Aspire Senior Living Excelsior Springs

In the surveyor’s words

From the most serious findings on record at Aspire Senior Living Excelsior Springs, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 8, 2026

  Based on observation and interview, the facility failed to prepare and serve food in accordance with professional standards for food service safety when facility staff failed to properly store and monitor food items for expiration dates, dispose of dented cans in a timely manner, and failed to maintain a three-day emergency food supply. This affected all residents in the facility. The facility census was 78.Request for facility Food Department Policies on food storage not provided;Observation in the Dry Storeroom on 1/5/25 at 9:00 A.M., showed:- Emergency Food Stock had only 12 cans of food and three bags of pasta for emergencies. - Two #10 sized cans of peans on the ground underneath the can storage rack. […]

• No harm, potential for more than minimal, widespreadF838Jun 23, 2022

  Based on record review and interview, the facility failed to review and update their facility-wide assessment to determine what resources are necessary to care for their residents competently during day to day operations and emergencies. The facility census was 54. The facility did not provide a policy regarding maintaining a facility assessment. Review of the facility assessment, provided by the facility, showed: -The assessment was last updated on 12/3/2021. - The information provided did not include any updates or evidence of review for the first six months of 2022. During an interview on 6/23/2022 at 3:00 P.M., the Administrator said: - The facility assessment has not been updated to reflect recent changes at the facility, including change of ownership. […]

• No harm, potential for more than minimal, widespreadF842Jun 23, 2022

  Based on observation, interview and record review, the facility failed to keep the residents' medical record accessible to staff for 14 residents (Resident #51,#7, #36, #12, #26, #153, #11, #34, #9, #49, #30, #4, #45 and #3) out of 14 sampled resident's. The facility census was 54. 1. Record review of the resident's sampled on survey, Resident #51,#7, #36, #12, #26, #153, #11, #34, #9, #49, #30, #4, #45 and #3), showed the following records were not accessible: - Nurses Notes prior to 12/1/17; - Care Plans; - Physicians orders prior to 1/1/17; - Admission and Quarterly risk assessments prior to 12/1/17; - Physician notes prior to 12/1/17; - Pharmacy Recommendations. […]

• No harm, potential for more than minimal, widespreadF865Jun 23, 2022

  Based on record review and interview, the facility failed to develop quality assessemnt and assurance (QAA) activities and a quality assurance/performance improvement (QAPI) plan which drives the facility's ability to address any areas of concern and to correct any quality deficiencies identified by the QAPI process. The facility census was 54. The facility did not provide a policy for their QAA/QAPI committee and process. The facility was unable to provide record of their QAA/QAPI committee and process. During an interview on 6/23/22 at 10:40 A.M, the Administrator said: -The QAA committee met on 2/8/22, with the Administrator, Director of Nursing and Medical Director in attendance. […]

• No harm, potential for more than minimal, widespreadF867Jun 23, 2022

  Based on record review and interview, the facility failed to ensure they developed and implemented appropriate plans of action to correct identified quality deficiencies as part of their Quality Assessment and Assurance (QAA) committee. The facility census was 54. The facility did not provide a policy in regards to their QAA process or committee. The facility was unable to provide record of the QAA and QAPI program. During an interview on 6/23/22 at 10:40 A.M., the Administrator said: - The facility has had one QAA Committee meeting on 2/8/22. […]