Nursing home
Aspire Senior Living Advance
315 South Tilley Street, Advance, MO 63730 · Map
For profit - Limited Liability company · Part of Aspire Senior Living (14 facilities) · 55 certified beds
Aspire Senior Living Advance is a Medicare-certified nursing home in Advance, Missouri. CMS rates it 4 out of 5 stars overall (2/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.07 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Nov 22, 2024 cited 11 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Aspire Senior Living Advance compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.07 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.51 | 0.46 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.45 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 63.6% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 11.0 | 12.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Aspire Senior Living Advance
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 22, 2024 · Full report (PDF) - Potential for harm
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 · Nov 22, 2024 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Nov 22, 2024 · Full report (PDF) - Potential for harm
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 · Nov 22, 2024 · Full report (PDF) - Potential for harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · Nov 22, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Nov 22, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Nov 22, 2024 · Full report (PDF) - Potential for harm
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 · Nov 22, 2024 · Full report (PDF) - Potential for harm
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 · Nov 22, 2024 · Full report (PDF) - Minimal
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 · Nov 22, 2024 · Full report (PDF) - Minimal
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 · Nov 22, 2024 · Full report (PDF) - Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Aug 18, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 315 South Tilley Street
Advance, MO 63730 - CMS certification #
- 265550
- Ownership
- For profit - Limited Liability company
- Certified beds
- 55
- Avg residents/day
- 27.4
- Provider type
- Medicare and Medicaid
- First certified
- 1993-11-01
- Chain
- Aspire Senior Living (14 facilities)
- Setting
- Rural
Part of Aspire Senior Living
Aspire Senior Living operates 14 nursing facilities across the United States. View all Aspire Senior Living facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Aspire Senior Living Advance using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Mercy Hospital Stoddard, Dexter. 20.6 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Chaffee Nursing Center, Chaffee. 15.0 miles away, straight line.
- Nearest home health agency office
- Elara Caring, Dexter. 20.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Medicap Pharmacy. 22.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63730 as metropolitan (metropolitan low commuting).
- Hospice
- 9 Medicare hospices tell CMS they serve ZIP code 63730.
Elara Caring, office in Dexter, 20.9 miles away, straight line (CMS family survey rating 5 of 5 stars)
Saint Francis Hospice, office in Cape Girardeau, 23.4 miles away, straight line (CMS family survey rating 5 of 5 stars)
Providence Home Health & Hospice, office in Cape Girardeau, 23.5 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Sarah Lahud Cuadra, MD, Carbondale. 59.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective June 15, 1978), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively high, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Aspire Senior Living Advance a good nursing home?
CMS gives Aspire Senior Living Advance an overall rating of 4 out of 5 stars, including 2/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Aspire Senior Living Advance staffed?
Aspire Senior Living Advance reports 4.07 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Aspire Senior Living Advance had inspection problems?
Its most recent CMS inspection cited 11 deficiencies.
How many beds does Aspire Senior Living Advance have?
Aspire Senior Living Advance is certified for 55 beds.