Aurora, MO

Ascend At Aurora

1-star overall rating with 1-star inspections with abuse icon flag with $46,940 in total fines with 20 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

1700 South Hudson Avenue, Aurora, MO

(417) 678-2165

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

125

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1983-01-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.46

Registered nurse staffing

LPN hours / resident day

0.44

Licensed practical nurse staffing

Aide hours / resident day

2.16

Nurse aide staffing

Weekend hours

2.66

Weekend nurse staffing

RN turnover

71%

Annual RN turnover

Total nurse turnover

59%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.5%	84.8% 14.7 pts better	93.4% 6.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.1%	90.9% 7.2 pts better	95.5% 2.6 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	1.0%	4.1% 3.1 pts better	3.3% 2.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	5.5%	14.7% 9.2 pts better	11.4% 5.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	7.2%	5.5% 1.7 pts worse	5.4% 1.8 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	39.1%	25.3% 13.8 pts worse	19.6% 19.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	33.3%	25.0% 8.3 pts worse	16.7% 16.6 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened	25.0%	20.3% 4.7 pts worse	16.3% 8.7 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	23.8%	19.8% 4 pts worse	14.9% 8.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	1.4% 1 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	3.1%	2.6% 0.5 pts worse	1.7% 1.4 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.3%	18.1% 1.2 pts worse	19.8% 0.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	6.8%	5.0% 1.8 pts worse	5.1% 1.7 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.3%	66.4% 31.9 pts better	81.7% 16.6 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication	3.5%	2.2% 1.3 pts worse	1.6% 1.9 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	63.5% 36.5 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-04-12 · Fire 2024-04-12

20 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2022-05-11 · Fire 2022-05-11

19 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2019-08-19 · Fire 2019-08-19

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-04-12

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-05-17

F · Potential for more than minimal harm 2024-04-12

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-05-25

F · Potential for more than minimal harm 2024-04-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-16

F · Potential for more than minimal harm 2024-04-12

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-05-25

F · Potential for more than minimal harm 2024-04-12

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-05-25

F · Potential for more than minimal harm 2024-04-12

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-25

E · Potential for more than minimal harm 2024-04-12

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-05-25

E · Potential for more than minimal harm 2024-04-12

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-05-25

E · Potential for more than minimal harm 2024-04-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-05-25

E · Potential for more than minimal harm 2024-04-12

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-05-25

F · Potential for more than minimal harm 2022-05-11

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2022-06-25

F · Potential for more than minimal harm 2022-05-11

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-06-25

F · Potential for more than minimal harm 2022-05-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Not marked corrected

F · Potential for more than minimal harm 2022-05-11

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-06-25

F · Potential for more than minimal harm 2022-05-11

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2022-08-09

F · Potential for more than minimal harm 2022-05-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-08-09

E · Potential for more than minimal harm 2022-05-11

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2022-06-25

E · Potential for more than minimal harm 2022-05-11

K342 · Smoke Deficiencies

Fire Safety

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2022-06-25

E · Potential for more than minimal harm 2022-05-11

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-07-13

E · Potential for more than minimal harm 2022-05-11

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-08-09

F · Potential for more than minimal harm 2019-08-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-10-17

E · Potential for more than minimal harm 2019-08-19

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2019-10-17

E · Potential for more than minimal harm 2019-08-19

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2019-10-17

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-09

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-11-26

D · Potential for more than minimal harm 2025-12-09

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-11-26

E · Potential for more than minimal harm 2025-07-18

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-08-31

E · Potential for more than minimal harm 2024-10-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-05

J · Immediate jeopardy 2024-04-12

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-05-25

J · Immediate jeopardy 2024-04-12

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-05-25

F · Potential for more than minimal harm 2024-04-12

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-05-25

F · Potential for more than minimal harm 2024-04-12

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-05-25

F · Potential for more than minimal harm 2024-04-12

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2024-05-25

F · Potential for more than minimal harm 2024-04-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-25

F · Potential for more than minimal harm 2024-04-12

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-05-25

E · Potential for more than minimal harm 2024-04-12

F584 · Resident Rights Deficiencies

Health

Honor 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.

Corrected 2024-05-25

E · Potential for more than minimal harm 2024-04-12

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-05-25

E · Potential for more than minimal harm 2024-04-12

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-05-25

E · Potential for more than minimal harm 2024-04-12

F700 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-05-25

E · Potential for more than minimal harm 2024-04-12

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-05-25

D · Potential for more than minimal harm 2024-04-12

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-05-25

D · Potential for more than minimal harm 2024-04-12

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-05-25

D · Potential for more than minimal harm 2024-04-12

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-05-25

D · Potential for more than minimal harm 2024-04-12

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-05-25

D · Potential for more than minimal harm 2024-04-12

F758 · Pharmacy Service Deficiencies

Health

Implement 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.

Corrected 2024-05-25

D · Potential for more than minimal harm 2023-08-22

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-10-05

F · Potential for more than minimal harm 2022-05-11

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2022-07-18

E · Potential for more than minimal harm 2022-05-11

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2022-06-25

E · Potential for more than minimal harm 2022-05-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-06-25

E · Potential for more than minimal harm 2022-05-11

F700 · Quality of Life and Care Deficiencies

Health

Corrected 2022-06-25

E · Potential for more than minimal harm 2022-05-11

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-06-25

E · Potential for more than minimal harm 2022-05-11