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Aspire Senior Living Roaring River: Staffing, Turnover, and Inspection Record

Aspire Senior Living Roaring River is a 90-bed for-profit nursing home in Cassville, Missouri, part of Aspire Senior Living. In the CMS August 2026 release it reported 2.62 nurse aide hours per resident per day, 14% above the Missouri average of 2.29.

Certified for Medicare and Medicaid · CMS number 265538

Aspire Senior Living Roaring River

812 Old Exeter Road
Cassville, MO 65625
Barry County
Aide hours per resident a day
2.62
Missouri average 2.29
Nursing staff turnover
—
Missouri average 56.0%
Certified beds
90
about 67 residents a day
Fines, last 3 years
2
$46,303 total

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 Roaring River, nurse aides logged 2.62 hours per resident per day, 14% above the Missouri average. With about 67 residents a day, that works out to roughly 176 aide hours a day, or about 22 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.

Staff hours per resident per day at Aspire Senior Living Roaring River, Missouri average, and US average
Hours per resident per dayThis homeMissouri avgUS avg
Nurse aides (CNAs)2.622.292.32
Licensed practical nurses0.420.680.86
Registered nurses0.450.460.69
All nursing staff3.493.433.86
All nursing staff, weekends3.093.023.42

CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.

Staff turnover

CMS publishes no nursing staff turnover figure for Aspire Senior Living Roaring River in this release. 1 administrator left over the same period.

CMS note: Staffing data not submitted or not valid for calculating turnover.

Nursing staff turnover
—
Missouri 56.0% · US 45.8%
Registered nurse turnover
—
Missouri 47.8% · US 42.9%
Administrators who left
1
Missouri average 0.7

Inspections and penalties

State inspectors last completed a standard health inspection on Feb 24, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 11 health deficiencies (Missouri average 11.5). CMS lists 2 fines totaling $46,303 in the last three years.

Health deficiencies, latest cycle
11
From complaints
5
Infection-control citations
—
Payment denials, 3 years
0
Fines and payment denials at Aspire Senior Living Roaring River, last three years
Inspection datePenaltyAmount or length
Mar 1, 2024Fine$41,716
Sep 5, 2023Fine$4,587

CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.

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 Roaring River holds 3 of 5 overall; the Missouri average is 2.5.

Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5

About Aspire Senior Living Roaring River

  • Ownership: For profit - Limited Liability company
  • Chain: Aspire Senior Living, 16 homes
  • Legal name: Aspire Senior Living Roaring River LLC
  • Medicare and Medicaid certified since: Aug 1, 1993
  • Changed ownership in the last 12 months
  • Councils: resident council
  • Area: rural

Nursing homes near Aspire Senior Living Roaring River

The closest homes by distance, with the same CMS figures. Select a column to sort.

Nursing homes near Aspire Senior Living Roaring River. Column headers sort the table.
Cassville Health Care Center
Cassville · SFF candidate
0.7601.902.79—1$123,925
Lacoba Homes Inc
Monett
17.0793.094.3251.4%5None
Ascend at Aurora
Aurora · abuse citation
21.61253.024.2454.4%1$46,940
The Blossoms at Eureka Springs Rehab & Nursing Cen
Eureka Springs
21.71002.113.4883.3%1None
Concordia Nursing & Rehab, LLC
Bella Vista · SFF candidate
25.01022.023.52—1$123,918
The Ozarks Methodist Manor
Marionville
25.8782.293.1745.8%1None
Ashley Rehabilitation and Health Care Center
Rogers · Special Focus Facility
26.61002.423.7971.0%—$65,473
Granby House
Granby
26.7602.633.5460.3%2None

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.

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← All nursing homes in Missouri

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.