Nursing homeActive
Westgate
3130 John Duffy Dr, Joplin, MO 648044175533688120 certified beds · 105 residentsFor profit - IndividualMedicare and Medicaid
Surveys on file
9
since 2019
Deficiencies
23
● 0● 21● 2
Penalties · 3 yrs
$70,134
1 fine
Last survey
2026-06-04
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-04 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2026-01-14 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-07-01 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-12-31 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-06-07 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-03-15 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-09-29 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2022-07-21 | Standard | 0120 | CMS-2567 (Care Compare) | — |
| 2019-07-16 | Standard | 000 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-07-19Record 265877-20260604-F686
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-19Record 265877-20260604-F684
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-08Record 265877-20260114-F600
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-03Record 265877-20250701-F550
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-12Record 265877-20241231-F755
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 265877-20240607-F584
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 265877-20240607-F761
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 265877-20240607-F842
F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-09Record 265877-20240315-F559
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-10-31Record 265877-20230929-F689
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-31Record 265877-20230929-F684
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-04Record 265877-20220721-F561
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-04Record 265877-20220721-F607
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-04Record 265877-20220721-F623
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-04Record 265877-20220721-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-04Record 265877-20220721-F677
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-04Record 265877-20220721-F679
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-04Record 265877-20220721-F684
F700Try 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-04Record 265877-20220721-F700
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-04Record 265877-20220721-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-04Record 265877-20220721-F842
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-04Record 265877-20220721-F880
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-04Record 265877-20220721-F919
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-06-04 | Civil money penalty | $70,134 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.51
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.74
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours3.17
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover54%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover27%
Facility
Missouri
National
Missouri 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Missouri | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.9% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 7.5% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 12.9% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 4.4% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 18.4% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.9% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 43.1% | 25.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Circle B Enterprises Holding Company Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Agh1 LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Beaird, Todd Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bedell, Donald Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Caldwell, Misty Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cascone, John Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sovereign Healthcare Group LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Agh1 LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Beaird, Todd Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bedell, Bryan Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Caldwell, Misty Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cascone, John Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dcb Real Estate Partnership LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fg LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Forvis Mazars LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Joplin Development Properties II LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mid States Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sovereign Healthcare Group LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Circle B Enterprises — 36 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.
No county cost figures on file for Jasper.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Communities Of Wildwood Ranch Joplin | 0.0 mi | 2025-02-13 | 021 |
| Galena Nursing & Rehab Center Galena | 2.3 mi | 2026-06-24 | 1143 |
| Aspire Senior Living Joplin Joplin | 2.6 mi | 2026-06-01 | 0491 |
| Joplin Gardens Joplin | 3.6 mi | 2026-03-17 | 0141 |
| Nhc Healthcare, Joplin Joplin | 5.7 mi | 2025-08-04 | 0161 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |