Federal inspection record · CMS data as of October 1, 2026
Ascend At Aurora
1700 South Hudson Avenue, Aurora, MO · (417) 678-2165
- Cited for abuse (CMS abuse icon)
- Certified beds
- 125
- Residents per day
- 68
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 21, 1983
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Missouri homes
Ascend At Aurora carries 295.5 inspection points. That is fewer than 6% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
54 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Quality of Life and Care15E
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
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.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- E
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
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.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights7E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
Freedom from Abuse, Neglect, and Exploitation6E
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Infection Control6F
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Ensure staff are vaccinated for COVID-19
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary5F
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Resident Assessment and Care Planning5E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service4D
- D
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.
- D
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.
- D
Ensure that residents are free from significant medication errors.
- D
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.
Environmental2F
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nursing and Physician Services1F
- F
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.
Administration1F
- F
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.
Inspection history
2024-04-12
27 health deficiencies · 10 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (6 deficiencies)
2022-05-11
20 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2019-08-19
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 21 min of nursing staff time a day, 24 min of it from a registered nurse.
This home
3 h 21 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 60% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$46,940 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-04-12 | Fine | $46,940 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.6 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.7 pts worse | 3.9 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.4 pts better | 85.4% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.1 pts worse | 81.7% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 2.0% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms12.1 pts better | 7.9% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.3 pts worse | 6.4% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6 pts worse | 31.6% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.2 pts worse | 34.7% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3 pts worse | 18.8% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased16.1 pts worse | 33.5% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 1.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 1.5% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.7 pts worse | 21.8% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts worse | 5.0% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine19.1 pts worse | 46.6% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.7 pts better | 4.7% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication10.4 pts worse | 12.5% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.9 pts worse | 46.5% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission20.7 pts better | 5.0% | 25.7% | 23.4% |
·
Who owns and runs it
24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Aurora Holdco LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Blumenkrantz, Tuvya | Indirect Ownership Interest · Individual | 0% | 3 facilities |
| Delta Edge Strategic Advisors | Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Delta Edge Strategic Advisors | Adp Of The SNF · Organization | 0% | 4 facilities |
| Felheim, Yitchok | Indirect Ownership Interest · Individual | 0% | 4 facilities |
| Felheim, Yitchok | Adp Of The SNF · Individual | 0% | 4 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Hhhh Ventures LLC | Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Hhhh Ventures LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Jacobovitch, Yossi | Indirect Ownership Interest · Individual | 0% | 4 facilities |
| Jacobovitch, Yossi | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Jacobovitch, Yossi | Adp Of The SNF · Individual | 0% | 4 facilities |
| Krpss Partners | Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Krpss Partners | Adp Of The SNF · Organization | 0% | 4 facilities |
| Lapciuc, Avraham | Indirect Ownership Interest · Individual | 0% | 4 facilities |
| Lapciuc, Avraham | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Lapciuc, Avraham | Adp Of The SNF · Individual | 0% | 4 facilities |
| Long, Rebecca | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Long, Rebecca | Adp Of The SNF · Individual | 0% | 1 facilities |
| Nbh3 Sfpropco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Towers, Melanie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Towers, Melanie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Williams, Cheryl | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Williams, Cheryl | Adp Of The SNF · Individual | 0% | 5 facilities |
·
Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke11F
- F
Have an enclosure around a vertical opening shaft.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Have an enclosure around a vertical opening shaft.
- E
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems4F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- E
Meet requirements for the installation and maintenance of electrical systems.
Emergency Preparedness2F
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Construction2E
- E
Use approved construction type or materials.
- E
Use approved construction type or materials.
Services1F
- F
Meet other general requirements that are deficient.
Egress1E
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
·
Other homes nearby
-
Ozarks Methodist Manor, The
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 16 min
- Fines
- $0
-
Mt Vernon Nursing
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- Nursing / resident / day
- 3 h 10 min
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-
Lawrence County Manor
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- K
- Nursing / resident / day
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