Nursing home · Richmond, MO
Shirkey Nursing and Rehabilitation Center
804 Wollard Blvd, Richmond, MO 64085 · 197 certified beds · government ownership
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on May 8, 2025, when they cited 10 problems. The most common area was resident rights (5 citations). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 10 are marked corrected in the CMS data. At its most recent standard inspection (May 8, 2025) it had 10 citations, compared with an average of 12.7 for Warrensburg-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 4.08 hours per resident per day here, 19% more than the Missouri average (3.43) and 6% more than the U.S. average (3.86). Registered nurses account for 0.36 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 38% over the past year, 18 points lower than Missouri (56%) and 8 points lower than the U.S. (46%).
How Shirkey Nursing and Rehabilitation Center compares
This home's latest CMS figures next to the averages for Warrensburg-area homes (14), Missouri (487) and the U.S. (14,680).
| This home | Warrensburg area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 4.08 | 3.18 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.36 | 0.28 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.66 | 2.84 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 38% | 58% | 56% | 46% |
| Registered nurse turnover (past year) | 64% | 58% | 48% | 43% |
| Citations at the most recent standard inspection | 10 | 12.7 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 47 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| May 8, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights | E | Deficient, Provider has plan of correction |
| May 8, 2025 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident rights | E | Deficient, Provider has plan of correction |
| May 8, 2025 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident rights | E | Deficient, Provider has plan of correction |
| May 8, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has plan of correction |
| May 8, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident rights | E | Deficient, Provider has plan of correction |
| May 8, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy service | E | Deficient, Provider has plan of correction |
| May 8, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | E | Deficient, Provider has plan of correction |
| May 8, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | E | Deficient, Provider has plan of correction |
| May 8, 2025 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has plan of correction |
| May 8, 2025 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident rights | E | Deficient, Provider has plan of correction |
| Apr 5, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy service | E | Deficient, Provider has date of correction |
| Apr 5, 2024 | Provide activities to meet all resident's needs. Quality of life and care | D | Deficient, Provider has date of correction |
| Apr 5, 2024 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Apr 5, 2024 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident rights | D | Deficient, Provider has date of correction |
| Apr 5, 2024 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and physician services | E | Deficient, Provider has date of correction |
| Apr 5, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy service | E | Deficient, Provider has date of correction |
| Apr 5, 2024 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and physician services | D | Deficient, Provider has date of correction |
| Apr 5, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and physician services | E | Deficient, Provider has date of correction |
| Apr 5, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | E | Deficient, Provider has date of correction |
| Apr 5, 2024 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of life and care | E | Deficient, Provider has date of correction |
| Apr 5, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Apr 5, 2024 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration | F | Deficient, Provider has date of correction |
| Apr 5, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Apr 5, 2024 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | E | Deficient, Provider has date of correction |
| Apr 20, 2022 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy service | E | Deficient, Provider has date of correction |
| Apr 20, 2022 | Provide safe, appropriate pain management for a resident who requires such services. Quality of life and care | E | Deficient, Provider has date of correction |
| Apr 20, 2022 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of life and care | E | Deficient, Provider has date of correction |
| Apr 20, 2022 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy service | E | Deficient, Provider has date of correction |
| Apr 20, 2022 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Apr 20, 2022 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | E | Deficient, Provider has date of correction |
| Apr 20, 2022 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy service | E | Deficient, Provider has date of correction |
| Apr 20, 2022 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | E | Deficient, Provider has date of correction |
| Apr 20, 2022 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration | E | Deficient, Provider has date of correction |
| Apr 20, 2022 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental | E | Deficient, Provider has date of correction |
| Apr 20, 2022 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | E | Deficient, Provider has date of correction |
| Apr 20, 2022 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Apr 20, 2022 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | E | Deficient, Provider has date of correction |
| Apr 20, 2022 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Apr 20, 2022 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Apr 20, 2022 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | E | Deficient, Provider has date of correction |
Fines and penalties
No federal fines or payment denials reported by CMS in the past three years.
Location
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Reviews
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Questions about Shirkey Nursing and Rehabilitation Center
Answers computed from CMS data for this facility.
What is Shirkey Nursing and Rehabilitation Center's Medicare rating?
Medicare rates Shirkey Nursing and Rehabilitation Center 3 out of 5 stars overall (average). The average for Warrensburg-area nursing homes is 1.9, for Missouri 2.51 and for the U.S. 2.99.
How did Shirkey Nursing and Rehabilitation Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on May 8, 2025, when they cited 10 problems. The most common area was resident rights (5 citations). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 10 are marked corrected in the CMS data. At its most recent standard inspection (May 8, 2025) it had 10 citations, compared with an average of 12.7 for Warrensburg-area homes, 11.4 in Missouri and 9.2 nationally.
Has Shirkey Nursing and Rehabilitation Center been fined?
CMS reports no federal fines for this facility in the past three years.
Does Shirkey Nursing and Rehabilitation Center accept Medicaid?
Shirkey Nursing and Rehabilitation Center is certified for both Medicare and Medicaid. Call (816) 776-5403 to ask whether a Medicaid bed is open.
Other nursing homes near Richmond
- 4/5Lutheran Nursing HomeConcordia · 113 beds
- 3/5Adair VillageClinton · 120 beds
- 3/5Johnson County Care CenterWarrensburg · 87 beds
- 2/5Holden Manor Health & RehabilitationHolden · 52 beds
- 2/5Riverbend Heights Health & RehabilitationLexington · 154 beds
- 2/5Warrensburg Manor Care CenterWarrensburg · 88 beds
Compare all 14 Warrensburg-area nursing homes · · Warrensburg guide
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.