Nursing HomeInspections

Aspire Senior Living Roaring River

Nursing home in Cassville, MO

Medicare & Medicaid certified3★ overall (CMS)

Call (417) 847-2184Send a messageMap ↗

Public-record details

Address
812 Old Exeter Road, Cassville, MO 65625
Phone
(417) 847-2184
Listed under
For-profit
Medicare CCN
265538
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
90
Average residents per day
67
Ownership
For-profit, limited Liability company
Legal business name
Aspire Senior Living Roaring River LLC
Chain
Aspire Senior Living (16 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 1, 1993
Changed ownership in last 12 months
Yes
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265538. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 24, 2026. CMS lists 47 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 10, 2021 to Mar 27, 2026): 7 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 27, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 24, 2026Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 24, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Feb 24, 2026Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Feb 24, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Feb 24, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		E
Potential for more than minimal harm, pattern
Feb 24, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 24, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 24, 2026Post nurse staffing information every day.
Nursing and Physician Services		E
Potential for more than minimal harm, pattern
Feb 24, 2026Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Environmental		E
Potential for more than minimal harm, pattern
Nov 14, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 21, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 47. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $46,303 in the last three years.

Mar 1, 2024Fine: $41,716
Sep 5, 2023Fine: $4,587

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.49 hours
Registered nurse (RN) time per resident per day
0.45 hours
Nurse aide time per resident per day
2.62 hours
Total nurse staffing on weekends
3.09 hours
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Cassville

Cassville Health Care Center1300 County Farm Road · Cassville, MO 65625 · (417) 847-3386 · For-profit82 health citations in 3 inspection cycles · last standard inspection Oct 1, 2024 · $123,925 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

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