Aspire Senior Living Advance
315 South Tilley Street · Advance, MO · 63730 · 5737223440
55 certified beds For profit - Corporation Chain: Aspire Senior Living
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.85 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.78 | 0.55–0.75 |
| Weekend hours / resident-day | 3.27 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (32 in the current record)
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Potential for harm · D March 6, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected April 24, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 6, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 24, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2026
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected April 24, 2026 · Quality of Life and Care
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Potential for harm · D March 6, 2026
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected April 24, 2026 · Pharmacy Service
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Potential for harm · D March 6, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 24, 2026 · Nutrition and Dietary
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Potential for harm · D March 6, 2026
Provide and implement an infection prevention and control program.
Corrected April 24, 2026 · Infection Control
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Potential for harm · D November 22, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 6, 2025 · Resident Rights
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Potential for harm · D November 22, 2024
Notify 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.
Corrected January 6, 2025 · Resident Rights
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Potential for harm · D November 22, 2024
Ensure each resident receives an accurate assessment.
Corrected January 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 22, 2024
Try 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.
Corrected January 6, 2025 · Quality of Life and Care
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Potential for harm · D November 22, 2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected January 6, 2025 · Quality of Life and Care
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Potential for harm · D November 22, 2024
Implement 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.
Corrected January 6, 2025 · Pharmacy Service
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Potential for harm · D November 22, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected January 6, 2025 · Pharmacy Service
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Potential for harm · D November 22, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected January 6, 2025 · Pharmacy Service
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Potential for harm · D November 22, 2024
Provide and implement an infection prevention and control program.
Corrected January 6, 2025 · Infection Control
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No harm found · C November 22, 2024
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected January 6, 2025 · Resident Rights
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No harm found · C November 22, 2024
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected January 6, 2025 · Nursing and Physician Services
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Potential for harm · E August 18, 2023
Honor the resident's right to manage his or her financial affairs.
Corrected October 2, 2023 · Resident Rights
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Potential for harm · D August 18, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected October 2, 2023 · Resident Rights
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Potential for harm · D August 18, 2023
Assess the resident when there is a significant change in condition
Corrected October 2, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 18, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected October 2, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 18, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 2, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 18, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 2, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 18, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 2, 2023 · Quality of Life and Care
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Potential for harm · D August 18, 2023
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected October 2, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265550 · certified since November 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.