SNF

RIVERBEND POST ACUTE REHABILITATION

CCN: 175298 · KANSAS CITY, KS 66112 · Wyandotte County

⚠ Special Focus Facility

Overview

Address
7850 FREEMAN AVENUE, KANSAS CITY, KS 66112
Phone
9133343666
Certified beds
131
Avg daily residents
120 (91% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1994-07-01
Setting
Urban
—
Rating not available

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
Footnote 18.
— Not Available
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
Footnote 18.
— Not Available
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
Footnote 18.
— Not Available
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
Footnote 18.
— Not Available

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.81 3.85 3.82 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.46 0.67 0.47 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.89 0.85 0.90 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.45 2.32 2.46 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.36 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.11 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.39
hrs / resident / day
RN (weekend)
0.30
hrs / resident / day
Total nurse (adjusted, weekend)
3.40
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
33.3%
annual
RN turnover
20.0%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.36
higher acuity than avg
Case-Mix Index Ratio
0.99
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-11-19 11 11 1 52 1 52
Cycle 2/3 (prior) 2025-05-21 22 8 22 175 1 175
Total weighted health score
82.8
lower is better

Deficiencies (33)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

32 D/E/F Actual harm — potential for minor
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2025-11-19 2025-12-19
0558 Reasonably accommodate the needs and preferences of each resident. E 2025-11-19 2025-12-19
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2025-11-19 2025-12-19
0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. D 2025-11-19 2025-12-19
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-11-19 2025-12-19
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-11-19 2025-12-19
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2025-11-19 2025-12-19
0699 Provide care or services that was trauma informed and/or culturally competent. D 2025-11-19 2025-12-19
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2025-11-19 2025-12-19
0849 Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. D 2025-11-19 2025-12-19
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-11-19 2025-12-19
0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. E 2025-05-21 2025-06-23
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2025-05-21 2025-06-23
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-05-21 2025-06-23
0744 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. D 2025-05-21 2025-06-23
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2025-05-21 2025-06-23
0760 Ensure that residents are free from significant medication errors. D 2025-05-21 2025-06-23
0761 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. E 2025-05-21 2025-06-23
0880 Provide and implement an infection prevention and control program. E 2025-05-21 2025-06-23
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-01-23 2025-02-28
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-01-23 2025-02-28
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-01-23 2025-02-28
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-01-23 2025-02-28
0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. D 2025-01-23 2025-02-28
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2025-01-23 2025-02-28
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-01-23 2025-02-28
0700 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. D 2025-01-23 2025-02-28
0712 Ensure that the resident and his/her doctor meet face-to-face at all required visits. D 2025-01-23 2025-02-28
0744 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. D 2025-01-23 2025-02-28
0880 Provide and implement an infection prevention and control program. D 2025-01-23 2025-02-28
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2024-06-04 2024-07-01
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-03-11 2024-04-08
0558 Reasonably accommodate the needs and preferences of each resident. D 2023-03-30 2023-04-28

Penalties (3)

Fines issued
2
last 3 years
Total fines
$84,023
Payment denials
1
Date Type Fine amount
2025-05-21 Fine $19,503
2024-06-04 Fine $64,520
2025-05-21 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 3.8% Medicaid 73.9% Other 22.3%

Operating performance

Operating Margin
-3.1%
Total Margin
-3.1%
Occupancy Rate
89.5%
Cost per Resident Day
$33

Revenue & costs

Net Patient Revenue
$12.3M
Total Costs
$1.4M
Net Income
-$386K

Balance sheet

Total Assets
$592K
Total Liabilities
$1.3M
Fund Balance
-$752K
Current Ratio
0.23

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: THE ENSIGN GROUP

Chain ID
507
Facilities in chain
329
Legal business name
BIG BLUE HEALTHCARE LLC
Chain-average star ratings (for peer context)
Overall
3.2
Health
2.9
Staffing
2.7
QM
4.3

Owner / manager organizations (2)

Organization Role Association
GATEWAY HEALTHCARE LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/09/2016
THE ENSIGN GROUP INC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/09/2016

Owner / manager individuals (5)

Name Role Association
SCHULTE, CORY OPERATIONAL/MANAGERIAL CONTROL since 11/01/2018
BURNAM, SOON CORPORATE OFFICER since 03/09/2016
FITCH, CRAIG CORPORATE OFFICER since 01/15/2019
WILSON, BRENT CORPORATE OFFICER since 07/01/2019
SCHULTE, CORY W-2 MANAGING EMPLOYEE since 11/01/2018

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Special focus status
SFF
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $33 metrics.cost_per_resident_day
Cost Report Current Ratio 0.23 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 73.9% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 3.8% metrics.medicare_day_share
Cost Report Net Income ($) $-386,207 metrics.net_income
Cost Report Net Patient Revenue ($) $12,296,974 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 89.5% metrics.occupancy_rate
Cost Report Operating Margin (%) -3.1% metrics.operating_margin
Cost Report Total Assets ($) $591,822 metrics.total_assets
Cost Report Total Costs ($) $1,374,021 metrics.total_costs
Cost Report Total Fund Balances ($) $-752,233 metrics.fund_balance
Cost Report Total Liabilities ($) $1,344,055 metrics.total_liabilities
Cost Report Total Margin (%) -3.1% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.89749 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.45647 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.46642 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.82038 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.39772 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 119.5 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.85389 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.32067 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.67305 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.84760 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.39125 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.2 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.3 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.7 Chain Average Staffing Rating
Provider Information Chain ID 507 Chain ID
Provider Information Chain Name THE ENSIGN GROUP Chain Name
Provider Information City/Town KANSAS CITY City/Town
Provider Information CMS Certification Number (CCN) 175298 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Wyandotte County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1994-07-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating — Health Inspection Rating
Provider Information Health Inspection Rating Footnote 18 Health Inspection Rating Footnote
Provider Information Latitude 39.1225 Latitude
Provider Information Legal Business Name BIG BLUE HEALTHCARE LLC Legal Business Name
Provider Information Location 7850 FREEMAN AVENUE,KANSAS CITY,KS,66112 Location
Provider Information Long-Stay QM Rating — Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote 18 Long-Stay QM Rating Footnote
Provider Information Longitude -94.762 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 131 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 329 Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.36303 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.98939 Nursing Case-Mix Index Ratio
Provider Information Overall Rating — Overall Rating
Provider Information Overall Rating Footnote 18 Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 7850 FREEMAN AVENUE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name RIVERBEND POST ACUTE REHABILITATION Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 986 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating — QM Rating
Provider Information QM Rating Footnote 18 QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 52 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 1 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 11 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-11-19 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 52 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 11 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 8 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2025-05-21 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 175 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 22 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 175 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 22 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.29900 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 20.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.35921 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.89439 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.44799 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.10593 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.46481 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.80720 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating — Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 18 Short-Stay QM Rating Footnote
Provider Information Special Focus Status SFF Special Focus Status
Provider Information Staffing Rating — Staffing Rating
Provider Information Staffing Rating Footnote 18 Staffing Rating Footnote
Provider Information State KS State
Provider Information Telephone Number 9133343666 Telephone Number
Provider Information Total Amount of Fines in Dollars 84023.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.38599 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 3 Total Number of Penalties
Provider Information Total nursing staff turnover 33.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 82.750 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 66112 ZIP Code