Total health inspections
7
Missouri average 6.6
Last Health inspection on Jul 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Ascend at Aurora
Nursing Home · Missouri, MO
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Ascend at Aurora
Nursing Home · Missouri, MO
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Ascend at Aurora accepts Medicaid, Medicare, and private pay.
Ascend at Aurora is a skilled nursing and rehab community focused on quality care, compassion, and meaningful daily life. It offers skilled nursing, rehabilitation, memory care in Autumn Court, and residential care in a supportive, accessible setting. Residents enjoy comfortable rooms, bright common areas, and access to therapy and activity spaces.
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 hours breakdown
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.
Total nursing care / resident
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.
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 6m per day
vs Missouri avg
-19%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 27m per day | ▼ 4% State avg: 28m per day · National avg: 41m per day |
|
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.
| 27m per day | ▼ 34% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 2h 9m per day | ▼ 7% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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.
| 2h 43m per day | ▼ 11% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
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 per day | ▼ 50% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 16m per day | ▼ 20% State avg: 20m per day · National avg: 28m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
50.2%
Avg. Length of Stay
109 days
Occupancy rate
50.2%
Avg. Length of Stay
109 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Breakdown by payment type
Medicare
9% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
44% of new residents, often for short stays.
Typical stay
2 months
Medicaid
47% of new residents, often for long-term daily care.
Typical stay
6 - 7 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$5.7M
Profit
$1.1M
Privately-owned community
Operated by a business corporation.
Home revenue
$5.7M
Profit
$1.1M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.6M
125-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score: 50 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Facility TypeSnf
CountyLawrence
Certification TypeMedicare/Medicaid
Ascend at Aurora is administrated by Melanie Towers.
Owner NameNbh3 Sfopco LLC
Accept Medicaid
Accept Medicare
Rehabilitation Services
Respite Care
Short-Term Rehab
Doctor on Staff
24-Hour Staffing
Private
Semi-Private & Couples Rooms
Housekeeping & Laundry Services
Restaurant-Style Dining
ActivitiesResidents can take part in crafts, exercise, music, spiritual services, and social events.
Specific ProgramsSubacute Care
Food DescriptionResidents enjoy restaurant-style meals with menus that fit their dietary needs and preferences.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
46
Missouri average 36.5
Citations per inspection
6.57
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
40 of 46 citations resulted from standard inspections; 4 of 46 resulted from complaint investigations; and 2 of 46 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 7 years)
Critical Health citations
2
186% worse than Missouri averageMissouri average: 0.7
Serious Health citations
0
100% better than Missouri averageMissouri average: 1
Citations history (last 7 years)
Resident Rights moderate citation
Jul 18, 2025
Corrected
Infection Control moderate citation
Oct 22, 2024
Corrected
Abuse/Neglect critical citation
Apr 12, 2024
Corrected
Abuse/Neglect moderate citation
Apr 12, 2024
Corrected
Financial Assistance for
Nursing Home in Missouri
Ascend at Aurora is located in AURORA, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Places of interest near Ascend at Aurora
0.0 miles from city center
Estimated distance in miles from Aurora's city center to Ascend at Aurora's address, calculated via Google Maps.
Calculate Travel Distance to Ascend at Aurora
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Staffing Data
Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
Total staff
77
Employees
76
Contractors
1
Staff to resident ratio
1.28:1
25% worse than Missouri average
Avg staff/day
27
Average shift
8.7 hours
7% better than Missouri average
Total staff hours (quarter)
21,466
Nursing staff breakdown
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Registered Nurse
Manages medical care and health needs.
