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.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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
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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.