nursing home in Cassville, MO

Aspire Senior Living Roaring River

812 Old Exeter Road, Cassville, MO 65625 · (417) 847-2184

★★★★★3
Average
CMS overall star rating
  • Health inspections★★★★★3
  • Staffing★★★★★2
  • Quality measures★★★★★3
  • New owner (last 12 months)

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Aspire Senior Living Roaring River at a glance

Aspire Senior Living Roaring River is a 90-bed for-profit nursing home in Cassville, Missouri (Barry County).

CMS gives it 3 out of 5 stars on its overall star rating, close to the Missouri average of 2.5.

Residents receive about 3.5 hours of nursing care per day (0.4 of them from registered nurses), close to the state average of 3.4 hours.

Its most recent standard health inspection (February 24, 2026) found 11 health citations. The Missouri average is 11.4.

Federal regulators fined it 1 time in the past three years, totaling $41,716.

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
90
Certified for
Medicare and Medicaid
Chain / affiliated entity
Aspire Senior Living
Medicare-certified since
August 1, 1993
Resident/family council
Resident
County
Barry County
CMS Certification Number
265538

Ratings

MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)3 / 52.5 / 53 / 5Average
Health inspection rating ⓘ (higher is better)3 / 52.8 / 52.8 / 5Average
Staffing rating ⓘ (higher is better)2 / 52.2 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)3 / 52.7 / 53.6 / 5Worse
Long-stay quality rating (higher is better)2 / 52.8 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)4 / 52.7 / 53.3 / 5Better

Staffing

This facility3.49 hrsMissouri average3.43 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.49 hrs3.43 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.45 hrs0.46 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.62 hrs2.29 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)3.09 hrs3.01 hrs3.42 hrsWorse
Administrators who left in the past year (lower is better)111Worse

Inspections

This facility11Missouri average11U.S. average9
Health citations in the most recent inspection: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)11119Worse
Citations from complaint investigations (latest cycle) (lower is better)533Worse
Weighted health inspection score ⓘ (lower is better)90111.880.6Worse

Penalties

This facility1Missouri average1U.S. average1
Fines in the past 3 years: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$41,716$37,425$30,972Worse
All federal penalties in the past 3 years (lower is better)111Average

Size

MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Certified beds90103107
Average residents per day677386
Occupancy74.4%72.4%80.9%

Long-stay residents

This facility5.4%Missouri average4.1%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)5.4%4.1%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)8.9%4.5%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)21.7%23.5%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)4.6%2.3%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)0.7%1.1%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)10.8%18.1%13.9%Better
Long-stay residents whose walking worsened (lower is better)16.3%17.4%14.1%Worse
Long-stay residents who lose too much weight (lower is better)3%5.3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)3.3%18.5%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)29.6%25.6%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)18.3%17.8%19%Average
Long-stay residents given a flu vaccine (higher is better)94.6%90.9%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)96.4%84.1%93.6%Average

Short-stay residents

This facility0%Missouri average2.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0%2.2%1.6%Better
Short-stay residents given a flu vaccine (higher is better)77.4%63.5%79.8%Average
Short-stay residents given a pneumonia vaccine (higher is better)94.5%65.7%82%Better

Inspection citations

State inspectors cited this home for 47 health deficiencies and 18 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.

