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

ASPIRE SENIOR LIVING PLEASANT HILL

PLEASANT HILL, MO · 90 certified beds · Last Life Safety survey November 1, 2024

CMS Certification Number 265565 · first certified February 1994

Ownership

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

New ownershipOwnership changed October 1, 2025 (change of ownership)from NORTHPORT HEALTH SERVICES OF MISSOURI 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

50 citations — more than 98% 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 20 citations; the earlier surveys in the window averaged 15. 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 (January 2026 to July 2026), and past the point by which nine in ten MO facilities have been surveyed. This facility’s last Life Safety survey was November 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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4 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

13 of the 50 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)

7 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 50 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-0584 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.
F-0880 Provide and implement an infection prevention and control program.
F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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	50
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
October 27, 2020	11
March 17, 2023	19
November 1, 2024	20

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-0363	Install corridor and hallway doors that block smoke.	2	2024-11-01
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	2	2023-03-17
K-0711	Provide a written emergency evacuation plan.	2	2023-03-17
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	2	2024-11-01
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	2	2023-03-17
K-0341	Install a fire alarm system that can be heard throughout the facility.	2	2024-11-01
E-0041	Implement emergency and standby power systems.	2	2024-11-01
E-0032	Provide primary/alternate means for communication.	2	2023-03-17

What the citations cover

Citations by CMS category

Smoke Deficiencies 18
Emergency Preparedness Deficiencies 13
Miscellaneous Deficiencies 10
Gas, Vacuum, and Electrical Systems Deficiencies 4
Other 5

Citations by CMS category
Category	Citations
Smoke Deficiencies	18
Emergency Preparedness Deficiencies	13
Miscellaneous Deficiencies	10
Gas, Vacuum, and Electrical Systems Deficiencies	4
Egress Deficiencies	3
Services Deficiencies	1
Construction Deficiencies	1

Every citation on file

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

November 1, 2024 — 20 citations

Citations issued on November 1, 2024
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (December 15, 2024)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (December 15, 2024)
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (December 15, 2024)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (December 15, 2024)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (December 15, 2024)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (December 15, 2024)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (December 15, 2024)
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (December 15, 2024)
K-0311	Have an enclosure around a vertical opening shaft.	Deficient, Provider has date of correction (December 15, 2024)
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 15, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (December 15, 2024)
K-0325	Have properly installed hallway dispensers for alcohol-based hand rub.	Deficient, Provider has date of correction (December 15, 2024)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (December 15, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Waiver has been granted (December 15, 2024)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (December 15, 2024)
K-0700	Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.	Deficient, Provider has date of correction (December 15, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (December 15, 2024)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (December 15, 2024)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (December 15, 2024)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (December 15, 2024)

March 17, 2023 — 19 citations

Citations issued on March 17, 2023
Tag	What the surveyor checks	Status
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (April 17, 2023)
E-0032	Provide primary/alternate means for communication.	Deficient, Provider has date of correction (April 17, 2023)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (May 11, 2023)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (May 11, 2023)
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 (April 17, 2023)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (April 17, 2023)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (April 17, 2023)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (June 5, 2023)
K-0347	Properly provide smoke detection systems in areas open to corridors.	Deficient, Provider has date of correction (April 17, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Waiver has been granted (June 2, 2023)
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 (April 17, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (May 11, 2023)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (April 17, 2023)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (April 17, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (April 17, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (May 11, 2023)
K-0771	Ensure that smoke control systems are tested and documented in accordance with established engineering principles.	Deficient, Provider has date of correction (April 17, 2023)
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 17, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (May 11, 2023)

October 27, 2020 — 11 citations

Citations issued on October 27, 2020
Tag	What the surveyor checks	Status
E-0001	Establish an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (December 11, 2020)
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (December 11, 2020)
E-0022	Establish policies and procedures for sheltering.	Deficient, Provider has date of correction (December 11, 2020)
E-0032	Provide primary/alternate means for communication.	Deficient, Provider has date of correction (December 11, 2020)
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 (December 11, 2020)
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 (December 11, 2020)
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 11, 2020)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (December 11, 2020)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (December 11, 2020)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (December 11, 2020)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (December 11, 2020)

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