Missouri › Lawrence County › Aurora
Ascend At Aurora
1700 South Hudson Avenue, Aurora, MO 65605
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Ascend At Aurora, in Aurora, Missouri, is certified for 125 beds under for-profit, corporation ownership.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 3 and quality measures 1.
Inspectors recorded 49 health deficiencies across the three most recent survey cycles (21, 20, 8 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 39.2 per 100 beds, about the same as the state median of 32.1.
CMS lists 1 penalty in the period covered: fines totalling $47K.
Reported nurse staffing is 4.2 hours per resident per day (0.6 RN), close to the Missouri median of 3.4; nursing staff turnover is 54.4%.
CMS flags that the facility carries the CMS abuse icon, has not had a standard health inspection in more than two years and changed ownership in the last 12 months.
Compared with county, state and nation
| Measure | This facility | Lawrence Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 2 | 3.0 |
| Health citations, 3 cycles | 49 | 36 | 31 | 28.7 |
| Citations per 100 beds | 39.2 | 39.2 | 32.1 | 26.8 |
| Total nurse hours per resident day | 4.2 | 3.2 | 3.4 | 3.9 |
| RN hours per resident day | 0.6 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 54.4% | 54.4% | 56.1% | 45.8% |
| Fines listed | $46,940 | $13,762 | $0 | — |
County and state figures are medians across facilities (4 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Apr 2024, 11 May 2022.
Severity mix: J ×2 D ×28 E ×13 F ×6
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Mar 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 1 May 2026 |
| 18 Mar 2026 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 1 May 2026 |
| 9 Dec 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 26 Nov 2025 |
| 9 Dec 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 26 Nov 2025 |
| 18 Jul 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Complaint investigation | 31 Aug 2025 |
| 22 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 5 Dec 2024 |
| 12 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 25 May 2024 |
| 12 Apr 2024 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 25 May 2024 |
| 12 Apr 2024 | F0727 | 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. | F | Standard survey | 25 May 2024 |
| 12 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 25 May 2024 |
| 12 Apr 2024 | F0838 | 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. | F | Standard survey | 25 May 2024 |
| 12 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 25 May 2024 |
| 12 Apr 2024 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 25 May 2024 |
| 12 Apr 2024 | F0584 | 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. | E | Standard survey | 25 May 2024 |
| 12 Apr 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 25 May 2024 |
| 12 Apr 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 25 May 2024 |
| 12 Apr 2024 | F0700 | 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. | E | Standard survey | 25 May 2024 |
| 12 Apr 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 25 May 2024 |
| 12 Apr 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 25 May 2024 |
| 12 Apr 2024 | F0625 | 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. | D | Standard survey | 25 May 2024 |
| 12 Apr 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 25 May 2024 |
| 12 Apr 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 25 May 2024 |
| 12 Apr 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 25 May 2024 |
| 22 Aug 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 5 Oct 2023 |
| 11 May 2022 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 18 Jul 2022 |
| 11 May 2022 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Standard survey | 25 Jun 2022 |
| 11 May 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 25 Jun 2022 |
| 11 May 2022 | F0700 | 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. | E | Standard survey | 25 Jun 2022 |
| 11 May 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 25 Jun 2022 |
| 11 May 2022 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 25 Jun 2022 |
| 11 May 2022 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 25 Jun 2022 |
| 11 May 2022 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 25 Jun 2022 |
| 11 May 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 9 Aug 2022 |
| 11 May 2022 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 25 Jun 2022 |
| 11 May 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 25 Jun 2022 |
| 11 May 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 25 Jun 2022 |
| 11 May 2022 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 25 Jun 2022 |
| 11 May 2022 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Standard survey | 25 Jun 2022 |
| 11 May 2022 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 25 Jun 2022 |
| 11 May 2022 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 25 Jun 2022 |
| 11 May 2022 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 25 Jun 2022 |
| 11 May 2022 | F0888 | Ensure staff are vaccinated for COVID-19 | D | Standard survey | 9 Aug 2022 |
| 19 Aug 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 17 Oct 2019 |
| 19 Aug 2019 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 17 Oct 2019 |
| 19 Aug 2019 | F0625 | 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. | D | Standard survey | 17 Oct 2019 |
| 19 Aug 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 17 Oct 2019 |
| 19 Aug 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 17 Oct 2019 |
| 19 Aug 2019 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 17 Oct 2019 |
| 19 Aug 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Oct 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 12 Apr 2024 | Fine | $46,940 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 54.4%, RNs 57.1%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 30.6% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.5% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.5% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 14.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.6% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.0% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 33.9% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Nbh3 Sfopco Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Aurora Holdco LLC | Direct ownership interest | NOT APPLICABLE | 10/01/2025 |
| Delta Edge Strategic Advisors | Indirect ownership interest | NOT APPLICABLE | 10/01/2025 |
| Hhhh Ventures LLC | Indirect ownership interest | NOT APPLICABLE | 10/01/2025 |
| Krpss Partners | Indirect ownership interest | NOT APPLICABLE | 10/01/2025 |
| Delta Edge Strategic Advisors | Adp of the snf | NOT APPLICABLE | 01/06/2026 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Hhhh Ventures LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Krpss Partners | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Nbh3 Sfpropco LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Lawrence County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Mt Vernon Nursing | Mount Vernon | 60 | 4 | 4 | 3 | 12 | 20.0 | — | 10 Oct 2024 |
| Lawrence County Manor | Mount Vernon | 90 | 1 | 1 | 1 | 32 | 35.6 | $14K | 2 Feb 2026 |
| Ozarks Methodist Manor, The | Marionville | 78 | 1 | 2 | 3 | 36 | 46.2 | — | 2 Feb 2026 |
All 4 facilities in Lawrence County
Questions and answers
How many deficiencies has Ascend At Aurora been cited for?
49 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Ascend At Aurora been fined?
Yes. CMS lists fines totalling $47K in the period covered.
How does staffing at Ascend At Aurora compare?
Reported total nurse staffing is 4.2 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Ascend At Aurora?
Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Aurora Holdco LLC, Delta Edge Strategic Advisors and Hhhh Ventures LLC. Individual owners and managers are not listed on this site.
When was Ascend At Aurora last inspected?
The most recent survey or investigation in the CMS record is dated 18 Mar 2026; the most recent standard health survey was 12 Apr 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.