Nursing home · Cassville, MO
Aspire Senior Living Roaring River
812 Old Exeter Road, Cassville, MO 65625 · 90 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 27, 2026, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (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 1 are marked corrected in the CMS data. At its most recent standard inspection (Feb 24, 2026) it had 11 citations, compared with an average of 12.2 for Joplin-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.49 hours per resident per day here, about the same as the Missouri average (3.43) and 10% less than the U.S. average (3.86). Registered nurses account for 0.45 of those hours, versus 0.46 in Missouri and 0.68 nationally.
How Aspire Senior Living Roaring River compares
This home's latest CMS figures next to the averages for Joplin-area homes (20), Missouri (487) and the U.S. (14,680).
| This home | Joplin area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.49 | 3.13 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.45 | 0.40 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.09 | 2.74 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | — | 53% | 56% | 46% |
| Registered nurse turnover (past year) | — | 36% | 48% | 43% |
| Citations at the most recent standard inspection | 11 | 12.2 | 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 40 of 47 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Mar 27, 2026 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Feb 24, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident rights | E | Deficient, Provider has date of correction |
| Feb 24, 2026 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| Feb 24, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| Feb 24, 2026 | Post nurse staffing information every day. Nursing and physician services | E | Deficient, Provider has date of correction |
| Feb 24, 2026 | Regularly 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 | E | Deficient, Provider has date of correction |
| Feb 24, 2026 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and physician services · complaint | D | Deficient, Provider has date of correction |
| Feb 24, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy service | D | Deficient, Provider has date of correction |
| Feb 24, 2026 | Ensure 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 | D | Deficient, Provider has date of correction |
| Feb 24, 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 |
| Nov 14, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Nov 21, 2024 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Mar 1, 2024 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | D | Deficient, Provider has date of correction |
| Mar 1, 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 |
| Mar 1, 2024 | Ensure each residentâs drug regimen must be free from unnecessary drugs. Pharmacy service | D | Deficient, Provider has date of correction |
| Mar 1, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy service | D | Deficient, Provider has date of correction |
| Mar 1, 2024 | Provide care or services that was trauma informed and/or culturally competent. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 1, 2024 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 1, 2024 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 1, 2024 | Provide enough food/fluids to maintain a resident's health. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 1, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 1, 2024 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 1, 2024 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 1, 2024 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the residentâs advance directives. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 1, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 1, 2024 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Mar 1, 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 |
| Mar 1, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights | D | Deficient, Provider has date of correction |
| Mar 1, 2024 | Develop 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 | E | Deficient, Provider has date of correction |
| Mar 1, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
| Mar 1, 2024 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental | F | Deficient, Provider has date of correction |
| Mar 1, 2024 | Implement a program that monitors antibiotic use. Infection control | F | Deficient, Provider has date of correction |
| Mar 1, 2024 | Provide and implement an infection prevention and control program. Infection control | F | Deficient, Provider has date of correction |
| Mar 1, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Mar 1, 2024 | Provide or obtain dental services for each resident. Quality of life and care | G actual harm | Deficient, Provider has date of correction |
| Dec 14, 2023 | Honor the resident's right to manage his or her financial affairs. Resident rights · complaint | B | Deficient, Provider has no plan of correction |
| Dec 10, 2021 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and physician services | F | Deficient, Provider has date of correction |
| Dec 10, 2021 | Provide and implement an infection prevention and control program. Infection control | F | Deficient, Provider has date of correction |
| Dec 10, 2021 | Honor 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 | E | Deficient, Provider has date of correction |
| Dec 10, 2021 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Mar 1, 2024 | Fine | $41,716 |
Location
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Reviews
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Questions about Aspire Senior Living Roaring River
Answers computed from CMS data for this facility.
What is Aspire Senior Living Roaring River's Medicare rating?
Medicare rates Aspire Senior Living Roaring River 3 out of 5 stars overall (average). The average for Joplin-area nursing homes is 2.4, for Missouri 2.51 and for the U.S. 2.99.
How did Aspire Senior Living Roaring River do on its last inspection?
Inspectors' most recent visit in the CMS data was on Mar 27, 2026, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (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 1 are marked corrected in the CMS data. At its most recent standard inspection (Feb 24, 2026) it had 11 citations, compared with an average of 12.2 for Joplin-area homes, 11.4 in Missouri and 9.2 nationally.
Has Aspire Senior Living Roaring River been fined?
Yes. CMS reports 1 fine totaling $41,716 in the past three years.
Does Aspire Senior Living Roaring River accept Medicaid?
Aspire Senior Living Roaring River is certified for both Medicare and Medicaid. Call (417) 847-2184 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.