Oak Ridge Assisted Living
State licensed403 Crispin St, Richmond, MO 64085
Assisted LivingMemory Care
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Medicare-certifiedSkilled Nursing
Shirkey Nursing and Rehabilitation Center
Richmond, MissouriMedicare inspection record
About Shirkey Nursing and Rehabilitation Center
Shirkey Nursing and Rehabilitation Center brings skilled nursing and rehabilitation services to Richmond, Missouri. Our team focuses on helping seniors recover strength and independence through personalized care plans and evidence-based therapies.
Community at a glance
Capacity
197 residents
Location
Richmond, MO
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
804 WOLLARD BLVD, Richmond, Missouri 64085
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on May 8, 2025, state inspectors cited 10 health deficiencies (the Missouri average is 11.4).
Nurses and nurse aides spend 4 hours 5 minutes with each resident a day, above the Missouri average of 3 hours 26 minutes.
Medicare has not fined Shirkey Nursing and Rehabilitation Center in the last three years.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 5 minutesAbove the Missouri average |
| Registered nurse time per resident, per day | 21 minutesBelow the Missouri average |
| Nursing staff who left in the past year | 38%Below the Missouri average |
Inspections
24 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 8, 2025 · Standard inspection · 10 citations
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Risk of harm, no one hurt, a pattern (level E)Resident RightsPlan to fix it acceptedGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Risk of harm, no one hurt, a pattern (level E)Resident RightsPlan to fix it acceptedEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryPlan to fix it acceptedHonor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsPlan to fix it acceptedProvide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlPlan to fix it acceptedHonor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsPlan to fix it acceptedEnsure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServicePlan to fix it acceptedDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationPlan to fix it acceptedProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryPlan to fix it acceptedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsPlan to fix it accepted
April 5, 2024 · Standard inspection · 14 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected May 20, 2024Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected May 20, 2024Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected May 20, 2024Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected May 20, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected May 20, 2024Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected May 20, 2024Implement 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected May 20, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected May 20, 2024Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected May 20, 2024Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected May 20, 2024Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected May 20, 2024Provide activities to meet all resident's needs.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 20, 2024Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 20, 2024Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected May 20, 2024
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- Government - County
- Legal business name
- Senior Citizens Nursing Home District of Ray County
- Medicare-certified beds
- 197
- Average residents per day
- 95
- Accepts
- Medicare and Medicaid
- First certified
- October 1, 2000
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- None
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 265708
Location
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804 WOLLARD BLVDRichmond, MO 64085
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Questions about Shirkey Nursing and Rehabilitation Center
How did Shirkey Nursing and Rehabilitation Center do on its last inspection?+
State inspectors visited on May 8, 2025 and cited 10 health deficiencies. The Missouri average is 11.4.
How much nursing care does each resident get at Shirkey Nursing and Rehabilitation Center?+
Nurses and aides spend 4 hours 5 minutes with each resident per day, including 21 minutes from registered nurses. 38% of nursing staff left over the past year.
Has Shirkey Nursing and Rehabilitation Center been fined by Medicare?+
Medicare's records show no fines against Shirkey Nursing and Rehabilitation Center in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.