F

ASPIRE SENIOR LIVING ROARING RIVER

812 OLD EXETER ROAD, CASSVILLE, MO 65625
Score: 34 / 100

Aspire Senior Living Roaring River has received an F grade based on CMS data, with a score of 34/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this Cassville facility should carefully review its inspection history and quality metrics.

Staffing at Aspire Senior Living Roaring River is near the national average, with 3.81 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 44 deficiencies at Aspire Senior Living Roaring River. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.81 3.8 Average
Registered Nurses (RN) 0.57 0.7 Below Average
Licensed Practical Nurses (LPN) 0.47 0.7 Below Average
Certified Nursing Assistants (CNA) 2.77 2.4 Above Average
Weekend Total Nursing 3.30 3.8 Below Average
Weekend RN Hours 0.33 0.7 Below Average

🔍 Inspection & Deficiency History

44
Total Deficiencies
Nov 13, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 43 Moderate
View recent deficiencies (5 shown)
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Nov 13, 2025 · Resident Rights Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Nov 20, 2024 · Quality of Life and Care Deficiencies
  • Tag 0791 Severity G
    Provide or obtain dental services for each resident.
    Feb 29, 2024 · Quality of Life and Care Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Feb 29, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0880 Severity F
    Provide and implement an infection prevention and control program.
    Feb 29, 2024 · Infection Control Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 8.3% 4.5% Worse
Falls with major injury 4.6% 3.0% Worse
On antipsychotic medication 25.7% 14.5% Worse
Urinary tract infections 3.8% 2.5% Worse
ADL decline (daily activities) 13.5% 14.0% Average
Excessive weight loss 3.1% 7.5% Better
New/worsened incontinence 12.4% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $46,303

How This Grade Was Calculated

This facility's grade of F is based on a score of 34 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -4 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
90
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 29, 2024
Deficiencies (Cycle 1)
24