Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
144
123 employees · 21 contractors · 48 on an average day Westgate
Nursing Home, Memory Care & Skilled Nursing · Joplin, MO
ALM Inspection Grade
C-
ALM's inspection grade is 70 / 100, a C- — 13 points below the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 70 / 100, a C- — 13 points below the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
2/5
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.
2/5
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.
Westgate
Nursing Home, Memory Care & Skilled Nursing · Joplin, MO
ALM Inspection Grade
C-
ALM's inspection grade is 70 / 100, a C- — 13 points below the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 70 / 100, a C- — 13 points below the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
2/5
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.
2/5
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.
Westgate accepts Medicaid, Medicare, and private pay.
Westgate is a nursing home offering skilled nursing and memory care in Joplin, MO. Skilled nursing provides licensed nursing care on site around the clock, while memory care provides a secured setting with supervision for someone living with dementia who may be at risk of wandering. The combination may be a good fit for a resident whose needs grow over time and who may be able to move between care levels without leaving the community.
Westgate has 120 beds and offers private and semi-private rooms, allowing a resident to live alone or share a room. Rehabilitation services are available as part of residents’ care, and dining rooms provide places for meals and family gatherings. Total nurse staffing is 3h 19m per resident per day, representing the daily hands-on nursing time allocated to each resident.
A Walk Score of 77 places the area in the very walkable band, meaning most errands can be done on foot, so a resident who no longer drives can still get out independently. Medicaid, Medicare and private pay are accepted. Misty Caldwell, RN, serves as administrator, and Westgate is operated by Joplin No 10.
Quality ratings
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.
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.
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.
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 181st out of 275 nursing 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
This nursing home is ranked 181st out of 275 nursing 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 19mStandout metric: LPN / LVN is +6% above Missouri average
5 of 6 metrics below Missouri average
Daily care time per resident, by role
Registered nurse (RN)
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. All 16 are the facility's own employees; no agency contractors work in this role.
16 staff · 8.4-hour shifts
27m
↓ 4% · MO 28mThis facility: 27m per resident per day, 4% below the Missouri average of 28m (among Missouri facilities reporting a recent figure).
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. All 16 are the facility's own employees; no agency contractors work in this role.
16 staff · 8.4-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
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. All 20 are the facility's own employees; no agency contractors work in this role.
20 staff · 9.4-hour shifts
43m
↑ 6% · MO 41mThis facility: 43m per resident per day, 6% above the Missouri average of 41m (among Missouri facilities reporting a recent figure).
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. All 20 are the facility's own employees; no agency contractors work in this role.
20 staff · 9.4-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 57 are the facility's own employees; no agency contractors work in this role.
57 staff · 9.4-hour shifts
2h 8m
↓ 8% · MO 2h 19mThis facility: 2h 8m per resident per day, 8% below the Missouri average of 2h 19m (among Missouri facilities reporting a recent figure).
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. All 57 are the facility's own employees; no agency contractors work in this role.
57 staff · 9.4-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
Physical therapist
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
↓ 52% · MO 2mThis facility: 1m per resident per day, 52% below the Missouri average of 2m (among Missouri facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
2h 50m
↓ 7% · MO 3h 3mThis facility: 2h 50m per resident per day, 7% below the Missouri average of 3h 3m (among Missouri facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
17m
↓ 15% · MO 20mThis facility: 17m per resident per day, 15% below the Missouri average of 20m (among Missouri facilities reporting a recent figure).
