Westgate
3130 John Duffy Dr, Joplin, MO 64804 · Jasper County · 120 certified beds · avg 105 residents/day · certified since Jul 16, 2019
Part of chain: CIRCLE B ENTERPRISES (36 facilities, chain avg rating 2.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jun 4, 2026 · F-0686 · triggered by a complaint
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 19, 2026 (Deficient, Provider has plan of correction)
▲ Actual harm, one-off · Sep 29, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 31, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (23)
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 |
|---|---|---|
| Jun 4, 2026 | ▲ J · Immediate jeopardy, 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 |
| Jun 4, 2026 | 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 |
| Jan 14, 2026 | 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 |
| Jul 1, 2025 | 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 |
| Dec 31, 2024 | D · Potential for harm, one-off | 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 7, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jun 7, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jun 7, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Mar 15, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. · from a complaint |
| Sep 29, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Sep 29, 2023 | 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 |
| Jul 21, 2022 | E · Potential for harm, repeated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Jul 21, 2022 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Jul 21, 2022 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jul 21, 2022 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Jul 21, 2022 | E · Potential for harm, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Jul 21, 2022 | E · Potential for harm, repeated | 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. |
| Jul 21, 2022 | 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. |
| Jul 21, 2022 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Jul 21, 2022 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Jul 21, 2022 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jul 21, 2022 | 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. |
| Jul 21, 2022 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (12 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 12 | 0 | E |
| 2023 | 2 | 1 | G ▲ |
| 2024 | 5 | 0 | E |
| 2025 | 1 | 0 | D |
| 2026 | 3 | 1 | J ▲ |
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)
1 fine totaling $70,134.
| Date | Type | Amount / length |
|---|---|---|
| Jun 4, 2026 | Fine | $70,134 |
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) | 3.65 | 3.66 | 3.95 | top 47% in Missouri; bottom 44% in the U.S. |
| Registered Nurse hours | 0.49 | 0.49 | 0.69 | top 36% in Missouri; bottom 37% in the U.S. |
| Weekend total nurse staffing | 3.10 | 3.22 | 3.50 | bottom 47% in Missouri; bottom 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.33 | 0.48 | bottom 50% in Missouri; bottom 26% in the U.S. |
| Total nursing staff turnover (%) | 54.2 | 56.0 | 45.8 | top 42% in Missouri; bottom 27% in the U.S. |
| RN turnover (%) | 27.3 | 47.8 | 42.9 | top 21% in Missouri; top 24% 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 3.74, RN 0.51, weekend 3.17. 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: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Circle B Enterprises Holding Company INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/10/2000 |
| Agh1 LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/16/2019 |
| Agh1 LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/11/2025 |
| Beaird, Todd | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2022 |
| Beaird, Todd | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Bedell, Bryan | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 05/12/2025 |
| Bedell, Donald | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/10/2000 |
| Caldwell, Misty | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/10/2022 |
| Caldwell, Misty | Individual | ADP of the SNF | NOT APPLICABLE | 03/10/2022 |
| Cascone, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/10/2019 |
| Cascone, John | Individual | ADP of the SNF | NOT APPLICABLE | 06/10/2019 |
| DCB Real Estate Partnership LP | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2005 |
| FG LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/16/2019 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 08/16/2021 |
| Joplin Development Properties II LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2021 |
| Mid States INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/16/2019 |
| Sovereign Healthcare Group LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/23/2021 |
| Sovereign Healthcare Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/06/2025 |
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 prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "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 |
|---|---|---|---|---|---|
| Communities of Wildwood Ranch | 0.0 mi | Joplin, MO | ★★★★☆ | 5/5 | |
| Galena Nursing & Rehab Center | 2.3 mi | Galena, KS | ★★☆☆☆ | 2/5 | abuse |
| Aspire Senior Living Joplin | 2.6 mi | Joplin, MO | ★☆☆☆☆ | 1/5 | |
| Joplin Gardens | 3.6 mi | Joplin, MO | ★☆☆☆☆ | 2/5 | |
| NHC Healthcare, Joplin | 5.7 mi | Joplin, MO | ★★☆☆☆ | 3/5 | |
| Quaker Hill Manor | 6.2 mi | Baxter Springs, KS | ★★★★☆ | 4/5 | |
| Aspire Senior Living Webb City | 9.2 mi | Webb City, MO | ★☆☆☆☆ | 2/5 | |
| Higher Call Nursing Center | 13.2 mi | Quapaw, OK | ★☆☆☆☆ | 1/5 | |
| Seneca Nursing | 15.1 mi | Seneca, MO | ★☆☆☆☆ | 2/5 | |
| Medicalodges Columbus | 16.7 mi | Columbus, KS | ★★★☆☆ | 2/5 | |
| St Luke's Nursing and Rehabilitation | 17.3 mi | Carthage, MO | ★★★☆☆ | 4/5 | |
| Aspire Senior Living Carthage | 17.6 mi | Carthage, MO | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 265877.