Deficiency Index

Aurora Health and Rehabilitation

Rolla, Missouri · CCN 265844

37 surveys since 2013, 10 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
147
Surveys
37
Harm or worse
10
Immediate jeopardyall corrected before survey
6
The record, 2013–2025
’13’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy6

Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file25/37

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
116
Ownership
For profit - Corporation
Chain
VERTICAL HEALTH SERVICES
County
Phelps · rural
Medicare-certified since
2013

CMS ratings

Overall
2
Health inspection
3
Staffing
1
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 118 for-profit facilities of 100–127 beds in Missouri.

Last survey on record

Dec 10, 2025

334 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.343.32
Registered-nurse hours per resident day0.82—
Annual nurse turnover73.4%57.7%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$19,020 across 2 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ12.1%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1633.3%E2245.8%F24.2%
No harm, potential for minimalA—B12.1%C612.5%
CMS’s current file: 48 of the 147 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5803×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6583×

    Ensure services provided by the nursing facility meet professional standards of quality.

  • F6773×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F6072×

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • F6092×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

In the surveyor’s words

From the most serious findings on record at Aurora Health and Rehabilitation, in the surveyor’s own words.

  • Immediate jeopardy, patternF880Aug 19, 2022

    Based on interview and record review, the facility staff failed to follow infection control guidelines by allowing two staff members, Licensed Practical Nurse (LPN) F and Social Services Director (SSD), to work in the facility with COVID negative residents after testing positive for Covid-19 (an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The facility census was 82. The administrator was notified on 8/12/22 at 12:36 P.M., of an Immediate Jeopardy (IJ) which began on 7/25/22. The IJ was removed on 8/12/22 as confirmed by surveyor onsite verification. 1. […]

  • Immediate jeopardy, patternF584Nov 24, 2021

    Based on observation, interview and record review, facility staff failed to maintain the proper function of individual and centralized heating equipment in the facility and provide prompt repair to the equipment to provide a safe and comfortable environment for residents. The facility census was 73. The administrator was notified on 11/17/21 at 5:58 P.M. of an Immediate Jeopardy which began on 11/17/21. The IJ was removed on 11/24/21, as confirmed by surveyor onsite verification. 1. Review of the facility's Maintenance Service policy dated December 2009, showed: -The Maintenance Department is responsible for maintaining the buildings, grounds, and equipment in a safe and operable manner at all times. -Functions of maintenance personnel include, but are not limited to: a. […]

  • Immediate jeopardy, isolatedF600Aug 16, 2024

    Based on interview and record review, facility staff failed to protect one resident (Resident #1) from neglect when staff failed to properly secure a resident while they transported the resident in the facility vehicle. Facility staff failed to secure the shoulder strap across the resident and when the vehicle came to an abrupt stop, the resident fell over his/her lap belt and from his/her wheelchair which resulted in fractures of both femurs, thoracic spine fractures, and an upper arm fracture. The facility census was 78. The administrator was notified on 8/13/24 of past non-compliance, which occurred on 8/07/24. […]

  • No harm, potential for more than minimal, widespreadF812Jun 28, 2024

    Based on observation and interview, the facility staff failed to maintain the mechanical dishwasher in good repair to ensure dishes were effectively washed and sanitized to prevent cross-contamination. This failure has the potential to affect all residents. The facility census was 83. 1. Review of the facility's Dishwasher Temperature policy, reviewed January 2024, showed manufacturer's instructions shall be followed for machine washing and sanitizing. For low temperature dishwashers with chemical sanitation the washer temperature shall be 120 degrees Fahrenheit (F). […]

  • No harm, potential for more than minimal, widespreadF812Aug 31, 2023

    Based on observation, interview and record review, the facility staff failed to properly clean and sanitize mechanically washed dishes to prevent cross-contamination. Facility staff failed to allow mechanically washed dishes to air dry prior to stacking in storage and use to prevent the growth of food-borne pathogens. Facility staff failed to perform hand hygiene as often as necessary using approved techniques to prevent cross-contamination. Facility staff also failed to store food in manner to prevent contamination and out-dated use. The facility census was 73. 1. […]

Read 29 findings in full →The most serious and the most recent: 29 of 147 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 10, 2025Standard2 findings
  • Nov 19, 2025Complaint7 findings
  • Jul 2, 2025Complaint1 finding
  • Mar 20, 2025Complaint3 findings
  • Oct 17, 2024Complaint2 findings
  • Aug 16, 2024Complaint1 finding · 1 harm
  • Jun 28, 2024Standard8 findings
  • Feb 22, 2024Complaint2 findings
Show the 29 earlier surveys
  • Jan 25, 2024Complaint2 findings
  • Oct 20, 2023Complaint1 finding
  • Aug 31, 2023Standard18 findings
  • Jul 6, 2023Complaint2 findings
  • Oct 17, 2022Complaint1 finding
  • Aug 19, 2022Complaint1 finding · 1 harm
  • Jan 21, 2022Complaint1 finding
  • Nov 24, 2021Standard21 findings · 1 harm
  • Jul 1, 2021Infection control2 findings
  • May 27, 2020Infection control1 finding
  • Dec 12, 2019Standard4 findings
  • May 17, 2019Complaint1 finding · 1 harm
  • Dec 21, 2018Standard and complaint6 findings
  • Mar 13, 2018Standard13 findings
  • Apr 13, 2017Complaint1 finding
  • Jan 26, 2017Standard5 findings
  • Mar 23, 2016Complaint2 findings · 1 harm
  • Feb 3, 2016Standard6 findings · 1 harm
  • Jun 11, 2015Complaint1 finding
  • May 14, 2015Complaint3 findings · 1 harm
  • Mar 9, 2015Standard2 findings
  • Oct 31, 2014Complaint3 findings
  • Aug 12, 2014Complaint2 findings · 1 harm
  • May 6, 2014Complaint1 finding
  • Apr 14, 2014Complaint2 findings
  • Feb 20, 2014Standard and complaint13 findings
  • Oct 15, 2013—2 findings · 1 harm
  • Sep 9, 2013—3 findings · 1 harm
  • Mar 12, 2013—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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