nursing home in Advance, MO
Aspire Senior Living Advance
315 South Tilley Street, Advance, MO 63730 · (573) 722-3440
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Aspire Senior Living Advance at a glance
Aspire Senior Living Advance is a 55-bed for-profit nursing home in Advance, Missouri (Stoddard County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Missouri average of 2.5.
Residents receive about 3.4 hours of nursing care per day (0.7 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (March 6, 2026) found 6 health citations. The Missouri average is 11.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 51.6% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 55
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Aspire Senior Living
- Medicare-certified since
- November 1, 1993
- Resident/family council
- Resident
- County
- Stoddard County
- CMS Certification Number
- 265550
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.5 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 2.7 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.37 hrs | 3.43 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.68 hrs | 0.46 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 1.92 hrs | 2.29 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.74 hrs | 3.01 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 51.6% | 56% | 45.8% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 27 | 111.8 | 80.6 | Better |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $37,425 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 55 | 103 | 107 | |
| Average residents per day | 31 | 73 | 86 | |
| Occupancy | 55.8% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0% | 4.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.5% | 4.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 33.3% | 23.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3.1% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.6% | 1.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 16.4% | 18.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 37.2% | 17.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4.1% | 5.3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 21.1% | 18.5% | 12.8% | Worse |
| 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) | 45% | 25.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 21.2% | 17.8% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 97.1% | 90.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99% | 84.1% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Missouri 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 pneumonia vaccine (higher is better) | 86.9% | 65.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 32 health deficiencies and 17 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 6, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | F Potential harm, widespread | Corrected April 24, 2026 |
| March 6, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected April 24, 2026 |
| March 6, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected April 24, 2026 |
| March 6, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected April 24, 2026 |
| March 6, 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 | E Potential harm, pattern | Corrected April 24, 2026 |
| March 6, 2026 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | D Potential harm, isolated | Corrected April 24, 2026 |
| March 6, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected April 24, 2026 |
| March 6, 2026 Standard | 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 Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected April 24, 2026 |
| March 6, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 24, 2026 |
| March 6, 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 24, 2026 |
| March 6, 2026 Standard | 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 Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected April 24, 2026 |
| March 6, 2026 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected April 24, 2026 |
| March 6, 2026 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected April 24, 2026 |
| November 22, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Waiver has been granted |
| November 22, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected January 6, 2025 |
| November 22, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected January 6, 2025 |
| November 22, 2024 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 January 6, 2025 |
| November 22, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | F Potential harm, widespread | Corrected January 6, 2025 |
| November 22, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected January 6, 2025 |
| November 22, 2024 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 | D Potential harm, isolated | Corrected January 6, 2025 |
| November 22, 2024 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 6, 2025 |
| November 22, 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 January 6, 2025 |
| November 22, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected January 6, 2025 |
| November 22, 2024 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected January 6, 2025 |
| November 22, 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 January 6, 2025 |
| November 22, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected January 6, 2025 |
| November 22, 2024 Standard | 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 Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected January 6, 2025 |
| November 22, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 6, 2025 |
| November 22, 2024 Standard | 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 Deficiencies · Tag F0575 | C No harm, widespread | Corrected January 6, 2025 |
| November 22, 2024 Standard | 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 Deficiencies · Tag F0947 | C No harm, widespread | Corrected January 6, 2025 |
| August 18, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected October 2, 2023 |
| August 18, 2023 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 October 2, 2023 |
| August 18, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected October 2, 2023 |
| August 18, 2023 Fire safety | Have an alternate power supply for its alarm system. Smoke Deficiencies · Tag K0344 | F Potential harm, widespread | Corrected October 2, 2023 |
| August 18, 2023 Standard | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | F Potential harm, widespread | Corrected October 2, 2023 |
| August 18, 2023 Standard | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Tag F0567 | E Potential harm, pattern | Corrected October 2, 2023 |
| August 18, 2023 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected October 2, 2023 |
| August 18, 2023 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected October 2, 2023 |
| August 18, 2023 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | D Potential harm, isolated | Corrected October 2, 2023 |
| August 18, 2023 Standard | 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 Deficiencies · Tag F0947 | D Potential harm, isolated | Corrected October 2, 2023 |
| August 18, 2023 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | D Potential harm, isolated | Corrected October 2, 2023 |
| August 18, 2023 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected October 2, 2023 |
| August 18, 2023 Standard | 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 Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected October 2, 2023 |
| August 18, 2023 Standard | 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 Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected October 2, 2023 |
| August 18, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected October 2, 2023 |
| August 18, 2023 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 October 2, 2023 |
| August 18, 2023 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected October 2, 2023 |
| August 18, 2023 Standard | 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 Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected October 2, 2023 |
| August 18, 2023 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | C No harm, widespread | Corrected October 2, 2023 |
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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CALVERT, GREGG Individual | 5% or greater indirect ownership interest | 12% | 06/01/2021 |
| HARRIS, JERRY Individual | 5% or greater indirect ownership interest | 10% | 06/01/2021 |
| STEELE, SHERI Individual | 5% or greater indirect ownership interest | 8% | 06/01/2021 |
| CALVERT, GREGG Individual | corporate officer | NOT APPLICABLE | 06/01/2021 |
| HARRIS, JERRY Individual | corporate officer | NOT APPLICABLE | 06/01/2021 |
| CALVERT, GREGG Individual | w-2 managing employee | NOT APPLICABLE | 06/01/2021 |
| HARRIS, JERRY Individual | w-2 managing employee | NOT APPLICABLE | 06/01/2021 |
Other nursing homes near Aspire Senior Living Advance
Chaffee Nursing Center
12273 State Highway 77, Chaffee, MO 63740 · 15 mi
For-profit · 71 beds · Part of Americare Senior Living
★★★★★5Much above averagePrairie View Skilled Nursing
606 West Missouri Street, Bloomfield, MO 63825 · 15.1 mi
For-profit · 60 beds · Part of Paradigm Senior Management
★★★★★2Below averagePuxico Nursing and Rehabilitation Center
540 North Highway 51, Puxico, MO 63960 · 16.6 mi
For-profit · 60 beds · Part of Circle B Enterprises
★★★★★4Above averageStonebridge Marble Hill
702 Highway 34 West, Marble Hill, MO 63764 · 18 mi
For-profit · 98 beds · Part of Stonebridge Senior Living
★★★★★4Above averageCrowley Ridge Care Center
1204 North Outer Road, Dexter, MO 63841 · 20.3 mi
For-profit · 90 beds · Part of James & Judy Lincoln
★★★★★4Above averageCypress Point-Skilled Nursing By Americare
801 Baliff Drive, Dexter, MO 63841 · 21.4 mi
For-profit · 79 beds · Part of Americare Senior Living
★★★★★4Above average
Frequently asked questions
What is Aspire Senior Living Advance's rating?
Aspire Senior Living Advance has 4 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 Advance receive?
Its most recent standard health inspection found 6 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Aspire Senior Living Advance 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 Advance?
It is for profit - corporation 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 Advance and how do I contact it?
Aspire Senior Living Advance is at 315 South Tilley Street, Advance, MO 63730. Phone: (573) 722-3440.
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.