Joplin Gardens
Nursing Home, Hospice Care & Skilled Nursing · Joplin, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Joplin Gardens

Nursing Home, Hospice Care & Skilled Nursing · Joplin, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Joplin Gardens accepts Medicare, Medicaid, and private pay.

Overview of Joplin Gardens

Conveniently set in the neighborhood of Joplin, MO, Joplin Gardens is a compassionate senior living community, offering excellent long-term care services. The community provides round the clock doctors and care teams on-site to make sure residents have access to the services they need to thrive and maintain their health. Snug and spacious accommodations are also offered to make sure residents have a comfortable living space for resting and relaxation.

With access to physical therapy, occupational therapy and speech therapy, residents are bound to maintain their optimal functionality to enjoy their independence. Housekeeping and laundry services are also offered to make sure residents have less chores to worry about and more time for the things they enjoy. At Joplin Gardens, residents are empowered to enjoy a fulfilling living experience.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 59.7% Below MO avg. ▼ 59.7% Below MO avg.MO average: 2.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▼ 27.9% Below MO avg. ▼ 27.9% Below MO avg.MO average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 54.3% Below MO avg. ▼ 54.3% Below MO avg.MO average: 2.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▼ 62.4% Below MO avg. ▼ 62.4% Below MO avg.MO average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Missouri averages

Rank #180 / 268Nurse hours — State benchmarkedThis home is ranked 180th out of 268 homes we track in Missouri for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 268 Missouri facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 180th out of 268 homes we track in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

3h 19m

11% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
14m
−51% State avg: 28m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
1h 11m
+74% State avg: 41m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
1h 54m
−18% State avg: 2h 20m per day · National avg: 2h 21m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 5m
Avg State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
1m
−41% State avg: 2m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
9m
−56% State avg: 20m per day · National avg: 29m per day

4 of 6 metrics below state avg

By The Numbers

Community insights.

Bed count Info A larger shared setting that may offer more common spaces and organized community services. 92 Rank #215 / 450Bed count — State benchmarkedThis home is ranked 215th out of 450 homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Walk Score Info Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation. Rank #261 / 545Walk Score — State benchmarkedThis home is ranked 261st out of 545 homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
48 / 100
Occupancy rate Info Occupancy between 85% and 95% suggests balanced demand. Rank #65 / 407Occupancy rate — State benchmarkedThis home is ranked 65th out of 407 homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 407. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
86% This home usually has limited availability
Higher than the Missouri average: 66.6%
Occupied beds
79 / 92
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
81 days

About this community

License Details

Facility TypeSkilled Nursing Facility
CountyJasper
CMS Certification Number265853

Ownership & Operating Entity

Joplin Gardens is legally operated by N & R Of Joplin, LLC, and administered by Angela Schmitt.

Corporate EntityN & R OF JOPLIN, LLC

Contact Joplin Gardens

Inspection History

In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.

Since 2018 · 8 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 74 deficiencies 22 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average
Overall vs. MO average 1 Worse Metrics worse than Missouri average:
• Total deficiencies (12% above)
1 Better Metrics better than Missouri average:
• Deficiencies per inspection (34% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 7466 This facility has 12% more total deficiencies than a typical Missouri nursing home (74 vs. MO avg 66).↑ 12% worse
Deficiencies per inspection Info Average deficiencies per inspection. 3.45.12 This facility has 34% fewer deficiencies per inspection than a typical Missouri nursing home (3.4 vs. MO avg 5.12).↓ 34% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all inspections conducted at this facility. 2212 This facility has had 83% more total inspections than the Missouri average (22 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 83% more

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2019 · 7 years of data
Total health inspections 6

Missouri average 6.6


Last Health inspection on Jan 2025

Total health citations
21 Rank #76 / 274Health citations — State benchmarkedThis home is ranked 76th out of 274 homes we track in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 274 MO facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Missouri average 36.5

Citations per inspection
3.5 Rank #54 / 274Citations per inspection — State benchmarkedThis home is ranked 54th out of 274 homes we track in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 274 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Missouri average 5.67


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

17 of 21 citations resulted from standard inspections; and 4 of 21 resulted from complaint investigations.

