Aspire Senior Living Roaring River
812 Old Exeter Road · Cassville, MO · 65625 · 4178472184
90 certified beds For profit - Limited Liability company Chain: Aspire Senior Living
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
Red flags
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.54 | 0.55–0.75 |
| Weekend hours / resident-day | 2.78 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $46,303 |
Inspection citations (48 in the current record)
-
Potential for harm · D March 27, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 8, 2026 · Quality of Life and Care
-
Potential for harm · E February 24, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 9, 2026 · Quality of Life and Care
-
Potential for harm · E February 24, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 9, 2026 · Quality of Life and Care
-
Potential for harm · D February 24, 2026 · found via complaint
Have 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.
Corrected April 9, 2026 · Nursing and Physician Services
-
Potential for harm · D November 14, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 9, 2026 · Resident Rights
-
Potential for harm · D November 21, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 4, 2025 · Quality of Life and Care
-
Actual harm · G March 1, 2024
Provide or obtain dental services for each resident.
Corrected April 15, 2024 · Quality of Life and Care
-
Potential for harm · D March 1, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 15, 2024 · Resident Rights
-
Potential for harm · E March 1, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 1, 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 April 15, 2024 · Resident Rights
-
Potential for harm · D March 1, 2024
Ensure each resident receives an accurate assessment.
Corrected April 15, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E March 1, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 15, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D March 1, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 15, 2024 · Quality of Life and Care
-
Potential for harm · D March 1, 2024
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected April 15, 2024 · Quality of Life and Care
-
Potential for harm · D March 1, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 15, 2024 · Quality of Life and Care
-
Potential for harm · D March 1, 2024
Provide 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.
Corrected April 15, 2024 · Quality of Life and Care
-
Potential for harm · D March 1, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 15, 2024 · Quality of Life and Care
-
Potential for harm · D March 1, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected April 15, 2024 · Quality of Life and Care
-
Potential for harm · D March 1, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 15, 2024 · Quality of Life and Care
-
Potential for harm · D March 1, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 15, 2024 · Quality of Life and Care
-
Potential for harm · D March 1, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected April 15, 2024 · Quality of Life and Care
-
Potential for harm · D March 1, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 15, 2024 · Pharmacy Service
-
Potential for harm · D March 1, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 15, 2024 · Pharmacy Service
-
Potential for harm · D March 1, 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 April 15, 2024 · Pharmacy Service
-
Potential for harm · D March 1, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected April 15, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 1, 2024 | Fine | $41,716 |
| September 5, 2023 | Fine | $4,587 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265538 · certified since August 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.