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.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
144
123 employees · 21 contractors · 48 on an average day
144 total staff / 108 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.33 : 1
↓ 15% · MO 1.57This facility: 1.33 staff per resident, 15% below the Missouri average of 1.57 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
144 staff ÷ 108 residents
See full Missouri ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.6 h
↑ 6% · MO 8.1 hThis facility: 8.6 h, 6% above the Missouri average of 8.1 h (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
37,663 staff hours this quarter
See full Missouri ranking →93.1% of staff hours were worked by the facility's own employees
Missouri average: 92.6% · Contractors this quarter: Speech Language Pathologist (6), Physical Therapy Aide (4), Qualified Social Worker (3), Physical Therapy Assistant (3), Respiratory Therapy Technician (2), Medical Director (1), Occupational Therapy Aide (1), Occupational Therapy Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
120
Rank #76 / 287Bed count — State benchmarked This nursing home is ranked 76th out of 287 nursing 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 compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
120
Rank #76 / 287Bed count — State benchmarked This nursing home is ranked 76th out of 287 nursing 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 compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Years of operating
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #84 / 172Years in operation — State benchmarked This nursing home is ranked 84th out of 172 nursing homes we track in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #84 / 172Years in operation — State benchmarked This nursing home is ranked 84th out of 172 nursing homes we track in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
1
year
Walk Score
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #34 / 294Walk Score — State benchmarked This nursing home is ranked 34th out of 294 nursing 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 compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #34 / 294Walk Score — State benchmarked This nursing home is ranked 34th out of 294 nursing 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 compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
77
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #50 / 265Occupancy rate — State benchmarked This nursing home is ranked 50th out of 265 nursing homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 265. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #50 / 265Occupancy rate — State benchmarked This nursing home is ranked 50th out of 265 nursing homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 265. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
85.5%
This home usually has limited availability
Based on 102.6 residents and 120 beds. Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Higher than the Missouri average: 69.5%
Avg. Length of Stay
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.
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.
121
days
About This Community
Facility TypeSkilled Nursing Facility
StatusActive
IssuanceJuly 16, 2025
ExpirationJuly 15, 2027
CountyJasper
License Number052854
CMS Certification Number265877
Certification TypeMedicare / Medicaid
Westgate is legally operated by Joplin No 10, LLC, and administered by Misty Caldwell.
Corporate EntityJOPLIN NO.10, LLC
Owner NameJoplin No.10, LLC
Skilled Nursing Facility
120 units
Total beds
120 units
Resident Council
CNA Training Program
Accept Medicaid
Accept Medicare
Dedicated Alzheimer's Unit
Pets not allowed
Room Types
Private Room
Semi-Private / Shared Room
CMS Health Inspection History
ALM Inspection Grade
70 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
13 points below the Missouri average for CMS-certified facilities (83/100)
Category breakdown
Citations
Typical
88 severity-weighted points (23 deficiencies) · 1% lower than the typical CMS-certified MO facility (median: 88)
Enforcement
Concern
$70,134 in fines · 1 enforcement action
Persistence
Typical
42 days to fix issues · about the same as the typical CMS-certified MO facility (median: 42)
Total health inspections
7
↑ 6% · MO 6.6This facility: 7, 6% above the Missouri average of 6.6 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
21
Rank #88 / 277Health citations — State benchmarked This nursing home is ranked 88th out of 277 nursing 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 277 MO facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 42% · MO 36.1This facility: 21, 42% below the Missouri average of 36.1 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
3
Rank #19 / 277Citations per inspection — State benchmarked This nursing home is ranked 19th out of 277 nursing homes we track in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 277 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 47% · MO 5.61This facility: 3, 47% below the Missouri average of 5.61 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
21 of 21 citations corrected
Critical
J–L
1
↑ 67% · MO 0.6This facility: 1, 67% above the Missouri average of 0.6 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · MO 1.1This facility: 0, 100% below the Missouri average of 1.1 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
20
↓ 40% · MO 33.3This facility: 20, 40% below the Missouri average of 33.3 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · MO 1.1This facility: 0, 100% below the Missouri average of 1.1 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Jun 04, 2026 · 2 citations, all corrected
Most cited category: Quality of Life & Care, 6 of 21 citations · 8 categories in total
Citations history
Most recent first
Jun 04, 2026
2 citations
Quality of Care critical citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Jan 14, 2026
1 citation
Abuse/Neglect moderate citation
Corrected
Corrected
Jul 01, 2025
1 citation
Resident Rights moderate citation
Corrected
Corrected
Dec 31, 2024
1 citation
Pharmacy moderate citation
Corrected
Corrected
Jun 07, 2024
3 citations
Resident Rights moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Mar 15, 2024
1 citation
Resident Rights moderate citation
Corrected
Corrected
Jul 21, 2022
12 citations
Resident Rights moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Top deficiency categories
Share of 21 citations
Quality of Life & Care
