Cycle 1
Health 2025-02-13 · Fire 2025-02-13
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Joplin, MO
Communities Of Wildwood Ranch
4-star overall rating with 5-star inspections with 1 recent health deficiencies
3222 South John Duffy Drive, Joplin, MO
(417) 621-0175
Overall
4 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
108
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Circle B Enterprises
Operator or chain grouping
Approved since
2014-04-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
29 facilities
Chain averages 2 overall / 3 health / 2 staffing / 2 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
Hours and turnover
RN hours / resident day
0.45
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
1.14
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
3.14
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.73
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.59
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
4.21
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.22
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.38
CMS adjusted RN staffing hours
Adjusted total hours
4.01
CMS adjusted total nurse staffing hours
Case-mix index
1.61
Higher values indicate more complex resident acuity
RN turnover
17%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,712
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.88
Composite VBP score used to determine payment impact.
Payment multiplier
0.9919
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.52
Baseline 27.98% · Performance 24.68% · Measure score 2.52 · Achievement 0 · Improvement 2.52
Healthcare-associated infections
0
Baseline 8.50% · Performance 8.80% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.36
Baseline 48.52% · Performance 33.61% · Measure score 7.36 · Achievement 7.36 · Improvement 5.8
Adjusted total nurse staffing
5.68
Baseline 4.39 hours · Performance 4.69 hours · Measure score 5.68 · Achievement 5.68 · Improvement 1.68
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.91% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 330 · Observed rate 10% · Lower 95% interval 8.68% |
| Discharge to community | 50.05% |
50.57%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 349 · Observed rate 46.7% · Lower 95% interval 45.29% |
| Medicare spending per beneficiary | 1.14 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 99.64% |
95.27%
4.4 pts better
|
Numerator 277 · Denominator 278 |
| Falls with major injury | 0.36% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 278 |
| Discharge self-care score | 55.48% |
53.69%
1.8 pts better
|
Numerator 86 · Denominator 155 |
| Discharge mobility score | 29.68% |
50.94%
21.3 pts worse
|
Numerator 46 · Denominator 155 |
| Pressure ulcers or injuries, new or worsened | 6.47% |
2.29%
4.2 pts worse
|
Numerator 18 · Denominator 278 · Adjusted rate 7.13% |
| Healthcare-associated infections requiring hospitalization | 8.8% |
7.12%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 253 · Observed rate 8.7% · Lower 95% interval 6.04% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 141 |
| Staff flu vaccination coverage | 13.46% |
42%
28.5 pts worse
|
Numerator 28 · Denominator 208 |
| Discharge function score | 43.23% |
56.45%
13.2 pts worse
|
Numerator 67 · Denominator 155 |
| Transfer of health information to provider | 90.73% |
95.95%
5.2 pts worse
|
Numerator 137 · Denominator 151 |
| Transfer of health information to patient | 96.47% |
96.28%
0.2 pts better
|
Numerator 82 · Denominator 85 |
| Resident COVID-19 vaccinations up to date | 1.95% |
25.2%
23.2 pts worse
|
Numerator 3 · Denominator 154 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
2.1
0.5 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 2.6 · Expected 3.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.8 |
2.3
1.5 pts worse
|
1.8
2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.8 · Observed 4.8 · Expected 2.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
84.8%
14.5 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 97.1% · Q4 100.0% · 4Q avg 99.3% |
| 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 | 4.6% |
4.1%
0.5 pts worse
|
3.3%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 5.6% · Q3 4.3% · Q4 2.8% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.0% |
14.7%
8.7 pts better
|
11.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 4.7% · Q3 7.9% · Q4 9.5% · 4Q avg 6.0% |
| Percentage of long-stay residents who lose too much weight | 4.3% |
5.5%
1.2 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 3.4% · Q3 3.6% · Q4 5.1% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.3% |
25.3%
About the same
|
19.6%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 27.9% · Q3 25.4% · Q4 19.7% · 4Q avg 25.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.4% |
25.0%
9.6 pts better
|
16.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 17.8% · Q3 15.2% · Q4 11.4% · 4Q avg 15.4% · 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 | 41.8% |
20.3%
21.5 pts worse
|
16.3%
25.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 41.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.7% |
19.8%
1.1 pts better
|
14.9%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 13.1% · Q3 22.4% · Q4 29.2% · 4Q avg 18.7% · 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 0.0% · Q3 1.3% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 7.5% |
2.6%
4.9 pts worse
|
1.7%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 5.7% · Q3 7.7% · Q4 9.4% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.1% |
18.1%
5 pts worse
|
19.8%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 18.3% · Q3 28.1% · Q4 28.4% · 4Q avg 23.1% |
| Percentage of long-stay residents with pressure ulcers | 9.8% |
5.0%
4.8 pts worse
|
5.1%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 14.2% · Q3 8.6% · Q4 7.3% · 4Q avg 9.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
66.4%
32.3 pts better
|
81.7%
17 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 98.7% · Q3 98.8% · Q4 98.9% · 4Q avg 98.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.6% |
13.4%
4.2 pts worse
|
12.0%
5.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.6% · Observed 16.8% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
2.2%
0.8 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.3% · Q3 1.1% · Q4 0.5% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.3% |
63.5%
32.8 pts better
|
79.7%
16.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.7% |
25.3%
7.4 pts worse
|
23.9%
8.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.7% · Observed 31.1% · Expected 22.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-07-28 · Fire 2023-07-28
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2020-01-24 · Fire 2020-01-24
8 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2023-07-28
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-09-11
E · Potential for more than minimal harm
2020-01-24
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2020-03-12
E · Potential for more than minimal harm
2020-01-24
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2020-03-12
E · Potential for more than minimal harm
2020-01-24
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-03-12
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-02-13
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-03-28
G · Actual harm
2024-01-10
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 2024-01-26
D · Potential for more than minimal harm
2023-12-07
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 2024-01-21
E · Potential for more than minimal harm
2023-07-28
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-09-11
E · Potential for more than minimal harm
2023-07-28
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 2023-09-11
D · Potential for more than minimal harm
2023-07-28
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 2023-09-11
E · Potential for more than minimal harm
2020-01-24
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2020-03-12
E · Potential for more than minimal harm
2020-01-24
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2020-03-12
E · Potential for more than minimal harm
2020-01-24
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 2020-03-12
D · Potential for more than minimal harm
2020-01-24
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2020-03-12
D · Potential for more than minimal harm
2020-01-24
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-03-12
D · Potential for more than minimal harm
2020-01-24
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2020-03-12
Penalties and ownership
What sits behind the stars
Ownership
Circle B Enterprises Holding Company Inc
5% Or Greater Direct Ownership Interest · Organization
Agh1 LLC
Operational/Managerial Control · Organization
Beaird, Todd
Corporate Officer · Individual
Bedell, Donald
Operational/Managerial Control · Individual
Bedell, Donald
Corporate Director · Individual
Bedell, Donald
Corporate Officer · Individual
Cascone, John
Operational/Managerial Control · Individual
Sovereign Healthcare Group LLC
Operational/Managerial Control · Organization
Thomas, Cynthia
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Westgate
Joplin, MO
4-star overall rating with 4-star inspections with 5 recent health deficiencies
#2
Galena Nursing & Rehab Center
Galena, KS
4-star overall rating with 4-star inspections with 10 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Aspire Senior Living Joplin
Joplin, MO
2-star overall rating with 2-star inspections with 22 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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