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Home / Missouri / Pleasant Hill

Aspire Senior Living Pleasant Hill

1300 Broadway, Pleasant Hill, MO 64080 · Cass County · (816) 540-2116

90 certified beds, about 66 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1994

Ownership changed in the last 12 months Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 265565 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on November 1, 2024, inspectors cited 18 health deficiencies (the Missouri average is 11.4, the national average 9.2).

Of 62 health citations since October 2020, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $14,433 in the last three years; the largest was $14,433, and the latest is dated March 20, 2024.

Nurses and nurse aides worked 3.47 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.27 of those hours.

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 62 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
35D
20E
4F
Potential for minimal harm
0A
0B
0C
June 9, 2026Complaint inspection · 2 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 12, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure a comprehensive investigation was completed that included details of the circumstances of the fall, failed to complete a fall risk analysis of what occurred to cause the fall, failed to update the care plan and add interventions implemented to prevent the fall from recurring, and failed to complete a post fall assessment and failed to access for injuries for one sampled resident (Resident #3) out of three sampled residents who fell on 6/4/26 sustaining significant pain and bruising to the left side of face, head and neck. The facility census was 56 residents. Review of the facility's Fall Prevention Program policy dated 10/1/25, showed:-Each resident would be assessed for fall risk and would receive care and service in accordance with their individualized level of risk to minimize the likelihood of falls. [...]
  2. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 12, 2026
    Inspectors wroteBased on interview and record review, the facility failed to notify the responsible party for one sampled resident (Resident #3) when on 6/4/26 the resident had a fall with significant bruising and pain that resulted in being transported to the hospital for evaluation out of 3 sampled residents. The facility census was 80 residents. [...]
February 17, 2026Complaint inspection · 1 citation
  1. E
    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
    F559 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 3, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide written notification of room changes for two sampled residents (Residents #4 and #7) out of three residents sampled for room change notification. The facility census was 70 residents. Review of the facility's policy titled, Change of room or roommate showed:-Prior to making a room change or roommate assignment, all persons involved in the change/assignment, such as residents and their representatives, will be given advance notice of such a change as is possible.-The notice of a change in room or roommate will be provided in writing and will include the reason(s) why the move or change is required.-The Social Services (SS) staff can assist the resident to adjust to the new room or roommate by informing the resident and family as soon as possible of the room or roommate change. 1. [...]
November 18, 2025Complaint inspection · 1 citation
  1. D
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    F627 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on interview and record review, the facility failed to re-admit one resident (Resident #6) out of nine sampled residents, back to the facility after an inpatient psychiatric hospital stay and the resident was assessed and documented by the psychiatric hospital as being stable enough to return to the facility. The facility census was 80 residents. Review of the facility policy for Transfers, Discharges and Therapeutic Leaves, dated 6/26/19 showed:-Emergency Discharges were to have been completed only for medical reasons, or for the immediate safety and welfare of the resident/guest, or other residents/guests.-A physician's order for emergency discharges was to have been obtained, stating the reason the discharge was necessary on an emergency basis. 1. [...]
May 27, 2025Complaint inspection · 2 citations
  1. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 7, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure staff performed urinary catheter placement according to acceptable standards of practice for one sampled resident (Resident #1) out of 16 sampled residents resulting in pain and the presence of blood on the resident's bed after Licensed Practical Nurse (LPN) A attempted to insert the urinary catheter. The facility census was 83 residents. Review of the Facility's Nursing Procedures Manual for Urinary Catheterization revised 3/30/17 showed: -Catheters were to have been inserted by licensed nurses under the orders of the attending physician. -The standard of practice did not support routine changing of urinary catheters at any fixed interval. -The standard for urinary catheters was to change them as needed only. [...]
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) July 7, 2025
    Inspectors wroteBased on interview and record review, the facility failed to keep two residents (Resident #4 and #16), safe from posssible narcotic misappropriation when three milliliters (mls) was missing from Resident #4 and four mls from Resident #16's personal supply out of 16 sampled residents. The facility census was 83 residents. Review of the facility policy for Inventory Control of Controlled Substances revised 1/1/2013 showed: -The purpose of the policy was to set forth the procedures for inventory control of controlled substances. -The facility was to have maintained separate individual controlled substance records on all controlled substances with a potential for abuse or diversion in the form of declining inventory using the Controlled Substances Declining Inventory Record. [...]
March 14, 2025Complaint inspection · 1 citation
  1. F
    Employ staff that are licensed, certified, or registered in accordance with state laws.
    F839 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review, the facility failed to ensure Unlicensed Registered Nurse (RN) A had a valid registered nurse (RN) license in order to provide nursing care to residents such as assessments, wound care, medication administration and all nursing cares allowed by law. This had the potential to affect all residents. The facility census was 78 residents. On 3/14/25, the Administrator was notified of the past noncompliance which took place over a period of time to include 5/3/24 through 1/30/25. Nurse licensing and state issued identification discrepancies were discovered during audits by the facility Wound Nurse. Education to address the problem was provided to facility staff, including the Director of Nursing (DON), Administrator, Financial Services, and Financial Services Assistant on 2/4/25. The deficiency was corrected on 2/4/25. [...]
January 2, 2025Complaint inspection · 1 citation
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview and record review, the facility failed to protect one sampled resident (Resident #69) when on 12/27/24 Resident #387 grabbed Resident #69 in the hallway resulting in him/her twisting and causing bruising to the resident's left forearm out of 17 sampled residents. The facility census was 76 residents. On 1/2/25 the Administrator was notified of Past Non-Compliance which occurred on 12/27/24. Facility training for abuse, neglect, dignity and customer services was completed for all staff 12/28/24 prior to the start of their shift. The deficiency was corrected 12/28/24. Review of the facility Resident Rights Policy dated 5/1/23 showed: -Purpose: --This policy is concerned with all incidents and accidents involving residents. --All of our residents have the right to be free from abuse, neglect, exploitation and misappropriation of resident property. [...]
November 1, 2024Standard inspection · 18 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) December 15, 2024
    Inspectors wroteBased on observation and interview, the facility failed to maintain the floors in the dry goods storage room; maintain under and behind the ice machine free from food debris and grime; failed to maintain the ceiling vents and the fan free from a dust buildup; failed to maintain the milk that was served to residents in the 500 Hall at or close to 41°F (degrees Fahrenheit); and failed to maintain the toaster free from a buildup of crumbs at the bottom of the toaster. This practice potentially affected 77 residents who ate food from the kitchen. The facility census was 80 residents. 1. Observations on 11/1/24 from 6:04 A.M. through 8:29 A.M., showed: -The presence of food crumbs, including an old orange behind the canned goods storage -The presence of food crumbs in the corner close to the chest freezer in the dry goods storage room. [...]
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 15, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow appropriate infection control practices during wound care to prevent the potential of cross contamination for one sampled resident (Resident #9) who at risk for infection due to open wound on left buttocks area; [...]
