Westgate
A nursing home in Joplin, Missouri 64804
3130 John Duffy Dr, Joplin, Missouri 64804. (417) 553-3688.
- Not fully inspected in over two years (CMS flag)
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 6 health citations at the latest inspection cycle Missouri average: 11.4
- 3.57 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?
6 health citations at the latest inspection cycle
The Missouri average is 11.4.
Last standard inspection Jun 7, 2024.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Jun 4, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
9 citations in 6 months of the last 36. Last cited Jun 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 9 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. 6 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jun 4, 2026: complaint inspection2 citations
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jan 14, 2026: complaint inspection1 citation
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jul 1, 2025: complaint inspection1 citation
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Dec 31, 2024: complaint inspection1 citation
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jun 7, 2024: standard inspection3 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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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Mar 15, 2024: complaint inspection1 citation
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Honor the resident’s right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jul 16, 2019.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, individual.
- 120 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $100,284 in all.
- 1 Medicare payment denial in the last three years.
- 6 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jun 4, 2026 | Medicare payment denial | Not given |
| Jun 4, 2026 | Fine | $100,284 |
Who does the caring?
3.57 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 | 3.57 | 3.40 |
| Of which registered nurses | 0.48 | 0.46 |
| At weekends | 3.06 | 2.96 |
| Nursing staff turnover | 51.5% | 56.9% |
| Registered nurse turnover | 58.3% | 50% |
| Administrators who left | 0 | Not given |
Who owns it?
- Circle B Enterprises Holding Company Inc. owns 100% directly since Jan 10, 2000.
- Sovereign Healthcare Group LLC and Agh1 LLC run it.
- 7 owners or officers are people: Misty D Caldwell (runs it (operational or managerial control)); Misty D Caldwell (additional disclosable party (controls, leases property to, or provides services to the home)); John J Cascone (runs it (operational or managerial control)); John J Cascone (additional disclosable party (controls, leases property to, or provides services to the home)); Todd Beaird (runs it (operational or managerial control)); Todd Beaird (additional disclosable party (controls, leases property to, or provides services to the home)); Donald B Bedell (runs it (operational or managerial control)).
- Part of Circle B Enterprises (36 homes in CMS’s data).
- 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 |
|---|---|---|---|
| Circle B Enterprises Holding Company Inc. | Owns 5% or more directly | 100% | Jan 10, 2000 |
| Sovereign Healthcare Group LLC | Runs it (operational or managerial control) | Apr 23, 2021 | |
| Sovereign Healthcare Group LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 6, 2025 | |
| Fg LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 16, 2019 | |
| Mid States Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 16, 2019 | |
| Joplin Development Properties II LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2021 | |
| Dcb Real Estate Partnership LP | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2005 | |
| Forvis Mazars LLP | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 16, 2021 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 31, 2025 | |
| Agh1 LLC | Runs it (operational or managerial control) | Jul 16, 2019 | |
| Agh1 LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 11, 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 | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 2 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 17.3 miles, this one had the 10th most health citations at the latest inspection cycle (6; the middle value was 9.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Communities of Wildwood Ranch | 0.0 | 1 |
| Westgate This nursing home | 6 | |
| Galena Nursing & Rehab Center | 2.3 | 8 |
| Aspire Senior Living Joplin | 2.6 | 33 |
| Joplin Gardens | 3.6 | 13 |
| Nhc Healthcare, Joplin | 5.7 | 11 |
| Quaker Hill Manor | 6.2 | 11 |
| Aspire Senior Living Webb City | 9.2 | 7 |
| Higher Call Nursing Center | 13.2 | 7 |
| Seneca Nursing | 15.1 | 18 |
| Medicalodges Columbus | 16.7 | 12 |
| St Luke’s Nursing and Rehabilitation | 17.3 | 6 |
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.