Joplin, MO

Joplin Gardens

2-star overall rating with 3-star inspections with 10 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

2810 South Jackson Avenue, Joplin, MO

(417) 572-0041

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 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

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

James & Judy Lincoln

Operator or chain grouping

Approved since

2015-12-14

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

58 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

0.12

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

1.16

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

1.71

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.00

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

1.29

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

2.67

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.04

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.14

CMS adjusted RN staffing hours

Adjusted total hours

3.37

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

70%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

58%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,371

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

Performance score

29.92

Composite VBP score used to determine payment impact.

Payment multiplier

0.9857

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 20.04% · Performance 24.34% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

4.16

Baseline 7.26% · Performance 6.59% · Measure score 4.16 · Achievement 4.16 · Improvement 2.47

Total nurse turnover

4.90

Baseline 68.63% · Performance 45.00% · Measure score 4.90 · Achievement 4.57 · Improvement 4.90

Adjusted total nurse staffing

2.91

Baseline 3.37 hours · Performance 3.91 hours · Measure score 2.91 · Achievement 2.91 · Improvement 1.72

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.19%	10.72% 2.5 pts worse	No Different than the National Rate · Eligible stays 105 · Observed rate 15.24% · Lower 95% interval 9.43%
Discharge to community	55.71%	50.57% 5.1 pts better	No Different than the National Rate · Eligible stays 110 · Observed rate 53.64% · Lower 95% interval 46.03%
Medicare spending per beneficiary	0.81	1.02 0.2 pts better
Drug regimen review with follow-up	73.68%	95.27% 21.6 pts worse	Numerator 70 · Denominator 95
Falls with major injury	3.16%	0.77% 2.4 pts worse	Numerator 3 · Denominator 95
Discharge self-care score	46.55%	53.69% 7.1 pts worse	Numerator 27 · Denominator 58
Discharge mobility score	37.93%	50.94% 13 pts worse	Numerator 22 · Denominator 58
Pressure ulcers or injuries, new or worsened	2.11%	2.29% 0.2 pts better	Numerator 2 · Denominator 95 · Adjusted rate 2.79%
Healthcare-associated infections requiring hospitalization	6.59%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 72 · Observed rate 4.17% · Lower 95% interval 3.48%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 78
Staff flu vaccination coverage	45.22%	42% 3.2 pts better	Numerator 52 · Denominator 115
Discharge function score	60.34%	56.45% 3.9 pts better	Numerator 35 · Denominator 58
Transfer of health information to provider	96.43%	95.95% 0.5 pts better	Numerator 27 · Denominator 28
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 54 · Denominator 54
Resident COVID-19 vaccinations up to date	5.66%	25.2% 19.5 pts worse	Numerator 3 · Denominator 53

