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Home / Missouri / East Prairie

Aspire Senior Living East Prairie

186 Millar Road, East Prairie, MO 63845 · Mississippi County · (573) 649-3551

52 certified beds, about 26 residents a day · For profit - Corporation · Medicare and Medicaid since 1993

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
CMS note: The accuracy of the staffing data for this measure could not be validated by CMS.
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 265551 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 12, 2025, inspectors cited 8 health deficiencies (the Missouri average is 11.4, the national average 9.2).

None of its 27 health citations since March 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

CMS links it to Aspire Senior Living, an affiliated group of 16 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 27 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
19D
3E
3F
Potential for minimal harm
0A
0B
2C
June 12, 2025Standard inspection · 8 citations
  1. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide an appropriate diagnosis for the use of psychotropic (medications that alter the levels of chemicals in the brain that influence mood, behavior, and perception) medications for one resident (Resident #3) out of five sampled residents. The facility census was 28. Review of the facility's policy titled, Unnecessary Drugs, not dated, showed: - Each resident's drug regimen must be free from unnecessary drugs; - Each resident's entire drug/medication regimen is managed and monitored to promote or maintain the resident's highest practicable mental, physical and psychosocial well-being; - An unnecessary drug is any drug used without adequate monitoring or without adequate indication/reason for its use; - A psychotropic drug is any drug that affects brain activities associated with mental processes and behavior. [...]
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2025
    Inspectors wroteBased on interview and record review, the facility failed to document an accurate Minimum Data Set (MDS - a federally mandated assessment completed by facility staff) for one resident (Resident #3) out of 12 sampled residents. The facility's census was 28. Review of the facility's policy titled, Resident Assessment Instrument Process (RAI/MDS), dated 01/30/24, showed: - Ensure that each resident receives an accurate assessment, reflective of the resident's status at the time of the assessment by staff qualified to assess relevant core areas and are knowledgeable about the resident's status, needs, strengths and areas of decline. 1. Review of Resident #3's quarterly MDS, dated [DATE], showed: - Resident received antianxiety medication. Review of the resident's June 2025 Physician's Order Sheet (POS) showed: - No antianxiety medication ordered; - No anxiety diagnosis. [...]
  3. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to update and revise care plans with specific interventions tailored to meet individual needs for 10 residents (Residents #3, #8, #10, #11, #13, #14, #20, #22, #25, and #29) out of 12 sampled residents and one resident (Resident #4) outside the sample. The facility census was 28. Review of the facility's policy titled, Comprehensive Care Plan, dated 01/30/24, showed: - Each resident will have a person-centered comprehensive care plan developed and implemented to meet his/her preferences and goals and address the resident's nursing, medical, physical, mental, and psychosocial needs identified in the comprehensive assessment; - Measurable objectives and time frames to meet the resident's medical, nursing, and mental/psychosocial needs that are identified in the Resident Assessment Instrument (RAI) process; [...]
  4. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide documentation of communication between the facility and the dialysis (a process for removing waste and excess water from the blood) center for one resident (Residents #13) out of one sampled resident. The facility census was 28. Review of the facility's policy titled, Dialysis, undated, showed: - The facility will ensure that residents who require dialysis such services consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences. Dialysis services will be efficient and consistent to provide quality of care and resident safety; - The facility will ensure that ongoing collaboration between the dialysis facility and the nursing home; [...]
  5. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2025
    Inspectors wroteBased on interview and record review, the facility failed to establish a system of records for the receipt and disposition of all controlled medications in sufficient detail to enable an accurate reconciliation of the controlled medications to ensure nursing staff signed at the beginning and the end of each shift for one medication cart out of two sampled medication carts. The facility's census was 28. Review of the facility's policy titled, Controlled Substance Administration and Accountability, revised January 2024, showed: - The charge nurse or other designee conducts a daily visual audit of the required documentation of controlled substances. Spot checks are performed to verify; - Inventory verification: for areas without automated dispensing systems, two licensed nurses account for all controlled substances and access keys at the end of each shift. 1. [...]
  6. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a medication error rate of less than five percent (%). There were 30 opportunities with three errors made, resulting in an error rate of 10% for two residents (Residents #4 and #24) out of five sampled residents. The facility's census was 28. The facility did not provide a policy regarding medications not administered. Review of the facility's policy titled, Priming Insulin Pen, undated, showed: - Priming means removing air bubbles from the needle and ensures that the needle is open and working. The pen must be primed before each injection; - To prime the insulin pen: 1) turn the dosage knob to the two units indicator, 2) push the knob in all the way. [...]