  3. E
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 15, 2024
    Inspectors wroteBased on interview and record review, the facility failed to obtain a signature for the authorization of the opening of a resident trust account for one sampled resident (Resident #50) and failed to obtain authorization signatures from sampled three residents (Residents #100, #41 and #62) to allow Supplemental Insurance Company A to withdraw funds from the accounts of those residents. This practice affected at least four residents who had resident trust accounts at the facility. The facility census was 80 residents. Review of the facility's Business Office and Internal Controls Policy and Procedure Manual, dated 10/22 showed: -Upon written authorization from the resident/guest or their agent, the facility must hold, safeguard, manage and account for the personal funds deposited with the facility. [...]
  4. E
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 15, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide the Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN) (form CMS-10055) and/or the Notice of Medicare Provider Non-Coverage (NOMNC, form CMS-10123) for three sampled residents (Resident #78, #139 and #102) out of three sampled residents who were discharged from Medicare part A services. The facility census was 80 residents. Record review of the Centers for Medicare and Medicaid Services Survey and Certification memo (S&C-09-20), dated 1/9/09, showed the following: -The Notice of Medicare Provider Non-Coverage (NOMNC, form CMS-10123) was issued when all covered Medicare services end for coverage reasons. [...]
  5. 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) December 15, 2024
    Inspectors wroteBased on observation and interview, the facility failed to maintain the following resident rooms clean and free from a buildup of dust and food debris on the floors and walls: resident rooms 508, 207, 202, 201, 200, 301, 303, 302, 300, 403, 404, 401, 105, and 107. This practice potentially affected 24 residents who resided in those rooms. The facility census was 80 residents. 1. Observations with the Maintenance Director on 10/30/24, showed: -At 1:36 P.M., there was a heavy buildup of cobwebs (a web spun by certain spiders, often found in the corners of disused rooms) between the climate control unit and the night stand in resident room [ROOM NUMBER]. -At 2:37 P.M., there was a heavy buildup of cobwebs which stretched between the floor and the climate control unit. [...]
  6. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 15, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain the hot water temperature at or below 120 °F (degrees Fahrenheit) in the room of Residents #2 and #76 and in the room of Residents #26 and #77; failed to use a gait belt when assisting one sampled resident to ambulate (Resident #19) who was unsteady on his/her feet; and failed to ensure an initial smoking assessment was completed to establish a baseline for the ability of one resident to smoke, determine assistance as necessary, and ensure safe smoking habits were in place for one sampled resident (Residents #61) out of 22 sampled residents. The facility census was 80 residents. 1. Review of the temperature log dated 10/14/24, showed the following hot water temperatures: -In the 100 Hall the temperature was 102 °F. -In the 200 Hall, the temperature was 102°F. -In the 300 Hall, the temperature was 104°F. [...]
  7. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 15, 2024
    Inspectors wrote3. Review of Resident #68's Face Sheet showed the resident was admitted on [DATE], with a diagnosis of sleep apnea (a sleep disorder that causes breathing to repeatedly stop or become shallow during sleep). Review of the resident's quarterly MDS dated [DATE], showed the resident: -Was alert and oriented without confusion. -Had a specialized treatment- a non-invasive ventilator (CPAP/bilevel positive airway pressure (BiPAP, a noninvasive breathing machine that helps people breathe when they have medical conditions that make it difficult). Review of the resident's POS dated 10/2024, showed physician's orders for: - CPAP/BiPAP setting and ensure distilled water is full in the reservoir at bedtime daily at 9:00 P.M. Review of the resident's Care Plan updated on 10/25/24, showed the resident had sleep apnea and used a CPAP/BiPAP at bedside. Interventions showed staff would: [...]
  8. E
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 15, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to maintain documentation and ensure that Certified Nursing Assistants (CNAs), and licensed nursing staff had the appropriate competencies and skills check off completed annually and as needed. This had the potential to effect any resident care provided by care staff. The facility census was 80 residents. Review of the Facility Assessment dated 8/8/24 showed: -The facility has staff skills and competencies to address the current and future needs of the facility's resident. -The facility had reviewed staff training and inservices program and determined that it is appropriate to provide the level and types of care needed for the resident population outlined in this assessment. [...]
  9. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 15, 2024
    Inspectors wroteBased on observation and interview, the facility failed to maintain the covers of cleanouts (an access point which provides access to the sewer or other plumbing line so that blockages can be removed) in a tight-fitting manner so the covers would not be a hazard to facility residents or staff located on the 100 Hall and on the 400 Hall. This practice potentially affected 31 residents who resided on those halls. 1. Observations on 10/29/24 at 1:23 P.M. and on 10/31/24 at 10:29 A.M., showed the cleanout cover outside of resident room [ROOM NUMBER] was loose when it was stepped on. During an interview on 10/31/24 at 10:30 A.M., the Maintenance Director said there has not been any work completed around that cleanout since he/she started his/her tenure at the facility in April 2024. 2. [...]
  10. D
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    F553 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident was included on his/her care plan meetings and care plan meeting invitations for two sampled residents (Resident #59 and #75) out of 22 sampled residents. The facility census was 80 residents. Review of the policy Person Centered Care Plans effective date 8/15/18 showed: -Preparation for Care Plan Committee Meetings: --The Registered Nurse or other designee should provide a list of resident/guest(s) names, dates, and times for care plan meetings two weeks in advance to other team members. This list also includes information as to the type of care plan review for each resident/guest, admission, quarterly, annual, or significant change in status reviews. [...]
  11. 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) December 15, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure the correct code status was in place for one sampled resident (Resident #28) out of 22 sampled residents. The facility census was 80 residents. A policy related to advance directives was requested and was not received by the facility. 1. Review of Resident #28's face sheet showed he/she admitted to the facility on [DATE] with a diagnosis of Encounter for Other Orthopedic Aftercare. NOTE: The face sheet also showed that the resident did not have an advance directive or code status in place. Review of the resident's Physician Order Sheet (POS) dated [DATE] showed no order for an advance directive or code status. Review of the resident's care plan dated [DATE] showed the resident's advance directive or code status was not in the care plan. [...]
  12. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2024
    Inspectors wroteBased on interview and record review, the facility failed to notify the physician when medication could not be obtained from the pharmacy for one sampled resident (Resident #61) out of 22 sampled residents. The facility census was 80 residents. Review of the facility Medication Shortages/Unavailable Medications, dated 1/1/13, showed: -When the facility discovers it has an inadequate supply of medication to administer to a resident then the facility staff should immediately initiate action to obtain the medication from the pharmacy. -If facility nurse is unable to obtain a response from the attending physician/prescriber in a timely manner, facility nurse should notify the nursing supervisor and contact facility's Medical Director for orders/direction, making sure to explain the circumstances of the medication shortage. 1. [...]
  13. 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) December 15, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure the resident or resident representative was provided with the bed hold policy or educated on the bed hold policy when the resident was discharged to the hospital in a timely manner for two sampled residents (Resident #8 and #5) out of 22 sampled residents. The facility census was 80 residents. Review of the facility Transfer/Discharge and Therapeutic Leave policy and procedure updated June 26, 2019, showed: -A copy of the resident bed hold and admission policies/transfer to the hospital should be provided upon transfer by the assigned nurse to the resident or responsible party. 1. Review of Resident #8's Face Sheet showed the resident was initially admitted on [DATE]. Review of the resident's Nursing Notes showed: [...]
