Joplin, MO

Westgate

4-star overall rating with 4-star inspections with 5 recent health deficiencies

3130 John Duffy Dr, Joplin, MO

(417) 553-3688

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

109

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Circle B Enterprises

Operator or chain grouping

Approved since

2019-07-16

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

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

0.38

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.84

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.18

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.41

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

1.23

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

2.88

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.19

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

0.38

CMS adjusted RN staffing hours

Adjusted total hours

3.41

CMS adjusted total nurse staffing hours

Case-mix index

1.37

Higher values indicate more complex resident acuity

RN turnover

11%

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

12,825

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

Performance score

10.23

Composite VBP score used to determine payment impact.

Payment multiplier

0.9809

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 23.18% · Performance 24.99% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 6.76% · Performance 11.60% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.10

Baseline 68.49% · Performance 57.14% · Measure score 2.10 · Achievement 1.60 · Improvement 2.10

Adjusted total nurse staffing

1.99

Baseline 3.50 hours · Performance 3.64 hours · Measure score 1.99 · Achievement 1.99 · Improvement 0.14

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.45%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 79 · Observed rate 10.13% · Lower 95% interval 7.2%
Discharge to community	35.09%	50.57% 15.5 pts worse	Worse than the National Rate · Eligible stays 71 · Observed rate 25.35% · Lower 95% interval 24.58%
Medicare spending per beneficiary	1.48	1.02 0.5 pts worse
Drug regimen review with follow-up	51.11%	95.27% 44.2 pts worse	Numerator 23 · Denominator 45
Falls with major injury	4.44%	0.77% 3.7 pts worse	Numerator 2 · Denominator 45
Discharge self-care score	67.5%	53.69% 13.8 pts better	Numerator 27 · Denominator 40
Discharge mobility score	52.5%	50.94% 1.6 pts better	Numerator 21 · Denominator 40
Pressure ulcers or injuries, new or worsened	6.67%	2.29% 4.4 pts worse	Numerator 3 · Denominator 45 · Adjusted rate 5.41%
Healthcare-associated infections requiring hospitalization	11.6%	7.12% 4.5 pts worse	Worse than the National Rate · Eligible stays 66 · Observed rate 19.7% · Lower 95% interval 7.27%
Staff COVID-19 vaccination coverage	1.46%	8.2% 6.7 pts worse	Numerator 3 · Denominator 206
Staff flu vaccination coverage	18.23%	42% 23.8 pts worse	Numerator 37 · Denominator 203
Discharge function score	65%	56.45% 8.5 pts better	Numerator 26 · Denominator 40
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	15%	25.2% 10.2 pts worse	Numerator 3 · Denominator 20

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	2.1 0.6 pts better	1.9 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.7 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.5	2.3 0.2 pts worse	1.8 0.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 3.0 · Expected 2.0 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	73.5%	84.8% 11.3 pts worse	93.4% 19.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 49.5% · Q2 69.3% · Q3 86.5% · Q4 90.0% · 4Q avg 73.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.1%	90.9% 8.2 pts better	95.5% 3.6 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.1%
Percentage of long-stay residents experiencing one or more falls with major injury	9.8%	4.1% 5.7 pts worse	3.3% 6.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 9.9% · Q3 12.5% · Q4 9.0% · 4Q avg 9.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.1%	14.7% 10.6 pts better	11.4% 7.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.4% · Q3 7.7% · Q4 3.2% · 4Q avg 4.1%
Percentage of long-stay residents who lose too much weight	8.5%	5.5% 3 pts worse	5.4% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.2% · Q2 5.2% · Q3 3.8% · Q4 13.1% · 4Q avg 8.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	41.5%	25.3% 16.2 pts worse	19.6% 21.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.4% · Q2 45.1% · Q3 43.9% · Q4 37.1% · 4Q avg 41.5%
Percentage of long-stay residents who received an antipsychotic medication	11.3%	25.0% 13.7 pts better	16.7% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 13.7% · Q3 10.1% · Q4 13.2% · 4Q avg 11.3% · 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	22.5%	20.3% 2.2 pts worse	16.3% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 33.1% · Q3 22.8% · Q4 13.2% · 4Q avg 22.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	25.5%	19.8% 5.7 pts worse	14.9% 10.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 40.5% · Q3 24.4% · Q4 11.9% · 4Q avg 25.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.2%	1.4% 0.2 pts better	1.0% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.1% · Q3 3.2% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.1%	2.6% 0.5 pts worse	1.7% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 4.2% · Q3 1.1% · Q4 3.2% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.2%	18.1% 0.1 pts worse	19.8% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 24.3% · Q3 14.4% · Q4 13.6% · 4Q avg 18.2%
Percentage of long-stay residents with pressure ulcers	3.4%	5.0% 1.6 pts better	5.1% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 1.7% · Q3 3.2% · Q4 3.0% · 4Q avg 3.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	30.5%	66.4% 35.9 pts worse	81.7% 51.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 37.0% · Q3 35.7% · Q4 25.5% · 4Q avg 30.5%
Percentage of short-stay residents who had an outpatient emergency department visit	14.4%	13.4% 1 pts worse	12.0% 2.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.4% · Observed 15.5% · Expected 12.0% · 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 · Q2 0.0% · Q3 3.4% · Q4 3.2% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	60.0%	63.5% 3.5 pts worse	79.7% 19.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 60.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.1%	25.3% 1.8 pts worse	23.9% 3.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.1% · Observed 31.0% · Expected 27.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-07 · Fire 2024-06-07

5 health deficiencies

Top issue: Resident Rights (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2022-07-21 · Fire 2022-07-21

14 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-07-16 · Fire 2019-07-16

2 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2022-07-21

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2022-09-04

F · Potential for more than minimal harm 2022-07-21

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-09-04

F · Potential for more than minimal harm 2022-07-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-09-04

F · Potential for more than minimal harm 2022-07-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-09-04

E · Potential for more than minimal harm 2022-07-21

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 2022-09-04

E · Potential for more than minimal harm 2022-07-21

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-09-04

E · Potential for more than minimal harm 2022-07-21

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2022-09-04

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-14

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Not marked corrected

D · Potential for more than minimal harm 2025-07-01

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-08-03

D · Potential for more than minimal harm 2024-12-31

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 2024-12-12

E · Potential for more than minimal harm 2024-06-07

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 2024-07-23

E · Potential for more than minimal harm 2024-06-07

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 2024-07-23

D · Potential for more than minimal harm 2024-06-07

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-07-23

D · Potential for more than minimal harm 2024-03-15

F559 · Resident Rights Deficiencies

Health

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Corrected 2024-04-09

G · Actual harm 2023-09-29

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 2023-10-31

D · Potential for more than minimal harm 2023-09-29

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-10-31

E · Potential for more than minimal harm 2022-07-21

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.

Corrected 2022-09-04

E · Potential for more than minimal harm 2022-07-21

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2022-09-04

E · Potential for more than minimal harm 2022-07-21

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-09-04

E · Potential for more than minimal harm 2022-07-21

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2022-09-04

E · Potential for more than minimal harm 2022-07-21

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 2022-09-04

E · Potential for more than minimal harm 2022-07-21

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 2022-09-04

E · Potential for more than minimal harm 2022-07-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-09-04

E · Potential for more than minimal harm 2022-07-21

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2022-09-04

D · Potential for more than minimal harm 2022-07-21

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-09-04

D · Potential for more than minimal harm 2022-07-21

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 2022-09-04

D · Potential for more than minimal harm 2022-07-21

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-09-04

D · Potential for more than minimal harm 2022-07-21

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-09-04

Penalties and ownership