Gregory Ridge Health Care Center
GREGORY RIDGE HEALTH CARE CENTER in KANSAS CITY, MO — inspection on April 28, 2026.
Found 3 citations. 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.
Inspection Findings
Review of CMT B's witness statement, dated 4/24/26,
one of the staff members.-The staff member was shouting and telling the residents to stop it.-He/She
separated the residents.
During an interview on 4/28/26 at 10:13 A.M., CMT B said:-He/She wasn't in the best position to see what had happened.-He/She had been looking for his/her keys when he/she heard a staff member say, stop it.-He/She then ran to the incident and saw Resident #2 hitting Resident #1 in the face.-He/She was unsure of what triggered the altercation.-He/She saw redness to Resident #1's ears and face and some bruising after the altercation ended. -He/She reminded Resident #1 to use self-defense when a resident becomes physical.-He/She felt the incident could have been prevented.-The altercation would be considered abuse.
Review of Resident #12's quarterly MDS, dated [DATE], showed the resident was cognitively intact.
Review of Resident #12's witness statement, dated 4/24/26, showed:-Resident #1 threw Kool-Aid on Resident #2.-Resident #2 responded by punching Resident #1 about two to three times.
During an interview on 4/28/26 at 11:25 A.M., Resident #12 said:-Resident #1 and Resident #2 were talking about kids.-Resident #1 then threw juice at Resident #2.-Resident #2 then started punching Resident #1.-The altercation happened in the dining room.
Review of Resident #13's annual MDS, dated [DATE], showed the resident had mildly impaired cognition.
Review of Resident #13's witness statement, dated 4/24/26, showed:-Resident #2 was putting Resident #1 down and saying mean things.-Resident #1 then threw the juice at Resident #2.-Resident #2 then started hitting Resident #1.-A Code [NAME] was then called.
During an interview on 4/28/26 at 11:51 A.M., Resident #13 said:-Resident #2 put Resident #1 down and then started wailing on Resident #1.-Resident #1 had thrown Kool-Aid at Resident #2 during the altercation.
During an interview on 4/28/26 at 12:23 P.M., the ADON said:-The altercation could have been prevented.-Staff heard the situation going on and they all knew that Resident #2 escalated things quickly.-When staff overheard Resident #2 warn Resident #1 multiple times that would have been the opportunity for intervention.-Staff only intervened verbally when they should have intervened by walking over to the residents to figure out how to best respond.-Staff could have taken Resident #2 off the unit or could have taken the juice away from Resident #1.-The altercation would be considered as abuse.
During an interview on 4/28/26 at 1:14 P.M., NP B said:-He/She had been notified of the altercation and did telehealth appointments that night with Resident #1 and Resident #2.-Resident #1 reported to him/her the following:--Resident #2 had been talking to Resident #1 about not being a good parent.--Resident #1 then picked up a drink and told Resident #2 that he/she would throw it at Resident #2.--Resident #2 told Resident #1 that he/she would beat Resident #1's ass if Resident #1 threw the drink at Resident #2.--Resident #1 then set the drink down.--Staff had also told Resident #1 not to throw the drink at Resident #2.--Resident #1 ended up throwing the cup at Resident #2 anyway.--Resident #2 then struck Resident #1 in the face.-Resident #2 told him/her the following:--He/She had been talking to Resident #1.--Resident #2 had told Resident #1 that Resident #1 needed to worry about more things like getting out of the facility to be with his/her daughter instead of focusing on food, drinks, and cigarettes.--Resident #1 interpreted that as Resident #2 calling Resident #1 a bad parent.--He/She responded in self-defense to Resident #1's actions.-The altercation would be considered abuse.