  14. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide an ongoing, person-centered activities program based on care planned and assessed resident interests and abilities in order to meet the interests and support a residents physical and psychosocial wellbeing for one of 22 sampled residents (Resident #25). The facility census was 80 residents. Review of a facility policy titled Delegation of Activity Program Duties, dated 3/1/08, showed: -The facility was to provide an ongoing activities program designed to meet the physical, mental and psychosocial wellbeing of each resident. -The activities program should have occurred within the context of each resident's comprehensive assessment and care plan. 1. Review of Resident 25's face sheet, dated 6/20/24, showed: -An admission date of 6/14/24. [...]
  15. D
    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
    F691 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure to have a comprehensive physician's order for colostomy (or ostomy is a surgical procedure that creates an opening in the large intestine, or colon, through the abdominal wall. The opening, called a stoma, allows stool to drain into a bag or pouch attached to the abdomen) care to include type and size of ostomy supplies needed, failed to have a comprehensive care plan for colostomy care and type of supplies needed for one sampled resident (Resident #3) out of 22 sampled residents. The facility census was 80 residents. Review of the facility's Colostomy Care policy dated 10/1/10 showed: -Care of the colostomy site helps prevent skin irritation around the sire and leakage of the drainage bag. 1. [...]
  16. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure appropriate care for one sampled resident (Resident #60) with a Percutaneous Endoscopic Gastronomy (PEG) tube (a tube that is passed into a person's stomach through the abdominal wall, most commonly used to provide a means of feeding when oral intake is not adequate) out of 22 sampled residents. The facility census was 80 residents. Review of the facility's policy titled Tube Feeding-Kangaroo E-Pump dated 2/1/18 showed: -Staff were expected to label the feeding formula including rate, time, and initials. -Staff were expected to label the flush bag with the date, time, and initial amount of water. -Staff were expected to follow the manufacturer guidelines related to hang times for the tube feeding. 1. Review of Resident #60's face sheet showed he/she admitted to the facility with the following diagnosis: [...]
  17. 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) December 15, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to follow physician's orders for assessing the resident's dialysis (a procedure that removes waste products and excess fluid from the blood when the kidneys are unable to function properly) shunt (a surgically created connection between an artery and a vein that allows for direct access to the bloodstream for dialysis) site twice daily, failed to ensure dialysis communication was received and documented after each dialysis treatment for continuum of care, and failed to include in the care plan the location and type of dialysis access and complete interventions on dialysis care needs for two sampled residents (Resident #68 and #75) out of 22 sampled residents. The facility census was 80 residents. Review of the facility Hemodialysis policy and procedure dated 11/1/01, showed: [...]
  18. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2024
    Inspectors wroteBased on observation and interview, the facility failed to have a regular system of checking food temperatures to ensure that hot foods (scrambled eggs) were maintained at or close to a temperature of 120°F (degrees Fahrenheit) on five trays for residents on the 500 Hall. This practice potentially affected five residents who were yet to receive breakfast room trays on 11/1/24. The facility census was 80 residents. 1. Observation on 11/1/24 showed: -At 7:31 A.M., the cart with trays for the residents in the 500 Hall left the kitchen. -From 7:34 A.M. through 7:38 A.M., trays were passed to residents who were in the 500 Hall dining room. -From 7:40 A.M. through 7:45 A.M. trays were delivered to residents who wanted trays in their rooms. -At 7:44 A.M., with Certified Nursing Assistant (CNA) A watching, the temperature of the eggs on one of the trays was measured at 113 °F . [...]
April 3, 2024Complaint inspection · 1 citation
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review, the facility failed to ensure one sampled resident (Resident #1) was treated with dignity and respect when on 3/25/24 Registered Nurse (RN) A cursed and yelled at the resident in the dining room out of three sampled residents. The facility census was 81 residents. On 3/25/24 the Administrator was notified of Past Non-Compliance which occurred on 3/25/24. RN A was suspended pending investigation immediately. Upon completion of the investigation, RN A was terminated for violating facility policy on 3/26/24. Facility training for abuse, neglect, dignity and customer services was completed for all staff 3/26/24 prior to the start of their shift. Review of the facility Resident Rights Policy dated 5/1/23 showed: -Purpose: --This policy is concerned with all incidents and accidents involving residents. [...]
March 20, 2024Complaint inspection · 1 citation
  1. J
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    F678 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 21, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ascertain the resident's code status before initiating cardiopulmonary resuscitation (CPR, refers to any medical intervention used to restore circulatory and/or respiratory function that has ceased) for one sampled resident (Resident #5) who was a do not resuscitate (DNR) status out of 5 sampled residents. On [DATE], Registered Nurse (RN) A found the resident without spontaneous respirations and pulse and started CPR. The resident was resuscitated after CPR was performed and was taken by Emergency Medical Services (EMS) to the hospital and subsequently died [DATE] after he/she was placed on comfort care. The facility census was 79 residents. The Administrator was notified on [DATE] at 11:25 A.M., of the Immediate Jeopardy (IJ) which began on [DATE]. The IJ was removed on [DATE] as confirmed by surveyor onsite verification. [...]
March 17, 2023Standard inspection · 12 citations
  1. F
    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 more than minimal harm, widespread · Corrected (the home has a date of correction) April 17, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to have a Facility Assessment updated annually and as needed to determine resources necessary to meet the needs of the residents, such as assessment of the resident population, staff competencies needed to provide resident care, physical plant requirements, services needed, technology resources and facility and community-based risk assessment updated annually and complete to show the current resident population and needs. A total of 14 residents were sampled. The facility census was 55 residents. Facility policy for facility assessment was requested from the facility and no policy was provided. 1. Record review of the Facility Assessment dated 12/17/2021 showed: -Casper Report dated 10/31/21 was used for information for the assessment. -Facility Census and Condition report competed 10/31/21 was used for the report. [...]
  2. E
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 17, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure resident funds were placed in an account separate from the facility's operating account whereby, not providing and returning residents' their personal refunds from the operating account in a timely manner for 34 residents (Resident #190, #18, #160, #161, #162, #163, #41, #202, #164, #165, #166, #167, #203, #168, #29, #192, #170, #13, #171, #172, #173, #174, #177, #178, #179, #180, #181, #182, #183, #184, #186, #187, #188 and #189). The facility had a census of 55 residents at the time of survey. 1. Record review of the facility's maintained Interim Aged Analysis Summary (Accounts Receivable Aging Report) for the period 3/1/22 through 3/31/23, showed the following residents with personal funds held in the facility's operating account. [...]
  3. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 17, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure Nurse Aide (NA) Registry checks, Federal Indicator (FI - a marker given to a potential employee who has committed abuse, neglect, or misappropriation of property against residents) checks, Family Care Safety Registry (FCSR-helps to protect long-term care residents by providing background information on employees or prospective employees) checks, Employee Disqualification List (EDL) checks, and/or Criminal Background Check (CBC) checks were completed prior to hire for three sampled staff (Employees A, D, and F) out of 10 sampled staff. The facility census was 55 residents. Record review of the facility's Employment policy and procedure 10/22/98 showed: -An offer of employment may be made by the department head/supervisor only after the following checked: --Applicable registry, licensing board, etc. [...]