Breakdown of citation severity (last 7 years)
Critical health citations
0
100% better than Missouri average

Missouri average: 0.7


Serious health citations
0
100% better than Missouri average

Missouri average: 1

0 critical citations Missouri average: 0.7

0 serious citations Missouri average: 1

21 moderate citations Missouri average: 33.6

0 minor citations Missouri average: 1.2
Citations history (last 7 years)
Quality of Care moderate citation Jan 23, 2025
Corrected

Quality of Care moderate citation Jan 23, 2025
Corrected

Infection Control moderate citation Aug 23, 2024
Corrected

Nutrition moderate citation Aug 23, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 88
Employees 77
Contractors 11
Staff to resident ratio 1.35 : 1
20% fewer staff per resident than Missouri average
Missouri average ratio: 1.69 : 1 Missouri average ratio: 1.69 : 1See full Missouri ranking
Avg staff/day 31
Average shift 8.8 hours
9% better than Missouri average
Missouri average: 8.1 hours Missouri average shift: 8.1 hoursSee full Missouri ranking
Total staff hours (quarter) 25,093

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 2 RN Staff are full-time employees. No contractors work on this role. 2
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 21 LPN Staff are full-time employees. No contractors work on this role. 21
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 26 CNA Staff are full-time employees. No contractors work on this role. 26
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

3.9%

987 contractor hours this quarter

Physical Therapy Assistant: 4 Physical Therapy Aide: 2 Qualified Social Worker: 1 Respiratory Therapy Technician: 1 Occupational Therapy Aide: 1 Clinical Nurse Specialist: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Licensed Practical Nurse210217,42692100%9.6
Certified Nursing Assistant260266,39292100%8.9
Medication Aide/Technician110114,60392100%10
Nurse Aide in Training9092,1218289%8.8
Dental Services Staff2021,0096874%7.8
Clinical Nurse Specialist2135385459%7.7
Administrator1015176571%8
Nurse Practitioner1014656065%7.7
Dietitian1014406267%7.1
Physical Therapy Aide0224206166%6.7
RN Director of Nursing1013875560%7
Registered Nurse2022292729%8.1
Respiratory Therapy Technician0112196368%3.5
Qualified Social Worker0111405560%2.6
Physical Therapy Assistant0441122123%5.3
Occupational Therapy Aide0115078%7.1
Occupational Therapy Assistant0112667%4.3
21 Licensed Practical Nurse
% of Days 100%
26 Certified Nursing Assistant
% of Days 100%
11 Medication Aide/Technician
% of Days 100%
9 Nurse Aide in Training
% of Days 89%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 13.1
20% worse than Missouri average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 20.4
In line with Missouri average

Missouri average: 19.5

Long-stay resident measures
Significantly below average Missouri avg: 2.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 26.7%
35% worse than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 19.9%
In line with Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 14.5%
20% better than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 10.5%
159% worse than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.4%
13% better than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 6.2%
127% worse than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.2%
25% better than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.5%
88% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 12.0%
45% better than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.3%
15% better than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.4%
8% better than Missouri average

Missouri average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.86
11% better than Missouri average

Missouri average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 3.77
60% worse than Missouri average

Missouri average: 2.35

Short-stay resident measures
Below average Missouri avg: 2.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.3%
30% better than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.5%
31% better than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 76.1%
20% better than Missouri average

Missouri average: 63.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 32.0%
26% worse than Missouri average

Missouri average: 25.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 21.0%
57% worse than Missouri average

Missouri average: 13.4%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 3.2%
310% worse than Missouri average

Missouri average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 46.6%
13% worse than Missouri average

Missouri average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 55.7%
10% better than Missouri average

Missouri average: 50.6%

Breakdown by payment type

Medicare

33% of new residents, usually for short-term rehab.

Typical stay 20 days

Private pay

33% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

34% of new residents, often for long-term daily care.

Typical stay 5 - 6 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 65
Medicare
9
13.8% of residents
Medicaid
35
53.8% of residents
Private pay or other
21
32.3% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.1M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.1M
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.1M Rank #149 / 251Net patient revenue — State benchmarkedThis home is ranked 149th out of 251 homes we track in Missouri. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.1M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$307.0K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #130 / 251Payroll costs — State benchmarkedThis home is ranked 130th out of 251 homes we track in Missouri. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$3.2M 62% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #58 / 251Payroll % of net patient revenue — State benchmarkedThis home is ranked 58th out of 251 homes we track in Missouri. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.2M

What does this home offer?

Pets allowed icon
Pets allowed icon

No pets allowed

Building type icon
Building type icon

Building Type: Single-story

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicaid (34% of admissions), and a typical Medicaid stay runs around 5 - 6 months.

Admissions
234 total

Coverage residents most often arrive under.

Medicare 33%
Private pay 33%
Medicaid 34%
Discharges
282 total

Coverage residents most often leave under.

Medicare 21%
Private pay 48%
Medicaid 31%

Places of interest near Joplin Gardens

Address 2.3 miles from city center Info Estimated distance in miles from Joplin's city center to Joplin Gardens's address, calculated via Google Maps.

