Nursing home
Aspire Senior Living Roaring River
812 Old Exeter Road, Cassville, MO 65625 · Map
For profit - Limited Liability company · 90 certified beds
Aspire Senior Living Roaring River is a Medicare-certified nursing home in Cassville, Missouri. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.81 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Mar 1, 2024 cited 24 deficiencies.
- 2 fines totaling $46,303In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Aspire Senior Living Roaring River 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) | 3.81 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.57 | 0.46 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.77 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 49.2% | 57.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 24.0 | 12.0 | 9.5 | above 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.
- Every deficiency from the March 27, 2026 inspection was corrected by May 8, 2026
Penalties in CMS records: 2 fines totaling $46,303, 2 total penalties.
What inspectors found at Aspire Senior Living Roaring River
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 appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 27, 2026 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Feb 24, 2026 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Feb 24, 2026 · Full report (PDF) - Potential for harm
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 · Feb 24, 2026 · Full report (PDF) - Potential for harm
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 · Nov 14, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 21, 2024 · Full report (PDF) - Actual harm
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Mar 1, 2024 · Full report (PDF) - Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Mar 1, 2024 · Full report (PDF) - Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Mar 1, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 1, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 1, 2024 · Full report (PDF) - Potential for harm
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 · Mar 1, 2024 · Full report (PDF)
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
- 812 Old Exeter Road
Cassville, MO 65625 - CMS certification #
- 265538
- Ownership
- For profit - Limited Liability company
- Certified beds
- 90
- Avg residents/day
- 55.8
- Provider type
- Medicare and Medicaid
- First certified
- 1993-08-01
- Setting
- Rural
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 Roaring River 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 - Cassville, Cassville. 0.4 miles away, straight line.
- Nearest Medicare nursing home
- Cassville Health Care Center, Cassville. 0.7 miles away, straight line.
- Nearest home health agency office
- Mercy Home Health, Rogers. 30.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Bella Vista Pharmacy. 24.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 65625 as rural (rural area).
- Hospice
- 11 Medicare hospices tell CMS they serve ZIP code 65625.
- Nearest geriatric medicine practice
- Curana Health Of Arkansas LLC, Bentonville. 28.5 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
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Cassville, MO, risk to homes is greater than 84% of communities in Missouri and 71% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: very high. By hazard: hurricane very low, inland flooding very high, wildfire relatively moderate, tornado very high, heat wave relatively high, earthquake relatively moderate. 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 | See above |
| 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 Roaring River a good nursing home?
CMS gives Aspire Senior Living Roaring River an overall rating of 2 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Aspire Senior Living Roaring River staffed?
Aspire Senior Living Roaring River reports 3.81 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Aspire Senior Living Roaring River had inspection problems?
Its most recent CMS inspection cited 24 deficiencies.
How many beds does Aspire Senior Living Roaring River have?
Aspire Senior Living Roaring River is certified for 90 beds.