  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) April 17, 2023
    Inspectors wroteBased on interview and record review, the facility failed to have a correct code status for a one sampled resident (Resident #261) out of 14 sampled residents. The facility census was 55 residents. Record review of facility policy Advance Directives and Refusal of Treatment-Missouri dated [DATE] showed: -The resident had the right to refuse treatment, to refuse to participate in experimental research and to formalize and advanced directive for the management of his/her care. -The resident might have refused medical treatment to the extent permitted by law. -Only when the resident's medical status and the resident's or family's wishes indicated can a Do Not Resuscitate (DNR) be completed. -This could be at any point in the resident's care. -This form would be placed in the front of the medical record housed in a plastic sheath. [...]
  5. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review, the facility failed to notify the resident's responsible party after a fall occurred for one sampled resident (Resident #10) out of 14 sampled residents. The facility census was 55 residents. On 3/13/23 the Administrator was notified of the past noncompliance which occurred on 2/18/23. On 2/19/23 the facility administration was notified of the change of condition/notification not being completed and a grievance was started. Facility staff were educated on change of condition and notification to the responsible party. All changes of condition were monitored daily for notification. The deficiency was corrected on 2/20/23. Record review of the facility policy Change in Medical Condition dated 11/28/16 showed: -Notification of the resident's family member should occur promptly when there is a change in the resident's medical condition. [...]
  6. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 17, 2023
    Inspectors wroteBased on interview and record review, failed to provide a Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) for two sampled residents (Residents #6 and #50) who remained in the facility but were discharged from Medicare part A services for beneficiary notices. The facility census was 55 residents. A policy was requested from the facility but not received. 1. Record review of Resident #6's SNF ABN Protection Notification Review showed: -The resident went on hospice (end of life care) per family request on 3/12/23. -A SNF ABN was not provided to the resident or resident's responsible party. 2. Record review of Resident #50's SNF ABN Protection Notification Review showed: -The resident was discharged off Medicare Part A services on 12/2/22. -A SNF ABN was not provided to the resident or resident's responsible party. 3. During an interview on 3/16/23 at 8:53 A.M. [...]
  7. 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 17, 2023
    Inspectors wroteBased on interview and record review, the facility failed to notify the ombudsman (a resident advocate who provides support and assistance with problems and/or complaints regarding the facility) for one closed record resident (Resident #58) of his/her discharge from the facility out of three closed record sampled residents. The facility census was 55 residents. A policy was requested and no policy was received related to notification of the ombudsman. 1. Record review Resident #58's admission Minimum Data Set (MDS-a federally mandated assessment tool required to be completed by facility staff) dated 12/22/22 showed the resident: -Was severely cognitively impaired. -Was admitted for skilled rehabilitation services. Record review of the resident's Discharge summary dated [DATE] showed: -The resident was being transferred to another facility. [...]
  8. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 17, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure the follow-through of the Pre-admission Screening and Resident Review (PASRR) recommendations and to integrate the recommendations into the care plan for one sampled resident (Resident #50) out of 14 sampled residents. The facility census was 55 residents. A policy was requested but not received. 1. Record review of Resident 50s admission Minimum Data Set (MDS-a federally mandated assessment tool required to be completed by facility staff for care planning) dated 10/24/22 showed the resident: -Was severely cognitively impaired. -Had the following diagnoses: [...]
  9. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 17, 2023
    Inspectors wroteBased on interview and record review, the facility failed complete a recapitulation upon discharge form the facility for one closed record resident (Resident #58) out of three closed record sampled residents. The facility census was 55 residents. Record review of facility policy entitled Discharge Summary and Plan of Care dated November 28, 2016 showed: -Appropriate discharge planning and communication of necessary information to the continuing care provider, after discharge of a resident from the facility, help the new care provider to understand the resident's goals and needs. -When the facility anticipated the discharge of a resident, a discharge plan summary would be developed. -Upon discharge of a resident a discharge summary was provided to the receiving care provider. 1. [...]
  10. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 17, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure physician's order for oxygen tubing changes were on the Physician's Orders Sheet (POS) and to ensure oxygen nasal cannula (a device used to deliver supplemental oxygen through a plastic tube into the nose in a sanitary manner) and tubing was stored to prevent contamination when not in use for two sampled residents (Resident #49 and #51); to ensure nebulizer (a device used to administer medication in the form of a mist inhaled into the lungs) equipment was maintained and stored to prevent contamination when not in use for one sampled resident (Resident #49); and to ensure an oxygen care plan was completed for one sampled resident (Resident #51) out of 14 sampled residents. The facility census was 55 residents. Record review of the facility's Nebulizer policy dated 5/1/04 showed: [...]
  11. D
    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.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 17, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure bed rails were assessed on an on-going basis, to try other assistive devices before placing the side rails, to have a consent signed by the resident to notify them of the risks and/or benefits of the use of side rails and to care plan the use side rails for one sampled resident (Resident #43) out of 14 sampled residents. The facility census was 55 residents. Record review of the facility policy Bed Rail Use dated 10/26/22 showed: -Bed rails may be used to enable a guest to become more functionally independent and when their medical condition required to use of a bed rail. -Bed rails may be used to help turn themselves in bed. -Possible hazards and clinical benefits of the bed rail use should be explained to the resident during the admission process and upon initial implementation of the bed rails. [...]
  12. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 17, 2023
    Inspectors wroteBased on interview, and record review, the facility failed to ensure documentation of coordination of care with hospice (end of life care) services by not ensuring a current hospice comprehensive resident medical record was maintained with a current certificate of care, nursing summary, and plan of care for two sampled residents (Resident #29 and Resident #6) out of 14 sampled residents. The facility census was 55 residents. A policy related to hospice services was requested and not received at the time of exit. Record review of the facility and specific Contracted Hospice Agency Agreement dated 10/13/22 showed: -Each party shall prepare and maintain complete and detail clinical record concerning each hospice resident receiving hospice services under this agreement in accordance with it usual record -keeping procedures and as required by applicable federal. [...]
October 27, 2020Standard inspection · 22 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) December 11, 2020 · disputed by the home (informal dispute resolution)
    Inspectors wrote3. Record review of Resident #63's Face Sheet showed he/she was admitted to the facility on [DATE]. Record review of the resident's Care Plan dated 10/23/19 and updated on 9/12/20 showed: -He/she was at risk for falls. -Staff were to encourage clutter-free environment and path to the bathroom. -Staff were to assist the resident with ambulation, toileting and mobility as needed. Record review of the resident's Nurse Notes dated 9/6/20 showed: -The resident fell while walking down the 400 Hall toward the nurse's desk. -The CMT saw the resident fall. -The CMT reported the resident hit his/her head on the wall and his/her elbow on the floor. -The resident reported he/she was not hurt at that time. -Staff assisted the resident to his/her feet and walked him/her to his/her bed. -The nurse noticed the resident's right elbow was out of shape and started to swell. [...]