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to implement enhanced barrier precautions (EBP) and proper infection control practices when staff performed incontinent and indwelling catheter (a flexible tube inserted into the bladder to drain urine) care for one resident (Resident #29) out of one sampled resident. The facility census was 28. Review of the facility's policy titled, Enhanced Barrier Precautions, last reviewed, January 2024, showed: - EBP expand the use of personal protective equipment (PPE) in which exposure to blood and body fluids is anticipated. These precautions refer to the use of gown and gloves during high-contact resident care activities that provide opportunities for transfer of multi-drug-resistant organisms (MDRO's) to staff hands; [...]
  8. D
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide timeframe documentation of at least twelve hours of annual nurse aide (NA) in-services for two certified nurse aides (CNAs) (CNA C and CNA D) out of two sampled CNAs. The facility census was 28. Review of the facility's policy titled, Nurse Aide Regular In-Service Training, dated 01/30/24, showed: - Focus on the performance review requirement and specific in-service education based on the outcome of those reviews for each individual nurse aide; - The in-service training must be sufficient to ensure the continuing competence of nurse aides but no less than 12 hours per year and include dementia management training and resident abuse prevention training; - Calculate the date by which a nurse aide must receive annual in-service education by their employment date rather than the calendar year. [...]
April 9, 2024Standard inspection · 4 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to document daily temperature checks required for the standup freezers and dish machine to ensure compliance for storage and distribution of food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. These deficient practices had the potential to affect all residents. The facility census was 26. The facility did not provide a policy. Observations and review on 04/07/24 at 9:34 A.M. and 04/07/24 at 11:37 A.M. of the kitchen's standup freezers, showed: - No documentation of temperature checks completed for 03/30/24 through 03/31/24; - No documentation of temperature checks completed for 04/01/24 through 04/07/24. Observations and review on 04/07/24 at 9:42 A.M. and 04/08/24 at 11:51 A.M. [...]
  2. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, clean and comfortable homelike environment. This deficient practice had the potential to affect all residents in the facility. The facility census was 26. Review of the facility's policy titled, Homelike Environment, revised 01/30/24, showed: - The purpose of this policy is to establish guideline and standards for creating a home-like environment within Skilled Nursing Facilities (SNFs) to enhance the quality of life and well-being of residents; - A home-like environment refers to a setting within the aims to replace the atmosphere of a private home as closely as possible while ensuring the safety and care needs of the residents are met. Observations made on 04/07/23 at 9:45 A.M. and 04/09/23 at 9:22 A.M., of room [ROOM NUMBER], showed: [...]
  3. E
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the dumpsters were closed at all times and maintained to keep pest out and/or to keep the garbage contained in the dumpster. The facility census was 26. Review of the facility's policy titled, Waste Disposal, dated April 2011, showed: - Dumpster lids are to be closed at all times; - Dumpster and dumpster areas to be kept clean and free of debris. Observation on 04/07/24 at 9:13 A.M., outside of the dietary department, showed one dumpster with a lid opened with visible trash bags and other miscellaneous items. Observations on 04/07/24 at 10:33 A.M. and 04/07/24 at 1:11 P.M. outside of the dietary department showed two dumpsters with lids opened with visible trash bags and other miscellaneous items. Observation on 04/08/24 at 1:16 P.M. [...]
  4. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on interview and record review, the facility failed to consistently document residents' code status with Do Not Resuscitate (DNR) or Full Code (Resuscitate refers to cardiopulmonary resuscitation-CPR) for one resident (Resident #3) out of 12 sampled residents. The facility census was 26. Record review of the facility's policy, titled Cardiopulmonary Resuscitation (CPR), undated, showed: - Facility staff should verify the presence of advance directives or the resident's wishes regarding CPR, upon admission. [...]
March 9, 2023Standard inspection · 15 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 21, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This has the potential to affect all residents. The facility census was 24. Record Review of the facility's Cleaning policy, undated, showed: - Ensure a clean and sanitary dietary environment; - All equipment, food contact surfaces and utensils shall be cleaned each time a different type of raw animal product used, each time a change from working with raw foods to ready to eat foods, between uses with fruits and vegetables and raw animal products, and whenever contamination may have occurred; - Surfaces must be cleaned with a sanitizing agent/solution; - Chlorine, iodine, or quaternary ammonium compounds approved sanitizing agents; [...]
  2. F
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 21, 2023
    Inspectors wroteBased on interview and record review, the facility failed to maintain quarterly quality assessment and assurance (QAA) committee meetings with the required members. The facility also failed to provide evidence that the facility consistently implemented a Quality Assurance and Process Improvement (QAPI) program with measurable data, actions, and evaluations. The facility census was 24. Based on interview and record review, the facility failed to maintain quarterly quality assurance assessment (QAA) committee meetings with the required members. The facility's census was 24. Record review of the facility's 2020 Quality Assurance and Performance Improvement (QAPI) (a program to improve processes for the delivery of health care and quality of life for the resident) Plan, dated 2020, showed: [...]
