All states › Missouri › Cassville › Aspire Senior Living Roaring River
812 Old Exeter Road Cassville, MO 65625 · Barry County
All 2 nursing homes in Cassville, MO (2 take Medicaid)
CMS certification number 265538 · See this home on Medicare Care Compare
Is Aspire Senior Living Roaring River a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Aspire Senior Living Roaring River as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.44 hours per resident per day at Aspire Senior Living Roaring River, about the same as the Missouri median of 3.37 (US median: 3.72). About 0.39 of those hours are from registered nurses. On weekends it falls to 3.07 hours, 11% below its all-week average.
About this nursing home
Paying for care at Aspire Senior Living Roaring River: Medicare and Medicaid
Aspire Senior Living Roaring River is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 24, 2026 and found 6 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 47 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 47 citations at Aspire Senior Living Roaring River across 7 inspection dates, 7 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on March 1, 2024. The most common areas cited were quality of life and care (19) and resident rights (8). The most serious was cited under the CMS rule to "provide or obtain dental services for each resident" (tag F0791, level G, March 1, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.
March 27, 2026 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
February 24, 2026 · 9 citations · includes complaint inspection
EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EPost nurse staffing information every day.
ERegularly 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.
DHave 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.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
November 14, 2025 · 1 citation · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
November 21, 2024 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
March 1, 2024 · 23 citations, includes actual harm
GProvide or obtain dental services for each resident.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
FImplement a program that monitors antibiotic use.
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
DEnsure each resident receives an accurate assessment.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide care or services that was trauma informed and/or culturally competent.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
DEnsure medication error rates are not 5 percent or greater.
December 14, 2023 · 1 citation · includes complaint inspection
BHonor the resident's right to manage his or her financial affairs.
December 10, 2021 · 11 citations
FHave 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.
FProvide and implement an infection prevention and control program.
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide activities to meet all resident's needs.
ETry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
DEnsure residents have reasonable access to and privacy in their use of communication methods.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Questions to ask on a tour of Aspire Senior Living Roaring River
- Inspectors cited the home at the actual-harm level on March 1, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 1, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Ownership changed in the last 12 months. What has changed for residents and staff since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $41,716 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Mar 1, 2024 | Fine | $41,716 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 2/5 | 2/5 |
| August 2026 | 3/5 | 3/5 | 2/5 | 3/5 |
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Location
Hospitals near Aspire Senior Living Roaring River
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.4 mi
St Johns Hospital - Cassville CassvilleEmergency roomMedian ER visit 1h 41m for patients treated and sent home
-
17.6 mi
Cox Monett Hospital MonettEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 31m for patients treated and sent home
- 20.5 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Aspire Senior Living Roaring River › All nursing homes in Cassville ›
Compare Aspire Senior Living Roaring River with the 3 closest homes side by side ›
Other Aspire Senior Living nursing homes in Missouri
- Aspire Senior Living Advance · Advance · 4 stars
- Aspire Senior Living Malden · Malden · 3 stars
- Aspire Senior Living Excelsior Springs · Excelsior Springs · 3 stars
- Aspire Senior Living Carthage · Carthage · 3 stars
- Aspire Senior Living East Prairie · East Prairie · 3 stars
- Aspire Senior Living Poplar Bluff · Poplar Bluff · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 16 Aspire Senior Living nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.