Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ASPIRE SENIOR LIVING OAK GROVE

OAK GROVE, MO · 90 certified beds · Last Life Safety survey August 2, 2024

CMS Certification Number 265710 · first certified November 2000

Ownership

Operated by ASPIRE SENIOR LIVING · For profit - Limited Liability company

Ownership changed May 1, 2022 (change of ownership)from N & R OF OAK GROVE, LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within MO

36 citations — more than 89% of the 487 certified nursing homes in MO. Compared within MO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 13 citations; the earlier surveys in the window averaged 11.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (October 2025 to April 2026), and past the point by which nine in ten MO facilities have been surveyed. This facility’s last Life Safety survey was August 2024. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

5 of the 36 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 36 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.
F-0908 Keep all essential equipment working safely.

How that compares

Citations on file over three years

Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	36
Median facility in MO	18
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
February 20, 2020	8
November 16, 2022	15
August 2, 2024	13

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0900	Meet Health Care Facilities Code mechanical requirements.	3	2024-08-02
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2024-08-02
K-0711	Provide a written emergency evacuation plan.	2	2024-08-02
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	2	2024-08-02
K-0341	Install a fire alarm system that can be heard throughout the facility.	2	2024-08-02
E-0015	Address subsistence needs for staff and patients.	2	2024-08-02
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	2	2022-11-16
K-0343	Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.	2	2024-08-02

What the citations cover

Citations by CMS category

Smoke Deficiencies 11
Miscellaneous Deficiencies 8
Gas, Vacuum, and Electrical Systems Deficiencies 6
Egress Deficiencies 6
Other 5

Citations by CMS category
Category	Citations
Smoke Deficiencies	11
Miscellaneous Deficiencies	8
Gas, Vacuum, and Electrical Systems Deficiencies	6
Egress Deficiencies	6
Emergency Preparedness Deficiencies	5

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

August 2, 2024 — 13 citations

Citations issued on August 2, 2024
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (September 16, 2024)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (September 16, 2024)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (September 16, 2024)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (September 16, 2024)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has plan of correction (September 16, 2024)
K-0343	Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.	Deficient, Provider has date of correction (September 16, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (September 16, 2024)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (September 16, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (September 16, 2024)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (September 16, 2024)
K-0900	Meet Health Care Facilities Code mechanical requirements.	Deficient, Provider has date of correction (September 16, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (September 16, 2024)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (September 16, 2024)

November 16, 2022 — 15 citations

Citations issued on November 16, 2022
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (December 31, 2022)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (December 31, 2022)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (December 31, 2022)
K-0300	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (December 31, 2022)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (December 31, 2022)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Waiver has been granted (May 17, 2023)
K-0343	Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.	Waiver has been granted (May 17, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (December 31, 2022)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (December 31, 2022)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (December 31, 2022)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (December 31, 2022)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Waiver has been granted (May 17, 2023)
K-0900	Meet Health Care Facilities Code mechanical requirements.	Deficient, Provider has date of correction (December 31, 2022)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Waiver has been granted (May 17, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Waiver has been granted (May 17, 2023)

February 20, 2020 — 8 citations

Citations issued on February 20, 2020
Tag	What the surveyor checks	Status
E-0001	Establish an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (April 2, 2020)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (April 2, 2020)
K-0300	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (April 2, 2020)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (April 2, 2020)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (April 2, 2020)
K-0900	Meet Health Care Facilities Code mechanical requirements.	Deficient, Provider has date of correction (April 2, 2020)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (April 2, 2020)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (April 2, 2020)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.