MO, 64024, US
Telephone: 8166371010

1410 Hospital Drive, Excelsior Springs, MO 64024 · Clay County · 120 certified beds · avg 67 residents/day · certified since Mar 1, 1989

Part of chain: CIRCLE B ENTERPRISES (36 facilities, chain avg rating 2.5★)

1/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.56

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (45)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Dec 18, 2025	F · Potential for harm, facility-wide	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Dec 18, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Dec 18, 2025	F · Potential for harm, facility-wide	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Dec 18, 2025	F · Potential for harm, facility-wide	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Dec 18, 2025	F · Potential for harm, facility-wide	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Dec 18, 2025	E · Potential for harm, repeated	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Dec 18, 2025	E · Potential for harm, repeated	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Dec 18, 2025	E · Potential for harm, repeated	The facility did not properly protect the personal money residents deposited with it for safekeeping.
Dec 18, 2025	E · Potential for harm, repeated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Dec 18, 2025	E · Potential for harm, repeated	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · from a complaint
Dec 18, 2025	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 18, 2025	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Dec 18, 2025	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Dec 18, 2025	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Dec 18, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 18, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Dec 18, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Dec 18, 2025	D · Potential for harm, one-off	The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training.
Dec 18, 2025	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint
Dec 18, 2025	D · Potential for harm, one-off	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Dec 18, 2025	D · Potential for harm, one-off	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
May 1, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Jul 10, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 10, 2024	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jul 10, 2024	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Jul 10, 2024	E · Potential for harm, repeated	The facility did not honor residents' right to manage their own money and financial affairs.
Jul 10, 2024	E · Potential for harm, repeated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jul 10, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jul 10, 2024	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Jul 10, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jul 10, 2024	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jul 10, 2024	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Jul 10, 2024	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jul 10, 2024	E · Potential for harm, repeated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jul 10, 2024	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jul 10, 2024	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Jul 10, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
Jul 10, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 10, 2024	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Jul 10, 2024	D · Potential for harm, one-off	The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times.
Feb 23, 2023	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Feb 23, 2023	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Feb 23, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 23, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Feb 23, 2023	D · Potential for harm, one-off	The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (18 → 21).

Year	Citations	Worst severity that year
2023	5	E
2024	18	F
2025	22	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Missouri avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.56	3.66	3.95	bottom 48% in Missouri; bottom 40% in the U.S.
Registered Nurse hours	0.39	0.49	0.69	bottom 44% in Missouri; bottom 20% in the U.S.
Weekend total nurse staffing	3.24	3.22	3.50	top 45% in Missouri; bottom 44% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.21	0.33	0.48	bottom 31% in Missouri; bottom 14% in the U.S.
Total nursing staff turnover (%)	64.0	56.0	45.8	bottom 29% in Missouri; bottom 11% in the U.S.
RN turnover (%)	57.1	47.8	42.9	bottom 37% in Missouri; bottom 26% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.36, RN 0.36, weekend 3.05. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Circle B Enterprises Holding Company INC	Organization	5% or Greater Direct Ownership Interest	100%	01/01/1996
Agh1 LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/02/2016
Agh1 LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/25/2025
Beaird, Todd	Individual	Corporate Officer	NOT APPLICABLE	01/01/2022
Beaird, Todd	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2022
Bedell, Bryan	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	05/12/2025
Bedell, Donald	Individual	Corporate Director	NOT APPLICABLE	10/31/2000
Bedell, Donald	Individual	Corporate Officer	NOT APPLICABLE	01/06/1997
Bedell, Donald	Individual	Operational/Managerial Control	NOT APPLICABLE	01/06/1997
Britton, Kevin	Individual	Corporate Officer	NOT APPLICABLE	11/01/2022
Britton, Kevin	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2022
Buzard, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/1995
Buzard, Robert	Individual	ADP of the SNF	NOT APPLICABLE	01/01/1995
DCB Real Estate Partnership LP	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2010
Excelsior Real Estate LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2010
FG LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/02/2016
Forvis Mazars LLP	Organization	ADP of the SNF	NOT APPLICABLE	08/16/2021
Mid States INC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2010
Peeler, Nellie	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
Peeler, Nellie	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
"How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
"What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
"How do you explain health changes and treatment options to residents and their families?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"How is residents' personal money protected and tracked, and how can families review the account statements?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Aspire Senior Living Excelsior Springs	0.4 mi	Excelsior Springs, MO	★★☆☆☆	3/5
Lawson Manor & Rehab	5.6 mi	Lawson, MO	★☆☆☆☆	2/5	abuse
Norterre	11.6 mi	Liberty, MO	★★★☆☆	3/5
Avalon View Health and Wellness	13.5 mi	Liberty, MO	★★★☆☆	3/5
Shirkey Nursing and Rehabilitation Center	16.3 mi	Richmond, MO	★★★☆☆	3/5
Pleasant Valley Manor Care Center	16.5 mi	Liberty, MO	★★★★☆	4/5
Oakridge of Plattsburg	17.7 mi	Plattsburg, MO	★★★☆☆	3/5
Nick's Health Care Center	17.8 mi	Plattsburg, MO	★☆☆☆☆	2/5	abuse
New Mark Rehab and Healthcare Center	18.9 mi	Kansas City, MO	★☆☆☆☆	2/5
Linden Woods Village	19.1 mi	Gladstone, MO	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Excelsior Springs →

Facility data as of CMS processing date 2026-08-01. CCN 265356.

The Care File

Visit checklist — Valley Manor and Rehabilitation Center

1410 Hospital Drive, Excelsior Springs, MO 64024 · 8166371010

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
☐ "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
☐ "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "How is residents' personal money protected and tracked, and how can families review the account statements?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265356 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)