Aspire Senior Living Advance: Staffing, Turnover, and Inspection Record
Aspire Senior Living Advance is a 55-bed for-profit nursing home in Advance, Missouri, part of Aspire Senior Living. In the CMS August 2026 release it reported 1.92 nurse aide hours per resident per day, 16% below the Missouri average of 2.29, and 51.6% nursing staff turnover (Missouri average 56.0%).
Aspire Senior Living Advance
315 South Tilley StreetAdvance, MO 63730
Stoddard County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Aspire Senior Living Advance, nurse aides logged 1.92 hours per resident per day, 16% below the Missouri average. With about 31 residents a day, that works out to roughly 59 aide hours a day, or about 7 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 19% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.92 | 2.29 | 2.32 |
| Licensed practical nurses | 0.77 | 0.68 | 0.86 |
| Registered nurses | 0.68 | 0.46 | 0.69 |
| All nursing staff | 3.37 | 3.43 | 3.86 |
| All nursing staff, weekends | 2.74 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
51.6% of nursing staff at Aspire Senior Living Advance left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 6, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 6 health deficiencies (Missouri average 11.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Aspire Senior Living Advance holds 4 of 5 overall; the Missouri average is 2.5.
About Aspire Senior Living Advance
- Ownership: For profit - Corporation
- Chain: Aspire Senior Living, 16 homes
- Legal name: Aspire Senior Living Advance, LLC
- Medicare and Medicaid certified since: Nov 1, 1993
- Councils: resident council
- Area: rural
Nursing homes near Aspire Senior Living Advance
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Chaffee Nursing Center Chaffee | 15.0 | 71 | 2.04 | 3.54 | 31.7% | 5 | None |
| Prairie View Skilled Nursing Bloomfield | 15.1 | 60 | 2.39 | 3.59 | — | 2 | None |
| Puxico Nursing and Rehabilitation Center Puxico | 16.6 | 60 | 2.58 | 3.92 | 50.0% | 4 | None |
| Stonebridge Marble Hill Marble Hill | 18.0 | 98 | 2.28 | 3.31 | 31.1% | 4 | None |
| Crowley Ridge Care Center Dexter · many days without an RN | 20.3 | 90 | 2.62 | 3.59 | 52.6% | 4 | None |
| Cypress Point-Skilled Nursing by Americare Dexter | 21.4 | 79 | 2.22 | 3.83 | 50.0% | 4 | $73,743 |
| Memory Lane of Dexter Dexter | 21.9 | 73 | 2.35 | 3.29 | — | 4 | None |
| Daybreak Nursing Center Sikeston | 22.6 | 70 | 2.24 | 3.28 | 55.7% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.