New Mark Rehab: Pressure Ulcer Care Failures - MO
Inspectors documented the resident in the TV area at 10:56 a.m. The resident was still there at 11:12, at 11:22, and again at 11:35. A nursing assistant finally moved the resident to the dining room at 11:45, nearly 50 minutes after the first observation. The resident remained in the wheelchair through at least 12:02 p.m.
Nobody had checked. Nobody had changed the resident.
CNA A told inspectors the resident was fully dependent on staff for transfers and toileting, was incontinent, and should have been receiving incontinent care and repositioning at minimum every two hours. LPN B said the same thing. So did the Director of Nursing, who said he expected staff to check and change incontinent residents at least every two hours and as needed. The Administrator said the same: every two hours, and as needed.
Four staff members, from frontline aide to facility leadership, described the same standard of care. None of them disputed what the standard was. The inspection covered multiple complaints, filed under four separate intake numbers.
The violation was cited at a level of minimal harm or potential for actual harm, and inspectors noted that some residents were affected, not just one.
Sitting in wet or soiled clothing for extended periods causes skin breakdown, pressure injuries, and infection, particularly in residents who cannot reposition themselves.
The resident in the TV room had no way to change that on their own.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for New Mark Rehab and Healthcare Center from 2025-11-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 5, 2026 · Our methodology
NEW MARK REHAB AND HEALTHCARE CENTER in KANSAS CITY, MO was cited for violations during a health inspection on November 21, 2025.
Inspectors documented the resident in the TV area at 10:56 a.m.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.