The nursing home failed to provide services that met professional standards of quality. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: G
Nursing home report
St. Andrew's at New Florence
Registered name: ASPIRE SENIOR LIVING NEW FLORENCE
NEW FLORENCE, MO · Medicare-certified · 87 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
St. Andrew's at New Florence has a 1-star overall rating, with 1-star staffing and 2-star health inspection and quality ratings. It also reports 2.84 nurse hours per resident per day versus the 4.1 federal benchmark, $28,486 in fines over the last 24 months, and a recent federal penalty.
Facility ratings
Health inspections
Staffing
2.8413 hrs/resident/day
Quality measures
Last inspection: November 17, 2025Penalties, last 24 months: $28,486recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8413.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 0.39
- Nurse aides
- 2.04
- Weekend nursing
- 2.49
Hours per resident per day.
Total staff turnover: 88%
Registered nurse turnover: 89%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
8%16.1%Worsening
Residents with a fall causing major injury
0%5.8%Worsening
Residents with pressure ulcers (bedsores)
2%6.3%Worsening
Residents with a urinary tract infection
2.1%2%No change
Residents who lost too much weight
5.1%2.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.1%28.9%Worsening
Residents whose ability to walk got worse
22.4%24.7%Worsening
Long-stay residents on antianxiety or sleep medication
22.5%23.7%Worsening
Short-stay residents newly given an antipsychotic
—8.3%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
17.9%16.2%Improving
Residents with depressive symptoms
4.8%14.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98%—
Long-stay residents given the pneumonia vaccine
81.6%88.5%Improving
Short-stay residents given the seasonal flu vaccine
—22.5%—
Short-stay residents given the pneumonia vaccine
34.3%45.7%Improving
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
The home failed to monitor antibiotic use properly. Cited November 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: F
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited November 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $28,486 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $28,486 in total fines.
- $28,486
Federal fine
Sep 6, 2024
Operator & ownership
Recent ownership change · May 1, 2025
Now operated by Aspire Senior Living New Florence, previously St Andrews at New Florence.
- Ownership
- For profit - Corporation
- Chain
- Part of ASPIRE SENIOR LIVING · 16 homes · 1.9 stars avg
- Occupancy
- 59.1 residents on an average day (68% of 87 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 30 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.