Ascend at Aurora

Nursing Home, Memory Care, Respite Care & Skilled Nursing · Aurora, MO

CMS overall rating

1700 South Hudson Ave, Aurora, MO 65605-2717 View map

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Ascend at Aurora accepts Medicaid, Medicare, and private pay.

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Ascend at Aurora accepts Medicaid, Medicare, and private pay.

Overview of Ascend at Aurora

Ascend at Aurora is a 125-bed skilled nursing and rehabilitation facility at 1700 South Hudson Avenue in Aurora, Lawrence County, Missouri, administrated by Melanie Towers and privately owned. The facility provides skilled nursing, short-term rehabilitation, memory care in its Autumn Court unit, and subacute care serving Medicare, Medicaid, and private-pay residents. Current occupancy is 50.2% with an average length of stay of 109 days.

Total nursing care averages 3 hours 6 minutes/resident/day, 19% below Missouri’s 3 hours 48 minutes average. Registered nurse coverage of 27 minutes/day equals the state minimum. Licensed Practical Nurse hours are 34% below average at 27 minutes/day. Certified Nursing Aide time is 7% below benchmark.

Weekend nursing totals 2 hours 43 minutes per day, 11% below average. Staff-to-resident ratio of 1.28 to 1 indicates 25% fewer staff relative to residents compared to state norms. Physical therapist hours of 1 minute per resident per day are 50% below average.

Functional decline reaches 26.0 (34% worse than average). Walking ability decline affects 32.9% of residents (59% worse than average). Need for increased assistance with daily activities involves 28.1% of residents (42% worse than average). High-risk residents with pressure ulcers account for 8.2% (63% worse than average of 5.0%).

Urinary tract infection rates of 4.8% are 75% worse than Missouri’s average of 2.7%. Weight loss occurs in 8.5% of residents (53% worse than average). Long-stay hospitalization rates are 42% worse than benchmark. One notable strength: falls with major injury at 1.6% are 62% better than average.

Revenue totaled $5.7 million with net income of $1.1 million (profit margin of 18.9%), a significant turnaround from the prior-year deficit of $327,000. Payroll represents 58% of revenue.

Seven inspections since August 2019 identified 46 citations including two critical violations related to abuse or neglect (186% worse than Missouri average). Four complaint investigations between August 2023 and December 2025 documented the most serious findings. An August 2023 complaint investigation documented critical infection control failures during wound care for a resident with stage 3 and stage 4 pressure ulcers with bone infection.

April 2024 identified a critical citation for abuse or neglect. October 2024, July 2025, and December 2025 inspections documented continued deficiencies in resident rights, nursing services, and quality of care. Earlier inspections in May 2022 and August 2019 documented additional quality of care lapses. Citations per inspection average 6.57, exceeding Missouri’s average of 5.67.

Federal penalties totaled $57,000, including a $47,000 penalty issued in April 2024.

Ascend at Aurora offers skilled nursing, rehabilitation, memory care, and subacute care with on-site physical therapy, speech pathology, and occupational therapy. Restaurant-style dining with dietary customization is available. Residents participate in crafts, exercise, music, spiritual services, and social events.

The facility maintains an active resident council.

CMS ratings reflect the regulatory and clinical challenges: 1/5 overall, 1/5 for health inspection, 1/5 for staffing, and 1/5 for quality measures.

Families should review the facility’s corrective action documentation and seek detailed explanation of the April 2024 abuse or neglect finding before considering placement.

