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C
Below Standard

ASCEND AT AURORA

1700 SOUTH HUDSON AVENUE · AURORA, MO 65605

4176782165 · For profit - Corporation

125 beds54.1 residents79 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ASCEND AT AURORA receives an overall staffing grade of C (Below Standard). With 3.0629 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4569 HPRD, below the recommended 0.75. It is 0.83 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.55% compared to weekdays. The facility has low agency staff usage (2.88% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

⚠️Had 2 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0629 HPRD — needs 0.42 more hours per resident per day.
⚠️RN staffing (0.4569 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Low agency staff usage (2.88%) — mostly permanent, familiar staff
Total Nurse HPRD
3.0629hrs/resident/day▼ 0.83
CMS benchmark: 3.48
RN HPRD
0.4569hrs/resident/day▼ 0.23
Recommended: 0.75
Weekend Drop-off
17.55%
3.2227 weekday → 2.6572 weekend
Agency Staff
2.88%
3.13% of RN hours from contractors
Days with Zero RN
2days this quarter
4+ days = auto 1-star
CNA HPRD
1.8235hrs/resident/day
Direct care aides
LPN HPRD
0.4462hrs/resident/day
Licensed practical nurses
Consistency
0.3962std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Lawrence County Average+0.39 HPRD
2.67
03.06 HPRD
vs. Missouri State Average-0.42 HPRD
3.48
03.06 HPRD
vs. National Average-0.83 HPRD
3.90
03.06 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
ASCEND AT AURORA ★
AURORA · This facility
—
C
3.06290.4569★☆☆☆☆
MT VERNON NURSING
MOUNT VERNON
11.1 mi
B
3.66060.6225★★★★☆
REPUBLIC NURSING & REHAB
REPUBLIC
17.1 mi
C
3.06650.4206★★★★☆
CASSVILLE HEALTH CARE CENTER
CASSVILLE
20.9 mi
D
3.00320.3146★☆☆☆☆
NIXA NURSING & REHAB
NIXA
24 mi
F
3.22710.2453★★★★★
SPRINGFIELD SKILLED CARE CENTER
SPRINGFIELD
25.3 mi
D
3.39940.3139★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
47
Total Deficiencies
$46,940
Fines Assessed
Dec 9, 2025Health
2 deficiencies cited
▼
Jul 18, 2025Health
1 deficiency cited
▼
Oct 22, 2024Health
1 deficiency cited
▼
Apr 12, 2024Health
17 deficiencies cited· Includes actual harm
▼
Aug 22, 2023Health
1 deficiency cited
▼
May 11, 2022Health
18 deficiencies cited
▼
Aug 19, 2019Health
7 deficiencies cited
▼

Penalty History

Apr 12, 2024Fine
$46,940
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.