6 deficiencies (29%)
Resident Rights
5 deficiencies (24%)
Resident Assessment & Care Planning
3 deficiencies (14%)
Abuse, Neglect & Exploitation
2 deficiencies (10%)
Pharmacy Services
2 deficiencies (10%)
Infection Control
1 deficiency (5%)
Nutrition & Dietary
1 deficiency (5%)
Environmental
1 deficiency (5%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 21 citations resulted from standard inspections; and 6 of 21 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
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 · Data as of Oct 2026
2 penalties in the past 3 years
Latest: Jun 4, 2026 · $100,284 civil money penalty
Jun 4, 2026 · $100,284 civil money penalty
Jun 4, 2026 · 4-day payment denial
Total fines
$100,284
↑ 20% · MO $84KThis facility: $100,284, 20% above the Missouri average of $83,906. Average among the 213 Missouri facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #235 / 278Federal fines — State benchmarked This nursing home is ranked 235th out of 278 nursing homes we track in Missouri for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 278 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 44% · MO 1.79This facility: 1, 44% below the Missouri average of 1.79. Average among the 213 Missouri facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
4 days
↑ 38% · MO 0.72This facility: 1, 38% above the Missouri average of 0.72. Average among the 213 Missouri facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Jun 4, 2026
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$100,284
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$100,284
Jun 4, 2026
Payment denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
4 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
4 daysFine amount comparison
This facility
$100,284
Missouri average
$83,906
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. Missouri and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Missouri average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
1
/ 5
Significantly below average
↓ 63% · MO 2.7This facility: 1.0, 63% below the MO average of 2.7 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
3
/ 5
Average
↑ 42% · MO 2.1This facility: 3.0, 42% above the MO average of 2.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
11.7
Score · lower is better
↑ 26% · MO 9.3This facility: 11.7, 26% above the MO average of 9.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
18.2
Score · lower is better
↑ 8% · MO 16.8This facility: 18.2, 8% above the MO average of 16.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 4 better, 7 worse, 2 near MO average
8 short-stay measures: 5 worse, 2 compared with US only, 1 without a benchmark
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
18.6%
↑ 7% · MO 17.4This facility: 18.6, 7% above the MO average of 17.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
18.6%
↑ 7% · MO 17.4This facility: 18.6, 7% above the MO average of 17.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
19.7%
↑ 25% · MO 15.8This facility: 19.7, 25% above the MO average of 15.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
19.7%
↑ 25% · MO 15.8This facility: 19.7, 25% above the MO average of 15.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.4%
↓ 4% · MO 17.0This facility: 16.4, 4% below the MO average of 17.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.4%
↓ 4% · MO 17.0This facility: 16.4, 4% below the MO average of 17.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
5.4%
↑ 147% · MO 2.2This facility: 5.4, 147% above the MO average of 2.2 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
5.4%
↑ 147% · MO 2.2This facility: 5.4, 147% above the MO average of 2.2 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
↑ 23% · MO 4.0This facility: 4.9, 23% above the MO average of 4.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
↑ 23% · MO 4.0This facility: 4.9, 23% above the MO average of 4.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
5.8%
↑ 29% · MO 4.5This facility: 5.8, 29% above the MO average of 4.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
5.8%
↑ 29% · MO 4.5This facility: 5.8, 29% above the MO average of 4.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
9.6%
↑ 88% · MO 5.1This facility: 9.6, 88% above the MO average of 5.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
9.6%
↑ 88% · MO 5.1This facility: 9.6, 88% above the MO average of 5.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
10.7%
↓ 46% · MO 20.0This facility: 10.7, 46% below the MO average of 20.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
10.7%
↓ 46% · MO 20.0This facility: 10.7, 46% below the MO average of 20.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
15.0%
↓ 36% · MO 23.5This facility: 15.0, 36% below the MO average of 23.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
15.0%
↓ 36% · MO 23.5This facility: 15.0, 36% below the MO average of 23.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.7%
↑ 3% · MO 84.0This facility: 86.7, 3% above the MO average of 84.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.7%
↑ 3% · MO 84.0This facility: 86.7, 3% above the MO average of 84.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.2%
↑ 7% · MO 90.8This facility: 97.2, 7% above the MO average of 90.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.2%
↑ 7% · MO 90.8This facility: 97.2, 7% above the MO average of 90.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.51
↓ 27% · MO 2.08This facility: 1.51, 27% below the MO average of 2.08 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.51
↓ 27% · MO 2.08This facility: 1.51, 27% below the MO average of 2.08 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.53
↑ 8% · MO 2.35This facility: 2.53, 8% above the MO average of 2.35 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.53
↑ 8% · MO 2.35This facility: 2.53, 8% above the MO average of 2.35 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
67.5%
↑ 26% · US 53.7This facility: 67.5, 26% above the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
67.5%
↑ 26% · US 53.7This facility: 67.5, 26% above the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
35.1%
↓ 31% · US 50.6This facility: 35.1, 31% below the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
35.1%
↓ 31% · US 50.6This facility: 35.1, 31% below the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
4.4%
Percentage of SNF residents who experience falls with major injury during their stay.