Facility Direct Line (417) 678-2165 admissions@ascendataurora.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 6m per day

vs avg

3 of 6 metrics below state avg

Standout metric Physical Therapist is +287% above state avg

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.	37m per day	▲ 30% 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.	25m per day	▼ 38% 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 36m per day	▲ 13% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing 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 57m per day	▼ 3% 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.	8m per day	▲ 287% State avg: 2m per day · National avg: 4m per day
Weekend RN 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.	17m per day	▼ 15% State avg: 20m per day · National avg: 28m per day

Capacity and availability

109 days

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

Occupancy

Occupancy rate

48%

Lower than the Missouri average: 66.6%

Occupied beds

60 / 125

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

IssuanceOctober 1, 2025

ExpirationMay 31, 2026 Expired

CountyLawrence

License Number053501

Certification TypeMedicare / Medicaid

Ascend at Aurora is legally operated by Nbh3 Sfopco LLC, and administered by Melanie Towers.

Corporate EntityNBH3 SFOPCO LLC

Owner NameNbh3 Sfopco LLC

Skilled Nursing Facility

125 units

Total beds

125 units

Accept Medicaid

Accept Medicare

Rehabilitation Services

Respite Care

Short-Term Rehab

Doctor on Staff

24-Hour Staffing

Dedicated Alzheimer's Unit

Private

Semi-Private & Couples Rooms

Housekeeping & Laundry Services

Restaurant-Style Dining

Since 2019 · 7 years of data 48 deficiencies 7 inspections

Inspection Scorecard 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 2019 vs. Missouri state average

Overall vs. MO average

Latest Inspection December 9, 2025 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	48	35	This facility has 37% more total deficiencies than a typical Missouri assisted living residence (48 vs. MO avg 35).↑ 37% worse
Deficiencies per year Average deficiencies per year since 2019.	6.9	5	This facility has 38% more deficiencies per year than a typical Missouri assisted living residence (6.9 vs. MO avg 5).↑ 38% worse
Deficiencies per inspection Average deficiencies per inspection.	6.9	5	This facility has 38% more deficiencies per inspection than a typical Missouri assisted living residence (6.9 vs. MO avg 5).↑ 38% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	7	7	This facility has total inspections in line with the Missouri average (7 vs. MO avg 7).— At avg

Show Inspection Reports

Inspections since 2019

Total health inspections 7

State average N/A

Last Health inspection on Jul 2025

Total health citations

State average N/A

Citations per inspection

6.57

State average N/A

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

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

2 critical citations State average: N/A

0 serious citations State average: N/A

44 moderate citations State average: N/A

0 minor citations State average: N/A

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

Total staff 146

Employees 81

Contractors 65

Staff to resident ratio 2.43 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 31

Average shift 8.6 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 24,494

Nursing staff breakdown

10.1 hours

8.9 hours

9.3 hours

Contractor staffing

3,803 contractor hours this quarter

Certified Nursing Assistant: 40 Licensed Practical Nurse: 14 Registered Nurse: 11

Staff by category


Certified Nursing Assistant	33	40	73	12,436	92	100%	9.3
Registered Nurse	6	11	17	2,570	91	99%	10.1
Physical Therapist	13	0	13	2,528	92	100%	7
Licensed Practical Nurse	5	14	19	1,895	88	96%	8.9
Medication Aide/Technician	5	0	5	1,885	91	99%	10.2
Nurse Practitioner	2	0	2	747	64	70%	8.6
Respiratory Therapy Technician	4	0	4	709	66	72%	4.9
Administrator	1	0	1	496	62	67%	8
RN Director of Nursing	1	0	1	422	37	40%	11.4
Mental Health Service Worker	2	0	2	329	42	46%	7.8
Qualified Social Worker	1	0	1	167	41	45%	4.1
Dietitian	1	0	1	132	16	17%	8.2
Physical Therapy Aide	2	0	2	81	34	37%	2.4
Speech Language Pathologist	2	0	2	29	9	10%	3.2
Clinical Nurse Specialist	1	0	1	24	3	3%	8
Medical Director	1	0	1	22	3	3%	7.5
Other Dietary Services Staff	1	0	1	22	3	3%	7.4

