Nursing homes › Kansas › Willow Point Rehabilitation and Nursing Center
6500 Greeley Avenue, Kansas City, KS 66104 · 9133340200 · 45 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.85 (Kansas median: 3.94). RN hours: 0.64. Weekend total: 3.32. Nursing staff turnover: 80%.
All-time on record: 57 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2024-10-24 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | complaint | corrected 2024-11-25 |
| 2024-10-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2024-11-25 |
| 2024-10-24 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | complaint | corrected 2024-11-25 |
| 2024-10-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2024-11-25 |
| 2024-10-24 | 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. | E | complaint | corrected 2024-11-25 |
| 2024-10-24 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2024-11-25 |
| 2024-10-24 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | complaint | corrected 2024-11-25 |
| 2024-10-24 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2024-11-25 |
| 2024-10-24 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | complaint | corrected 2024-11-25 |
| 2024-10-24 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | complaint | corrected 2024-11-25 |
| 2024-04-10 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | complaint | corrected 2024-05-24 |
| 2024-03-11 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-04-15 |
| 2024-02-20 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | complaint | corrected 2024-02-19 |
| 2023-05-04 | Provide and implement an infection prevention and control program. | L | Health | corrected 2023-06-01 |
| 2023-05-04 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Health | corrected 2023-06-01 |
| 2023-05-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2023-06-01 |
| 2023-05-04 | Provide enough food/fluids to maintain a resident's health. | G | Health | corrected 2023-06-01 |
| 2023-05-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-06-01 |
| 2023-05-04 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2023-06-01 |
| 2023-05-04 | Provide activities to meet all resident's needs. | E | Health | corrected 2023-06-01 |
| 2023-05-04 | 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 | Health | corrected 2023-06-01 |
| 2023-05-04 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Health | corrected 2023-06-01 |
| 2023-05-04 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Health | corrected 2023-06-01 |
| 2023-05-04 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2023-06-01 |
| 2023-05-04 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2023-06-01 |
| 2023-05-04 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2023-06-01 |
| 2023-05-04 | Plan the resident's discharge to meet the resident's goals and needs. | D | Health | corrected 2023-06-01 |
| 2023-05-04 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Health | corrected 2023-06-01 |
| 2023-05-04 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2023-06-01 |
| 2023-05-04 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2023-06-01 |
| 2023-05-04 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2023-06-01 |
| 2023-05-04 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-06-01 |
| 2023-05-04 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Health | corrected 2023-06-01 |
| 2023-05-04 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2023-06-01 |
| 2023-05-04 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2023-06-01 |
| 2023-05-04 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Health | corrected 2023-06-01 |
| 2023-05-04 | Post nurse staffing information every day. | C | Health | corrected 2023-06-01 |
| Date | Type | Amount |
|---|---|---|
| 2024-02-20 | Fine | $15,421 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| GATEWAY HEALTHCARE LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 09/16/2025 |
| THE ENSIGN GROUP INC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 12/01/2025 |
| LEWIS, CORWIN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/01/2026 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 09/16/2025 |
| BURNAM, SOON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/16/2025 |
| EPPERSON, KAREN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2025 |
| LEWIS, CORWIN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2026 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 175135. Corrections: data@carerecords.org.