  3. E
    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.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 21, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow their grievance policy by not making the information on how to file a grievance or complaint visible and/or available to all residents residing in the facility. The facility census was 24. Record review of the facility's Grievance Resolution policy, undated, showed: - The resident's grievance will be resolved promptly and the decision conveyed to the resident in writing; - The facility will provide each resident with a copy of the Grievance Policy as well as review the policy orally upon admission, readmission and during the care planning process as well as when requested; [...]
  4. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2023
    Inspectors wroteBased on interview and record review, the facility failed to send a copy of the notice for transfer or discharge to the resident and/or the resident's representative, and failed to send copies of the notice of transfer or discharge to the representative of the Office of the State Long-Term Care (LTC) Ombudsman (a program that advocates for residents, provide information and help resolve problems) for three residents (Resident #7, #18 and #19) out of three sampled residents. The facility's census was 24. Record review of the facility's Transfer and Discharge policy, dated March 2015, showed: - Explain the discharge guidelines and the reason to the resident and give a copy of the Transfer and Discharge Notice as required; - Complete a discharge summary and post discharge plan of care form. 1. Record review of Resident #7's medical record showed: - admitted on [DATE]; [...]
  5. D
    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.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2023
    Inspectors wroteBased on interview and record review, the facility failed to provide written information to the resident and/or the resident's legal representative of their bed hold policy at the time of transfer to the hospital for three residents (Resident #7, #18 and #19) out of three sampled residents. The facility's census was 24. Record review of the facility's Bed Hold policy, not dated, showed: - The facility will notify all residents and/or their representative of the bed hold guidelines; - This notification shall be given on admission to the facility, at a time of transfer to the hospital and at the time of a non-covered therapeutic leave. 1. Record review of Resident #7's medical record showed: - admitted on [DATE]; - The resident transferred to the hospital on 1/31/23; [...]
  6. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2023
    Inspectors wroteBased on interview and record review, the facility failed to complete a significant change Minimum Data Set (MDS) (a federally mandated assessment to be completed by the facility staff) within 14 days of an admission to hospice (health care that focuses on the quality of life of a terminally ill person) for one resident (Resident #79) out of one sampled resident. The facility census was 24. The facility did not provide a MDS policy. 1. Record review of Resident #79's medical record showed: - The resident admitted to hospice services on 1/25/23. Record review of the resident's MDS records showed: - No significant change MDS dated on or after 1/25/23; - The facility failed to complete a significant change MDS within 14 days of the resident's admission to hospice. [...]
  7. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to develop, implement and follow an individualized comprehensive care plan with specific interventions for five residents (Resident #4, #8, #9, #16, and #24) out of 12 sampled residents. The facility's census was 24. Record review of the facility's Comprehensive Care Plan policy, undated, showed: - Each resident will have a person-centered comprehensive care plan developed and implemented to meet his/her preferences and goals and address the resident's needs; - A comprehensive person-centered care plan will include measurable objectives and timeframes to meet the resident's needs identified in the comprehensive assessment, resident's needs, and services furnished to attain or maintain the resident's highest practicable well-being; [...]
  8. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to update and revise care plans with specific interventions tailored to meet individual needs for four residents, (Resident #7, #9, #14, and #79) or include the resident and/or the guardian for three residents (Resident #9, #14, and #19) and the interdisciplinary care team (IDT) (a group of health care professionals from diverse fields who work in a coordinated effort toward a common goal for a resident) for one resident (Resident #14) out of 12 sampled residents. The facility census was 24. Record review of the facility's Care Plan Comprehensive policy, dated March 2015, showed: - Assessing and planning for care to meet the resident's medical, nursing, mental and psychosocial needs; [...]
  9. D
    Plan the resident's discharge to meet the resident's goals and needs.
    F660 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2023
