Missouri › Barry County › Cassville
Aspire Senior Living Roaring River
812 Old Exeter Road, Cassville, MO 65625
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 90 beds, Aspire Senior Living Roaring River serves Cassville in Barry County, Missouri and has taken Medicare and Medicaid residents since 1993.
CMS gives it 3 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 3, staffing 2 and quality measures 3.
Inspectors recorded 47 health deficiencies across the three most recent survey cycles (11, 24, 12 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 52.2 per 100 beds, more than the state median of 32.1.
CMS lists 2 penalties in the period covered: fines totalling $46K.
Reported nurse staffing is 3.5 hours per resident per day (0.4 RN), close to the Missouri median of 3.4.
CMS flags that the facility changed ownership in the last 12 months.
Compared with county, state and nation
| Measure | This facility | Barry Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 2 | 3.0 |
| Health citations, 3 cycles | 47 | 47 | 31 | 28.7 |
| Citations per 100 beds | 52.2 | 52.2 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.5 | 3.4 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | — | 51.4% | 56.1% | 45.8% |
| Fines listed | $46,303 | $46,303 | $0 | — |
County and state figures are medians across facilities (3 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: 24 Feb 2026, 1 Mar 2024.
Severity mix: G ×1 D ×27 E ×12 F ×6 B ×1
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 |
|---|---|---|---|---|---|
| 27 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 8 May 2026 |
| 24 Feb 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 9 Apr 2026 |
| 24 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 9 Apr 2026 |
| 24 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 9 Apr 2026 |
| 24 Feb 2026 | F0732 | Post nurse staffing information every day. | E | Standard survey | 9 Apr 2026 |
| 24 Feb 2026 | F0909 | 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. | E | Standard survey | 9 Apr 2026 |
| 24 Feb 2026 | F0727 | 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. | D | Complaint investigation | 9 Apr 2026 |
| 24 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 9 Apr 2026 |
| 24 Feb 2026 | F0803 | 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. | D | Standard survey | 9 Apr 2026 |
| 24 Feb 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 | 9 Apr 2026 |
| 14 Nov 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 9 Jan 2026 |
| 21 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Jan 2025 |
| 1 Mar 2024 | F0791 | Provide or obtain dental services for each resident. | G | Standard survey | 15 Apr 2024 |
| 1 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 Apr 2024 |
| 1 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 15 Apr 2024 |
| 1 Mar 2024 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 15 Apr 2024 |
| 1 Mar 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 15 Apr 2024 |
| 1 Mar 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 15 Apr 2024 |
| 1 Mar 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 15 Apr 2024 |
| 1 Mar 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 15 Apr 2024 |
| 1 Mar 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 | 15 Apr 2024 |
| 1 Mar 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 15 Apr 2024 |
| 1 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 15 Apr 2024 |
| 1 Mar 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Standard survey | 15 Apr 2024 |
| 1 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 Apr 2024 |
| 1 Mar 2024 | F0688 | 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. | D | Standard survey | 15 Apr 2024 |
| 1 Mar 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 15 Apr 2024 |
| 1 Mar 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 15 Apr 2024 |
| 1 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Apr 2024 |
| 1 Mar 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 15 Apr 2024 |
| 1 Mar 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 15 Apr 2024 |
| 1 Mar 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 15 Apr 2024 |
| 1 Mar 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 15 Apr 2024 |
| 1 Mar 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 | 15 Apr 2024 |
| 1 Mar 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 15 Apr 2024 |
| 14 Dec 2023 | F0567 | Honor the resident's right to manage his or her financial affairs. | B | Complaint investigation | Deficient, Provider has no plan of correction |
| 10 Dec 2021 | F0727 | 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. | F | Standard survey | 24 Jan 2022 |
| 10 Dec 2021 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 8 Feb 2022 |
| 10 Dec 2021 | F0584 | 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. | E | Standard survey | 24 Jan 2022 |
| 10 Dec 2021 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 24 Jan 2022 |
| 10 Dec 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 24 Jan 2022 |
| 10 Dec 2021 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 24 Jan 2022 |
| 10 Dec 2021 | 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. | E | Standard survey | 24 Jan 2022 |
| 10 Dec 2021 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Standard survey | 24 Jan 2022 |
| 10 Dec 2021 | 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 | 24 Jan 2022 |
| 10 Dec 2021 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 24 Jan 2022 |
| 10 Dec 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 24 Jan 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 1 Mar 2024 | Fine | $41,716 | |
| 5 Sep 2023 | Fine | $4,587 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff —, RNs —; 1 administrator 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 | 10.8% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.6% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.4% | 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 | 16.3% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.9% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.7% | 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, limited liability company. Legal business name: Aspire Senior Living Roaring River Llc. Chain: Aspire Senior Living (16 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Chp SNF Opco Holdings LLC | Direct ownership interest | NOT APPLICABLE | 10/01/2025 |
| Chp SNF Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 10/01/2025 |
| Chp Snfco LLC | Indirect ownership interest | NOT APPLICABLE | 10/01/2025 |
| Hero Health Management, LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2025 |
| Hero Health Management, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
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 Barry County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Lacoba Homes Inc | Monett | 79 | 5 | 5 | 3 | 10 | 12.7 | — | 15 Jan 2026 |
| Cassville Health Care CenterSFF Candidate | Cassville | 60 | 1 | 1 | 1 | 82 | 136.7 | $124K | 2 Feb 2026 |
All 3 facilities in Barry County
Questions and answers
How many deficiencies has Aspire Senior Living Roaring River been cited for?
47 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Aspire Senior Living Roaring River been fined?
Yes. CMS lists fines totalling $46K in the period covered.
How does staffing at Aspire Senior Living Roaring River compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Aspire Senior Living Roaring River?
It is part of the Aspire Senior Living chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Chp SNF Opco Holdings LLC, Chp SNF Holdings LLC and Chp Snfco LLC. Individual owners and managers are not listed on this site.
When was Aspire Senior Living Roaring River last inspected?
The most recent survey or investigation in the CMS record is dated 27 Mar 2026; the most recent standard health survey was 24 Feb 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.