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	2.1 0.2 pts better	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.9 · Expected 1.9 · 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 3.6 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.7%	84.8% 13.9 pts better	93.4% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 100.0% · Q3 98.3% · Q4 98.4% · 4Q avg 98.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.4%	90.9% 7.5 pts better	95.5% 2.9 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.4%
Percentage of long-stay residents experiencing one or more falls with major injury	9.9%	4.1% 5.8 pts worse	3.3% 6.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 11.9% · Q3 10.3% · Q4 9.5% · 4Q avg 9.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.9%	14.7% 13.8 pts better	11.4% 10.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9%
Percentage of long-stay residents who lose too much weight	4.6%	5.5% 0.9 pts better	5.4% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 3.8% · Q3 0.0% · Q4 8.3% · 4Q avg 4.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	26.8%	25.3% 1.5 pts worse	19.6% 7.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 25.0% · Q3 27.5% · Q4 28.6% · 4Q avg 26.8%
Percentage of long-stay residents who received an antipsychotic medication	13.9%	25.0% 11.1 pts better	16.7% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 17.9% · Q3 15.4% · Q4 12.2% · 4Q avg 13.9% · 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	18.4%	20.3% 1.9 pts better	16.3% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q4 28.0% · 4Q avg 18.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	25.1%	19.8% 5.3 pts worse	14.9% 10.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.3% · Q2 26.5% · Q3 24.5% · Q4 21.3% · 4Q avg 25.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.4% 1.4 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.9%	2.6% 1.3 pts worse	1.7% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 0.0% · Q3 5.3% · Q4 3.2% · 4Q avg 3.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.8%	18.1% 0.3 pts better	19.8% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.4% · Q2 10.5% · Q3 15.6% · Q4 29.5% · 4Q avg 17.8%
Percentage of long-stay residents with pressure ulcers	6.4%	5.0% 1.4 pts worse	5.1% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.5% · Q3 7.6% · Q4 7.6% · 4Q avg 6.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	89.2%	66.4% 22.8 pts better	81.7% 7.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 84.7% · Q2 90.0% · Q3 91.0% · Q4 90.8% · 4Q avg 89.2%
Percentage of short-stay residents who had an outpatient emergency department visit	21.0%	13.4% 7.6 pts worse	12.0% 9 pts worse	Short Stay · 20240701-20250630 · Adjusted 21.0% · Observed 20.4% · Expected 10.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.0%	2.2% 0.2 pts better	1.6% 0.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 1.8% · Q4 3.8% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	76.1%	63.5% 12.6 pts better	79.7% 3.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 76.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	32.0%	25.3% 6.7 pts worse	23.9% 8.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 32.0% · Observed 29.6% · Expected 22.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-23 · Fire 2024-08-23

10 health deficiencies

Top issue: Nursing and Physician Services (2 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2022-09-13 · Fire 2022-09-13

10 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

3 fire-safety deficiencies

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

Cycle 3 Health 2019-10-18 · Fire 2019-10-18

2 health deficiencies

Top issue: Environmental (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-23

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-10-04

F · Potential for more than minimal harm 2024-08-23

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-10-04

F · Potential for more than minimal harm 2024-08-23

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-09-16

F · Potential for more than minimal harm 2024-08-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-10-04

F · Potential for more than minimal harm 2024-08-23

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-09-06

F · Potential for more than minimal harm 2024-08-23

K522 · Services Deficiencies

Fire Safety

Have an externally vented heating system.

Corrected 2024-10-04

F · Potential for more than minimal harm 2024-08-23

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-10-04

F · Potential for more than minimal harm 2024-08-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-10-04

E · Potential for more than minimal harm 2024-08-23

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-10-04

F · Potential for more than minimal harm 2022-09-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-10-25

F · Potential for more than minimal harm 2022-09-13

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2022-10-25

E · Potential for more than minimal harm 2022-09-13

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-10-25

E · Potential for more than minimal harm 2019-10-18

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2019-12-02

D · Potential for more than minimal harm 2019-10-18

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 2019-12-02

Inspection history

Recent health citations

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

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 2026-01-20

E · Potential for more than minimal harm 2025-12-12

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.

Not marked corrected

E · Potential for more than minimal harm 2025-12-12

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Not marked corrected

D · Potential for more than minimal harm 2025-01-23

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-01-23

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-07

F · Potential for more than minimal harm 2024-08-23

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 2024-10-04

E · Potential for more than minimal harm 2024-08-23

F761 · Pharmacy Service Deficiencies

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 2024-10-04

E · Potential for more than minimal harm 2024-08-23

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-10-04

E · Potential for more than minimal harm 2024-08-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-08-23

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-08-23

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-08-23

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 2024-10-04

E · Potential for more than minimal harm 2022-09-13

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 2022-10-27

E · Potential for more than minimal harm 2022-09-13

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 2022-10-27

E · Potential for more than minimal harm 2022-09-13

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 2022-10-27

E · Potential for more than minimal harm 2022-09-13

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-10-27

E · Potential for more than minimal harm 2022-09-13

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2022-10-27

E · Potential for more than minimal harm 2022-09-13

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2022-10-27

D · Potential for more than minimal harm 2022-09-13

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-10-27

D · Potential for more than minimal harm 2022-09-13

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2022-10-27

E · Potential for more than minimal harm 2019-10-18

F575 · Resident Rights Deficiencies

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 2019-12-02

E · Potential for more than minimal harm 2019-10-18