During an interview on 4/28/26 at 2:37 P.M., the DON and RNC said:-If staff thought the altercation could have been prevented, then it probably could have been prevented.-The altercation would be considered as abuse. 2994292, 2991969, 2987506, and 2987549
265721 04/28/2026
Gregory Ridge Health Care Center 7001 Cleveland Avenue Kansas City, MO 64132
administration.-The ADON had been performing medication administration audits but had been
working on the floor.-He/She expected the staff to follow all physician orders.-He/She felt that staff
residents refused their blood sugar checks and insulin administration then it needed to be documented too. 2986541
265721 04/28/2026
Gregory Ridge Health Care Center 7001 Cleveland Avenue Kansas City, MO 64132
During an interview on 4/28/26 at 9:18 A.M. CNA G said:-The conversation that Resident #1 and
behavior.-He/She felt that if staff had intervened when the argument first started and helped Resident
witness statement dated 4/24/26 showed:-Resident #1 and Resident #2 were arguing about something.-He/She overheard Resident #2 say if you throw that water at me, I am going to whoop your ass.-He/She then told Resident #1 not to throw water on Resident #2.-Resident #1 initially did not throw the water at Resident #2 after the reminder.-All of the sudden Resident #1 threw water at Resident # #2.-He/She called a Code [NAME] when he/she saw Resident #2 get out of his/her seat.
During an interview on 4/28/26 at 9:51 A.M. CNA B said:-He/She had checked in with Resident #2 when the argument started but did not really intervene.-He/She had told Resident #1 not to throw the water at Resident #2.-He/She did not think that the altercation was going to escalate at that point, so he/she felt like the reminder was an appropriate response.-There was an opportunity for staff to intervene directly and help Resident #2 with coping skills.-Resident #2 throws tantrums when he/she did not get his/her way.-Resident #2's behaviors mainly involve Resident #1 only and is not directed towards staff or other residents.-Resident #2 liked to talk to staff, take a walk, or get a soda as part of Resident #2's coping skills.-Resident #2's mom had recently passed away and felt that his/her anger could have been related to that.
Review of Certified Medication Technician (CMT) B's witness statement dated 4/24/26 showed:-Around 4:37 P.M. he/she had been at his/her medication cart.-He/She heard a voice from one of the staff members.-The staff member was shouting and telling the residents to stop it.-He/She then ran to the altercation and saw Resident #2 hitting Resident #1 in the face.-He/She then separated the residents.
During an interview on 4/28/26 at 10:13 A.M. CMT B said:-He/She had overheard a staff person say stop it to Resident #1 and Resident #2 before the altercation became physical. -The altercation could probably have been prevented if staff had intervened differently.-He/She was unsure of the specific trigger that started the altercation.-Resident #2 was always coming up with issues.-Resident #2 would get angry if his/her past was brought up.-He/She felt that in general if more staff were in the building, then resident behaviors could be managed easier.
During an interview on 4/28/26 at 12:23 P.M. the Assistant of Director of Nursing (ADON) said:-The altercation could possibly have been prevented.-The staff should have done more than just remind Resident #1 not to throw the liquid at Resident #2.-Resident #2 escalated to anger quickly, which the staff were aware of.-It could be hard to keep Resident #2 calm at times.-Resident #2 had a lot of triggers for behaviors.-Resident #2 being bored is one of his/her main triggers.-Resident #2 needed meaningful activities to prevent behaviors.-Staff could have gone on a walk with Resident #2 or taken the cup away from Resident #1 to prevent the altercation.
During an interview on 4/28/26 at 1:14 P.M.
Nurse Practitioner (NP) B said:-Resident #2 had told him/her that he/she acted in self-defense to the situation.-He/She felt that if staff thought the altercation could have been prevented by managing Resident #2's behaviors better, then he/she agreed with staff.-Staff should always err on the side of resident safety.
During an interview on 4/28/26 at 2:37 P.M. the Director of Nursing (DON) and Regional Nurse Consultant (RNC) said:-Resident #1's and Resident #2's altercation was triggered behavior.-Staff did not report to them that they felt like the altercation could have been prevented with better intervention.-The staff should have been more active in the situation.-If staff felt that the altercation could have been prevented with better behavioral management, then it probably could have been prevented.-Resident #2 was very self-aware and they thought the resident would be a good candidate for an anger management behavior contract.-Resident #2 liked to be involved in activities and was assigned to help the Activities Assistant to help manage his/her behaviors. 2991969
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
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