Total count
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
39
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Contractor staffing
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
0.1%
29 contractor hours this quarter
Occupational Therapy Aide: 1
Staff by category
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 39 | 0 | 39 | 9,249 | 91 | 100% | 9.4 |
| Physical Therapist | 10 | 0 | 10 | 3,271 | 91 | 100% | 8.8 |
| Licensed Practical Nurse | 5 | 0 | 5 | 2,490 | 90 | 99% | 10 |
| Registered Nurse | 4 | 0 | 4 | 1,741 | 90 | 99% | 10.7 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,257 | 90 | 99% | 9.4 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dietitian | 1 | 0 | 1 | 504 | 62 | 68% | 8.1 |
| Other Dietary Services Staff | 1 | 0 | 1 | 495 | 64 | 70% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 493 | 58 | 64% | 8.5 |
| Medical Director | 1 | 0 | 1 | 487 | 64 | 70% | 7.6 |
| Physical Therapy Aide | 1 | 0 | 1 | 406 | 61 | 67% | 6.7 |
| Speech Language Pathologist | 1 | 0 | 1 | 286 | 55 | 60% | 5.2 |
| Physical Therapy Assistant | 1 | 0 | 1 | 98 | 45 | 49% | 2.2 |
| Nurse Practitioner | 1 | 0 | 1 | 80 | 10 | 11% | 8 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 41 | 15 | 16% | 2.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 29 | 7 | 8% | 4.1 |
| Qualified Social Worker | 1 | 0 | 1 | 21 | 17 | 19% | 1.2 |
39 Certified Nursing Assistant
% of Days
100%
10 Physical Therapist
% of Days
100%
5 Licensed Practical Nurse
% of Days
99%
4 Registered Nurse
% of Days
99%
4 Medication Aide/Technician
% of Days
99%
1 Administrator
% of Days
71%
1 Dietitian
% of Days
68%
1 Other Dietary Services Staff
% of Days
70%
1 Mental Health Service Worker
% of Days
64%
1 Medical Director
% of Days
70%
1 Physical Therapy Aide
% of Days
67%
1 Speech Language Pathologist
% of Days
60%
1 Physical Therapy Assistant
% of Days
49%
1 Nurse Practitioner
% of Days
11%
4 Respiratory Therapy Technician
% of Days
16%
1 Occupational Therapy Aide
% of Days
8%
1 Qualified Social Worker
% of Days
19%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
60
Medicare
4
6.7% of residents
Medicaid
39
65% of residents
Private pay or other
17
28.3% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.8
45% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.0
34% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
28.1%
Percent of long-stay residents whose need for help with daily activities has increased
28.1%
42% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
32.9%
Percent of long-stay residents whose ability to move independently worsened
32.9%
59% worse than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.1%
6% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
62% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.2%
Percent of long-stay high risk residents with pressure ulcers
8.2%
63% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.8%
Percent of long-stay residents with a urinary tract infection
4.8%
75% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.5%
Percent of long-stay residents who lose too much weight
8.5%
53% worse than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
5.7%
Percent of long-stay residents who have depressive symptoms
5.7%
56% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.2%
Percent of long-stay residents who received an antipsychotic medication
19.2%
13% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
17% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.1%
8% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
49% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
28% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
58% better than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 Jan 2026)
Total fines amount
$57K
22% lower than Missouri averageMissouri average: $73K
Number of fines
2
18% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$57K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Apr 12, 2024 · $47K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 12, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 12, 2024
$47K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Ascend at Aurora based on CMS SNF Cost Reports.
Occupancy Rate
50.2%
↑ 4.5pp vs 2022
Net Income
$1.1M
↑ ~$1.4M vs 2022
Total Payroll
$3.3M
↑ ~$227.3K vs 2022
Profit Margin
18.9%
↑ 25.8pp vs 2022
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Frequently Asked Questions about Ascend at Aurora
Who is the owner of Ascend at Aurora?
The legal owner and operator of Ascend at Aurora is Nbh3 Sfopco Llc.
Is Ascend at Aurora in a walkable area?
Ascend at Aurora has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Who is the administrator of Ascend at Aurora?
Melanie Towers is the administrator of Ascend at Aurora.
How many beds does Ascend at Aurora have?
Ascend at Aurora has 125 beds.
Are there photos of Ascend at Aurora?
Yes — there are 5 photos of Ascend at Aurora in the photo gallery on this page.
What is the address of Ascend at Aurora?
Ascend at Aurora is located at 1700 SOUTH HUDSON AVE.
What is the phone number of Ascend at Aurora?
(417) 678-2165 will put you in contact with the team at Ascend at Aurora.
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