Senior CareScorecard

Nursing home · Malden, MO

Aspire Senior Living Malden

1209 Stokelan, Malden, MO 63863 · 58 certified beds · for profit ownership · part of Aspire Senior Living

Medicare & Medicaid
Medicare overall rating3 / 5AverageDexter area 3.7 · Missouri 2.51 · U.S. 2.99
4/5Health inspections Above average
3/5Staffing Average
1/5Quality measures Much below average
–Short-stay (rehab) quality Not rated
1/5Long-stay quality Much below average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on May 16, 2025, when they cited 10 problems. The most common area was pharmacy service (2 citations). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 10 are marked corrected in the CMS data. At its most recent standard inspection (May 16, 2025) it had 10 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 3.42 hours per resident per day here, about the same as the Missouri average (3.43) and 11% less than the U.S. average (3.86). Registered nurses account for 0.40 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 46% over the past year, 10 points lower than Missouri (56%) and 0 points higher than the U.S. (46%).

How Aspire Senior Living Malden 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 homeDexter areaMissouriU.S.
Total nurse hours per resident per day3.423.513.433.86
Registered nurse hours per resident per day0.400.460.460.68
Weekend nurse hours per resident per day3.343.073.013.42
Nursing staff turnover (past year)46%51%56%46%
Registered nurse turnover (past year)—41%48%43%
Citations at the most recent standard inspection105.011.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

May 16, 202510standard
Jun 20, 202410standard
Apr 28, 20239standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 29 of 29 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
May 16, 2025Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident rights
DDeficient, Provider has date of correction
May 16, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
DDeficient, Provider has date of correction
May 16, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy service
DDeficient, Provider has date of correction
May 16, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy service
DDeficient, Provider has date of correction
May 16, 2025Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and dietary
DDeficient, Provider has date of correction
May 16, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
DDeficient, Provider has date of correction
May 16, 2025Provide and implement an infection prevention and control program.
Infection control
DDeficient, Provider has date of correction
May 16, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection control
DDeficient, Provider has date of correction
May 16, 2025Regularly 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.
Environmental
DDeficient, Provider has date of correction
May 16, 2025Ensure each resident receives an accurate assessment.
Resident assessment and care planning
DDeficient, Provider has date of correction
Jun 20, 2024Ensure 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
DDeficient, Provider has date of correction
Jun 20, 2024Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental
CDeficient, Provider has date of correction
Jun 20, 2024Ensure 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.
Nutrition and dietary
CDeficient, Provider has date of correction
Jun 20, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident rights
CDeficient, Provider has date of correction
Jun 20, 2024Give residents a notice of rights, rules, services and charges.
Resident rights
CDeficient, Provider has date of correction
Jun 20, 2024Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and dietary
DDeficient, Provider has date of correction
Jun 20, 2024Try 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
DDeficient, Provider has date of correction
Jun 20, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident assessment and care planning
DDeficient, Provider has date of correction
Jun 20, 2024Ensure each resident receives an accurate assessment.
Resident assessment and care planning
DDeficient, Provider has date of correction
Jun 20, 2024Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident rights
DDeficient, Provider has date of correction
Apr 28, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Apr 28, 2023Dispose of garbage and refuse properly.
Nutrition and dietary
FDeficient, Provider has date of correction
Apr 28, 2023Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident rights
DDeficient, Provider has date of correction
Apr 28, 2023PASARR screening for Mental disorders or Intellectual Disabilities
Resident assessment and care planning
DDeficient, Provider has date of correction
Apr 28, 2023Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
DDeficient, Provider has date of correction
Apr 28, 2023Ensure 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
DDeficient, Provider has date of correction
Apr 28, 2023Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection control
DDeficient, Provider has date of correction
Apr 28, 2023Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection control
DDeficient, Provider has date of correction
Apr 28, 2023Ensure 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
DDeficient, 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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Questions about Aspire Senior Living Malden

Answers computed from CMS data for this facility.

What is Aspire Senior Living Malden's Medicare rating?

Medicare rates Aspire Senior Living Malden 3 out of 5 stars overall (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 Malden do on its last inspection?

Inspectors' most recent visit in the CMS data was on May 16, 2025, when they cited 10 problems. The most common area was pharmacy service (2 citations). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 10 are marked corrected in the CMS data. At its most recent standard inspection (May 16, 2025) it had 10 citations, compared with an average of 5.0 for Dexter-area homes, 11.4 in Missouri and 9.2 nationally.

Has Aspire Senior Living Malden been fined?

CMS reports no federal fines for this facility in the past three years.

Does Aspire Senior Living Malden accept Medicaid?

Aspire Senior Living Malden is certified for both Medicare and Medicaid. Call (573) 276-5115 to ask whether a Medicaid bed is open.

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.