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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMissouriAspire Senior Living Roaring River

Aspire Senior Living Roaring River

812 Old Exeter Road, Cassville, MO 656254178472184
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
4/5
Quality
2/5
Beds
90
certified
2 fine(s) totaling $46,303

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 90 certified beds with an average of 55.8 residents per day (62% occupancy)

• Last health inspection found 24 deficiencies (inspected Mar 1, 2024)

• Has been fined a total of $46,303 across 2 fine(s)

• Total nursing staff: 3.81 hours per resident per day

• Staff turnover rate: 49.2%

Aspire Senior Living Roaring River is a 2-star Medicare and Medicaid certified nursing home in Cassville, Missouri with 90 certified beds. It has been operating since 1993. The facility scored below average compared to Missouri facilities.

Beds
90
Avg Residents/Day
55.8
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Aug 1, 1993
Sprinklers
Yes
Council
Resident
County
Barry
Last Inspection
Mar 1, 2024
Deficiencies (Cycle 1)
24
Weighted Score
160.5
Infection Citations
0

Deficiency Citations (44)

F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Nov 14, 2025Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0625Potential for Harm

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0678Potential for Harm

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0688Potential for Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0699Potential for Harm

Provide care or services that was trauma informed and/or culturally competent.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0758Potential for Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0791Actual Harm

Provide or obtain dental services for each resident.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0881Potential for Harm

Implement a program that monitors antibiotic use.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Nov 21, 2024Corrected: NoCycle: 2
F0576Potential for Harm

Ensure residents have reasonable access to and privacy in their use of communication methods.

Survey: Dec 10, 2021Corrected: NoCycle: 2
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Dec 10, 2021Corrected: NoCycle: 2
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Dec 10, 2021Corrected: NoCycle: 2
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Dec 10, 2021Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Dec 10, 2021Corrected: NoCycle: 2

+ 14 more deficiencies

Total Fines
$46,303
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineSep 5, 2023
$4,587
FineMar 1, 2024
$41,716

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.77 hrs
National avg: 2.35 hrs
LPN0.47 hrs
National avg: 0.86 hrs
RN0.57 hrs
National avg: 0.68 hrs
Total Nursing3.81 hrs
National avg: 3.89 hrs
Weekend Total3.30 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
49.2%
RN Turnover
60.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (1)

NameRoleTypeOwnership %Since
Ownership Data Not AvailableN/AN/A

Nearby Nursing Homes

All Missouri facilities

Cassville Health Care Center

Cassville, MO · 60 beds

For profit$15,375 in fines
Health
Staffing
Quality
3469 ft

Frequently Asked Questions

What is the CMS rating for Aspire Senior Living Roaring River?▾
Aspire Senior Living Roaring River has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 2/5. This facility is rated below average.
Has Aspire Senior Living Roaring River had any health inspection violations?▾
Aspire Senior Living Roaring River had 24 deficiency citations in its most recent health inspection (Mar 1, 2024). The facility has been fined a total of $46,303 across 2 fine(s).
What are the staffing levels at Aspire Senior Living Roaring River?▾
Aspire Senior Living Roaring River provides 3.81 total nursing staff hours per resident per day, including 0.57 RN hours, 0.47 LPN hours, and 2.77 nurse aide hours. The total staff turnover rate is 49.2%.
How many beds does Aspire Senior Living Roaring River have?▾
Aspire Senior Living Roaring River has 90 certified beds with an average of 55.8 residents per day, resulting in approximately 62% occupancy. The facility is For profit - Limited Liability company owned.
Are there other nursing homes near Aspire Senior Living Roaring River?▾
Yes, there are 1 other nursing home in Cassville, Missouri with an average rating of 1.5/5. You can compare all facilities on the Cassville nursing homes page.