Nursing home · Advance, MO
Aspire Senior Living Advance
315 South Tilley Street, Advance, MO 63730 · 55 certified beds · for profit ownership · part of Aspire Senior Living
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Mar 6, 2026, when they cited 6 problems. The most common area was freedom from abuse, neglect, and exploitation (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 6 are marked corrected in the CMS data. At its most recent standard inspection (Mar 6, 2026) it had 6 citations, compared with an average of 5.0 for Dexter-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.37 hours per resident per day here, about the same as the Missouri average (3.43) and 13% less than the U.S. average (3.86). Registered nurses account for 0.68 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 52% over the past year, 4 points lower than Missouri (56%) and 6 points higher than the U.S. (46%).
How Aspire Senior Living Advance compares
This home's latest CMS figures next to the averages for Dexter-area homes (15), Missouri (487) and the U.S. (14,680).
| This home | Dexter area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.37 | 3.51 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.68 | 0.46 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.74 | 3.07 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 52% | 51% | 56% | 46% |
| Registered nurse turnover (past year) | — | 41% | 48% | 43% |
| Citations at the most recent standard inspection | 6 | 5.0 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 32 of 32 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Mar 6, 2026 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Mar 6, 2026 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 6, 2026 | 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. Pharmacy service | D | Deficient, Provider has date of correction |
| Mar 6, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | D | Deficient, Provider has date of correction |
| Mar 6, 2026 | Provide and implement an infection prevention and control program. Infection control | D | Deficient, Provider has date of correction |
| Mar 6, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Nov 22, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy service | D | Deficient, Provider has date of correction |
| Nov 22, 2024 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Resident rights | C | Deficient, Provider has date of correction |
| Nov 22, 2024 | Provide and implement an infection prevention and control program. Infection control | D | Deficient, Provider has date of correction |
| Nov 22, 2024 | 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. Pharmacy service | D | Deficient, Provider has date of correction |
| Nov 22, 2024 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | D | Deficient, Provider has date of correction |
| Nov 22, 2024 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and physician services | C | Deficient, Provider has date of correction |
| Nov 22, 2024 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 22, 2024 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Nov 22, 2024 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | D | Deficient, Provider has date of correction |
| Nov 22, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | D | Deficient, Provider has date of correction |
| Nov 22, 2024 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of life and care | D | Deficient, Provider has date of correction |
| Aug 18, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Aug 18, 2023 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and physician services | D | Deficient, Provider has date of correction |
| Aug 18, 2023 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental | D | Deficient, Provider has date of correction |
| Aug 18, 2023 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental | D | Deficient, Provider has date of correction |
| Aug 18, 2023 | Implement a program that monitors antibiotic use. Infection control | D | Deficient, Provider has date of correction |
| Aug 18, 2023 | 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. Pharmacy service | D | Deficient, Provider has date of correction |
| Aug 18, 2023 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of life and care | D | Deficient, Provider has date of correction |
| Aug 18, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Aug 18, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Aug 18, 2023 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Aug 18, 2023 | Assess the resident when there is a significant change in condition Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Aug 18, 2023 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident rights | D | Deficient, Provider has date of correction |
| Aug 18, 2023 | Honor the resident's right to manage his or her financial affairs. Resident rights | E | Deficient, Provider has date of correction |
| Aug 18, 2023 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration | F | Deficient, Provider has date of correction |
| Aug 18, 2023 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident rights | C | Deficient, Provider has date of correction |
Fines and penalties
No federal fines or payment denials reported by CMS in the past three years.
Location
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Reviews
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Questions about Aspire Senior Living Advance
Answers computed from CMS data for this facility.
What is Aspire Senior Living Advance's Medicare rating?
Medicare rates Aspire Senior Living Advance 4 out of 5 stars overall (above average). The average for Dexter-area nursing homes is 3.7, for Missouri 2.51 and for the U.S. 2.99.
How did Aspire Senior Living Advance do on its last inspection?
Inspectors' most recent visit in the CMS data was on Mar 6, 2026, when they cited 6 problems. The most common area was freedom from abuse, neglect, and exploitation (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 6 are marked corrected in the CMS data. At its most recent standard inspection (Mar 6, 2026) it had 6 citations, compared with an average of 5.0 for Dexter-area homes, 11.4 in Missouri and 9.2 nationally.
Has Aspire Senior Living Advance been fined?
CMS reports no federal fines for this facility in the past three years.
Does Aspire Senior Living Advance accept Medicaid?
Aspire Senior Living Advance is certified for both Medicare and Medicaid. Call (573) 722-3440 to ask whether a Medicaid bed is open.
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Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.