East Prairie, MO

Aspire Senior Living East Prairie

4-star overall rating with 4-star inspections with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

186 Millar Road, East Prairie, MO

(573) 649-3551

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Aspire Senior Living

Operator or chain grouping

Approved since

1993-11-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

14 facilities

Chain averages 3 overall / 3 health / 2 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.65

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.69

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.48

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.82

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

1.33

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

3.40

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.83

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.20

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.77

CMS adjusted RN staffing hours

Adjusted total hours

4.57

CMS adjusted total nurse staffing hours

Case-mix index

1.14

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,402

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

36.32

Composite VBP score used to determine payment impact.

Payment multiplier

0.9898

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

3.71

Performance 6.73% · Measure score 3.71 · Achievement 3.71 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

3.02

Performance 51.35% · Measure score 3.02 · Achievement 3.02 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

4.17

Performance 4.26 hours · Measure score 4.17 · Achievement 4.17 · This facility did not have sufficient data to calculate a baseline period measure result.

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.72%	10.72% 1 pts worse	No Different than the National Rate · Eligible stays 34 · Observed rate 14.71% · Lower 95% interval 7.23%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.31	1.02 0.3 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 34 · Denominator 34
Falls with major injury	5.88%	0.77% 5.1 pts worse	Numerator 2 · Denominator 34
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 34 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.73%	7.12% 0.4 pts better	No Different than the National Rate · Eligible stays 25 · Observed rate 4% · Lower 95% interval 3.3%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 47
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 53
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.8	2.1 1.3 pts better	1.9 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 1.0 · Expected 2.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	2.3 0.3 pts better	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.4 · Expected 2.0 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	54.5%	84.8% 30.3 pts worse	93.4% 38.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 72.4% · Q2 55.6% · Q3 42.9% · Q4 46.4% · 4Q avg 54.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	72.4%	90.9% 18.5 pts worse	95.5% 23.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 72.4%
Percentage of long-stay residents experiencing one or more falls with major injury	1.8%	4.1% 2.3 pts better	3.3% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	12.9%	14.7% 1.8 pts better	11.4% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 4.2% · Q3 12.0% · Q4 16.7% · 4Q avg 12.9%
Percentage of long-stay residents who lose too much weight	9.3%	5.5% 3.8 pts worse	5.4% 3.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 20.0% · Q3 11.1% · Q4 0.0% · 4Q avg 9.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	41.9%	25.3% 16.6 pts worse	19.6% 22.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.0% · Q2 34.6% · Q3 50.0% · Q4 50.0% · 4Q avg 41.9%
Percentage of long-stay residents who received an antipsychotic medication	48.7%	25.0% 23.7 pts worse	16.7% 32 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 55.0% · Q4 40.0% · 4Q avg 48.7% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	39.8%	20.3% 19.5 pts worse	16.3% 23.5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 39.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	23.7%	19.8% 3.9 pts worse	14.9% 8.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 34.8% · Q3 23.1% · Q4 29.2% · 4Q avg 23.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	5.6%	1.4% 4.2 pts worse	1.0% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 7.9% · Q3 3.7% · Q4 7.4% · 4Q avg 5.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	11.5%	2.6% 8.9 pts worse	1.7% 9.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 0.0% · Q3 14.8% · Q4 23.1% · 4Q avg 11.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.2%	18.1% 0.9 pts better	19.8% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 27.2% · Q3 19.6% · Q4 3.7% · 4Q avg 17.2%
Percentage of long-stay residents with pressure ulcers	0.0%	5.0% 5 pts better	5.1% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	15.9%	66.4% 50.5 pts worse	81.7% 65.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 13.6% · 4Q avg 15.9%
Percentage of short-stay residents who had an outpatient emergency department visit	12.6%	13.4% 0.8 pts better	12.0% 0.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.6% · Observed 14.8% · Expected 13.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	2.2% 2.2 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	17.4%	63.5% 46.1 pts worse	79.7% 62.3 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 17.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.3%	25.3% 5 pts better	23.9% 3.6 pts better	Short Stay · 20240701-20250630 · Adjusted 20.3% · Observed 25.9% · Expected 30.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-12 · Fire 2025-06-12

8 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-04-09 · Fire 2024-04-09

4 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-03-09 · Fire 2023-03-09

15 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-12

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 2025-07-27

F · Potential for more than minimal harm 2025-06-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-07-27

F · Potential for more than minimal harm 2025-06-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-27

F · Potential for more than minimal harm 2025-06-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-07-27

F · Potential for more than minimal harm 2024-04-09

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-05-24

F · Potential for more than minimal harm 2024-04-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-05-24

F · Potential for more than minimal harm 2023-03-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-04-21

F · Potential for more than minimal harm 2023-03-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-04-21

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-06-12

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-07-27

D · Potential for more than minimal harm 2025-06-12

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-07-27

D · Potential for more than minimal harm 2025-06-12

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-07-27

D · Potential for more than minimal harm 2025-06-12

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-27

D · Potential for more than minimal harm 2025-06-12

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-07-27

D · Potential for more than minimal harm 2025-06-12

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-07-27

D · Potential for more than minimal harm 2025-06-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-27

D · Potential for more than minimal harm 2025-06-12

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2025-07-27

F · Potential for more than minimal harm 2024-04-09

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 2024-05-24

E · Potential for more than minimal harm 2024-04-09

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 2024-05-24

E · Potential for more than minimal harm 2024-04-09

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-05-24

D · Potential for more than minimal harm 2024-04-09

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-05-24

F · Potential for more than minimal harm 2023-03-09

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 2023-04-21

F · Potential for more than minimal harm 2023-03-09

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2023-04-21

E · Potential for more than minimal harm 2023-03-09

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2023-04-21