CCN 265167 · Jackson County, Missouri
Highland Rehabilitation & Health Care Center
904 East 68th Street, Kansas City, MO 64131
Highland Rehabilitation & Health Care Center is a 162-bed for-profit nursing home in Kansas City, Missouri, first certified for Medicare or Medicaid in 1982. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 127.1 residents a day, about 79% of its certified beds. It has an active FHA-insured Section 232 loan: $4.5 million originally, at 2.90%, with $2.8 million outstanding as of September 30, 2026 and maturity in October 2041.
Facility facts
- Certified beds
- 162
- Average residents per day
- 127.1 (78.5% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Highland Nursing and Rehabilitation Center, LLC
- Certified since
- Jun 1, 1982
- Chain or affiliated group
- Tutera Senior Living & Health Care (25 facilities, chain average 2.1 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Missouri median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 163 at 1, 91 at 2, 97 at 3, 76 at 4, 53 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.01 | 3.36 | 3.68 |
| RN hours per resident per day | 0.25 | 0.39 | 0.58 |
| Weekend nurse hours per resident per day | 2.74 | ||
| Nursing staff turnover | 49.0% | 56.1% | 44.9% |
| Occupancy (residents / beds) | 78.5% | 74.2% | 85.7% |
| Fines reported by CMS | 3 totaling $68,070 | ||
| Health deficiencies, latest standard survey | 16 (Feb 8, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Highland Rehabilitation & Health Care Center does not meet it today: the abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Bloom, RandallIndividual | Operational / Managerial Control | n/a | 06/29/2018 |
| Brooks, KileyIndividual | Operational / Managerial Control | n/a | 06/29/2018 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Sep 29, 2011 | 223(a)(7) refinance of a 223(f) loanHUD project name: Highland Nursing and Rehabilitation Center, 162 beds. Lender at endorsement: Cambridge Realty Capital Il | $4,462,500 | Active: 2.90%, $2,775,389 balanceMatures Oct 1, 2041. Servicer: Cambridge Realty Capital Il | 08422035 |
| Jul 21, 2004 | 223(f) refinance or purchaseHUD project name: Highland Nursing and Rehabilitation Ctr., 162 beds. Lender at endorsement: 0 | $4,462,500 | Ended Sep 29, 2011Prepayment | 08422011 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.