Missouri › Stoddard County › Advance
Aspire Senior Living Advance
315 South Tilley Street, Advance, MO 63730
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 55 beds, Aspire Senior Living Advance serves Advance in Stoddard County, Missouri and has taken Medicare and Medicaid residents since 1993.
CMS gives it 4 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 4, staffing 2 and quality measures 3.
Inspectors recorded 32 health deficiencies across the three most recent survey cycles (6, 11, 15 by cycle, most recent first), none at the actual-harm level. That is 58.2 per 100 beds, more than the state median of 32.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.4 hours per resident per day (0.7 RN), close to the Missouri median of 3.4; nursing staff turnover is 51.6%.
Compared with county, state and nation
| Measure | This facility | Stoddard Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 2 | 3.0 |
| Health citations, 3 cycles | 32 | 16 | 31 | 28.7 |
| Citations per 100 beds | 58.2 | 20.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.6 | 3.4 | 3.9 |
| RN hours per resident day | 0.7 | 0.6 | 0.4 | 0.7 |
| Nursing staff turnover | 51.6% | 51.6% | 56.1% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (7 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 Mar 2026, 22 Nov 2024.
Severity mix: D ×27 E ×1 F ×1 C ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 6 Mar 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 24 Apr 2026 |
| 6 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 24 Apr 2026 |
| 6 Mar 2026 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 24 Apr 2026 |
| 6 Mar 2026 | F0761 | 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. | D | Standard survey | 24 Apr 2026 |
| 6 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 24 Apr 2026 |
| 6 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 24 Apr 2026 |
| 22 Nov 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 6 Jan 2025 |
| 22 Nov 2024 | F0625 | 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. | D | Standard survey | 6 Jan 2025 |
| 22 Nov 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Jan 2025 |
| 22 Nov 2024 | F0700 | 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. | D | Standard survey | 6 Jan 2025 |
| 22 Nov 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 6 Jan 2025 |
| 22 Nov 2024 | F0758 | 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. | D | Standard survey | 6 Jan 2025 |
| 22 Nov 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 6 Jan 2025 |
| 22 Nov 2024 | F0761 | 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. | D | Standard survey | 6 Jan 2025 |
| 22 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 Jan 2025 |
| 22 Nov 2024 | F0575 | 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. | C | Standard survey | 6 Jan 2025 |
| 22 Nov 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | C | Standard survey | 6 Jan 2025 |
| 18 Aug 2023 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 2 Oct 2023 |
| 18 Aug 2023 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 2 Oct 2023 |
| 18 Aug 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 2 Oct 2023 |
| 18 Aug 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 2 Oct 2023 |
| 18 Aug 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 2 Oct 2023 |
| 18 Aug 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 2 Oct 2023 |
| 18 Aug 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 2 Oct 2023 |
| 18 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 2 Oct 2023 |
| 18 Aug 2023 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 2 Oct 2023 |
| 18 Aug 2023 | F0761 | 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. | D | Standard survey | 2 Oct 2023 |
| 18 Aug 2023 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 2 Oct 2023 |
| 18 Aug 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 2 Oct 2023 |
| 18 Aug 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 2 Oct 2023 |
| 18 Aug 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 2 Oct 2023 |
| 18 Aug 2023 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 2 Oct 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 51.6%, RNs —; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.4% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.1% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 37.2% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.5% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 33.3% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Aspire Senior Living Advance, Llc. Chain: Aspire Senior Living (16 facilities).
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Stoddard County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Winchester Nursing Center, Inc | Bernie | 60 | 5 | 5 | 2 | 7 | 11.7 | — | 25 Jul 2025 |
| Crowley Ridge Care Center | Dexter | 90 | 4 | 5 | 1 | 11 | 12.2 | — | 10 Jun 2025 |
| Cypress Point-Skilled Nursing By Americare | Dexter | 79 | 4 | 4 | 4 | 16 | 20.3 | $74K | 18 Sep 2025 |
| Memory Lane of Dexter | Dexter | 73 | 4 | 5 | 1 | 12 | 16.4 | — | 17 Apr 2026 |
| Puxico Nursing and Rehabilitation Center | Puxico | 60 | 4 | 4 | 2 | 16 | 26.7 | — | 17 Nov 2025 |
| Prairie View Skilled Nursing | Bloomfield | 60 | 2 | 4 | 1 | 16 | 26.7 | — | 28 May 2026 |
All 7 facilities in Stoddard County
Questions and answers
How many deficiencies has Aspire Senior Living Advance been cited for?
32 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Aspire Senior Living Advance been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Aspire Senior Living Advance compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Aspire Senior Living Advance?
It is part of the Aspire Senior Living chain. Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Aspire Senior Living Advance last inspected?
The most recent survey or investigation in the CMS record is dated 6 Mar 2026; the most recent standard health survey was 6 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.