73 Certified Nursing Assistant

% of Days 100%

17 Registered Nurse

% of Days 99%

13 Physical Therapist

% of Days 100%

19 Licensed Practical Nurse

% of Days 96%

5 Medication Aide/Technician

% of Days 99%

2 Nurse Practitioner

% of Days 70%

4 Respiratory Therapy Technician

% of Days 72%

1 Administrator

% of Days 67%

1 RN Director of Nursing

% of Days 40%

2 Mental Health Service Worker

% of Days 46%

1 Qualified Social Worker

% of Days 45%

1 Dietitian

% of Days 17%

2 Physical Therapy Aide

% of Days 37%

2 Speech Language Pathologist

% of Days 10%

1 Clinical Nurse Specialist

% of Days 3%

1 Medical Director

% of Days 3%

1 Other Dietary Services Staff

% of Days 3%

View All Staffing Data

Total fines amount $57K

22% lower than State average

State average: $73K

Number of fines 2

18% fewer fines than State average

State average: 2.4

Payment Denials 0

100% fewer payment denials than State average

State average: 0.7

Fines amount comparison

This facility $57K

State 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 Apr 12, 2024

$47K

Last updated: Jan 2026

High-risk clinical events score 15.8

45% worse than State average

State average: 10.9

Functional decline score 26.0

34% worse than State average

State average: 19.5

Long-stay resident measures

Below average

Need for Help with Daily Activities Increased 28.1%

42% worse than State average

State average: 19.8%

Walking Ability Worsened 32.9%

59% worse than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 17.1%

6% better than State average

State average: 18.1%

Falls with Major Injury 1.6%

62% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 8.2%

63% worse than State average

State average: 5.0%

Urinary Tract Infection 4.8%

75% worse than State average

State average: 2.7%

Lost Too Much Weight 8.5%

53% worse than State average

State average: 5.6%

Depressive Symptoms 5.7%

56% better than State average

State average: 12.8%

Antipsychotic Use 19.2%

13% better than State average

State average: 22.0%

Pneumococcal Vaccine 99.5%

17% better than State average

State average: 85.2%

Influenza Vaccine 98.1%

8% better than State average

State average: 90.9%

Short-stay resident measures

Pneumococcal Vaccine 99.2%

49% better than State average

State average: 66.6%

Antipsychotic medication increase 1.6%

28% better than State average

State average: 2.2%

Influenza Vaccine 100.0%

58% better than State average

State average: 63.5%

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

Total residents 60

Medicare

6.7% of residents

Medicaid

65% of residents

Private pay or other

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.

Financial Trends

Historical financial and operational data for Ascend at Aurora from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 50.2% ↑ 4.5pp vs 2022

