Aspire Senior Living Roaring River
812 Old Exeter Road, Cassville, MO 65625 · (417) 847-2184
For profit - Limited Liability company · 90 certified beds
Aspire Senior Living Roaring River has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2026, found 9 citations (the Missouri average is 11.4). It was fined 1 time in the last three years, $41,716 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 3 out of 5 stars · Average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on February 24, 2026 found 9 citations. What an inspection citation means
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.February 24, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 24, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 24, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Post nurse staffing information every day.February 24, 2026 · F0732 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.February 24, 2026 · F0909 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.February 24, 2026 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.February 24, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.February 24, 2026 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 24, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 7 citations.
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 27, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 24, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 24, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.February 24, 2026 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.November 14, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 21, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to manage his or her financial affairs.December 14, 2023 · F0567 · Level of harm: Potential for minimal harm · Residents affected: Some
Fines and payment denials
- Fine of $41,716March 1, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Missouri average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.49 | 3.43 | 3.86 |
| Registered nurses (RN) | 0.45 | 0.46 | 0.69 |
| Licensed practical nurses (LPN) | 0.42 | 0.68 | 0.86 |
| Nurse aides | 2.62 | 2.29 | 2.32 |
| Total nursing staff turnover | Not available | 56% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 90 |
| Average residents per day | 67 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Cassville Health Care Center Cassville · Not available
- Lacoba Homes Inc Monett · ★★★★★ 5 out of 5 stars
- Ash Grove Healthcare Facility Ash Grove · ★★★★★ 3 out of 5 stars
- Ascend at Aurora Aurora · ★★★★★ 1 out of 5 stars
- Heart of the Ozarks Healthcare Center Ava · ★★★★★ 4 out of 5 stars
Compare every nursing home in Cassville, MO · Nursing homes in Missouri
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Data from Medicare (CMS), updated October 2026, from Aspire Senior Living Roaring River on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.