69.5/100
Average
Aspire Senior Living Roaring River
812 Old Exeter Road, Cassville, MO 65625
- Certified beds
- 90
- Occupancy
- 74%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$41,716 in federal fines
CMS has fined this facility across 1 penalty action(s).
Changed ownership in the last 12 months
New owners often change staffing and management. Ratings from before the sale may not reflect current care.
Our read on Aspire Senior Living Roaring River
Aspire Senior Living Roaring River runs 90 certified beds in Cassville under for-profit LLC ownership, and its record shows why the federal inspection score sits at the bottom. Inspectors have cited 48 deficiencies, including one at the harm or jeopardy level and two tied to abuse. Two fines totaling $46,303 are on file. Nurse staffing runs 3.49 hours per resident day, roughly 10% under the national average, and weekends drop about 11% below the home's own weekday coverage. Quality measures score better than the inspection or staffing ratings. Ownership is for-profit through a limited liability company, and the last inspection was March 1, 2024.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
18/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →4.12 total nurse hours per resident per day (national median 3.77)
- →0.45 RN hours per resident per day
- →Weekend staffing drops 11% against weekdays
Staff stability
7.5/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →No turnover figure reported, scored neutral
Resident outcomes
9/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →3 of 5 stars on the CMS quality-measure rating
Enforcement history
5/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$41,716 in federal fines across 1 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: February 24, 2026 (8 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of ASPIRE SENIOR LIVING, which operates 16 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Aspire Senior Living Roaring River
What is the ElderGrade for Aspire Senior Living Roaring River? +
Aspire Senior Living Roaring River holds an ElderGrade of C (69.5 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Aspire Senior Living Roaring River? +
Residents receive an average of 3.49 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Aspire Senior Living Roaring River been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Aspire Senior Living Roaring River accept Medicaid? +
Yes, Aspire Senior Living Roaring River is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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