CCN 265727 · Jackson County, Missouri
Carmel Hills Wellness & Rehabilitation
810 East Walnut, Independence, MO 64050
Carmel Hills Wellness & Rehabilitation is a 194-bed for-profit nursing home in Independence, Missouri, first certified for Medicare or Medicaid in 2002. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 156.8 residents a day, about 81% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $18.1 million in December 2021 (223(f) refinance or purchase), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 194
- Average residents per day
- 156.8 (80.8% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- 810 Opco LLC
- Certified since
- Jan 4, 2002
- Chain or affiliated group
- Opco Skilled Management (68 facilities, chain average 2.3 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 | 1 of 5 | State spread: 163 at 1, 91 at 2, 97 at 3, 76 at 4, 53 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 2.75 | 3.36 | 3.68 |
| RN hours per resident per day | 0.30 | 0.39 | 0.58 |
| Weekend nurse hours per resident per day | 2.46 | ||
| Nursing staff turnover | 54.7% | 56.1% | 44.9% |
| Occupancy (residents / beds) | 80.8% | 74.2% | 85.7% |
| Fines reported by CMS | 1 totaling $20,787 | ||
| Health deficiencies, latest standard survey | 24 (Nov 25, 2024) | ||
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). Carmel Hills Wellness & Rehabilitation does not meet it today: overall rating 1, health inspection rating 1. 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 |
|---|---|---|---|
| 810 E Walnut Street Mo LLCOrganization | Mortgage Interest | n/a | 12/12/2022 |
| Emerald Property Partners LLCOrganization | Mortgage Interest | n/a | 12/12/2022 |
| Gibraltar TrustOrganization | Mortgage Interest | n/a | 12/12/2022 |
| Montgomery Sky TrustOrganization | Mortgage Interest | n/a | 12/12/2022 |
| Ozark Healthcare Realty LLCOrganization | Mortgage Interest | n/a | 12/12/2022 |
| Garetz, DavidIndividual | Operational / Managerial Control | n/a | 12/12/2022 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: 810 E Walnut Street Mo LLC, Emerald Property Partners LLC, Gibraltar Trust, Montgomery Sky Trust, Ozark Healthcare Realty LLC.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Dec 12, 2022 | 810 Opco LLC | Carmel Hills Mo Consulting LLC |
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 |
|---|---|---|---|---|
| Dec 29, 2021 | 223(f) refinance or purchaseHUD project name: Redwood of Carmel Hills, 180 beds. Lender at endorsement: Greystone Funding Company LLC | $18,084,700 | Ended Dec 24, 2025Prepayment | 08422084 |
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.