4.4%
Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
↑ 15% · MO 2.1This facility: 2.4, 15% above the MO average of 2.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
↑ 15% · MO 2.1This facility: 2.4, 15% above the MO average of 2.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
41.1%
↓ 38% · MO 65.8This facility: 41.1, 38% below the MO average of 65.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
41.1%
↓ 38% · MO 65.8This facility: 41.1, 38% below the MO average of 65.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
41.3%
↓ 33% · MO 61.5This facility: 41.3, 33% below the MO average of 61.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
41.3%
↓ 33% · MO 61.5This facility: 41.3, 33% below the MO average of 61.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.1%
↑ 7% · MO 25.3This facility: 27.1, 7% above the MO average of 25.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.1%
↑ 7% · MO 25.3This facility: 27.1, 7% above the MO average of 25.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
14.4%
↑ 7% · MO 13.4This facility: 14.4, 7% above the MO average of 13.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
14.4%
↑ 7% · MO 13.4This facility: 14.4, 7% above the MO average of 13.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Westgate’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 270 Missouri nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Profitable on care
11.8% operating margin
+0.1 pts vs prior year
Positive margin in 2 of the last 5 reported years. Net income $1.3M after other income.
Does it invest in staff?
Spends less on payroll than most Missouri homes
44.6% payroll share of revenue
MO average 55.0%Rank #225 / 270Payroll % of net patient revenue — State benchmarked This nursing home is ranked 225th out of 270 nursing homes we track in Missouri for payroll % of net patient revenue. 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 compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.5M while revenue rose $1.1M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Missouri homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2020 → 2024Trend | MO median | Compared with MO homesRank in MO | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $10.1M | +$1.1M | Trend 20202024 | MO median $6.2M | Rank in MO Rank #67 / 270Net patient revenue — State benchmarked This nursing home is ranked 67th out of 270 nursing homes we track in Missouri for net patient revenue. 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 compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 75% of homes | Above MO median Higher net patient revenue than 75% of MO homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $8.9M | +$0.9M | Trend 20202024 | MO median $6.5M | Rank in MO Rank #82 / 270Operating expenses — State benchmarked This nursing home is ranked 82nd out of 270 nursing homes we track in Missouri for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Missouri homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 70% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $1.2M | +$0.1M | Trend 20202024 | MO median −$0.1M | Rank in MO Rank #19 / 270Net patient income — State benchmarked This nursing home is ranked 19th out of 270 nursing homes we track in Missouri for net patient income. Shows net patient revenue minus operating expenses, compared with other Missouri homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 93% of homes | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 11.8% | +0.1 pts | Trend 20202024 | MO median −1.4% | Rank in MO Rank #19 / 270Operating margin — State benchmarked This nursing home is ranked 19th out of 270 nursing homes we track in Missouri for operating margin. Shows net patient income as a share of net patient revenue, compared with other Missouri homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 93% of homes | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | $0.1M | — | Trend — | MO median $0.0M | Rank in MO Rank #66 / 264Other income — State benchmarked This nursing home is ranked 66th out of 264 nursing homes we track in Missouri for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Missouri homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 75% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $1.3M | +$0.2M | Trend — | MO median $0.0M | Rank in MO Rank #17 / 270Net income — State benchmarked This nursing home is ranked 17th out of 270 nursing homes we track in Missouri for net income. Shows the bottom line after other income, compared with other Missouri homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 94% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Missouri homes
| Metric | FY 2024 | vs prior year | Trend 2020 → 2024Trend | MO median | Compared with MO homesRank in MO | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $4.5M | +$0.5M | Trend 20202024 | MO median $3.5M | Rank in MO Rank #86 / 270Payroll costs — State benchmarked This nursing home is ranked 86th out of 270 nursing homes we track in Missouri for payroll costs. 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 compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 68% of homes | Above MO median Higher payroll than 68% of MO homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 44.6% | +0.7 pts | Trend 20202024 | MO median 52.4% | Rank in MO Rank #225 / 270Payroll % of net patient revenue — State benchmarked This nursing home is ranked 225th out of 270 nursing homes we track in Missouri for payroll % of net patient revenue. 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 compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 17% of homes | 10.4 pts under MO average The MO average is 55.0% of revenue. Within 3 points of it reads as near the average. |
Charts, 2020–2024 2 charts · MO benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Missouri payroll average.
