Aspire Senior Living Platte City
ASPIRE SENIOR LIVING PLATTE CITY in PLATTE CITY, MO — inspection on April 29, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 04/29/26 at 12:52 P.M. the resident's Primary Care Physician (PCP) said:-The facility notified him of the error on 4/15/26 and the resident was sent to the hospital for evaluation and returned to the facility; -The resident was sent back to the hospital a week later, for an acute medical condition, not due to receiving Torpenz;-The pharmacy should have checked the order before filling it; -The resident complains all the time of anything and everything and was waxing and waning (a recurring, cyclical pattern where symptoms, emotions, or behaviors increase (wax) and decrease (wane) in intensity over time) in regards to behaviors;-There was no negative outcome to the resident from receiving the Torpenz.
During an interview on 04/29/26 at 10:37 A.M. the Administrator said:-The medication error was caused because of a transcription error; -The medications Torpenz and Torsemide were next to each other in the electronic medical system, the nurse clicked the wrong medication; -The Torpenz was ordered for edema, which was not an approved use, and the pharmacy did not catch the error either; -A Root Cause Analysis was completed and determined it was user error; -Education was done with all nurses for transcription of orders, re-check the order before saving it, orders must be reviewed and approved by the Director of Nursing prior to being sent to the Pharmacy.
During an interview on 04/29/26 at 2:00 P.M. the Assistant Director of Nursing said:-He/She recieved education on April 16th or 17th to read and re-read orders,then send the physician's order to the DON or management nurse on call for approval;-Once the order is approved the DON then checks to send the order to the pharmacy to be filled.During an interview on 04/29/26 at 2:15 P.M. RN B said:-He/She had only worked in the facility 3 days; -He/She recieved education to double check an order to ensure it was correct, notify the DON of the order, then the DON would approve the order and send it to Pharmacy; -If there were questions about an order he/she would clarify it with the physician and correct it in the computer before it would be ordered from the pharmacy.
Intake 2988991
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.