Avalon View Health and Wellness

    1200 W College St, Liberty, MO 64068
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.82·(186)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.3
    • Staff

      3.7
    • Meals

      2.1
    • Amenities

      2.7
    • Value

      1.0

    Pros

    • Compassionate, dedicated direct-care staff
    • Visible leadership and management engagement
    • Effective rehabilitation and therapy services with measurable improvement
    • Engaging activities program, including dementia-focused offerings and one-on-one options
    • Recognized improvement on regulatory surveys and CMS quality measures
    • Clean and well-maintained areas under current management
    • Supportive admissions and transfer assistance
    • Responsive environmental services and maintenance teams
    • Laundry and central-supplies performance praised
    • Planned outdoor amenities and garden space
    • Family-centered interactions and occasional strong communication
    • Resident socialization and community atmosphere

    Cons

    • Inconsistent staffing levels and scheduling gaps
    • Variable nursing skill mix and training gaps
    • Weak medication-administration and documentation controls
    • Gaps in wound care and chronic-disease follow-up
    • Inconsistent bathing and personal-care scheduling
    • Variable food quality and meal-service continuity
    • Cleanliness and sanitation concerns in some areas
    • Pest-control concerns in limited areas
    • Roommate-compatibility and resident-behavior management gaps
    • Inconsistent family communication and occasional restricted access
    • Financial and administrative governance concerns, including allegations of theft and billing issues
    • Turnover and mixed organizational culture during leadership transition

    Summary of reviews

    The reviews present a mixed but coherent picture: the facility has a substantial number of strengths around resident engagement, therapy, and an improving leadership team, yet longstanding operational weaknesses persist in clinical oversight and consistency of basic care. Many families and observers describe a committed core of caregivers, therapists, activities staff, EVS and maintenance employees who provide compassionate, resident-centered attention and effective rehabilitation outcomes. The activities program is frequently singled out as a positive element, with dementia-focused programming, one-on-one options, group events, and plans for outdoor garden space contributing to social engagement.

    Clinical quality shows a dual narrative. On one hand, reviewers cite measurable quality improvements: better CMS measures, positive survey results, removal from a special-focus designation, and notable therapy outcomes such as improved mobility. On the other hand, multiple accounts point to gaps in clinical processes—medication documentation and administration, wound care and chronic-disease follow-up, inconsistent vital-sign monitoring, and weekend or overnight coverage variability. These process weaknesses have been associated with serious family concerns about patient safety and outcomes; prospective families should ask for current staffing ratios, medication-administration protocols, and recent survey/citation records.

    Staff and culture are described as both a strength and a liability. Numerous reviews praise specific staff members and leadership figures for hands-on involvement, compassionate care, and a visible turnaround in morale. Conversely, there are repeated notes about inconsistent staff competence, occasional poor conduct or communication tone, and staffing shortages that leave remaining staff overwhelmed. Turnover and management changes appear to be part of an active transition, with several reviewers describing a pronounced improvement after new leadership initiatives, while others recount earlier or ongoing frustrations.

    Dining, housekeeping and the physical plant receive mixed feedback. Some families commend improved cleanliness, timely laundry service, and helpful environmental staff; others describe inconsistent meal quality, cold or unappealing food, and isolated sanitation or pest-control concerns. The building is characterized as older, with ongoing renovations noted; improvements to interior and exterior areas have been observed alongside remaining maintenance and comfort issues in some rooms.

    Administrative and financial issues recur as a notable pattern. Reviewers reference both helpful admissions and transfer assistance and concerning administrative behaviors, including complaints about billing, missing funds, and allegations of financial mismanagement. These are serious governance concerns and are cited alongside claims of blocked family communication or limited responsiveness from specific administrative staff. Prospective families should request transparent financial policies, checklists for transfers and discharges, and clarification about grievance and reporting procedures.

    Taken together, the pattern suggests a facility in transition: there is documented improvement in regulatory measures, therapy effectiveness, and engagement efforts under newer leadership, but persistent operational risks remain—particularly around staffing consistency, clinical documentation, medication control, wound and chronic-disease management, and certain aspects of environmental care. Recommendations for families considering this facility: review the most recent state inspection and CMS data, ask for current staffing ratios and nurse coverage patterns, request specific examples of medication and wound-care protocols, tour recently renovated areas as well as long-standing units, and clarify billing and communication pathways with administration before admission. These steps will help assess whether the facility’s reported improvements are consistent and sustained for an individual resident’s needs.

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    Medicare Ratings

    3·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Avalon View Health and Wellness is located at 1200 W College St, Liberty, MO, 64068.

    About Avalon View Health and Wellness

    Avalon View Health and Wellness sits at 1200 West College Street in Liberty, Missouri, and is a Skilled Nursing Facility with 140 certified beds and an average of 105 residents each day, and while it offers nursing, rehabilitation, long-term care, Memory Care in a 34-bed secured unit, therapies like physical, speech, and occupational, and has amenities like private bedrooms, laundry, housekeeping, residents' lounge, emergency call system, and programs focused on health, wellness, and support for residents with dementia including activities based on natural circadian rhythms, there have been many documented problems and deficiencies, which is something families often want to know about ahead of time. The current management is run by College St Consulting LLC, along with Ramilo Gatapia, William Miller, and administrator Ashlee Siard, with ownership by Vertical Health Services since June 2023, and though the staff provides 24-hour nurse coverage, they have a nurse turnover rate of 55%, and nurse staffing levels are below state and national averages at 2.44 nurse hours per resident per day, and the facility has struggled to keep a licensed nurse in charge on every shift and hasn't always met the eight-hour registered nurse on-duty rule. Deficiencies have included failing to support food and nutrition services with enough staff, medication storage problems, not keeping up with infection control programs (with 7 infection-related citations), not preventing medication errors below five percent, missing dental services for each resident, not always providing a safe, clean, and homelike environment, and not developing and using good policies to stop theft, neglect, and abuse, and these problems have been documented in 122 patient care deficiencies from March 2021 to December 2023, with a total of 103 deficiencies found in reports overall and 20 during the latest inspection in September 2024, resulting in a fine of $14,043. The place has also been fined five times, totaling $288,000, and gotten two government payment suspensions from July 2021 to October 2022, and it's rated one star on Medicare.gov. Residents get individualized treatment programs, medication management, and support with activities of daily living for both short-term and long-term stays, but the facility isn't accepting new patients right now, and there's no information about languages spoken other than English or about special services and amenities outside what's listed, and while Avalon View tries to build a homelike atmosphere and work with skilled therapy teams and organizations like the Alzheimer's Association, the history of self-reported harm events, high complaint counts, and infection and fire safety issues mean it's important for families to look carefully at their needs before making choices.

    People often ask...

    Avalon View Health and Wellness offers assisted living, memory care, and skilled nursing.

    There are 20 photos of Avalon View Health and Wellness on Mirador.

    The full address for this community is 1200 W College St, Liberty, MO 64068.

    No, Avalon View Health and Wellness does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

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    Mirador Living is not affiliated with the owner or operator(s) of Avalon View Health and Wellness. The information above has not been verified or approved by the owner or operator. For exact information, please contact Avalon View Health and Wellness directly. There is no cost for this service. We are compensated by the community you select.

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