DateCitationSeverityStatus
March 27, 2026
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected May 8, 2026
February 24, 2026
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
F
Potential harm, widespread
Corrected February 25, 2026
February 24, 2026
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected April 9, 2026
February 24, 2026
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected April 9, 2026
February 24, 2026
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected April 9, 2026
February 24, 2026
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
E
Potential harm, pattern
Corrected April 9, 2026
February 24, 2026
Standard
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 Deficiencies · Tag F0909
E
Potential harm, pattern
Corrected April 9, 2026
February 24, 2026
Standard
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
E
Potential harm, pattern
Corrected April 9, 2026
February 24, 2026
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
E
Potential harm, pattern
Corrected April 9, 2026
February 24, 2026
Standard
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Tag F0628
E
Potential harm, pattern
Corrected April 9, 2026
February 24, 2026
Standard
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 Deficiencies · Tag F0803
D
Potential harm, isolated
Corrected April 9, 2026
February 24, 2026
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected April 9, 2026
February 24, 2026
Complaint
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 Deficiencies · Tag F0727
D
Potential harm, isolated
Corrected April 9, 2026
February 24, 2026
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
D
Potential harm, isolated
Corrected April 9, 2026
November 14, 2025
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected January 9, 2026
November 21, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected January 4, 2025
March 1, 2024
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
F
Potential harm, widespread
Waiver has been granted
March 1, 2024
Fire safety
Meet other general requirements that are deficient.
Services Deficiencies · Tag K0500
F
Potential harm, widespread
Corrected April 15, 2024
March 1, 2024
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
F
Potential harm, widespread
Corrected April 15, 2024
March 1, 2024
Fire safety
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies · Tag K0711
F
Potential harm, widespread
Corrected April 15, 2024
March 1, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected April 15, 2024
March 1, 2024
Fire safety
Provide primary/alternate means for communication.
Emergency Preparedness Deficiencies · Tag E0032
F
Potential harm, widespread
Corrected April 15, 2024
March 1, 2024
Fire safety
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies · Tag E0030
F
Potential harm, widespread
Corrected April 15, 2024
March 1, 2024
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected April 15, 2024
March 1, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected April 15, 2024
March 1, 2024
Fire safety
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies · Tag K0341
E
Potential harm, pattern
Waiver has been granted
March 1, 2024
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
E
Potential harm, pattern
Corrected April 15, 2024
March 1, 2024
Standard
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Tag F0791
G
Actual harm, isolated
Corrected April 15, 2024
March 1, 2024
Standard
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Tag F0925
F
Potential harm, widespread
Corrected April 15, 2024
March 1, 2024
Standard
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Tag F0881
F
Potential harm, widespread
Corrected April 15, 2024
March 1, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected April 15, 2024
March 1, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected April 15, 2024
March 1, 2024
Standard
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
E
Potential harm, pattern
Corrected April 15, 2024
March 1, 2024
Standard
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 Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected April 15, 2024
March 1, 2024
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected April 15, 2024
March 1, 2024
Standard
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · Tag F0678
D
Potential harm, isolated
Corrected April 15, 2024
March 1, 2024
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected April 15, 2024
March 1, 2024
Standard
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 Deficiencies · Tag F0688
D
Potential harm, isolated
Corrected April 15, 2024
March 1, 2024
Standard
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 Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected April 15, 2024
March 1, 2024
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected April 15, 2024
March 1, 2024
Standard
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · Tag F0625
D
Potential harm, isolated
Corrected April 15, 2024
March 1, 2024
Standard
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
D
Potential harm, isolated
Corrected April 15, 2024
March 1, 2024
Standard
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Tag F0699
D
Potential harm, isolated
Corrected April 15, 2024
March 1, 2024
Standard
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 Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected April 15, 2024
March 1, 2024
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected April 15, 2024
March 1, 2024
Standard
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 Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected April 15, 2024
March 1, 2024
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected April 15, 2024
March 1, 2024
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected April 15, 2024
March 1, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected April 15, 2024
March 1, 2024
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected April 15, 2024
December 14, 2023
Complaint
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies · Tag F0567
B
No harm, pattern
Deficient, Provider has no plan of correction
December 10, 2021
Fire safety
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies · Tag E0030
F
Potential harm, widespread
Corrected February 7, 2022
December 10, 2021
Fire safety
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies · Tag E0004
F
Potential harm, widespread
Corrected February 7, 2022
December 10, 2021
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected February 7, 2022
December 10, 2021
Standard
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 Deficiencies · Tag F0727
F
Potential harm, widespread
Corrected January 24, 2022
December 10, 2021
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected February 8, 2022
December 10, 2021
Standard
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 Deficiencies · Tag F0700
E
Potential harm, pattern
Corrected January 24, 2022
December 10, 2021
Standard
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 Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected January 24, 2022
December 10, 2021
Standard
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
E
Potential harm, pattern
Corrected January 24, 2022
December 10, 2021
Standard
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
E
Potential harm, pattern
Corrected January 24, 2022
December 10, 2021
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected January 24, 2022
December 10, 2021
Standard
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · Tag F0576
D
Potential harm, isolated
Corrected January 24, 2022
December 10, 2021
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
D
Potential harm, isolated
Corrected January 24, 2022
December 10, 2021
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected January 24, 2022
December 10, 2021
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected January 24, 2022

