Below average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Aspire Senior Living Joplin during CMS and state inspections, most recent first.
Four nurse aides continued working with residents beyond the required training period without current CNA certification. Interviews and record review showed the aides had been hired months earlier, had either not completed testing or had not yet started classes, and one aide was observed assisting a resident in a wheelchair. The DON and Administrator said they were unaware some aides had worked longer than four months and that the staff member responsible for tracking CNA certification had been fired, leaving no one tracking it.
Medication administration was not accurately controlled when a CMT left a resident’s pills on a bedside table unsupervised and later documented them as given, despite the resident saying the pills were left while he/she used the bathroom. In addition, six medication cups with pills were found in the locked med room/cart area for several residents, including some cups labeled with room numbers and some unlabeled, while the MARs showed the doses as administered with no refusal or omission documented. Interviews with the CMT, RN, DON, and residents confirmed that medication was being left in rooms or in the cart instead of being witnessed as taken.
A resident with dementia and a history of falls, who was on anticoagulant therapy, experienced a fall from bed resulting in a head injury. Nursing staff assessed the resident at the time but failed to document the incident, notify the physician, or communicate the need for post-fall monitoring to subsequent shifts. This led to a lack of required neurological checks and follow-up assessments, with staff on later shifts unaware of the fall or injury until days later.
A failure to document medication reconciliation during discharge resulted in a card of 30 Percocet 5-325 mg tablets being sent home with the wrong resident. The resident who received the medication did not have an order for it, while the intended recipient did not receive their prescribed medication. Staff interviews revealed lapses in the process for handling and documenting controlled substances, and the error was not reported promptly to facility leadership.
A resident who was cognitively intact and required moderate assistance kept personal funds in a lockbox provided by the facility. After withdrawing cash and securing it in the lockbox with staff assistance, the resident later discovered the lockbox had been forcibly opened and the money was missing, while debit cards remained. Staff interviews confirmed awareness of the resident's practice and facility policy prohibiting misappropriation, but the funds were still stolen, demonstrating a failure to protect the resident's property.
A deficiency was identified involving the wrongful use of residents' belongings or money, as noted in event ID XMKY12. Surveyors found instances where residents' personal property or finances were mishandled, indicating a failure in the facility's duty to protect these assets.
A resident with moderate cognitive impairment discovered their purse, containing cash, debit cards, and personal items, missing after lunch. Despite the facility's policy against misappropriation, the resident's belongings were not safeguarded, and an inventory sheet was not completed upon admission. Staff were aware of the resident's practice of keeping the purse in the room, but the facility's procedures to protect personal property were not enforced, resulting in the loss of the resident's belongings.
A resident returned from the hospital without discharge paperwork or medication orders, resulting in them not receiving any medication for a day. The admitting LPN did not contact the hospital or physician to obtain orders, and other staff were unaware of the missing orders. The DON and Administrator confirmed the admitting nurse's responsibility to ensure medication orders were in place.
Nurse Aides Worked Beyond Required Training and Certification Time Frame
Penalty
Summary
The facility failed to ensure nurse aides were certified within the required time frame when four nurse aides continued working with residents beyond four months without current CNA certification. Review of the facility policy stated that individuals hired as nurse aide trainees must complete an approved CNA training program and pass the state exam within the required timelines, and that trainees may not continue working in resident care if they fail to meet certification timelines or exam requirements. The facility census was 106. Record review and interviews showed NA A, NA B, NA C, and NA D were hired between August and September 2025 and were still working as nurse aides in February 2026 without current CNA certification. NA A said he/she had completed classes about two months earlier but had not tested; NA B said he/she finished classes about two months earlier and the test had been canceled and not rescheduled; NA C was observed assisting a resident in a wheelchair and said he/she had finished training but had not passed the test yet; and NA D said he/she had just started classes and had not tested. The DON and Administrator stated they were not aware some nurse aides had been working longer than four months, and both said the staff member responsible for tracking CNA certification had been fired about a month earlier, with no one tracking it since then.