% of net patient revenue
Payroll share Operating margin MO payroll average
Year-by-year data, 2020–2024 every reported year · latest first, scroll sideways
| Metric | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|
| Net patient revenue | $4.8M | $5.3M | $6.3M | $9.0M | $10.1M |
| Operating expenses | $5.3M | $5.4M | $6.6M | $8.0M | $8.9M |
| Net patient income | −$0.6M | −$0.1M | −$0.4M | $1.1M | $1.2M |
| Operating margin | −11.9% | −1.2% | −6.0% | 11.7% | 11.8% |
| Net income | $0.9M | $0.1M | −$0.3M | $1.1M | $1.3M |
| Payroll costs | $2.6M | $2.4M | $3.2M | $4.0M | $4.5M |
| Payroll share of revenue | 54.4% | 45.2% | 51.7% | 43.9% | 44.6% |
| Beds | 120 | 120 | 120 | 120 | 120 |
| Gross revenue | $5.3M | $6.6M | $7.7M | $10.2M | $13.6M |
| Salaries | $2.3M | $2.1M | $2.9M | $3.6M | $4.1M |
| Wage-related costs | $0.3M | $0.3M | $0.3M | $0.4M | $0.4M |
| Contract labor | — | $0.6M | $0.5M | $0.5M | $0.6M |
| Other operating costs | $2.7M | $3.0M | $3.4M | $4.0M | $4.4M |
| Net patient revenue per day | $191 | $205 | $208 | $252 | $256 |
| Cost per day | $214 | $208 | $221 | $223 | $226 |
| Average length of stay | 185.0 days | 154.0 days | 176.8 days | 155.7 days | 120.9 days |
Showing 2024–2022 · scroll sideways for 2 earlier years
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
336 admissions · FY2024
Residents admitted during the year.
Medicare
53 · 16%
Medicaid
146 · 43%
Private pay & other
137 · 41%
Resident snapshot
108 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
11 · 10%
Medicaid
55 · 51%
Private pay & other
42 · 39%
Leaving
326 discharges · FY2024
Residents discharged during the year.
Medicare
40 · 12%
Medicaid
143 · 44%
Private pay & other
143 · 44%
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Places of interest near Westgate
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Estimated distance in miles from Joplin's city center to Westgate's address, calculated via Google Maps.
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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-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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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.
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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.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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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.
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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.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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: 55.0% 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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Communities of Wildwood Ranch | NH SNF | Joplin | 120
Facility
120
MO AVG
112
Rank
#76 / 287 | A- |
89.3%
Facility
89.3%
MO AVG
69.5%
Rank
#38 / 265 | +28% | 4.18
Facility
4.18
MO AVG
3.65
Rank
#68 / 275 | -21% | +15% | $0
Facility
$0
MO AVG
$89.7k
Rank
#1 / 278 | 12
Facility
12
MO AVG
36.1
Rank
#29 / 277 | 2.4
Facility
2.4
MO AVG
5.6
Rank
#12 / 277 | 1 | 107 | - |
77
Facility
77
MO AVG
50
Rank
#34 / 294 | Joplin #1, Inc | $12.9MFiscal year ending 12/2024
Facility
$12.9MFiscal year ending 12/2024
MO AVG
$8.1M
Rank
#36 / 270 | $6.2MFiscal year ending 12/2024
Facility
$6.2MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#42 / 270 | 47.9%Fiscal year ending 12/2024
Facility
47.9%Fiscal year ending 12/2024
MO AVG