    Inspectors wroteBased on interview and closed record review, the facility failed to ensure a discharge planning process was in place which addressed goals and needs for the resident, and involved the resident and/or the resident's legal guardian and the interdisciplinary team (IDT) (a group of health care professionals from diverse fields who work in a coordinated effort toward a common goal for a resident) in developing a discharge plan for one resident (Resident #27) out of two sampled discharged residents. The facility census was 24. Record review of the facility's Transfer and Discharge policy, dated March 2015, showed: - Complete a discharge summary and post discharge plan of care forms; - Include instructions for discharge; - Provide a copy to the resident/resident's representative and have them sign. 1. Record review of Resident #27's closed medical record showed: - admission date of 12/13/22; [...]
  10. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2023
    Inspectors wroteBased on interview and record review, the facility failed to receive a physician's order for dialysis (a process for removing waste and excess water from the blood) treatments, failed to provide ongoing assessments, monitoring, and communication between the facility and the dialysis center, and failed to follow the physician ordered diet and fluid restriction for one resident (Resident #16) out of one sampled resident. The facility census was 24. Record review of the facility's Dialysis, Care of a Resident Receiving policy, dated March 2015, showed: - Care of the arteriovenous (AV) shunt/fistula/graft (a type of graft/shunt/fistula used for dialysis): keep the area clean and dry; feel for the thrill (the vibration of the blood flow) sensation daily; inspect the access for redness, swelling, or warmth; avoid constrictive clothing or jewelry that may bind the access site; [...]
  11. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an error rate of less than five percent when medications were administered. There were 25 opportunities with two errors made, for an error rate of eight percent. Out of six residents observed, this affected one sampled resident (Resident #4) and one resident (Resident #17) outside the sample. The facility census was 24. Record review of the facility's Drug Administration General Guidelines policy, not dated, showed: - Medications to be administered only as prescribed; - Medications to be administered in accordance with written orders of the attending physician; - Medications to be administered within 60 minutes of the scheduled time, except before and after meal orders, and to be administered precisely as ordered. 1. Record review of Resident #4's Physician Order Sheet (POS), dated March 2023, showed: [...]
  12. D
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2023
    Inspectors wroteBased on observation and interview, the facility failed to maintain a cover on the trash containers within the kitchen and failed to ensure the dumpster was maintained to keep pests out and/or to keep the garbage contained in the dumpsters. This failure had the potential to affect all residents. The facility census was 24. 1. Observations of the kitchen on 3/6/23 at 10:50 A.M. and 3:31 P.M., showed: - One uncovered 32 gallon red trash receptacle partially full of refuse near the dishwashing station; - One uncovered 32 gallon gray trash receptacle partially full of refuse near the range. 2. Observation of the kitchen on 3/7/23 at 9:49 A.M., showed: - One uncovered 32 gallon red trash receptacle partially full of refuse near the dishwashing station; - One uncovered 32 gallon gray trash receptacle partially full of refuse near the range. 3. [...]
  13. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2023
    Inspectors wroteBased on interview and record review, the facility failed to provide and document residents received or declined appropriate immunizations and failed to provide and document pertinent education to residents or a resident's representative regarding the benefits, side effects or warnings of those immunizations. This effected three residents (Resident #9, #14 and #79) out of five sampled residents. The facility census was 24. Record review of the facility's Immunization policy, undated, showed: - The resident's physician will be consulted and determine the level of risk and need for the vaccinations; - A physician order will be required to administer any medication/vaccination; - Influenza will be recommended annually for all residents; [...]
  14. C
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    F838 · Administration · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) April 21, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure the facility assessment (an assessment to determine what resources were necessary to care for residents competently during both day-to-day operations and emergencies) was complete and reviewed annually. The facility census was 24. Record review of the Facility Assessment policy, dated 8/18/17, showed: - The purpose of the assessment will be to determine what resources will be necessary to care for residents day-to-day and in an emergency; - The initial assessment due on 8/18/17, and then annually thereafter; - The intent of the Facility Assessment will be to describe the patient population, the facility resources and do a risk assessment, both facility-based and community-based. Record review of the facility assessment, dated 2017, showed: [...]
  15. C
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) April 21, 2023
    Inspectors wroteBased on interview and record review, the facility failed to provide documentation of the Antibiotic Stewardship Program (a program that measures and improves how antibiotics were prescribed by clinicians and used by patients) and that its policies were reviewed annually. This had the potential to affect all residents in the facility. The census was 24. Record review of the facility's Antibiotic Stewardship Program policy, undated, showed: - Optimize antimicrobial use for treatment and prophylaxis of infections in order to improve clinical outcomes; - Control antimicrobial resistance through proper use of antimicrobials; - Reduce the occurrence of multi-drug resistant germs; - The infection preventionist (IP) (staff responsible for the Antibiotic Stewardship Program)/designee will be responsible to audit the clinical assessment documentation at the time of the antibiotic prescription; [...]

