Deficiency Index

Aspire Senior Living Advance

Advance, Missouri · CCN 265550

15 surveys since 2011, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
105
Surveys
15
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file12/15

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
55
Ownership
For profit - Corporation
Chain
ASPIRE SENIOR LIVING
County
Stoddard · rural
Medicare-certified since
1993

CMS ratings

Overall
4
Health inspection
4
Staffing
2
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 82 for-profit facilities with fewer than 66 beds in Missouri.

Last survey on record

Mar 6, 2026

248 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.373.20
Registered-nurse hours per resident day0.68—
Annual nurse turnover51.6%57.5%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2784.4%E13.1%F13.1%
No harm, potential for minimalA—B—C39.4%
CMS’s current file: 32 of the 105 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7443×

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

  • F7613×

    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.

  • F6582×

    Ensure services provided by the nursing facility meet professional standards of quality.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F9472×

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

In the surveyor’s words

From the most serious findings on record at Aspire Senior Living Advance, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF865Aug 18, 2023

    Based on interview and record review, the facility failed to have a Quality Assurance and Performance Improvement (QAPI) (a program to improve the processes for the delivery of health care and quality of life for the residents) program in place with policies and protocols describing how the facility will identify and correct its own quality deficiencies. This deficient practice had the potential to affect all residents in the facility. The facility's census was 33. The facility did not provide a policy in regards to the QAPI program. […]

  • No harm, potential for more than minimal, patternF567Aug 18, 2023

    Based on interview and record review, the facility failed to allow resident access to personal funds on an ongoing basis. This practice affected 24 residents with personal funds accounts out of a census of 33. Review of the facility's policy titled, Petty Cash, undated, showed: - Ensure accountability for use of petty cash funds; - The only employee permitted access to petty cash is the bookkeeper. In his/her absence, another designated employee shall be permitted access. During the resident council group meeting on 08/16/23 at 9:16 A.M., Residents #3, #4, and #25 said they did not have access to funds after Friday afternoon until the following Monday morning due to the business office was closed. […]

  • No harm, potential for more than minimal, patternF655Oct 22, 2021

    Based on interview and record review, the facility failed to develop and implement a baseline care plan consistent with the resident's specific conditions, needs, and risks within 48 hours of admission which included the minimum healthcare information necessary to provide care for 8 residents (Residents #3, #6, #7, #8, #10, #16, #17, and #18) out of 12 sampled residents. The facility's census was 20. 1. Record review of the facility's policy titled Care Plan Temporary, dated December 2016, showed: - A temporary care plan will be implemented to meet the new resident's immediate needs, as related the instruction need to provide effective and person-centered care meeting professional standards of quality care; - To assure that the resident's immediate care needs are met and maintained, a hand… […]

  • No harm, potential for more than minimal, patternF883Oct 22, 2021

    Based on interview and record review, the facility failed to document accurate immunization status, provide information and education to each resident or the resident's representative of the influenza vaccine (a vaccine used to protect against influenza), pneumococcal vaccines (a vaccine used to protect against pneumonia bacteria), and covid-19 vaccine (a vaccine used to protect against covid-19) for five residents (Residents #2, #3, #8, #10, and #119 ) out of five sampled residents. The facility's census was 20. 1. Record review of the facility policy titled Immunizations: Immunization Recommendations for Resident of Long Term Care Facilities, dated May, 2015 showed: - Influenza, recommend annually for all residents; - Pneumococcal, recommended for resident [AGE] years and older. […]

  • No harm, potential for more than minimal, isolatedF605Mar 6, 2026

    Based on interview and record review, the facility failed have an appropriate diagnosis for an antipsychotic (psychiatric medications used to manage psychosis, particularly hallucinations, delusions, and severe agitation) medication for one resident (Resident #16) and failed to limit an as needed (PRN) antipsychotic medication to 14 days for one resident (Resident #27) and out of 12 sampled residents. Facility census was 30. Review of the facility policy titled, Use of Psychotropic Medications, undated, showed:- A psychotropic drug is any drug that affects brain activities associated with mental processes and behavior. […]

Read 20 findings in full →The most serious and the most recent: 20 of 105 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 6, 2026Standard6 findings
  • Nov 22, 2024Standard11 findings
  • Aug 18, 2023Standard15 findings
  • Sep 29, 2022Complaint1 finding
  • Oct 22, 2021Standard13 findings
  • Oct 11, 2019Standard4 findings
  • Aug 17, 2018Standard1 finding
  • Jul 7, 2017Standard5 findings
Show the 7 earlier surveys
  • Aug 18, 2016Standard11 findings
  • Nov 11, 2015Standard5 findings
  • Aug 14, 2014Standard8 findings
  • Oct 25, 2013—8 findings
  • Jul 26, 2012—7 findings
  • Mar 29, 2012—1 finding
  • Jul 15, 2011—9 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction