Hearth Record

Ascend at Aurora

A nursing home in Aurora, Missouri 65605

1700 South Hudson Avenue, Aurora, Missouri 65605. (417) 678-2165.

  • Cited for abuse (CMS flag)
  • Not fully inspected in over two years (CMS flag)
  • Changed ownership in the last 12 months
CMS’s own record, on Care Compare

Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.

The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 29 citations in 6 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (J). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy
CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

27 health citations at the latest inspection cycle

The Missouri average is 11.4.

Last standard inspection Apr 12, 2024.

Most serious in three years: immediate jeopardy to health or safety (J), at a standard and complaint inspection on Apr 12, 2024

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

29 citations in 6 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.

29 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 29 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 14 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jul 27, 2026: complaint inspection1 citation
  • Make sure that a working call system is available in each resident’s bathroom and bathing area.

    Rule F0919. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 11, 2026.

Jul 23, 2026: complaint inspection3 citations
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 6, 2026.

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 6, 2026.

  • Provide care or services that was trauma informed and/or culturally competent.

    Rule F0699. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 6, 2026.

Jul 10, 2026: complaint inspection2 citations
  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 18, 2026.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 18, 2026.

Mar 18, 2026: complaint inspection2 citations
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 1, 2026.

  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Rule F0806. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 1, 2026.

Dec 9, 2025: complaint inspection2 citations
  • Protect each resident from the wrongful use of the resident’s belongings or money.

    Rule F0602. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 26, 2025.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 26, 2025.

Jul 18, 2025: complaint inspection1 citation
  • Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Rule F0561. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 31, 2025.

Oct 22, 2024: complaint inspection1 citation
  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 5, 2024.

Apr 12, 2024: standard inspection15 citations
  • Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Rule F0584. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 25, 2024.

  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Rule F0607. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 25, 2024.

  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Rule F0623. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 25, 2024.

  • Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Rule F0625. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 25, 2024.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 25, 2024.

  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Rule F0698. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 25, 2024.

  • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Rule F0700. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 25, 2024.

  • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Rule F0727. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 25, 2024.

  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Rule F0740. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 25, 2024.

  • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Rule F0758. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 25, 2024.

  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Rule F0805. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 25, 2024.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 25, 2024.

  • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Rule F0838. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 25, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 25, 2024.

  • Implement a program that monitors antibiotic use.

    Rule F0881. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 25, 2024.

Apr 12, 2024: standard and complaint inspection2 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: May 25, 2024.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: May 25, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Jan 21, 1983.
  • Not on CMS’s special focus list.
  • CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
  • Changed ownership in the last 12 months.
  • CMS lists its ownership as for profit, corporation.
  • 125 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 1 fine in the last three years, $46,940 in all.
  • No Medicare payment denials in the last three years.
  • 14 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Apr 12, 2024Fine$46,940

Who does the caring?

3.34 nurse hours per resident per day

The Missouri average is 3.40.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeMissouri average
Nurse hours per resident per day3.343.40
Of which registered nurses0.400.46
At weekends3.152.96
Nursing staff turnover59.6%56.9%
Registered nurse turnoverNot given50%
Administrators who leftNot givenNot given

Who owns it?

  • Aurora Holdco LLC owns 100% directly since Oct 1, 2025.
  • 17 owners or officers are people: Yitzchok Felheim (owns a share through other companies, 28.65%); Yossi Jacobovitch (owns a share through other companies, 25.81%); Avraham Lapciuc (owns a share through other companies, 17.21%); A person CMS lists without a name (owns a share through other companies, 1%); Tuvya Blumenkrantz (owns a share through other companies, 1%); Yossi Jacobovitch (runs it (operational or managerial control)); Yossi Jacobovitch (additional disclosable party (controls, leases property to, or provides services to the home)); Yitzchok Felheim (additional disclosable party (controls, leases property to, or provides services to the home)); Melanie Towers (runs it (operational or managerial control)); Melanie Towers (additional disclosable party (controls, leases property to, or provides services to the home)); Cheryl L Williams (runs it (operational or managerial control)); Cheryl L Williams (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Avraham Lapciuc (runs it (operational or managerial control)); Avraham Lapciuc (additional disclosable party (controls, leases property to, or provides services to the home)); Rebecca M Long (runs it (operational or managerial control)); Rebecca M Long (additional disclosable party (controls, leases property to, or provides services to the home)).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Aurora Holdco LLCOwns a share directly100%Oct 1, 2025
Krpss PartnersOwns a share through other companies57.35%Oct 1, 2025
HHHH Ventures LLCOwns a share through other companies26.34%Oct 1, 2025
Delta Edge Strategic AdvisorsOwns a share through other companies25.81%Oct 1, 2025
HHHH Ventures LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 1, 2025
Krpss PartnersAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 1, 2025
Delta Edge Strategic AdvisorsAdditional disclosable party (controls, leases property to, or provides services to the home)Jan 6, 2026
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 1, 2025
Forvis Mazars LLPAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 1, 2025
Nbh3 Sfpropco LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 1, 2025

How do residents fare?

  • CMS rates its quality measures 2 of 5 (Missouri average 2.9).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections1 of 5
Staffing2 of 5
Quality measures2 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 25.3 miles, this one had the 2nd most health citations at the latest inspection cycle (27; the middle value was 10.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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