ASPIRE SENIOR LIVING ROARING RIVER

812 OLD EXETER ROAD, CASSVILLE, MO 65625 · CCN 265538 · 90 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.

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Serious inspection findings

2024-03-01 — ACTUAL HARM (tag F0791, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide or obtain dental services for each resident.

Staffing, from payroll records

Nursing hours / resident / day

2.76

state median 2.42

Weekend staffing gap

−8%

fewer nursing hours on weekends · state median −11%

RN hours / resident / day

0.31

registered nurses only

Contract (agency) staff

share of all nursing hours

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $46,303 in fines.

Date	Type	Amount
2024-03-01	Fine	$41,716
2023-09-05	Fine	$4,587

Ownership

Ownership type: For profit - Limited Liability company. Part of the ASPIRE SENIOR LIVING chain.

Other facilities under the same ownership, with their CMS overall ratings:

ASPIRE SENIOR LIVING WEBB CITY (WEBB CITY, MO) — CMS overall1 of 5
ASPIRE SENIOR LIVING JOPLIN (JOPLIN, MO) — CMS overall1 of 5
ASPIRE SENIOR LIVING CARTHAGE (CARTHAGE, MO) — CMS overall3 of 5
ASPIRE SENIOR LIVING JONESBURG (JONESBURG, MO) — CMS overall1 of 5
ASPIRE SENIOR LIVING MOBERLY (MOBERLY, MO) — CMS overall1 of 5
ASPIRE SENIOR LIVING POPLAR BLUFF (POPLAR BLUFF, MO) — CMS overall3 of 5
ASPIRE SENIOR LIVING ADVANCE (ADVANCE, MO) — CMS overall4 of 5
ASPIRE SENIOR LIVING EAST PRAIRIE (EAST PRAIRIE, MO) — CMS overall4 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 1 · Potential for more than minimal harm: 46

Survey date	Tag	Category	Severity	Corrected
2026-03-27	F0684	Quality of Life and Care Deficiencies	D	not recorded
2026-02-24	F0684	Quality of Life and Care Deficiencies	E	not recorded
2026-02-24	F0686	Quality of Life and Care Deficiencies	E	not recorded
2026-02-24	F0727	Nursing and Physician Services Deficiencies	D	not recorded
2025-11-14	F0580	Resident Rights Deficiencies	D	not recorded
2024-11-21	F0684	Quality of Life and Care Deficiencies	D	not recorded
2024-03-01	F0580	Resident Rights Deficiencies	D	not recorded
2024-03-01	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2024-03-01	F0625	Resident Rights Deficiencies	D	not recorded
2024-03-01	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-03-01	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-03-01	F0677	Quality of Life and Care Deficiencies	D	not recorded
2024-03-01	F0678	Quality of Life and Care Deficiencies	D	not recorded
2024-03-01	F0684	Quality of Life and Care Deficiencies	D	not recorded
2024-03-01	F0688	Quality of Life and Care Deficiencies	D	not recorded
2024-03-01	F0690	Quality of Life and Care Deficiencies	D	not recorded
2024-03-01	F0692	Quality of Life and Care Deficiencies	D	not recorded
2024-03-01	F0695	Quality of Life and Care Deficiencies	D	not recorded
2024-03-01	F0698	Quality of Life and Care Deficiencies	D	not recorded
2024-03-01	F0699	Quality of Life and Care Deficiencies	D	not recorded
2024-03-01	F0756	Pharmacy Service Deficiencies	D	not recorded
2024-03-01	F0757	Pharmacy Service Deficiencies	D	not recorded
2024-03-01	F0758	Pharmacy Service Deficiencies	D	not recorded
2024-03-01	F0759	Pharmacy Service Deficiencies	D	not recorded
2024-03-01	F0791	Quality of Life and Care Deficiencies	G	not recorded
2024-03-01	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2024-03-01	F0880	Infection Control Deficiencies	F	not recorded
2024-03-01	F0881	Infection Control Deficiencies	F	not recorded
2024-03-01	F0925	Environmental Deficiencies	F	not recorded
2023-12-14	F0567	Resident Rights Deficiencies	B	not recorded
2021-12-10	F0576	Resident Rights Deficiencies	D	not recorded
2021-12-10	F0584	Resident Rights Deficiencies	E	not recorded
2021-12-10	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2021-12-10	F0623	Resident Rights Deficiencies	D	not recorded
2021-12-10	F0677	Quality of Life and Care Deficiencies	E	not recorded
2021-12-10	F0679	Quality of Life and Care Deficiencies	E	not recorded
2021-12-10	F0684	Quality of Life and Care Deficiencies	D	not recorded
2021-12-10	F0689	Quality of Life and Care Deficiencies	D	not recorded
2021-12-10	F0700	Quality of Life and Care Deficiencies	E	not recorded
2021-12-10	F0727	Nursing and Physician Services Deficiencies	F	not recorded
2021-12-10	F0880	Infection Control Deficiencies	F	not recorded
2019-06-05	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2019-06-05	F0700	Quality of Life and Care Deficiencies	E	not recorded
2019-06-05	F0758	Pharmacy Service Deficiencies	E	not recorded
2019-06-05	F0759	Pharmacy Service Deficiencies	D	not recorded
2019-06-05	F0880	Infection Control Deficiencies	F	not recorded
2019-06-05	F0883	Infection Control Deficiencies	E	not recorded
2019-06-05	F0909	Environmental Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “ASPIRE SENIOR LIVING ROARING RIVER, CASSVILLE” at medicare.gov/care-compare.