Medication Left Unsupervised and Unadministered Cups Found in Cart
Penalty
Summary
The facility failed to ensure accurate dispensing and documentation of medication administration when staff left medication unsupervised in a resident’s room and when multiple medication cups containing pills were found left in the medication cart. The report states that the facility’s policies required medications to be stored securely, administered according to resident-centered medication pass procedures, and not retained in resident rooms unless self-administration had been ordered and assessed. No order for self-administration was found for the resident involved in the room observation. For one resident, who was cognitively intact and had diagnoses including type 2 diabetes mellitus, chronic foot ulcer, hypertension, chronic kidney disease with heart failure, lymphedema, depression, anxiety, and urinary retention, a medicine cup containing approximately 10 to 15 pills was observed on the bedside table in the middle of the room while no staff were present. The resident stated that the CMT often left medication on the bedside table and left because it took a long time to take the pills one at a time, and that the medication had been left there while the resident used the bathroom. The CMT acknowledged leaving the medication in the room, said the resident and staff both needed to use the bathroom, and stated awareness that medication was not supposed to be left in the room. The MAR showed the medications as administered at times that did not match the resident’s account of when the pills were actually taken. For four other residents, the surveyor found six medication cups with pills sitting in the locked medication room, with room numbers written on five cups and two cups unlabeled. The cups contained medications for residents with diagnoses including moderate cognitive impairment, severe cognitive impairment, anticoagulant therapy, seizure disorder, diabetes, heart failure, atrial fibrillation, and chronic kidney disease. The MARs for those residents showed the medications as administered, but there was no documentation that the medications had been refused or not given. One CMT said he/she did not remember leaving the cups and thought some residents may have refused, while RN and DON interviews indicated that medication should not be left in the cart and that refused medication should not remain there. Residents also reported that staff sometimes left medication on bedside tables and did not return to ensure it was taken.
Failure to Document and Communicate Fall with Injury
Penalty
Summary
Facility staff failed to follow standards of practice in the assessment, documentation, and communication of a resident's fall with injury. A resident with a history of dementia, atrial fibrillation, repeated falls, and on anticoagulant therapy experienced a fall from bed, hitting their head and sustaining a hematoma. Although the fall was witnessed and initially assessed by nursing staff, there was no documentation of the incident, assessment, or physician notification in the resident's medical record for several days following the event. Multiple staff members, including RNs and LPNs, were aware of the fall but each assumed that another staff member would complete the required documentation and follow-up. As a result, essential post-fall monitoring, including neurological checks and ongoing assessments, were not consistently performed or communicated to subsequent shifts. The lack of documentation and handoff led to staff on following shifts being unaware of the need for fall follow-up monitoring, and the physician was not promptly notified as required by facility policy. Interviews with staff and review of records confirmed that the facility's fall prevention policy, which requires immediate assessment, documentation, physician and family notification, and 72-hour follow-up monitoring after a fall, was not followed. The deficiency was further compounded by a recent transition to a new electronic documentation system, which some staff cited as a reason for confusion about where to document. The failure to document and communicate the fall and subsequent injury resulted in delayed recognition and management of the resident's condition.
Failure to Document Medication Reconciliation Leads to Controlled Substance Error at Discharge
Penalty
Summary
The facility failed to have an effective process in place to ensure the proper receipt and disposition of all controlled drugs, specifically during the discharge process. Staff did not document medication reconciliation upon discharge for one resident, which resulted in a card containing 30 Percocet (oxycodone-acetaminophen) 5-325 mg tablets, prescribed for a different resident, being sent home with the wrong individual. The resident who received the medication in error did not have an order for Percocet, while the resident for whom the medication was intended had already been discharged and did not receive it. Review of records showed that the medication reconciliation list was not completed for the discharged resident, and the narcotic record sheet for the intended recipient showed no tablets administered and no documentation of medication disposition. Staff interviews revealed inconsistencies and lapses in the process for handling and documenting controlled substances during discharge. The charge nurse did not verify each medication card against the medication list, and the process was rushed, leading to the error. Additionally, the nurse responsible did not follow the established procedure of confirming each medication one card at a time with the resident's orders and the reconciliation sheet. Further, the error was not reported promptly to the facility Administrator. The Director of Nursing was made aware of the missing narcotics on the day of the incident but failed to report the issue to the Administrator or regulatory authorities in a timely manner. This delay in reporting contributed to the prolonged period before the error was identified and addressed. The facility's policies required documentation and verification steps that were not followed, resulting in the mismanagement of controlled substances during the discharge process.