  2. E
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 11, 2020
    Inspectors wroteBased on interview and record review, the facility failed to provide the Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN) (form CMS-10055) and/or the Notice of Medicare Provider Non-Coverage (NOMNC, form CMS-10123) for three sampled residents (Resident #7, #277, and #278) out of three sampled residents who were discharged from Medicare part A services. The facility census was 68 residents. Record review of the Centers for Medicare and Medicaid Services Survey and Certification memo (S&C-09-20), dated 1/9/09, showed the following: -The Notice of Medicare Provider Non-Coverage (NOMNC, form CMS-10123) was issued when all covered Medicare services end for coverage reasons. [...]
  3. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 11, 2020
    Inspectors wroteBased on record review and interview, the facility failed to check the Certified Nursing Assistant (CNA) Registry to ensure individuals did not have a Federal Indicator (a marker given by the federal government to individuals who have committed abuse/neglect) for four sampled employees (Employees A, C, D, and E), out of six sampled employees hired since the last annual survey. The facility census was 68 residents. Record review of the facility Abuse, Neglect, Misappropriation of Resident Property, Suspicious Injury of Unknown Source, and Exploitation policy dated 11/28/17 and revised on 2/18/18 showed: -The facility will not knowingly employ or otherwise engage any individual who has been found guilty by a court of law of abusing, neglecting, or mistreating resident. [...]
  4. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 11, 2020
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents who were unable to carry out bathing needs received showers or baths to maintain good personal hygiene for two sampled residents (Resident #64 and #62) out of 17 sampled residents and for one closed record resident (Resident #271) out of three closed records. The facility census was 68 residents. Record review of the facility's Bath-Shower or Tub policy dated 10/1/10 showed: -Showers and baths promote cleanliness and comfort for the resident. -Residents should receive a shower or tub bath as needed. 1. Record review of Resident #64's Face Sheet showed he/she was admitted to the facility on [DATE] and had the following diagnoses: [...]
  5. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 11, 2020
    Inspectors wroteBased on interview and record review, the facility failed to have sufficient nursing staff to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident out of 17 sampled residents. The facility census was 68 residents. 1a. Record review of the facility's Facility assessment dated [DATE] showed: -There was no documentation that showed the residents' diseases, conditions, physical and cognitive disabilities or the facility acuity level. -The facility did not vary staffing levels according to a prospective resident's acuity or care needs. -Staffing: --Current staffing was stable from day to day and shift to shift based on normal and expected care needs of the residents. [...]
  6. E
    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.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 11, 2020
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the Director of Nursing (DON) was serving as a DON only when the facility had an average occupancy of fewer than 60 residents. The facility census was 68 residents. 1. Record review of the facility's Census Report dated 10/19/20 showed the facility census was 68 residents. Record review of the facility's Resident Census and Condition of Residents report dated 10/19/20 showed the facility census was 68 residents. During an interview on 10/26/20 at 12:59 P.M. the DON said he/she was the charge nurse today for the unit. Observation on 10/26/20 at 1:06 P.M. showed the DON was passing medications to the residents on the 500 hall. During an interview on 10/26/20 at 2:36 P.M. the DON said he/she started acting as a charge nurse on the 500 hall unit at 12:00 P.M. Observation on 10/26/20 at 2:37 P.M. [...]
  7. E
    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, pattern · Corrected (the home has a date of correction) December 11, 2020
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the shift change narcotic count was completed and signed by both the on-coming and off-going nursing staff. The facility census was 68 residents. Record review of the facility's Inventory Control of Controlled Substances dated 12/1/07 and revised on 1/1/13 showed: -The facility should ensure that the incoming and outgoing nurses count all Schedule II controlled substances (narcotics) and other medications with a risk of abuse or diversion at the change of every shift or at least once daily and document the results on the Controlled Substance Count Verification/Shift Count Sheet. -The facility should ensure that staff count all Schedule III - V controlled substances in accordance with facility policy and applicable law. 1. [...]
  8. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 11, 2020
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the medication refrigerator temperatures were monitored and maintained within appropriate limits; to ensure insulins and eye drops were dated when they were opened and to ensure expired medications were removed from the medication delivery system in two medication carts and one medication room. The facility census was 68 residents. Record review of the facility's Pharmacy Services and Procedures Manual - Storage and Expiration Dating of Medications, Biologicals, Syringes and Needles dated 12/1/07 and revised on 10/28/19 showed: -Facility should ensure that medications and biologicals that have an expired date on the label are stored separately from other medications until destroyed or returned to the pharmacy or supplier. [...]
  9. E
    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, pattern · Corrected (the home has a date of correction) December 11, 2020
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain sanitary food serving utensils; to ensure plastic cutting boards were in good condition to avoid food safety hazards; and to refrigerate open foodstuffs that stated to do so on their labels. These deficient practices potentially affected all residents who ate food from the kitchen. The skilled nursing facility census was 68 residents with a licensed capacity for 90. 1. Observations during the kitchen inspection on 10/19/20 between 8:57 A.M. and 11:43 A.M. showed the following: -An open 1-gallon jug of Teriyaki sauce approximately 3/5 full located on the upper shelf of a rack in the dry storage stated Refrigerate After Opening on the label. -One red and one green cutting board on a lower shelf under a microwave both were heavily scored to the point of plastic bits hanging off them. [...]
  10. E
    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 more than minimal harm, pattern · Corrected (the home has a date of correction) December 11, 2020
    Inspectors wroteBased on interview and record review, the facility failed to complete a Facility Assessment to determine resources necessary to meet the needs of the residents, such as assessment of the resident population, staff competencies needed to provide resident care, physical plant requirements, services needed, technology resources and facility and community-based risk assessment. A total of 17 residents were sampled. The facility census was 68 residents. 1. Record review of the facility's Facility Assessment, dated 9/9/20, showed: -There was no documentation that showed the residents' diseases, conditions, physical and cognitive disabilities or the facility acuity level. -The facility did not vary staffing levels according to a prospective resident's acuity or care needs. -Staffing: [...]
  11. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 11, 2020
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure infection control procedures were followed to prevent cross-contamination by not performing appropriate hand hygiene (wash or sanitize hands) between glove changes, during incontinent care and during urinary catheter (a tube passed through the urethra into the bladder to drain urine) care for two sampled residents (Resident #31 and #62), during wound care for two sampled residents (Resident #34 and #62), during blood glucose monitoring for one sampled resident (Resident #13) and two supplemental residents (Residents #46 and #67), and not sanitizing the blood glucometer (a machine to measure blood sugar levels) between residents for one sampled resident (Resident #13) and two supplemental residents (Resident #46 and #67), not ensuring isolation precautions were maintained for newly admitted residents for one [...]
  12. 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) December 11, 2020
