Marionville · 65705
The Ozarks Methodist Manor
205 South College,
Marionville, MO 65705
Ascend at Aurora
⌖ Aurora, MO · Lawrence County
No photos yet
Medicare overall rating 1 of 5 stars
Certified beds125
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)
About Ascend at Aurora
Ascend at Aurora is a 125-bed for-profit nursing home in Aurora, MO. Medicare rates it 1 out of 5 stars overall (much below average); the average in Missouri is 2.5. At its last full inspection (Apr 2024), inspectors found 27 problems, more than the Missouri average of 11.4. 2 citations in its recent inspections were for residents being harmed or put in immediate danger. Nurses and aides spend about 4 hr 14 min a day with each resident, more than the Missouri average of 3 hr 26 min. About 54% of its nursing staff left in the past year. Medicare fined it $46,940 in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameAscend At Aurora
LocationLawrence County, Missouri
Phone(417) 678-2165
Address1700 South Hudson Avenue, Aurora, MO 65605 · Lawrence County
CMS provider number265182
Ownership typeFor-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJanuary 21, 1983 (43 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
2 strengths and 4 things to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Nurse staffing per resident4 hr 14 min a dayMissouri average: 3 hr 26 minStrength
- Registered nurse time per resident34 min a dayMissouri average: 28 minStrength
About average
- Nursing staff turnover54% a yearMissouri average: 56%About average
Things to ask about
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- Abuse citationOn recordMedicare shows this icon when a home was cited for abuse, neglect or exploitation in recent inspections. Ask what happened and what changed.Ask about this
- Serious health citations2 for immediate jeopardyCitations where inspectors found residents were harmed or put in immediate danger, most recently in Apr 2024 (about 2 years ago). All 2 were later corrected.Ask about this
- Fines and penalties1 fine totaling $46,940Federal penalties from the last three years, most recently in Apr 2024 (about 2 years ago). The national average is $30,972 per home.Ask about this
- Health citations at last inspection27 (Apr 2024)Missouri average: 11.4. Most citations are minor and corrected within weeks.Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Missouri average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital5.6%State average: 26.0%Better than average
- Needed an emergency room visit9.5%State average: 13.7%Better than average
- Newly given antipsychotic drugs14.0%State average: 2.2%Worse than average
Physical therapist time: about 10 minutes per resident a day. That is more than the state average of 2 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury1.5%State average: 4.1%Better than average
- Pressure sores (bedsores)5.0%State average: 4.5%About average
- Given antipsychotic drugs33.9%State average: 23.5%Worse than average
Source: Medicare (CMS) quality measures, compared with the Missouri average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Missouri, Medicaid pays for 65% of resident days at a typical home.
- 74% Medicaid
- 4% Medicare
- 22% Private pay, insurance and other
Beds in use, on average50%Missouri typical: 71%
Cost of care per resident day$221Missouri typical: $254
Shares of resident days, from the home’s Medicare cost report for the year ending December 2023. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 1 star now, down from 5 stars in January 2019. It has ranged from 1 to 5 stars and changed 9 times.
Overall rating1★
Health inspections1★
Staffing3★
Quality of care1★
Nurse hours per resident per day4.2
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 5 | 4 | 3 | 4.8 |
| Jan 2020 | 1 | 2 | 3 | 1 | 3.7 |
| Jan 2021 | 3 | 2 | 5 | 3 | 3.7 |
| Jan 2022 | 1 | 2 | 3 | 1 | 3.5 |
| Jan 2023 | 1 | 1 | 1 | 2 | 3.3 |
| Jan 2024 | 1 | 1 | 1 | 1 | 3.0 |
| Feb 2025 | 1 | 1 | 1 | 1 | 3.0 |
| Feb 2026 | 1 | 1 | 1 | 2 | 3.1 |
| Sep 2026 | 1 | 1 | 3 | 1 | 4.2 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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