Blue Springs Wellness & Rehabilitation
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
aggressive was separation and safety.-Depends on the residents and situation, physical separation, keeping themselves safe as well.-Use de-escalation, offer drink, snacks, and diversion tactics.-When Resident #7 was upset he/she may need space.-Resident #7 was impacted by the trauma of his/her life while being homelessness and was part of the reason he/she was not moved at the time of that incident with Resident #8.-Resident #7 wanted Resident #8 out of the way and that is why he/she pushed. During
an interview on 9/9/25 at 10:22 A.M. the Administrator said:-He/She has spoken to Resident #8, and he/she has not said anything about moving.-Resident #8 did complain about three people in the room and that was one of the reasons he/she was ok with moving to his/her new room, there is only two in the room-He/She will have social services and mental health for Resident #8 to assist with resolving his/her concerns.-He/She felt like the 1:1 staff did what he/she needed to do.-There was no physical means to be used, that law enforcement would need to be contacted. 2604626, 2608795
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/18/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Blue Springs Wellness & Rehabilitation
930 NE Duncan Road Blue Springs, MO 64014
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0755
F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
10-325 mg Norco for Resident #5.-The DON instructed the ADON to contact 911 so that law enforcement could become involved and intervene if need be in the misappropriation.-When law enforcement arrived at
the facility, the officer was made aware of the missing narcotics that was noted during the change of shift controlled substance count.-The ADON began an audit of the medications and confirmed the missing narcotics.-Per practice once medications are discovered missing, an investigation is immediately launched and the two subjects counting were to stay together until released by the DON/designee. -LPN A denied knowing what happened to the missing narcotics. Review of the police report dated 6/23/25 showed:-Law enforcement was contacted on 6/17/25 at 11:15 P.M for stealing controlled substances.-Resident #4 and Resident #5 were listed as victims in which the narcotics were stolen from.-ADON and RN A were listed as witnesses.-Upon arrival at the facility, the officer was informed of seven pills of narcotics missing at the time of shift change controlled substance count.-The ADON and RN A completed the count and noted there was
a total of seven pills of narcotics missing.-LPN A said he/she did not know what happened to the missing narcotics.-There two residents identified as missing pills. During an interview on 9/9/25 at 2:26 P.M. the ADON said:-He/She recalled the alleged diversion that happened about two months ago.-LPN A was passing night medications because there was an extra nurse.-After passing medications LPN A was to go to the floor and help the Certified Nursing Assistant (CNA).-ADON started looking the narcotic book and something looked off.-He/She got the other nurse RN A to witness counting of the controlled medications.-He/She started to count with LPN A and noted the count was off.-RN A verified count was off.-He/She advised both nurses they needed to stay in place while ADON contacted DON.-LPN A could not tell anyone where the medication went.-LPN A had accepted the count at the start of his/her shift.-ADON asked LPN A to write a statement.-No loose medications were located in the cart or anywhere else to indicate pre-popping.-LPN A tried to sign one out, but didn't have a time. During an interview on 9/9/25 at 4:02 P.M. RN A said:-He/She had just started and was working nights.-LPN A was going to be here for his/her last night of orientation.-When they went to count, the count was not correct, so he/she went to the ADON who stepped in and took care of it.-He/She doesn't recall the exact date, but it was June when he/she first started.-He/She came on at 6:00 P.M. to pass 300 hall medications and LPN A was passing 100 and 200 hall medications.-RN A then reported to the ADON, who then tried to complete the count with LPN A.-ADON asked RN A to count with LPN A, and count was not correct.-RN A and ADON confirmed the count was not correct.-The narcotic pain medications were in a bottle for one, and the card for the other resident's narcotic pain medication.-The bottle had 4 missing pills, and they had not been on shift long enough to use that many for the one resident. During an interview on 9/17/25 at 2:53 P.M. LPN A said:-He/She confirmed his/her employment at the facility for a month.-He/She was told there was a narcotic missing.-He/She denied knowing there were missing narcotics or what happened.-He/She recalled counting narcotics when coming on shift with an RN and the count was correct.-He/She denied remembering the second time narcotics were counted. 1539506
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BLUE SPRINGS WELLNESS & REHABILITATION in BLUE SPRINGS, MO inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BLUE SPRINGS, MO, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BLUE SPRINGS WELLNESS & REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.