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure one sampled resident (Resident #54) was afforded an opportunity to formulate advanced directives (a written statement of a person's wishes regarding medical treatment, often including a living will, made to ensure those wishes are carried out should the person be unable to communicate them to a doctor) out of 17 sampled residents. The facility census was 68 residents. Record review of the facility Advance Directives and Refusal of Treatment policy date 10/1/10 showed: -The resident has the right to refuse treatment and to formulate an advance directive for the management of his/her care. [...]
  13. 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) December 11, 2020
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident being discharged from the facility to the hospital received a discharge notification for one sampled resident (Resident #31) out of 17 sampled residents. The facility census was 68 residents. 1. Record review of Resident #31's Face Sheet showed he/she was admitted to the facility on [DATE] and was readmitted on [DATE]. Record review of the resident's significant change Minimum Data Set (MDS - a federally mandated assessment instrument completed by facility staff for care planning) dated 8/21/20 showed he/she: -Was cognitively intact with a Brief Interview for Mental Status (BIMS) score of 15 out of 15. -Required extensive staff assistance for dressing and bathing. -Required total staff assistance for toileting. Record review of the resident's electronic medical record showed: [...]
  14. 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) December 11, 2020
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident being discharged from the facility to the hospital received a bed hold notice for one sampled resident (Resident #31) out of 17 sampled residents. The facility census was 68 residents, 1. Record review of Resident #31's Face Sheet showed he/she was admitted to the facility on [DATE] and was readmitted on [DATE]. Record review of the resident's significant change Minimum Data Set (MDS - a federally mandated assessment instrument completed by facility staff for care planning) dated 8/21/20 showed he/she: -Was cognitively intact with a Brief Interview for Mental Status (BIMS) score of 15 out of 15. -Required extensive staff assistance for dressing and bathing. -Required total staff assistance for toileting. Record review of the resident's electronic medical record showed: [...]
  15. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 11, 2020
    Inspectors wroteBased on interview and record review, the facility failed to ensure a base line care plan was developed and reviewed with the resident or the resident's responsible party, and to provide a copy of the base line care plan to the resident/responsible party within 48 hours of the resident's admission to the facility for two sampled residents (Resident's #13 and #62) out of 17 sampled residents. The facility census was 68 residents. Record review of the facility Person Centered Care Plan policy dated 7/17/18 showed: -Person centered plans of care are developed by the interdisciplinary team to coordinate and communicate care approaches and goals of the resident consistent with the residents rights. [...]
  16. 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) December 11, 2020
    Inspectors wroteBased on observation, interview and record review, the facility failed to revise a resident's care plan to reflect the resident's current condition to include the resident's Do Not Resuscitate (DNR - an order from a doctor that resuscitation should not be attempted if a person suffers cardiac or respiratory arrest) code status for one sampled resident (Resident #29), and after one resident's fall with a fracture for one sampled resident (Resident #63), out of 17 sampled residents. The facility census was 68 residents. Record review of the facility Person Centered Care Plan policy dated 7/17/18 showed: -Person centered plans of care are developed by the interdisciplinary team to coordinate and communicate care approaches and goals of the resident consistent with the residents rights. [...]
  17. 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) December 11, 2020
    Inspectors wroteBased on interview and record review , the facility failed to develop a discharge plan according to residents needs for one sampled closed record (Resident # 72) out of 17 sampled residents and three closed records. Facility census was 68 residents. Record review of the facility's Discharge Summary and Plan of Care policy dated November 28 2016 showed: -Appropriate discharge planning and communication of necessary information to the continuing care provider, after discharge of a resident from the facility, help the new care provider understand the resident goal and needs. -A post discharge plan of care developed with the resident and his/her family, to assist the resident to adjust to his/her new living environment. [...]
  18. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 11, 2020
    Inspectors wroteBased on interview and record review, the facility failed to complete a comprehensive discharge summary which included a recapitulation of stay for one sampled closed record (Resident #72) out of 17 sampled residents and three closed records. The facility census was 68 residents. Record review of facility's Discharge Summary and Plan of Care policy dated November 28, 2016 showed: -If the facility anticipated the discharge of a resident, a discharge plan summary should be developed. -Upon discharge of a resident, a discharge summary is provided. -The discharge summary should include a recapitulation of residents stay, a final summary of the residents status at time of discharge, a post discharge plan of care developed with the resident and his/her family to assist the resident to adjust to his/her new living environment,and a reconciliation of pre and post discharge medications. [...]
  19. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 11, 2020
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide meaningful activities to meet the interests of and support the physical, mental, and psychosocial well-being of two sampled residents (Resident #48 and #64) out of 17 sampled residents. The facility census was 68 residents. Record review of the facility Activity Program Management policy updated 3/1/2008 showed: -The purpose of the policy was to help activity staff understand aging complications experienced by the elderly, and the federal and state requirements affecting long term care practice. -The quality of care section of the activity program manual was dedicated and a resource to the activity program staff regarding program management related to medical and nursing care needs of the residents. -No other parts of the activity program manual were provided by the facility. 1. [...]
  20. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 11, 2020
    Inspectors wroteBased on observation, interview and record review, the facility failed to identify, notify the physician, obtain treatment orders and complete an incident report and investigation for one sampled resident (Resident #18) who had right lower leg abrasions; to ensure one sampled resident (Resident #51) had a hospice (end of life care) book with a clear integrated plan on how to care for the resident at his/her end of life; and to monitor a resident's non-pressure ulcer (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction) by failing to complete weekly skin and/or wound assessments for one sampled resident (Resident #62) out of 17 sampled residents. The facility census was 68 residents Record review of the facility's Terminally Ill - Caring For policy updated 11/1/2001 showed: [...]
  21. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 11, 2020
    Inspectors wroteBased on observation, interview, and record review, the facility failed to monitor a resident's pressure ulcer (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction) by failing to complete weekly skin and/or wound assessments for one sampled resident (Resident #62) out of 17 sampled residents. The facility census was 68 residents. Record review of the facility's Protocol for Certified Nursing Assistant (CNA) and Licensed Nurse Skin Inspections policy dated 10/1/10 showed: -CNA's will conduct body inspections of residents at risk for pressure ulcers on a daily basis. -Licensed Nurses will conduct body inspections of residents at risk for pressure ulcers on a weekly basis. -CNAs will conduct a body inspection on all assigned residents. [...]
  22. 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) December 11, 2020
    Inspectors wroteBased on observation, interview and record review, the facility failed to maintain communication between the facility and the dialysis center and to develop a dialysis policy that instructed staff regarding communication between the facility and the dialysis center for one sampled resident (Resident #58) who received dialysis (use of a machine to purifying the blood of a person whose kidneys are not working adequately to sustain life) out of 17 sampled residents. The facility census was 68 residents. Record review of the facility Hemodialysis (removing waste products from a person's blood) Care policy dated 11/1/01 showed: -Obtain dry weights from the dialysis center. -Obtain lab work from the dialysis center. -The policy did not include specific instruction regarding how to maintain communication between the facility and the dialysis center. 1. [...]

