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.
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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
4 of 5 overall
ASPIRE SENIOR LIVING ADVANCE has a 4-star overall rating, with 4 stars for health inspections, 3 stars for staffing, and 2 stars for quality measures. It reported 3.85 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, with $0 in fines in the last 24 months and no special-focus status mentioned.
Facility ratings
Health inspections
Staffing
3.8472 hrs/resident/day
Quality measures
Last inspection: November 22, 2024Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8472.
Staffing detail
- Registered nurses
- 0.78
- Licensed practical nurses
- 0.83
- Nurse aides
- 2.23
- Weekend nursing
- 3.27
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
32.1%Steady
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
5.4%Improving
Residents with a urinary tract infection
2.9%Improving
Residents who lost too much weight
7.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
18.7%Steady
Residents whose ability to walk got worse
42.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
45.8%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
3.6%Improving
Residents with new or worsening incontinence
16.5%Worsening
Residents with depressive symptoms
21.9%Worsening
Long-stay residents given the seasonal flu vaccine
97.1%Steady
Long-stay residents given the pneumonia vaccine
99.1%Steady
Short-stay residents given the pneumonia vaccine
90.9%Steady
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.
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F-Tag 567 — 42 CFR §483.10 — S/S: E
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited October 2021 — limited pattern, potential for harm.
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F-Tag 655 — 42 CFR §483.21 — S/S: E
The nursing home failed to develop and follow policies to make sure residents received flu and pneumonia vaccinations. Cited October 2021 — limited pattern, potential for harm.
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F-Tag 883 — 42 CFR §483.80 — S/S: E
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited November 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 623 — 42 CFR §483.15 — 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 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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ASPIRE SENIOR LIVING · 15 homes · 2.4 stars avg
- Occupancy
- 29 residents on an average day (53% 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.