Failure to Prevent Misappropriation of Resident Property
Penalty
Summary
A cognitively intact resident, who required moderate assistance for transfers and mobility, experienced the misappropriation of personal funds while residing in the facility. The resident chose to keep personal cash and financial cards in a lockbox provided by the facility and stored in the resident's dresser. The lockbox was installed by the Maintenance Supervisor and was intended to secure the resident's valuables. The resident withdrew $200 from the bank, spent $15, and placed the remaining $185 in the lockbox with the assistance of the Housekeeping Supervisor. The key to the lockbox was hidden in the room, and only a few staff members were aware of the money's presence. On a later date, when the resident requested assistance to access the lockbox to pay a bill, it was discovered that the lock had been broken and the envelope containing $185 was missing. The debit and credit cards remained in the lockbox, but the resident and staff were concerned about potential compromise, leading to the cancellation and replacement of the cards. The resident reported not having left the facility or having unsupervised visitors during the relevant period. The family member who visited last confirmed the lockbox was intact during their visit. The incident was reported to the facility administration and local law enforcement, and an internal investigation was initiated. Interviews with staff, including the Housekeeping Supervisor, Business Office Manager, Maintenance Supervisor, and others, confirmed that staff were aware of the resident's practice of keeping money in the lockbox and that it was not appropriate for staff to take resident belongings. The facility's policy prohibits misappropriation of resident property, and staff are expected to report missing or stolen items. Despite these policies, the lockbox was forcibly opened, and the resident's money was stolen, indicating a failure to protect the resident from the wrongful use of their belongings.
Failure to Protect Residents' Belongings
Penalty
Summary
The deficiency involves the failure to protect each resident from the wrongful use of their belongings or money. This was identified during an event with the ID XMKY12, which concluded on 11/21/24. The report references two specific cases, MO00245443 and MO00244807, indicating that surveyors found instances where residents' personal belongings or financial resources were misused or mishandled. The details of these cases suggest a breach in the facility's responsibility to safeguard residents' property, leading to the noted deficiency.
Misappropriation of Resident's Belongings
Penalty
Summary
The facility failed to protect a resident from the misappropriation of personal property, including a purse, wallet, debit cards, ID cards, and money. The resident, who had moderate cognitive impairment and required assistance for transfers and mobility, discovered the items missing after lunch when attempting to make a payment to the facility. The resident's purse, described as a black clutch with two zippers, contained $140 in cash, debit cards, a checkbook, and other personal items. Despite efforts by staff to locate the purse, it was not found. The facility's policy prohibits the misappropriation of resident property, yet the resident's belongings were not adequately safeguarded. The resident reported the missing items to the housekeeping supervisor, who assisted in searching the room. The administrator and other staff members were notified, and a grievance was filed. The police were also contacted, and an investigation was initiated. However, there were no security cameras in the facility, and no leads or suspects were identified. Interviews with staff revealed that an inventory sheet was not completed for the resident upon admission, and staff were aware that the resident kept the purse in the room. The facility's policy requires that residents be encouraged to lock up valuable items or have them taken home, but this was not enforced. The deficiency highlights a failure in the facility's procedures to protect residents' personal property, leading to the loss of the resident's belongings.
Failure to Administer Medications Upon Resident's Readmission
Penalty
Summary
The facility failed to provide care per standards of practice when staff did not update orders and continue medications for a resident upon their return from the hospital. The resident, who had been hospitalized for several days, returned to the facility without any discharge paperwork or medication orders. As a result, the resident did not receive any medication for one day, despite having a complex medical history that included Parkinson's disease, dyskinesia, metabolic encephalopathy, malnutrition, and dementia. Upon the resident's return, the admitting LPN did not receive a report from the hospital and did not attempt to contact the hospital or the physician to obtain the necessary orders. The LPN was unaware of the facility's policy for admitting residents without orders and did not take steps to ensure the resident received their medications. The resident's medication administration record showed no documentation of medication administration for the days following their readmission. Interviews with facility staff revealed a lack of communication and understanding of responsibilities regarding the admission process. The admitting nurse did not enter medication orders or contact the necessary parties to obtain them. Other staff members, including another LPN and a CMT, were also unaware of the missing orders and did not take action to rectify the situation. The DON and Administrator confirmed that the admitting nurse was responsible for ensuring medication orders were in place and that it was inappropriate for a resident to go without medication for a day.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 90 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Joplin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Joplin Gardens | 1 mi | ★★★★★ | 6 | 0 |
| Communities Of Wildwood Ranch | 2.6 mi | ★★★★★ | 0 | 0 |
| Westgate | 2.6 mi | ★★★★★ | 1 | 0 |
| Nhc Healthcare, Joplin | 3.1 mi | ★★★★★ | 0 | 0 |
| Galena Nursing & Rehab Center | 4.9 mi | ★★★★★ | 3 | 1 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Aspire Senior Living Joplin.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.