Fire safety inspections

50 fire safety citations on file: 20 on November 1, 2024, 19 on March 17, 2023, 11 on October 27, 2020.

Every fire safety citation50 citations
  1. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · November 1, 2024 · Corrected (the home has a date of correction)
  2. F
    Address subsistence needs for staff and patients.
    E 15 · November 1, 2024 · Corrected (the home has a date of correction)
  3. F
    Establish policies and procedures including evacuation.
    E 20 · November 1, 2024 · Corrected (the home has a date of correction)
  4. F
    Create arrangements with other facilities to receive patients.
    E 25 · November 1, 2024 · Corrected (the home has a date of correction)
  5. F
    List the names and contact information of those in the facility.
    E 30 · November 1, 2024 · Corrected (the home has a date of correction)
  6. F
    Implement emergency and standby power systems.
    E 41 · November 1, 2024 · Corrected (the home has a date of correction)
  7. F
    Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
    K 700 · November 1, 2024 · Corrected (the home has a date of correction)
  8. F
    Have simulated fire drills held at unexpected times.
    K 712 · November 1, 2024 · Corrected (the home has a date of correction)
  9. E
    Use approved construction type or materials.
    K 161 · November 1, 2024 · Corrected (the home has a date of correction)
  10. E
    Have exits that are accessible at all times.
    K 271 · November 1, 2024 · Corrected (the home has a date of correction)
  11. E
    Have an enclosure around a vertical opening shaft.
    K 311 · November 1, 2024 · Corrected (the home has a date of correction)
  12. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · November 1, 2024 · Corrected (the home has a date of correction)
  13. E
    Provide properly protected cooking facilities.
    K 324 · November 1, 2024 · Corrected (the home has a date of correction)
  14. E
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · November 1, 2024 · Corrected (the home has a date of correction)
  15. E
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · November 1, 2024 · Corrected (the home has a date of correction)
  16. E
    Install corridor and hallway doors that block smoke.
    K 363 · November 1, 2024 · Waiver
  17. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · November 1, 2024 · Corrected (the home has a date of correction)
  18. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · November 1, 2024 · Corrected (the home has a date of correction)
  19. E
    Meet requirements for the use of electrical equipment.
    K 919 · November 1, 2024 · Corrected (the home has a date of correction)
  20. E
    Have proper medical gas storage and administration areas.
    K 923 · November 1, 2024 · Corrected (the home has a date of correction)
  21. F
    List the names and contact information of those in the facility.
    E 30 · March 17, 2023 · Corrected (the home has a date of correction)
  22. F
    Provide primary/alternate means for communication.
    E 32 · March 17, 2023 · Corrected (the home has a date of correction)
  23. F
    Implement emergency and standby power systems.
    E 41 · March 17, 2023 · Corrected (the home has a date of correction)
  24. F
    Install proper backup exit lighting.
    K 281 · March 17, 2023 · Corrected (the home has a date of correction)
  25. F
    Provide properly protected cooking facilities.
    K 324 · March 17, 2023 · Corrected (the home has a date of correction)
  26. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · March 17, 2023 · Corrected (the home has a date of correction)
  27. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 17, 2023 · Corrected (the home has a date of correction)
  28. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 17, 2023 · Waiver
  29. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · March 17, 2023 · Corrected (the home has a date of correction)
  30. F
    Provide a written emergency evacuation plan.
    K 711 · March 17, 2023 · Corrected (the home has a date of correction)
  31. F
    Have simulated fire drills held at unexpected times.
    K 712 · March 17, 2023 · Corrected (the home has a date of correction)
  32. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · March 17, 2023 · Corrected (the home has a date of correction)
  33. F
    Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
    K 771 · March 17, 2023 · Corrected (the home has a date of correction)
  34. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · March 17, 2023 · Corrected (the home has a date of correction)
  35. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 17, 2023 · Corrected (the home has a date of correction)
  36. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · March 17, 2023 · Corrected (the home has a date of correction)
  37. E
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · March 17, 2023 · Corrected (the home has a date of correction)
  38. E
    Install corridor and hallway doors that block smoke.
    K 363 · March 17, 2023 · Corrected (the home has a date of correction)
  39. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · March 17, 2023 · Corrected (the home has a date of correction)
  40. F
    Establish an Emergency Preparedness Program (EP).
    E 1 · October 27, 2020 · Corrected (the home has a date of correction)
  41. F
    Address patient/client population and determine types of services needed.
    E 7 · October 27, 2020 · Corrected (the home has a date of correction)
  42. F
    Establish policies and procedures for sheltering.
    E 22 · October 27, 2020 · Corrected (the home has a date of correction)
  43. F
    Provide primary/alternate means for communication.
    E 32 · October 27, 2020 · Corrected (the home has a date of correction)
  44. F
    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
    K 343 · October 27, 2020 · Corrected (the home has a date of correction)
  45. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · October 27, 2020 · Corrected (the home has a date of correction)
  46. F
    Provide a written emergency evacuation plan.
    K 711 · October 27, 2020 · Corrected (the home has a date of correction)
  47. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · October 27, 2020 · Corrected (the home has a date of correction)
  48. E
    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.
    K 222 · October 27, 2020 · Corrected (the home has a date of correction)
  49. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · October 27, 2020 · Corrected (the home has a date of correction)
  50. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · October 27, 2020 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
March 20, 2024Fine $14,433

