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Complaint Investigation

Monterey Park Rehabilitation & Health Care Center

November 18, 2025 · Independence, MO · 4600 Little Blue Parkway
Citations 1
CMS Rating 4/5
Beds 122
Provider ID 265579
Healthcare Facility
Monterey Park Rehabilitation & Health Care Center
Independence, MO  ·  View full profile →
Inspection Summary

MONTEREY PARK REHABILITATION & HEALTH CARE CENTER in INDEPENDENCE, MO — inspection on November 18, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0580
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Review of the resident's Social Services Notes dated 9/15/25 at 4:39 P.M., showed:-The facility had informed the resident's family member that he/she was listed as the resident first emergency contact only.-The facility had no documentation stating the family member was his/her Durable Power of Attorney (DPOA).

During an interview on 9/26/25 at 9:56 A.M., Licensed Practical Nurse (LPN) B said:-He/She was the nurse assigned that day and was notified by the shower aide (CNA F) that the resident had been lowered to the ground in the shower room. -He/She did not notify the resident family member immediately after the incident. -The resident had already notified his/her family member while they were at a doctor appointment that morning, before the nurse could contact the emergency contact/family member.

During an interview on 9/26/25 at 11:30 A.M., Assistant Director of Nursing (ADON) B said: -The nurse assigned to the resident or the unit ADON would normally be responsible for any follow-up calls and notification family members related to the resident fall or incidents. -He/She would expect staff to document emergency contact/family notification in the resident's medical record.

During an interview on 9/26/25 at 12:49 P.M., Social Services Designee (SSD) said:-The resident's family member was listed as emergency contact -The resident was listed as own responsible person at that time. -The charge nurse would be responsible for contacting the resident's family member or emergency contact with any change in condition or incidents involving the resident.

During an interview on 9/26/25 at 1:27 P.M., Acting Director of Nursing (DON)/ Regional Nurse said:-The resident's family member was contacted later that same day and was noted on the fall investigation report. -The charge nurse would be responsible to notify the resident's family member/emergency contact or DPOA in timely manner of any new incident/fall or resident change of conditions.

Complaint # 2619401

Facility ID:

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 INDEPENDENCE, 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 MONTEREY PARK REHABILITATION & HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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