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Aspire Senior Living Roaring River

812 Old Exeter Road, Cassville, MO 656254178472184Ownership: For profit - Limited Liability companyCertified beds: 90Avg. daily residents: 67Chain: Aspire Senior Living (16 facilities)County: Barry
Ownership changed in the last 12 months — the current rating reflects performance partly under previous ownership.

The complete public record on Aspire Senior Living Roaring River, a Medicare & Medicaid–certified nursing home in Cassville, Missouri, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★☆☆
CMS’s composite of the three ratings below. Missouri average: 2.5 stars.
Health inspection
★★★☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Aspire Senior Living Roaring River holds a 3-star overall rating, CMS’s middle tier. Federal regulators have fined this facility $46,303 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.49 total nurse staff hours per resident per day
about the state average (3.43)
0.45 RN hours per resident per day
about the state average (0.46)
3.09 weekend nurse staff hours per resident per day
Not reported total nursing staff turnover
Not reported RN turnover
1 administrator left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

February 24, 2026 most recent standard health inspection
11 health deficiencies cited in the most recent inspection cycle
about the state average (11.5)
25 health deficiencies in the two prior cycles combined
$46,303 in federal fines across 2 penalties (last 3 years)
above the state average ($36,698)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

47 citations on record across recent inspections, 1 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
March 27, 20260684Provide appropriate treatment and care according to orders, resident’s preferences and goals. ComplaintD · Potential for more than minimal harm
February 24, 20260628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E · Potential for more than minimal harm
February 24, 20260684Provide appropriate treatment and care according to orders, resident’s preferences and goals. ComplaintE · Potential for more than minimal harm
February 24, 20260686Provide appropriate pressure ulcer care and prevent new ulcers from developing. ComplaintE · Potential for more than minimal harm
February 24, 20260732Post nurse staffing information every day.E · Potential for more than minimal harm
February 24, 20260909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to…E · Potential for more than minimal harm
February 24, 20260727Have 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. ComplaintD · Potential for more than minimal harm
February 24, 20260755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D · Potential for more than minimal harm
February 24, 20260803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician,…D · Potential for more than minimal harm
February 24, 20260812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…D · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.