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)3.473.433.86
Registered nurses0.270.460.69
All nursing staff on weekends2.883.013.42
Nurse aides2.34
Licensed practical nurses0.86
Nursing staff turnover (share who left in a year)not reported56.0%45.8%
Registered nurse turnovernot reported47.8%42.9%
Administrators who left2

CMS expects 3.22 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

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 3.72 on weekdays and 2.88 on weekends, 23% 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 3.31 in April to June 2025 to 3.47 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.470.273.722.88 0.0%0 of 9066
Oct to Dec 20253.730.283.973.11 1.3%0 of 9271
Jul to Sep 20253.350.253.542.86 0.0%1 of 9281
Apr to Jun 20253.310.183.542.76 0.0%0 of 9180
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
14.218.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.10.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.42.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.54.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.02.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.817.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.74.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
2.223.515.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
32.026.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
19.413.712.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
4.32.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.92.31.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Aspire Senior Living Pleasant Hill's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (45.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

45.1% this home

No different from the national rate

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. 47 eligible stays.

Potentially preventable readmissions

10.6% 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. 62 eligible stays.

Infections that led to a hospital stay

7.1% 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. 53 eligible stays.

Self-care and mobility at discharge

79.5% this home

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. 39 residents counted.

Falls with major injury

3.2% 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. 62 residents counted.

New or worsened pressure ulcers

9.4% 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. 62 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. 14 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 PLEASANT HILL LLC. CMS links this home to Aspire Senior Living, a group of 16 nursing homes averaging 1.9 stars overall.

NameRoleTypeShareSince
Chp SNF Opco Holdings LLCDirect ownership interestOrganization10/01/2025
Chp SNF Holdings LLCIndirect ownership interestOrganization10/01/2025
Chp Snfco LLCIndirect ownership interestOrganization10/01/2025
Brody, MichaelIndirect ownership interestIndividual10/01/2025
Brown, BarbaraIndirect ownership interestIndividual10/01/2025
Brown, DanielIndirect ownership interestIndividual10/01/2025
Eickhoff, PamelaIndirect ownership interestIndividual10/01/2025
Leipham, MichelleIndirect ownership interestIndividual10/01/2025
Shevlyagin, VictorIndirect ownership interestIndividual10/01/2025
Stadtmueller, DavidIndirect ownership interestIndividual10/01/2025
Hero Health Management, LLCOperational/managerial controlOrganization10/01/2025
Brown, DanielOperational/managerial controlIndividual10/01/2025
Eickhoff, PamelaOperational/managerial controlIndividual10/01/2025
Leipham, MichelleOperational/managerial controlIndividual10/01/2025
Page, WesleyOperational/managerial controlIndividual10/01/2025
Stadtmueller, DavidOperational/managerial controlIndividual10/01/2025
Tadakamalla, SrinathOperational/managerial controlIndividual10/01/2025
Hero Health Management, LLCAdp of the SNFOrganization10/01/2025
Brown, DanielAdp of the SNFIndividual10/01/2025
Eickhoff, PamelaAdp of the SNFIndividual10/01/2025
Leipham, MichelleAdp of the SNFIndividual10/01/2025
Page, WesleyAdp of the SNFIndividual10/01/2025
Stadtmueller, DavidAdp of the SNFIndividual10/01/2025
Tadakamalla, SrinathAdp of the SNFIndividual10/01/2025

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. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 20 problems in this area, most recently on June 9, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 17 problems in this area, most recently on June 9, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on March 17, 2023: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 4 problems in this area, most recently on March 14, 2025: "Employ staff that are licensed, certified, or registered in accordance with state laws."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.88 hours per resident per day, below the Missouri average of 3.01.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

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 Pleasant Hill's Medicare star rating?
CMS rates Aspire Senior Living Pleasant Hill 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Aspire Senior Living Pleasant Hill get at its last inspection?
18 health deficiencies at the standard inspection on November 1, 2024. The Missouri average is 11.4.
Has Aspire Senior Living Pleasant Hill been fined?
Yes. CMS lists 1 fine totaling $14,433 in the last three years.
Does Aspire Senior Living Pleasant Hill 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 Pleasant Hill?
CMS lists 24 owners and managers, and links the home to Aspire Senior Living. Legal business name: ASPIRE SENIOR LIVING PLEASANT HILL LLC.

Sources

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