Fire safety inspections

8 fire safety citations on file: 4 on June 12, 2025, 2 on April 9, 2024, 2 on March 9, 2023.

Every fire safety citation8 citations
  1. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 12, 2025 · Corrected (the home has a date of correction)
  2. F
    Provide properly protected cooking facilities.
    K 324 · June 12, 2025 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 12, 2025 · Corrected (the home has a date of correction)
  4. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 12, 2025 · Corrected (the home has a date of correction)
  5. F
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · April 9, 2024 · Corrected (the home has a date of correction)
  6. F
    Have proper medical gas storage and administration areas.
    K 923 · April 9, 2024 · Corrected (the home has a date of correction)
  7. F
    Ensure proper usage of power strips and extension cords.
    K 920 · March 9, 2023 · Corrected (the home has a date of correction)
  8. F
    Have proper medical gas storage and administration areas.
    K 923 · March 9, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMissouriUnited States
All nursing staff (RN, LPN and aides)not reported3.433.86
Registered nursesnot reported0.460.69
All nursing staff on weekendsnot reported3.013.42
Nurse aidesnot reported
Licensed practical nursesnot reported
Nursing staff turnover (share who left in a year)not reported56.0%45.8%
Registered nurse turnovernot reported47.8%42.9%
Administrators who left0

CMS note on this home's staffing data: The accuracy of the staffing data for this measure could not be validated by CMS.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.71 on weekdays and 2.80 on weekends, 25% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.42 in April to June 2025 to 3.45 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.450.593.712.80 0.0%0 of 9026
Oct to Dec 20253.780.804.033.14 0.0%1 of 9226
Jul to Sep 20253.820.653.983.40 0.0%0 of 9227
Apr to Jun 20253.420.493.652.83 0.0%0 of 9131
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Missouri, Jan to Mar 20263.340.403.502.933.9%1.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Missouri

JobMedianMiddle halfEmployed
Missouri, all employers
CNAs (nursing assistants)$18.11$17.02 to $20.0034,050
LPNs and LVNs$29.58$27.06 to $33.7714,700
Registered nurses$39.32$36.56 to $47.3976,310
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMissouriUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
28.118.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
4.01.10.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
12.22.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.04.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
8.72.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
30.817.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.04.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
38.223.515.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.426.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
4.713.712.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.12.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.82.31.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Aspire Senior Living East Prairie's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 51.5% · Missouri: 41 better, 31 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 18 eligible stays.

Potentially preventable readmissions

11.7% this home

No different from the national rate

US median of homes 10.7% · Missouri: 0 better, 7 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 34 eligible stays.

Infections that led to a hospital stay

6.7% this home

No different from the national rate

US median of homes 7.1% · Missouri: 1 better, 5 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 25 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Missouri51.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 12 residents counted.

Falls with major injury

7.1% this home

Median of homes: Missouri0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 28 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Missouri2.0% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 28 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Missouri100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 7 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: ASPIRE SENIOR LIVING EAST PRAIRIE, LLC. CMS links this home to Aspire Senior Living, a group of 16 nursing homes averaging 1.9 stars overall.

NameRoleTypeShareSince
Calvert, Gregg5% or greater indirect ownership interestIndividual12%06/01/2021
Harris, Jerry5% or greater indirect ownership interestIndividual10%06/01/2021
Steele, Sheri5% or greater indirect ownership interestIndividual8%06/01/2021
Calvert, GreggW-2 managing employeeIndividual06/01/2021
Harris, JerryW-2 managing employeeIndividual06/01/2021
Calvert, GreggCorporate officerIndividual06/01/2021
Harris, JerryCorporate officerIndividual06/01/2021

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on June 12, 2025: "Ensure each resident receives an accurate assessment."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on April 9, 2024: "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."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on April 9, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on June 12, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."

Other nursing homes nearby

Missouri contacts for a concern about a nursing home

These are the official offices in Missouri. NursingHomeClear cannot take or act on complaints.

Common questions

What is Aspire Senior Living East Prairie's Medicare star rating?
CMS rates Aspire Senior Living East Prairie 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Aspire Senior Living East Prairie get at its last inspection?
8 health deficiencies at the standard inspection on June 12, 2025. The Missouri average is 11.4.
Has Aspire Senior Living East Prairie been fined?
CMS lists no fines in the last three years.
Does Aspire Senior Living East Prairie accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Aspire Senior Living East Prairie?
CMS lists 7 owners and managers, and links the home to Aspire Senior Living. Legal business name: ASPIRE SENIOR LIVING EAST PRAIRIE, LLC.

Sources

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