Ascend at Aurora
1700 South Hudson Avenue · Aurora, MO · 65605 · 4176782165
125 certified beds For profit - Corporation
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.61 | 0.55–0.75 |
| Weekend hours / resident-day | 2.95 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 1 · $46,940 |
Inspection citations (49 in the current record)
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Potential for harm · D March 18, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D March 18, 2026 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected May 1, 2026 · Nutrition and Dietary
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Potential for harm · D December 9, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected November 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 9, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 18, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected August 31, 2025 · Resident Rights
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Potential for harm · E October 22, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 5, 2024 · Infection Control
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Immediate jeopardy · J April 12, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 25, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J April 12, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 25, 2024 · Pharmacy Service
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Potential for harm · E April 12, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected May 25, 2024 · Resident Rights
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Potential for harm · E April 12, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 25, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 12, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 25, 2024 · Resident Rights
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Potential for harm · D April 12, 2024
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.
Corrected May 25, 2024 · Resident Rights
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Potential for harm · E April 12, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 12, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 25, 2024 · Quality of Life and Care
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Potential for harm · E April 12, 2024
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected May 25, 2024 · Quality of Life and Care
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Potential for harm · F April 12, 2024
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.
Corrected May 25, 2024 · Nursing and Physician Services
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Potential for harm · D April 12, 2024
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected May 25, 2024 · Quality of Life and Care
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Potential for harm · D April 12, 2024
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.
Corrected May 25, 2024 · Pharmacy Service
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Potential for harm · E April 12, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected May 25, 2024 · Nutrition and Dietary
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Potential for harm · F April 12, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 25, 2024 · Nutrition and Dietary
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Potential for harm · F April 12, 2024
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.
Corrected May 25, 2024 · Administration
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Potential for harm · F April 12, 2024
Provide and implement an infection prevention and control program.
Corrected May 25, 2024 · Infection Control
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Potential for harm · F April 12, 2024
Implement a program that monitors antibiotic use.
Corrected May 25, 2024 · Infection Control
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Potential for harm · D August 22, 2023 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 5, 2023 · Quality of Life and Care
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Potential for harm · D May 11, 2022
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 25, 2022 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 12, 2024 | Fine | $46,940 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265182 · certified since January 21, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.