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
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 27 health citations at the latest inspection cycle Missouri average: 11.4
- 3.34 nurse hours per resident per day Missouri average: 3.40
- 1 fine in the last three years (needs attention)
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
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.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
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 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)., from A, the least serious, to L, the most. 14 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 27, 2026: complaint inspection1 citation
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Jul 23, 2026: complaint inspection3 citations
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Provide care or services that was trauma informed and/or culturally competent.
Jul 10, 2026: complaint inspection2 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Mar 18, 2026: complaint inspection2 citations
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Dec 9, 2025: complaint inspection2 citations
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Protect each resident from the wrongful use of the resident’s belongings or money.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jul 18, 2025: complaint inspection1 citation
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Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Oct 22, 2024: complaint inspection1 citation
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Provide and implement an infection prevention and control program.
Apr 12, 2024: standard inspection15 citations
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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.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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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.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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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.
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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.
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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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.
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Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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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.
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Provide and implement an infection prevention and control program.
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Implement a program that monitors antibiotic use.
Apr 12, 2024: standard and complaint inspection2 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Ensure that residents are free from significant medication errors.
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.
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.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Apr 12, 2024 | Fine | $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.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Missouri average |
|---|---|---|
| Nurse hours per resident per day | 3.34 | 3.40 |
| Of which registered nurses | 0.40 | 0.46 |
| At weekends | 3.15 | 2.96 |
| Nursing staff turnover | 59.6% | 56.9% |
| Registered nurse turnover | Not given | 50% |
| Administrators who left | Not given | Not 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.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Aurora Holdco LLC | Owns a share directly | 100% | Oct 1, 2025 |
| Krpss Partners | Owns a share through other companies | 57.35% | Oct 1, 2025 |
| HHHH Ventures LLC | Owns a share through other companies | 26.34% | Oct 1, 2025 |
| Delta Edge Strategic Advisors | Owns a share through other companies | 25.81% | Oct 1, 2025 |
| HHHH Ventures LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2025 | |
| Krpss Partners | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2025 | |
| Delta Edge Strategic Advisors | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 6, 2026 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2025 | |
| Forvis Mazars LLP | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2025 | |
| Nbh3 Sfpropco LLC | Additional 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).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 2 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).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Ascend at Aurora This nursing home | 27 | |
| The Ozarks Methodist Manor | 4.7 | 15 |
| Mt Vernon Nursing | 11.1 | 6 |
| Lawrence County Manor | 11.5 | 12 |
| Lacoba Homes Inc. | 13.4 | 2 |
| Republic Nursing & Rehab | 17.1 | 1 |
| Cassville Health Care Center | 21.0 | 21 |
| Aspire Senior Living Roaring River | 21.6 | 11 |
| Nixa Nursing & Rehab | 24.0 | 3 |
| Sarcoxie Health Care Center | 24.3 | 9 |
| The Neighborhoods at Quail Creek | 25.1 | 10 |
| Springfield Skilled Care Center | 25.3 | 33 |
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
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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).
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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).
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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).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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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.
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.