ASPIRE SENIOR LIVING ROARING RIVER – CASSVILLE, MO

CMS Verified | 2026-03-01

Aspire Senior Living Roaring River

812 OLD EXETER ROAD, Cassville, MO 65625
(417) 847-2184
90 beds
All Cassville facilities
2.0*
Overall
2.0*
Health Inspection
2.0*
Quality Care
4.0*
Staffing
61.7
Score /100
#11518
National Rank

#11518
of 14703 facilities
National
21.7% position
#243
of 487 in MO
State Rank
#2
of 3 in Barry
County Rank
#1
of 2 in Cassville
City Rank
#1
of 2 in ZIP 65625
ZIP Rank






About Aspire Senior Living Roaring RiverAspire Senior Living Roaring River is located at 812 Old Exeter Road, Cassville, MO, reachable at (417) 847-2184. This For profit – Limited Liability company facility operates 90.0 certified beds and serves an average of 55 residents per day. Medicare and Medicaid services have been provided since 1993-08-01. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Aspire Senior Living Roaring River

Address

812 Old Exeter Road, Cassville, MO 65625

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 90 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
✅ Above Average (4★) staffing rating
Quality of Care
⚠️ Below Average (2★) quality of care
Compliance
❌ 23 fine(s) over 5 years
5-Year Trend
Improving over 5 years
61.7
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#11518 of 14703 nationally – #243 of 487 in Missouri

Who Is This Facility Best For?

Aspire Senior Living Roaring River may be considered for families with limited options in Cassville, MO, but its lower CMS ratings suggest careful due diligence is warranted. Above-average staffing levels make it a good option for residents needing intensive nursing care.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

2 / 5
Staffing Rating

4 / 5
Quality Measures (QM)

2 / 5
Long-Stay QM Rating

2 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightAspire Senior Living Roaring River currently provides 3 hours 48 minutes of total nurse staffing per resident per day, including 34 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 4 out of 5 reflects strong nurse coverage. RN hours per resident have increased from 16 min/day (2023) to 34 min/day (2026), a positive sign of investment in skilled nursing. Total nursing staff turnover stands at 49.2% — above the national average of ~35%.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 48 minutes
Nurse Aide Hours2 hours 46 minutes
Licensed Practical Nurse (LPN) Hours28 minutes
Registered Nurse (RN) Hours34 minutes
Physical Therapist Hours0 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 18 minutes
Weekend Registered Nurse (RN) Hours20 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 2 fine(s) totaling $46,303. 5 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 2
Total Fines Amount $46303.0
Payment Denials 0
Total Penalties 2
Abuse Flag on Record N
Total Weighted Health Survey Score 160.5 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#11,518
of 14,703
National
Bottom 22%
#243
of 487
MO State
Top 50% in MO
#2
of 3
️ Barry County
#2 of 3
#1
of 2
️ Cassville
Best in city
#1
of 2
ZIP 65625
Best in ZIP

Nationally, Aspire Senior Living Roaring River ranks 11518th out of 14,703 facilities (composite score: 61.7/100), placing it in the bottom 25% nationwide. Within MO, it ranks 243rd out of 487 nursing homes. In Cassville, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #6,243 nationally and RN hours rank #7,300 nationally (#96 in MO).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank MO State Rank Note
2022 #14,124 / 14,703 #446 / 487 ⚠️ Bottom 5%
2023 3.81 #5,351 / 14,703 #96 / 487 Above average
2024 3.67 #6,681 / 14,703 #122 / 487 Above average
2025 4.02 #4,454 / 14,703 #74 / 487 Above average
2026 3.81 #6,243 / 14,703 #115 / 487 Above average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank MO State Rank Note
2022 #14,124 / 14,703 #446 / 487 ⚠️ Bottom 5%
2023 0.27 #12,670 / 14,703 #362 / 487 ⚠️ Bottom 25%
2024 0.53 #7,618 / 14,703 #103 / 487 Below average
2025 0.39 #10,845 / 14,703 #213 / 487 Below average
2026 0.57 #7,300 / 14,703 #96 / 487 Above average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Aspire Senior Living Roaring River is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1993-08-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (417) 847-2184 or your local Medicaid office to verify current eligibility.

Aspire Senior Living Roaring River holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (4★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 61.7/100, placing it #11518 of 14703 facilities nationally and #243 of 487 in Missouri. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Aspire Senior Living Roaring River receives a reported average of 3 hours 48 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 34 minutes; Licensed Practical Nurse (LPN) — 28 minutes; Nurse Aide — 2 hours 46 minutes. On weekends, total nurse staffing is 3 hours 18 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 49.2%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $46,303. 5 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $46,303, and 0 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 160.5 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Aspire Senior Living Roaring River ranks 11518th out of 14,703 facilities (composite score: 61.7/100), placing it in the bottom 25% nationwide. Within MO, it ranks 243rd out of 487 nursing homes. In Cassville, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #6,243 nationally and RN hours rank #7,300 nationally (#96 in MO). Our composite quality score of 61.7/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Cassville, visit: https://nursinghomesnearme.org/missouri/cassville/

Contact and Location

ADR
Address

812 OLD EXETER ROAD, Cassville, MO 65625
Get directions on Google Maps

TEL
LLC
Legal Name

Legal Business Name Not Available

MAP
Browse by Location

All Missouri ·
Barry County ·
Cassville ·
ZIP 65625

Facility Details

Number of Certified Beds 90
Average Residents / Day 55 (62% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Barry County, MO
City Cassville, MO
ZIP Code 65625
Approved Since August 1, 1993
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 265538
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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