Calculate Travel Distance to Joplin Gardens

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Address

Compare Nursing Homes around Joplin

Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Westgate
NH
MC
SNF
Joplin
120
Facility 120
MO AVG 96
Rank #87 / 450
90.8%
Facility 90.8%
MO AVG 66.5%
Rank #30 / 407
+36%
3.65
Facility 3.65
MO AVG 3.74
Rank #129 / 268
+5%-2%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
20
Facility 20
MO AVG 36.5
Rank #70 / 274
3.3
Facility 3.3
MO AVG 5.7
Rank #32 / 274
1109-
77
Facility 77
MO AVG 46
Rank #53 / 545
Misty Caldwell
$9.0MFiscal year ending 12/2023
Facility $9.0MFiscal year ending 12/2023
MO AVG $7.4M
Rank #57 / 251
$4.0MFiscal year ending 12/2023
Facility $4.0MFiscal year ending 12/2023
MO AVG $3.9M
Rank #85 / 251
43.9%Fiscal year ending 12/2023
Facility 43.9%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #214 / 251
265877
Communities of Wildwood Ranch
NH
SNF
Joplin
120
Facility 120
MO AVG 96
Rank #87 / 450
85.8%
Facility 85.8%
MO AVG 66.5%
Rank #68 / 407
+29%
4.21
Facility 4.21
MO AVG 3.74
Rank #65 / 268
-25%+13%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
13
Facility 13
MO AVG 36.5
Rank #31 / 274
2.2
Facility 2.2
MO AVG 5.7
Rank #7 / 274
1103-
77
Facility 77
MO AVG 46
Rank #53 / 545
John Cascone
$11.2MFiscal year ending 12/2023
Facility $11.2MFiscal year ending 12/2023
MO AVG $7.4M
Rank #41 / 251
$5.6MFiscal year ending 12/2023
Facility $5.6MFiscal year ending 12/2023
MO AVG $3.9M
Rank #38 / 251
50.6%Fiscal year ending 12/2023
Facility 50.6%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #156 / 251
265848
Joplin Gardens
NH
HOS
SNF
Joplin
92
Facility 92
MO AVG 96
Rank #215 / 450
85.9%
Facility 85.9%
MO AVG 66.5%
Rank #65 / 407
+29%
3.32
Facility 3.32
MO AVG 3.74
Rank #180 / 268
-70%-11%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
21
Facility 21
MO AVG 36.5
Rank #76 / 274
3.5
Facility 3.5
MO AVG 5.7
Rank #54 / 274
-79-
48
Facility 48
MO AVG 46
Rank #261 / 545
N & R Of Joplin, LLC
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
MO AVG $7.4M
Rank #149 / 251
$3.2MFiscal year ending 12/2023
Facility $3.2MFiscal year ending 12/2023
MO AVG $3.9M
Rank #130 / 251
62%Fiscal year ending 12/2023
Facility 62%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #58 / 251
265853

Financial Assistance for
Nursing Home in Missouri

Joplin Gardens is located in Joplin, Missouri.
Here are the financial assistance programs available to residents in Missouri.

Get Financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled
General Missouri resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MO

Rural access prioritized.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home health services

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+
General Missouri resident, in approved facility.
Income Limits ~$1,215/month individual
Asset Limits $2,000 individual
MO

Supplements SSI; facility-based only.

Benefits
Monthly cash payment (~$156-$292/month) for care costs

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+
General Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
Income Limits (2025) ~$2,901/month (300% FBR, individual); QIT required.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Caregiver must be family; small program size.

Benefits
Cash stipend ($1,000-$1,500/month) to family caregiver Respite Training Supplies ($500/year)

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled
General Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
Income Limits (2025) ~$1,690/month (individual, projected); spenddown allowed.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Less intensive than waivers; statewide access.

Benefits
Personal care (2-4 hours/day) Homemaker services Limited respite Medical equipment

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled
General Missouri resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MO

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Age
General Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based.
MO

Administered via AAAs and Alzheimer’s Association; rural focus.

Benefits
Respite (4-6 hours/week) Training Assistive tech ($500/year) Supplies

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Missouri resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MO

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about Joplin Gardens

Who is the owner of Joplin Gardens?

Joplin Gardens is legally operated by N & R Of Joplin, LLC, and administered by Angela Schmitt.

Is Joplin Gardens in a walkable area?

Joplin Gardens has a walk score of 48. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Joplin Gardens?

Joplin Gardens's occupancy is 86%.

Are pets allowed at Joplin Gardens?

No, Joplin Gardens has a no-pet policy.

Does Joplin Gardens operate as a for-profit or non-profit?

Joplin Gardens is registered as a for-profit in MO.

Who is the administrator of Joplin Gardens?

Angela Schmitt is the administrator of Joplin Gardens.

How many beds does Joplin Gardens have?

Joplin Gardens has 92 beds.

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