The home failed to ensure each resident got needed dental services. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 791 — 42 CFR §483.55 — S/S: G
Nursing home report
ASPIRE SENIOR LIVING ROARING RIVER
CASSVILLE, MO · Medicare-certified · 90 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
ASPIRE SENIOR LIVING ROARING RIVER in Cassville, MO has a 1 out of 5 overall rating, with 1 star for health inspections and 2 stars for staffing. It reports 3.49 nurse hours per resident per day versus the 4.1 federal benchmark, has no fines in the last 24 months, and was cited for issues including dental services, food safety, and infection prevention and control.
Facility ratings
Health inspections
Staffing
3.486 hrs/resident/day
Quality measures
Last inspection: March 27, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.486.
Staffing detail
- Registered nurses
- 0.45
- Licensed practical nurses
- 0.42
- Nurse aides
- 2.62
- Weekend nursing
- 3.09
Hours per resident per day.
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
23.7%13.7%Improving
Residents with a fall causing major injury
5.6%4.8%Improving
Residents with pressure ulcers (bedsores)
9.3%7.4%Improving
Residents with a urinary tract infection
13.2%1.6%Improving
Residents who lost too much weight
0%5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17%12.1%Improving
Residents whose ability to walk got worse
27.6%6.8%Improving
Long-stay residents on antianxiety or sleep medication
30.6%26.7%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%2.3%Worsening
Residents with new or worsening incontinence
11.7%28.7%Worsening
Residents with depressive symptoms
1.9%7.3%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
—94.6%—
Long-stay residents given the pneumonia vaccine
100%87.1%Worsening
Short-stay residents given the seasonal flu vaccine
—77.4%—
Short-stay residents given the pneumonia vaccine
96.4%81.8%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — 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 March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to monitor antibiotic use properly. Cited March 2024 — 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 make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — 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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $46,303 in total fines.
- $41,716
Federal fine
Mar 1, 2024
- $4,587
Federal fine
Sep 5, 2023
Operator & ownership
Recent ownership change · Oct 1, 2025
Now operated by Aspire Senior Living Roaring River, previously Roaring River Health and Rehabilitation.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ASPIRE SENIOR LIVING · 16 homes · 1.9 stars avg
- Occupancy
- 67 residents on an average day (74% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 years
The most recent standard health inspection was more than two years ago.
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.