ASPIRE SENIOR LIVING WARSAW
1609 SUNCHASE DRIVE
WARSAW, MO, 65355
6604382970
CCN: 265566
2
Overall2
Health2
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
KARE-MORE HOME HEALTH SERVICES
1128b5
Excluded 2008-11-20
Ownership
| Name | Role | % |
|---|---|---|
| NORTHPORT HEALTH SERVICES INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 75% |
| ESTES, JAMES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% |
| JAMES N ESTES JR FAMILY DYNASTY TR NO 1 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% |
| JAMES NORMAN ESTES JR TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| JENNIFER E AGEE FAMILY DYNASTY TR NO 1 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% |
| JENNIFER LEE ESTES TR 031093 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| ESTES, JAMES | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 53% |
| REGIONS BANK | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| VANBIBBER, KARLI | CORPORATE DIRECTOR | NOT APPLICABLE |
| ALDANA, MICHELLE | CORPORATE DIRECTOR | NOT APPLICABLE |
| RASCO, LYNN | CORPORATE DIRECTOR | NOT APPLICABLE |
| ESTES, JAMES | CORPORATE OFFICER | NOT APPLICABLE |
| LONG, PHILLIP | CORPORATE OFFICER | NOT APPLICABLE |
| ALDANA, MICHELLE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RASCO, LYNN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| VANBIBBER, KARLI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GOULD, CASANDRA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GOULD, CASANDRA | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2024-11-04 | Fine | $9K |
Health Deficiencies (30)
2025-10-29 · Health
G
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-09-05 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
E
F567 · Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
2025-06-20 · Health
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-11-04 · Health
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-06-28 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F836 · Administration Deficiencies
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
F801 · Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
E
F700 · Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
E
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
F584 · Resident Rights Deficiencies
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.
D
F578 · Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
2023-04-28 · Health
C
F888 · Infection Control Deficiencies
Ensure staff are vaccinated for COVID-19
D
F887 · Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
C
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
C
F625 · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
C
F623 · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
F578 · Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
C
F575 · Resident Rights Deficiencies
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
2023-03-06 · Health
G
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.11
RN Hrs/Resident/Day0.54
0.28
LPN Hrs/Resident/Day0.81
0.76
CNA Hrs/Resident/Day2.33
2.07
PT Hrs/Resident/Day0.12
0.01
Data as of 2026-03-01