Net Patient Income $1.1M ↑ ~$1.6M vs 2022

Payroll Costs $3.0M ↑ ~$310.3K vs 2022

Operating Margin 17.4% ↑ 29.7pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	54.7%	53.6%	47.3%	48.3%	46.6%	48.0%	50.3%	45.7%	41.4%	41.6%	32.4%	45.6%	50.2%
Beds	125	125	125	125	125	125	125	125	125	125	125	125	125
Net Income	$157,923	-$191,400	-$619,539	-$51,118	-$250,525	-$131,961	-$82,292	-$519,563	-$679,370	-$637,148	$388,748	-$327,114	$1,067,657
Gross Revenue	$23,221,276	$22,593,102	$19,709,679	$20,363,877	$19,738,090	$20,563,332	$21,687,191	$19,578,166	$17,567,448	$4,975,223	$3,911,723	$4,737,902	$5,652,000
Operating Expenses	$4,870,568	$4,798,757	$4,640,692	$4,447,182	$4,694,020	$4,648,014	$4,788,130	$4,743,395	$4,400,319	$4,438,911	$3,730,357	$4,582,809	$5,067,051
Net Patient Income	$128,530	-$216,661	-$644,200	-$78,317	-$262,864	-$141,387	-$92,793	-$528,885	-$688,678	-$839,273	-$866,105	-$500,944	$1,065,881
Net Patient Revenue	$4,999,098	$4,582,096	$3,996,492	$4,368,865	$4,431,156	$4,506,627	$4,695,337	$4,214,510	$3,711,641	$3,599,638	$2,864,252	$4,081,865	$6,132,932
Payroll Costs	$2,209,185	$2,211,034	$2,251,817	$2,191,326	$2,226,562	$2,205,267	$2,307,226	$2,352,648	$2,190,097	$2,206,740	$1,857,754	$2,721,988	$3,032,306
Operating Margin %	2.6%	-4.7%	-16.1%	-1.8%	-5.9%	-3.1%	-2.0%	-12.6%	-18.6%	-23.3%	-30.2%	-12.3%	17.4%
Medicare %	18.5%	12.3%	9.9%	11.1%	13.0%	8.0%	9.5%	11.0%	5.5%	5.3%	6.1%	2.7%	3.8%
Medicaid %	53.2%	61.2%	63.3%	52.0%	47.2%	56.6%	66.2%	60.9%	52.7%	67.6%	73.3%	82.2%	73.7%
Private %	28.3%	26.5%	26.8%	36.9%	39.8%	35.5%	24.3%	28.2%	41.7%	27.1%	20.6%	15.2%	22.5%
Net Patient Revenue/Day	$200	$187	$185	$198	$208	$205	$204	$202	$196	$189	$194	$196	$268
Cost/Day	$195	$196	$215	$202	$221	$212	$208	$228	$233	$233	$253	$220	$221
Avg Length of Stay	141.9 days	144.1 days	131.5 days	157.3 days	115.0 days	151.5 days	151.1 days	75.3 days	114.6 days	118.2 days	111.0 days	135.2 days	109.0 days

Finances and operations

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

Net patient revenue

$6.1M

Net patient income

$1.1M

For-profit Corporation

Net patient revenue

$6.1M

Net patient income

$1.1M

Other income

$1.8K

Payroll costs

$3.0M 49.4% of net patient revenue

Other operating costs

$2.0M

Total costs

$5.1M

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 (47% of admissions), and a typical Medicaid stay runs around 6 - 7 months.

Coverage residents most often arrive under.

Medicare 9%

Private pay 44%

Medicaid 47%

Coverage residents most often leave under.

Medicare 10%

Private pay 37%

Medicaid 53%

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Country Meadows	NH AL IL MC	Park Hills	-	87	A+	37	-
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Nursing Home Explorer

Who is the owner of Ascend at Aurora?

Ascend at Aurora is legally operated by Nbh3 Sfopco LLC, and administered by Melanie Towers.

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.

What is the license number of Ascend at Aurora?

According to MO state health department records, Ascend at Aurora's license number is 053501.

When does Ascend at Aurora's license expire?

According to MO state health department records, Ascend at Aurora's license expires on May 31, 2026.

What is the occupancy rate at Ascend at Aurora?

Ascend at Aurora's occupancy is 48%.

Does Ascend at Aurora operate as a for-profit or non-profit?

Ascend at Aurora is registered as a for-profit in MO.

Who is the administrator of Ascend at Aurora?

Melanie Towers is the administrator of Ascend at Aurora.

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Ascend at Aurora

Overview of Ascend at Aurora

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Memory & Specialized Care

Amenities & Lifestyle

Contact Ascend at Aurora

Inspection History

Inspection Scorecard 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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

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

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

73 Certified Nursing Assistant

17 Registered Nurse

13 Physical Therapist

19 Licensed Practical Nurse

5 Medication Aide/Technician

2 Nurse Practitioner

4 Respiratory Therapy Technician

1 Administrator

1 RN Director of Nursing

2 Mental Health Service Worker

1 Qualified Social Worker

1 Dietitian

2 Physical Therapy Aide

2 Speech Language Pathologist

1 Clinical Nurse Specialist

1 Medical Director

1 Other Dietary Services Staff

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Places of interest near Ascend at Aurora

Calculate Travel Distance to Ascend at Aurora

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