Ash Grove Healthcare Facility
401 North Medical Drive, Ash Grove, MO 65604 · Greene County · 82 certified beds · avg 73 residents/day · certified since May 24, 1994
Part of chain: CITIZENS MEMORIAL HEALTH CARE (6 facilities, chain avg rating 3.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (16)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Oct 10, 2024 | E · Potential for harm, repeated | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. · from a complaint |
| Aug 22, 2024 | E · Potential for harm, repeated | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. · from a complaint |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Sep 8, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Aug 18, 2023 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Jun 2, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 2, 2023 | E · Potential for harm, repeated | The facility did not honor residents' right to manage their own money and financial affairs. |
| Jun 2, 2023 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jun 2, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 2, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 6, 2020 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 1 | 0 | F |
| 2023 | 7 | 0 | F |
| 2024 | 5 | 0 | E |
| 2025 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.66 | 3.66 | 3.95 | top 47% in Missouri; bottom 45% in the U.S. |
| Registered Nurse hours | 0.90 | 0.49 | 0.69 | top 6% in Missouri; top 21% in the U.S. |
| Weekend total nurse staffing | 3.09 | 3.22 | 3.50 | bottom 47% in Missouri; bottom 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.61 | 0.33 | 0.48 | top 5% in Missouri; top 22% in the U.S. |
| Total nursing staff turnover (%) | 63.6 | 56.0 | 45.8 | bottom 31% in Missouri; bottom 11% in the U.S. |
| RN turnover (%) | 60.0 | 47.8 | 42.9 | bottom 33% in Missouri; bottom 22% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.20, RN 0.78, weekend 2.70. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ashworth, James | Individual | Corporate Director | NOT APPLICABLE | 06/17/2021 |
| Babb, Donald | Individual | Corporate Director | NOT APPLICABLE | 12/19/2019 |
| Calhoun, Michael | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2022 |
| Calhoun, Michael | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2022 |
| Derrickson, Beverly | Individual | W-2 Managing Employee | NOT APPLICABLE | 11/21/2016 |
| Derrickson, Beverly | Individual | Corporate Director | NOT APPLICABLE | 11/21/2016 |
| Derrickson, Beverly | Individual | Corporate Officer | NOT APPLICABLE | 01/27/2020 |
| Donnell, William | Individual | Corporate Director | NOT APPLICABLE | 03/14/2012 |
| Finnell, Heather | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2022 |
| Hancock, Janieca | Individual | Corporate Director | NOT APPLICABLE | 03/15/2018 |
| Hancock, Janieca | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2022 |
| Johnson, Brad | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Kallenbach, John | Individual | Corporate Director | NOT APPLICABLE | 06/20/2019 |
| Kallenbach, John | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2022 |
| McBratney, Christopher | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/06/2011 |
| Meents, Dana | Individual | Corporate Director | NOT APPLICABLE | 10/14/2010 |
| Meyer, Renee | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/01/1997 |
| Meyer, Renee | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2022 |
| Molder, Catherine | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2002 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you manage residents' personal funds, and how often do families receive an accounting?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Willard Care Center | 7.0 mi | Willard, MO | ★★☆☆☆ | 3/5 | |
| Springfield Skilled Care Center | 14.0 mi | Springfield, MO | ★☆☆☆☆ | 1/5 | |
| Brookhaven Nursing & Rehab | 14.4 mi | Springfield, MO | ★★☆☆☆ | 3/5 | |
| Wilson's Creek Nursing & Rehab | 14.4 mi | Springfield, MO | ★★★★★ | 5/5 | |
| Republic Nursing & Rehab | 15.1 mi | Republic, MO | ★★★★★ | 4/5 | |
| Maranatha Village, INC | 15.8 mi | Springfield, MO | ★★★★☆ | 3/5 | |
| Manor at Elfindale, the | 16.7 mi | Springfield, MO | ★★★★☆ | 4/5 | |
| Woodland Care & Rehab Center | 16.8 mi | Springfield, MO | ★★☆☆☆ | 2/5 | |
| Magnolia Square Nursing and Rehab | 17.5 mi | Springfield, MO | ★★☆☆☆ | 2/5 | |
| Springfield Rehabilitation & Health Care Center | 17.8 mi | Springfield, MO | ★★★★★ | 4/5 | |
| Maples Health and Rehabilitation, the | 18.1 mi | Springfield, MO | ★★★★☆ | 3/5 | |
| Neighborhoods at Quail Creek, the | 18.8 mi | Springfield, MO | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 265571.