Deficiency Index

Aspire Senior Living Roaring River

Cassville, Missouri · CCN 265538

27 surveys since 2010, 8 of them producing a finding at harm level or worse.

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

Citations on record
122
Surveys
27
Harm or worse
8
Immediate jeopardy
0
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse8

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file19/27

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

The facility

Certified beds
90
Ownership
For profit - Limited Liability company
Chain
ASPIRE SENIOR LIVING
County
Barry · rural
Medicare-certified since
1993
Ownership changed
In the last 12 months

CMS ratings

Overall
3
Health inspection
3
Staffing
2
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

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

Weighted by harm level, against 113 for-profit facilities of 66–99 beds in Missouri.

Last survey on record

Mar 27, 2026

227 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 day3.493.32
Registered-nurse hours per resident day0.45—

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

Enforcement

Fines
$41,716 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

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 harmG11.9%H—I—
No harm, potential for more than minimalD3055.6%E1527.8%F713.0%
No harm, potential for minimalA—B11.9%C—
CMS’s current file: 54 of the 122 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6845×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F5802×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6072×

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

In the surveyor’s words

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

  • Actual harm, isolatedF791Mar 1, 2024

    Based on observation, interview, and record review, the facility failed to provide one resident (Resident #35) with routine or emergency dental care when the resident exhibited dental concerns resulting in the having continued dental issued including pain and bleeding and causing the resident to be embarrassed by his/her teeth. A sample of 22 residents was reviewed in a facility with a census of 59. Review of the facility policy titled, Oral Hygiene, dated 03/05/24, showed: -Oral care should be provided to each resident at least twice a day unless indicated differently by a doctor or dentist and more frequently if requested by the resident; -Any acute changes in dental status should be reported to the nurse such as drainage, bleeding, redness in gums, oral lesions, painful when touched,… […]

  • No harm, potential for more than minimal, widespreadF812Mar 1, 2024

    Based on observation, interview, and record review, the facility failed to store food in a manner to protect it from potential contamination when staff failed to store cleaning supplies in a separate area from food; failed to date stored food in refrigerator; failed to keep non-food contact surfaces clean and free of debris; failed to dispose of expired food items; failed to rinse dishes prior to placing them into the sanitizer in the three vat sink and sanitize at the minimum manufacturer's requirements; and failed to control flies in the kitchen. The facility's census was 59. 1. […]

  • No harm, potential for more than minimal, widespreadF880Mar 1, 2024

    Based on interview and record review, the facility failed to maintain an effective infection control program for all residents when the facility failed to have a program in place for the prevention of the growth of Legionella bacteria (a bacteria which causes a respiratory disease when breathing in small droplets of water in the air that contain Legionella. It can become a health concern when it grows and spreads in human-made water systems) in the facility water supply or where moist conditions existed. The facility had a census of 59. […]

  • No harm, potential for more than minimal, widespreadF881Mar 1, 2024

    Based on interview and record review, the facility failed implement an antibiotic stewardship program when staff failed to adequately track eight residents currently on antibiotics for various infections in the facility by not completing a current and ongoing antibiotic log of residents with active infections, this failure could potentially place all residents at risk of infection. The facility census was 59. Review of the facility policy titled, Infection Control, General, revised on 02/18/24, showed: -It is the policy of the facility to ensure that the infection control program is designed to prevent, identify, report, investigate, and control the spread of infections and communicable disease for all residents, staff, volunteers, visitors, and other individuals providing services under a… […]

  • No harm, potential for more than minimal, widespreadF925Mar 1, 2024

    Based on observation, interview, and record review, the facility failed to maintain an effective pest control program to control the fly population when multiple flies were present in and around eight residents (Residents #54, #52, #41, #35, #2, #6, #46 and #57) and in resident common areas. The facility census was 59. Review showed the facility did not provide a pest control policy. 1 Review of Resident #54's face sheet (admission data) showed the resident admitted to the facility on [DATE]. […]

Read 27 findings in full →The most serious and the most recent: 27 of 122 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 27, 2026Complaint1 finding
  • Feb 24, 2026Standard and complaint9 findings
  • Nov 14, 2025Complaint1 finding
  • Nov 21, 2024Complaint1 finding
  • Mar 1, 2024Standard23 findings · 1 harm
  • Dec 14, 2023Complaint1 finding
  • Sep 21, 2022Complaint2 findings
  • Jul 31, 2022Complaint1 finding
Show the 19 earlier surveys
  • Dec 10, 2021Standard11 findings
  • Dec 15, 2020Complaint1 finding
  • Nov 2, 2020Infection control1 finding
  • May 27, 2020Infection control2 findings
  • Feb 18, 2020Complaint1 finding
  • Jun 5, 2019Standard7 findings
  • Aug 16, 2018Complaint2 findings
  • Jun 22, 2018Standard9 findings
  • Jul 28, 2017Standard5 findings
  • Aug 20, 2015Standard7 findings
  • Jul 11, 2014Standard6 findings
  • Dec 4, 2013—1 finding
  • Jul 19, 2013—4 findings · 1 harm
  • Apr 26, 2013—5 findings · 3 harm
  • Sep 21, 2012—11 findings
  • Aug 6, 2012—1 finding
  • Apr 26, 2012—2 findings · 1 harm
  • Nov 10, 2011—4 findings
  • Oct 14, 2010—3 findings · 2 harm

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.

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