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 1 federal penalty in the past three years, including $41,716 in fines.

DatePenaltyAmount / length
March 1, 2024Fine$41,716

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
BRIM, ROBERT
Individual
adp of the snfNOT APPLICABLE10/01/2025
BROWN, DANIEL
Individual
adp of the snfNOT APPLICABLE10/01/2025
CAVERO, FERNANDO
Individual
adp of the snfNOT APPLICABLE10/01/2025
EICKHOFF, PAMELA
Individual
adp of the snfNOT APPLICABLE10/01/2025
HERO HEALTH MANAGEMENT, LLC
Organization
adp of the snfNOT APPLICABLE10/01/2025
LEIPHAM, MICHELLE
Individual
adp of the snfNOT APPLICABLE10/01/2025
STADTMUELLER, DAVID
Individual
adp of the snfNOT APPLICABLE10/01/2025
CHP SNF OPCO HOLDINGS LLC
Organization
direct ownership interestNOT APPLICABLE10/01/2025
BRODY, MICHAEL
Individual
indirect ownership interestNOT APPLICABLE10/01/2025
BROWN, BARBARA
Individual
indirect ownership interestNOT APPLICABLE10/01/2025
BROWN, DANIEL
Individual
indirect ownership interestNOT APPLICABLE10/01/2025
CHP SNFCO LLC
Organization
indirect ownership interestNOT APPLICABLE10/01/2025
CHP SNF HOLDINGS LLC
Organization
indirect ownership interestNOT APPLICABLE10/01/2025
EICKHOFF, PAMELA
Individual
indirect ownership interestNOT APPLICABLE10/01/2025
LEIPHAM, MICHELLE
Individual
indirect ownership interestNOT APPLICABLE10/01/2025
SHEVLYAGIN, VICTOR
Individual
indirect ownership interestNOT APPLICABLE10/01/2025
STADTMUELLER, DAVID
Individual
indirect ownership interestNOT APPLICABLE10/01/2025
BRIM, ROBERT
Individual
operational/managerial controlNOT APPLICABLE10/01/2025
BROWN, DANIEL
Individual
operational/managerial controlNOT APPLICABLE10/01/2025
CAVERO, FERNANDO
Individual
operational/managerial controlNOT APPLICABLE10/01/2025
EICKHOFF, PAMELA
Individual
operational/managerial controlNOT APPLICABLE10/01/2025
HERO HEALTH MANAGEMENT, LLC
Organization
operational/managerial controlNOT APPLICABLE10/01/2025
LEIPHAM, MICHELLE
Individual
operational/managerial controlNOT APPLICABLE10/01/2025
STADTMUELLER, DAVID
Individual
operational/managerial controlNOT APPLICABLE10/01/2025

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Frequently asked questions

What is Aspire Senior Living Roaring River's rating?

Aspire Senior Living Roaring River has 3 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.

How many inspection citations did Aspire Senior Living Roaring River receive?

Its most recent standard health inspection found 11 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.

Does Aspire Senior Living Roaring River accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Aspire Senior Living Roaring River?

It is for profit - limited liability company and part of Aspire Senior Living. The ownership section on this page lists the owners and managers reported to CMS.

Where is Aspire Senior Living Roaring River and how do I contact it?

Aspire Senior Living Roaring River is at 812 Old Exeter Road, Cassville, MO 65625. Phone: (417) 847-2184.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.