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Nursing home report

ASPIRE SENIOR LIVING ROARING RIVER

CASSVILLE, MO · Medicare-certified · 90 beds

Needs attention
For-profit
1 of 5 overall

Aspire Senior Living Roaring River in Cassville, MO has a 1-star overall rating, with a 1-star health inspection rating and a 2-star staffing rating; reported nurse staffing is 3.33 hours per resident per day, below the 4.1 federal benchmark. It has no fines in the last 24 months and is flagged for the lowest overall rating, with recent inspection issues cited in dental services, food handling, and infection prevention and control.

Facility ratings

Health inspections

Staffing

3.3317 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 3.3317.

Staffing detail

Registered nurses
0.54
Licensed practical nurses
0.35
Nurse aides
2.44
Weekend nursing
2.78

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

27.5%28.2%Worsening

Residents with a fall causing major injury

3.8%5.7%Worsening

Residents with pressure ulcers (bedsores)

5.8%5.9%No change

Residents with a urinary tract infection

0%2%Worsening

Residents who lost too much weight

4.1%4.3%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

16.3%6.7%Improving

Residents whose ability to walk got worse

18.9%18.1%Improving

Long-stay residents on antianxiety or sleep medication

30%28.6%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

10.2%12.2%Worsening

Residents with depressive symptoms

24.5%4%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

94.6%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

77.4%

Short-stay residents given the pneumonia vaccine

90%100%Improving

What the inspectors found

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

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $46,303 in total fines.

  • Federal fine

    Mar 1, 2024

    $41,716
  • Federal fine

    Sep 5, 2023

    $4,587

Operator & ownership

Ownership
For profit - Limited Liability company
Occupancy
62.8 residents on an average day (70% of 90 beds)
Resident voice
Resident council
Medicare history
Certified for 32 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.