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Aspire Senior Living Roaring River

All states › Missouri › Cassville › Aspire Senior Living Roaring River

812 Old Exeter Road Cassville, MO 65625 · Barry County

(417) 847-2184

All 2 nursing homes in Cassville, MO (2 take Medicaid)

Accepts Medicare Accepts Medicaid 90 certified beds For profit

CMS certification number 265538 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 47 citations in the last three years. CMS imposed 1 penalty, including $41,716 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 2 out of 5.

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.

Nursing care per resident per day 3.44 hours
Above the Missouri median of 3.37 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.39 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.07 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover — Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds90
Residents per day 72 About 80% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceAugust 1993
Part of a chainAspire Senior Living
Legal business nameASPIRE SENIOR LIVING ROARING RIVER LLC
Ownership changedIn the last 12 months

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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (May 8, 2026)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0628 · Deficient, Provider has date of correction (Apr 9, 2026)

EProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Apr 9, 2026)

EProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (Apr 9, 2026)

EPost nurse staffing information every day.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Apr 9, 2026)

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.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0909 · Deficient, Provider has date of correction (Apr 9, 2026)

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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Complaint inspection · Deficient, Provider has date of correction (Apr 9, 2026)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Apr 9, 2026)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Apr 9, 2026)

DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 9, 2026)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Jan 9, 2026)

November 21, 2024 · 1 citation · includes complaint inspection

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Jan 4, 2025)

March 1, 2024 · 23 citations, includes actual harm

GProvide or obtain dental services for each resident.

Actual harm · Quality of Life and Care Deficiencies · Tag F0791 · Deficient, Provider has date of correction (Apr 15, 2024)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 15, 2024)

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 15, 2024)

FImplement a program that monitors antibiotic use.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0881 · Deficient, Provider has date of correction (Apr 15, 2024)

FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0925 · Deficient, Provider has date of correction (Apr 15, 2024)

EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Deficient, Provider has date of correction (Apr 15, 2024)

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Apr 15, 2024)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has date of correction (Apr 15, 2024)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0625 · Deficient, Provider has date of correction (Apr 15, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Apr 15, 2024)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Apr 15, 2024)

DProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0678 · Deficient, Provider has date of correction (Apr 15, 2024)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Apr 15, 2024)

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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Apr 15, 2024)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Apr 15, 2024)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Apr 15, 2024)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Apr 15, 2024)

DProvide safe, appropriate dialysis care/services for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0698 · Deficient, Provider has date of correction (Apr 15, 2024)

DProvide care or services that was trauma informed and/or culturally competent.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0699 · Deficient, Provider has date of correction (Apr 15, 2024)

DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Apr 15, 2024)

DEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Apr 15, 2024)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Apr 15, 2024)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Apr 15, 2024)

December 14, 2023 · 1 citation · includes complaint inspection

BHonor the resident's right to manage his or her financial affairs.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0567 · Complaint inspection · Deficient, Provider has no plan of correction

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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Jan 24, 2022)

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Feb 8, 2022)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Jan 24, 2022)

EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Deficient, Provider has date of correction (Jan 24, 2022)

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Jan 24, 2022)

EProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Jan 24, 2022)

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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0700 · Deficient, Provider has date of correction (Jan 24, 2022)

DEnsure residents have reasonable access to and privacy in their use of communication methods.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0576 · Deficient, Provider has date of correction (Jan 24, 2022)

DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Jan 24, 2022)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Jan 24, 2022)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jan 24, 2022)

Questions to ask on a tour of Aspire Senior Living Roaring River

  1. 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?
  2. CMS cited the home under its abuse and neglect rules on March 1, 2024. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Ownership changed in the last 12 months. What has changed for residents and staff since then?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. 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.

DateTypeAmount or length
Mar 1, 2024 Fine $41,716

Rating history

CMS monthOverallInspectionStaffingQuality
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.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Cassville Health Care Center Cassville · 0.7 mi away Not rated Inspection — · Staffing — 60 beds · Medicaid
Lacoba Homes Monett · 17.0 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 79 beds · Medicaid
Ascend at Aurora Aurora · 21.6 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 125 beds · Medicaid
The Ozarks Methodist Manor Marionville · 25.8 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 3/5 78 beds · Medicaid
Granby House Granby · 26.7 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 60 beds · Medicaid

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

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.

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https://www.nursinghomesineachstate.com/missouri/cassville/aspire-senior-living-roaring-river/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.