55%
Rank
#180 / 270 | 265848 | ||||
| Westgate | NH MC SNF | Joplin | 120
Facility
120
MO AVG
112
Rank
#76 / 287 | C- |
85.5%
Facility
85.5%
MO AVG
69.5%
Rank
#50 / 265 | +23% | 3.31
Facility
3.31
MO AVG
3.65
Rank
#181 / 275 | +40% | -9% | $100.3k
Facility
$100.3k
MO AVG
$89.7k
Rank
#235 / 278 | 21
Facility
21
MO AVG
36.1
Rank
#88 / 277 | 3.0
Facility
3.0
MO AVG
5.6
Rank
#19 / 277 | 1 | 103 | - |
77
Facility
77
MO AVG
50
Rank
#34 / 294 | Joplin No.10, LLC | $10.1MFiscal year ending 12/2024
Facility
$10.1MFiscal year ending 12/2024
MO AVG
$8.1M
Rank
#67 / 270 | $4.5MFiscal year ending 12/2024
Facility
$4.5MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#86 / 270 | 44.6%Fiscal year ending 12/2024
Facility
44.6%Fiscal year ending 12/2024
MO AVG
55%
Rank
#225 / 270 | 265877 | ||||
| Joplin Gardens | NH HOS SNF | Joplin | 92
Facility
92
MO AVG
112
Rank
#180 / 287 | B- |
84.2%
Facility
84.2%
MO AVG
69.5%
Rank
#61 / 265 | +21% | 3.98
Facility
3.98
MO AVG
3.65
Rank
#93 / 275 | -36% | +9% | $0
Facility
$0
MO AVG
$89.7k
Rank
#1 / 278 | 25
Facility
25
MO AVG
36.1
Rank
#100 / 277 | 3.6
Facility
3.6
MO AVG
5.6
Rank
#39 / 277 | 1 | 78 | - |
48
Facility
48
MO AVG
50
Rank
#159 / 294 | N & R Of Joplin, LLC | $5.5MFiscal year ending 12/2024
Facility
$5.5MFiscal year ending 12/2024
MO AVG
$8.1M
Rank
#163 / 270 | $3.4MFiscal year ending 12/2024
Facility
$3.4MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#140 / 270 | 61%Fiscal year ending 12/2024
Facility
61%Fiscal year ending 12/2024
MO AVG
55%
Rank
#70 / 270 | 265853 | ||||
| Aspire Senior Living Joplin | NH HOS MC PC RC SNF | Joplin (Southwood Forest) | 120
Facility
120
MO AVG
112
Rank
#76 / 287 | C |
94.3%
Facility
94.3%
MO AVG
69.5%
Rank
#13 / 265 | +36% | 3.22
Facility
3.22
MO AVG
3.65
Rank
#191 / 275 | +14% | -12% | $0
Facility
$0
MO AVG
$89.7k
Rank
#1 / 278 | 55
Facility
55
MO AVG
36.1
Rank
#234 / 277 | 5.5
Facility
5.5
MO AVG
5.6
Rank
#162 / 277 | 1 | 113 | - |
32
Facility
32
MO AVG
50
Rank
#228 / 294 | Barbara Griffin | $11.9MFiscal year ending 12/2024
Facility
$11.9MFiscal year ending 12/2024
MO AVG
$8.1M
Rank
#46 / 270 | $5.5MFiscal year ending 12/2024
Facility
$5.5MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#55 / 270 | 46%Fiscal year ending 12/2024
Facility
46%Fiscal year ending 12/2024
MO AVG
55%
Rank
#205 / 270 | 265309 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other MO nursing home we track that reports that metric, not just the 4 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in Missouri
Westgate is located in JOPLIN, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Know before you visit
Frequently Asked Questions about Westgate
Quick answers from public records and the community's own listing.01 Who is the owner of Westgate?
Westgate is legally operated by Joplin No 10, LLC, and administered by Misty Caldwell.
02 Is Westgate in a walkable area?
Westgate has a walk score of 77. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
03 What is the license number of Westgate?
According to MO state health department records, Westgate's license number is 052854.
04 When does Westgate's license expire?
According to MO state health department records, Westgate's license expires on July 15, 2027.
05 What is the occupancy rate at Westgate?
Westgate's occupancy is 85.5%.
06 How long has Westgate been in business?
Westgate has been operating for approximately 1 year, based on available licensing and registration records.
07 Are pets allowed at Westgate?
No, Westgate has a no-pet policy.
Updated on
