5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Warsaw, MO
2-star overall rating with 2-star inspections with abuse icon flag with $8,824 in total fines with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1609 Sunchase Drive, Warsaw, MO
(660) 438-2970
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
90
Certified beds
Average residents
81
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Aspire Senior Living
Operator or chain grouping
Approved since
1994-02-15
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
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.28
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.76
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.07
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.11
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.04
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.49
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.15
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.35
CMS adjusted RN staffing hours
Adjusted total hours
3.85
CMS adjusted total nurse staffing hours
Case-mix index
1.10
Higher values indicate more complex resident acuity
RN turnover
57%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
57%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
10,336
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.74
Composite VBP score used to determine payment impact.
Payment multiplier
0.9824
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.14
Baseline 21.76% · Performance 18.62% · Measure score 6.14 · Achievement 6.07 · Improvement 6.14
Healthcare-associated infections
0
Baseline 8.22% · Performance 8.12% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Performance 69.44% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
2.16
Baseline 3 hours · Performance 3.69 hours · Measure score 2.16 · Achievement 2.16 · Improvement 2
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.74% |
10.72%
2 pts worse
|
No Different than the National Rate · Eligible stays 84 · Observed rate 16.67% · Lower 95% interval 8.3% |
| Discharge to community | 43.99% |
50.57%
6.6 pts worse
|
No Different than the National Rate · Eligible stays 61 · Observed rate 37.7% · Lower 95% interval 31.8% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.25% |
95.27%
3 pts better
|
Numerator 56 · Denominator 57 |
| Falls with major injury | 1.75% |
0.77%
1 pts worse
|
Numerator 1 · Denominator 57 |
| Discharge self-care score | 48.72% |
53.69%
5 pts worse
|
Numerator 19 · Denominator 39 |
| Discharge mobility score | 64.1% |
50.94%
13.2 pts better
|
Numerator 25 · Denominator 39 |
| Pressure ulcers or injuries, new or worsened | 8.77% |
2.29%
6.5 pts worse
|
Numerator 5 · Denominator 57 · Adjusted rate 9.57% |
| Healthcare-associated infections requiring hospitalization | 8.12% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 52 · Observed rate 9.62% · Lower 95% interval 4.16% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 64 |
| Staff flu vaccination coverage | 13.79% |
42%
28.2 pts worse
|
Numerator 12 · Denominator 87 |
| Discharge function score | 58.97% |
56.45%
2.5 pts better
|
Numerator 23 · Denominator 39 |
| 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 | 100% |
96.28%
3.7 pts better
|
Numerator 27 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 10.34% |
25.2%
14.9 pts worse
|
Numerator 3 · Denominator 29 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
2.1
0.9 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
2.3
0.5 pts better
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.7 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
84.8%
14.8 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.6% · 4Q avg 99.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
90.9%
9.1 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% |
4.1%
0.2 pts better
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 4.1% · Q3 1.5% · Q4 4.3% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.4% |
14.7%
14.3 pts better
|
11.4%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.4% |
| Percentage of long-stay residents who lose too much weight | 5.5% |
5.5%
About the same
|
5.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.0% · Q3 3.2% · Q4 13.3% · 4Q avg 5.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.8% |
25.3%
1.5 pts better
|
19.6%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 24.3% · Q3 22.2% · Q4 25.0% · 4Q avg 23.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.7% |
25.0%
14.3 pts better
|
16.7%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 14.0% · Q3 6.1% · Q4 8.0% · 4Q avg 10.7% · 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 | 10.8% |
20.3%
9.5 pts better
|
16.3%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 18.1% · Q3 0.0% · Q4 6.5% · 4Q avg 10.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.7% |
19.8%
11.1 pts better
|
14.9%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 8.8% · Q3 8.2% · Q4 4.9% · 4Q avg 8.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
1.4%
1.1 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.3% |
2.6%
0.7 pts worse
|
1.7%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 1.4% · Q3 3.0% · Q4 4.5% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.9% |
18.1%
12.2 pts better
|
19.8%
13.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 1.4% · Q3 5.7% · Q4 12.8% · 4Q avg 5.9% |
| Percentage of long-stay residents with pressure ulcers | 8.0% |
5.0%
3 pts worse
|
5.1%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 10.9% · Q3 7.2% · Q4 6.7% · 4Q avg 8.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
66.4%
31.6 pts better
|
81.7%
16.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 96.1% · Q4 96.6% · 4Q avg 98.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.1% |
13.4%
3.3 pts better
|
12.0%
1.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.1% · Observed 11.1% · Expected 12.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.7% |
2.2%
0.5 pts worse
|
1.6%
1.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.4% · Q3 4.3% · Q4 2.1% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.5% |
63.5%
35 pts better
|
79.7%
18.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.7% |
25.3%
8.6 pts better
|
23.9%
7.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.7% · Observed 15.6% · Expected 22.2% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Resident Rights (4 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-10-17
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-10-17
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-10-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-10-17
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2025-10-17
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-12
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-08-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-12
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-08-12
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-12
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-12
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-12
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-08-12
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 2024-08-12
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-08-12
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-08-12
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-08-12
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-08-12
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-08-12
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-06-05
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-06-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-05
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-06-05
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-06-05
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Not marked corrected
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-17
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2025-10-17
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-10-17
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-24
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2024-08-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-12
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-12
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 2024-08-12
Health
Respond appropriately to all alleged violations.
Corrected 2024-08-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-12
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-12
Health
Provide activities to meet all resident's needs.
Corrected 2024-08-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-12
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 2024-08-12
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 2024-08-12
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-12
Health
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2024-08-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-05
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 2023-06-05
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-06-05
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-05
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2023-06-05
Health
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected 2023-06-05
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-06-05
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 2023-06-05
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-06-05
Health
Ensure staff are vaccinated for COVID-19
Corrected 2023-06-05
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-02-28
Penalties and ownership
Fine · fine $8,824
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
5% Or Greater Security Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Nearby options
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5-star overall rating with 5-star inspections
Lowry City, MO
2-star overall rating with 3-star inspections with 10 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
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