Nursing Care Index

Westgate

Joplin, Jasper County, Missouri · CCN 265877 · For-profit (Individual) · part of Circle B Enterprises (36 facilities, chain average 2.5 stars)

CMS rates Westgate 2 of 5 overall as of August 2026. 120 certified beds, 105 residents a day on average. 23 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $70,134.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★☆☆☆ 2 of 5
Quality: long-stay / short-stay2 / 2 of 5

Staffing

Total nurse staffing3.73883 hours per resident per day
Registered nurses0.50573 hours per resident per day
Weekend total3.17093 hours per resident per day
Nursing staff turnover54.2% (registered nurses 27.3%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-06-04
complaint survey
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has plan of correction
2026-07-19
2026-06-04
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has plan of correction
2026-07-19
2026-01-14
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
D No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2026-01-08
2025-07-01
complaint survey
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-08-03
2024-12-31
complaint survey
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2024-12-12
2024-06-07 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.
Resident Rights Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-07-23
2024-06-07 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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-07-23
2024-06-07 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-23
2024-03-15
complaint survey
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident Rights Deficiencies · tag F0559
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-09
2023-09-29
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2023-10-31
2023-09-29
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-31
2022-07-21 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · tag F0561
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-09-04
2022-07-21 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-09-04
2022-07-21 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-09-04
2022-07-21 Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · tag F0679
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-09-04
2022-07-21 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.
Quality of Life and Care Deficiencies · tag F0700
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-09-04
2022-07-21 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-09-04
2022-07-21 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-09-04
2022-07-21 Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · tag F0919
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-09-04
2022-07-21 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · tag F0623
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-09-04
2022-07-21 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-09-04
2022-07-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-09-04
2022-07-21 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-09-04

Fines and payment denials

DatePenaltyAmount
2026-06-04Fine$70,134

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Circle B Enterprises Holding Company Inc.
Organization
5% or greater direct ownership interest100%2000-01-10
Agh1 LLC
Organization
adp of the snf2025-04-11
Dcb Real Estate Partnership Lp
Organization
adp of the snf2005-04-01
Fg LLC
Organization
adp of the snf2019-07-16
Forvis Mazars LLP
Organization
adp of the snf2021-08-16
Joplin Development Properties II LLC
Organization
adp of the snf2021-06-01
Mid States Inc.
Organization
adp of the snf2019-07-16
Sovereign Healthcare Group LLC
Organization
adp of the snf2025-04-06
Agh1 LLC
Organization
operational/managerial control2019-07-16
Sovereign Healthcare Group LLC
Organization
operational/managerial control2021-04-23
Beaird, Todd
Individual
adp of the snf2022-01-01
Caldwell, Misty
Individual
adp of the snf2022-03-10
Cascone, John
Individual
adp of the snf2019-06-10
Bedell, Bryan
Individual
individual is an owner, partner or trustee of any adp of the snf2025-05-12
Beaird, Todd
Individual
operational/managerial control2022-01-01
Bedell, Donald
Individual
operational/managerial control2000-01-10
Caldwell, Misty
Individual
operational/managerial control2022-03-10
Cascone, John
Individual
operational/managerial control2019-06-10

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Jasper County.