The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited August 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
Nursing home report
ASPIRE SENIOR LIVING ADVANCE
ADVANCE, MO · Medicare-certified · 55 beds
In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
ASPIRE SENIOR LIVING ADVANCE has an overall 4-star rating, with 4 stars for health inspections, 3 stars for quality, and 2 stars for staffing. Reported nurse staffing is 3.37 hours per resident per day, below the federal benchmark of 4.1; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.3672 hrs/resident/day
Quality measures
Last inspection: March 6, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3672.
Staffing detail
- Registered nurses
- 0.68
- Licensed practical nurses
- 0.77
- Nurse aides
- 1.92
- Weekend nursing
- 2.74
Hours per resident per day.
Total staff turnover: 52%
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
—33.3%—
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
6.1%0%Improving
Residents with a urinary tract infection
0%3.8%Worsening
Residents who lost too much weight
5%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—16.4%—
Residents whose ability to walk got worse
—37.2%—
Long-stay residents on antianxiety or sleep medication
47.6%40%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
11.7%24.2%Worsening
Residents with depressive symptoms
20.8%8.3%Improving
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
—97.1%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—86.9%—
What the inspectors found
The nursing home failed to honor a resident’s right to manage their own money and financial affairs. Cited August 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 567 — 42 CFR §483.10 — S/S: E
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited March 2026 — isolated incident, potential for harm.
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F-Tag 605 — 42 CFR §483.12 — S/S: D
The nursing home failed to provide services that met professional standards of quality. Cited March 2026 — isolated incident, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
The home failed to provide the appropriate treatment and services for a resident with dementia. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 744 — 42 CFR §483.40(b)(3) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Jun 1, 2021
Now operated by Aspire Senior Living Advance, previously Advance Nursing Center.
- Ownership
- For profit - Corporation
- Chain
- Part of ASPIRE SENIOR LIVING · 16 homes · 1.9 stars avg
- Occupancy
- 30.7 residents on an average day (56% of 55 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 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.