Aspire Senior Living Warsaw
ASPIRE SENIOR LIVING WARSAW in WARSAW, MO — inspection on October 29, 2025.
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 10/28/25 at 10:50 A.M., the administrator said CNA B notified him/her that CNA B had witnessed abusive behavior by CNA A towards Resident #1 and Resident #2.
He/She said CNA B told him/her CNA B witnessed CNA A roughly grab Resident #1 under the resident's arms, without the use of a gait belt, and throw the resident into his/her wheelchair. CNA B then witnessed CNA A roughly grab Resident #2 under the arms, without use of a gait belt, and throw them into his/her wheelchair.
The administrator said he/she suspended CNA A pending the investigation and terminated him/her after completing the investigation.
The administrator said he/she interviewed Resident #2 on 10/22/25, and the resident told him/her CNA A hurt his/her arm.
The administrator said he/she obtained an x-ray, with negative results for any injury.
During an interview on 10/28/25 at 12:20 P.M., CNA B said when CNA A came on duty the morning of 10/22/25, CNA A appeared agitated. He/She said CNA A went into the residents' room to get them up for breakfast. CNA B said CNA grabbed Resident #2 and threw the resident into the resident's wheelchair. CNA B said CNA A put her hands under Resident #2's arms in a forceful manner, and without the use of a gait belt, threw Resident #2 into the resident's wheelchair so quickly, CNA B was, in shock. CNA B said CNA A then went to Resident #1, grabbed Resident #1 around the waist in a forceful manner, and without the use of a gait belt, and threw Resident #1 into the resident's wheelchair.
CNA B said Resident #1 attempted to hit and bite CNA A during the transfer.
During an interview on 10/28/25 at 12:33 P.M., CNA A said he/she was irritated when he/she came on duty the morning of 10/22/25 because the night staff had not gotten Resident #1 and Resident #2 up for breakfast. He/She said he/she does not use a gait belt to transfer the residents because he/she lifts them up fast and quickly pivots them into their wheelchairs. He/She said he/she transfers the residents by lifting them up under their arms and twisting to put them in their wheelchairs.
During an interview on 11/04/25 at 9:08 A.M., LPN D said CNA B and CNA C notified him/her they witnessed CNA A transfer Resident #1 and Resident #2 in a forceful manner. He/She said he/she instructed CNA B and CNA C to contact the administrator. #2649674
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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.