Cassville, Missouri · CCN 265538 · Phone: 4178472184 · 90 beds · Ownership: For Profit - Limited Liability Company
Aspire Senior Living Roaring River is a Medicare-certified skilled nursing facility (CCN 265538) in Cassville, Missouri. It holds a CMS overall Five-Star rating of 1 of 5 stars on CMS Care Compare. FileFlo scores its CMS survey-readiness at 26/100 (High Risk).
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Aspire Senior Living Roaring River is a Medicare- and Medicaid-certified skilled nursing facility in Cassville, Missouri, operating under CMS Certification Number (CCN) 265538. 90-bed facility. For Profit - Limited Liability Company. Independent (not part of a multi-facility chain). The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.
Aspire Senior Living Roaring River has held its Medicare/Medicaid certification for approximately 32 years (certification date on file: 1993-08-01). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.
Local market context (Barry County): Aspire Senior Living Roaring River is the only Medicare-certified skilled nursing facility in the same-county sample for Missouri. Sole-provider counties concentrate post-acute placement decisions into a single facility, which can either be operational leverage or a regulatory-visibility risk depending on quality trajectory.
CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.
Long-Stay Quality Measure rating: ★★★☆☆ (3 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.
Short-Stay Quality Measure rating: ★★★☆☆ (3 of 5). Short-stay measures cover post-acute residents discharged within 100 days and include rehospitalization within 30 days, successful return to community, and improvement in function.
Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.
Inspection overdue: CMS Provider Data flags Aspire Senior Living Roaring River as having an overdue standard health inspection. SNFs must receive a standard survey at most every 15 months on average and never more than 16 months from the last (42 CFR 488.308). Backlogged inspections can result from state agency staffing shortages but do not exempt the facility from the substantive compliance requirements during the gap.
Recent health deficiencies cited at last standard survey: 27. National average for facilities of this size is approximately 8 deficiencies per cycle. In its most recent reporting cycle, Aspire Senior Living Roaring River received 2 CMS fines totaling $46,303. Last documented standard health survey: 2024-03-01. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.
CMS health survey weighted score: 175.5. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.
Total enforcement penalties assessed in the most recent reporting window: $2. This figure aggregates Civil Money Penalties (CMPs), DPNA-equivalent revenue impacts, and other monetary remedies under 42 CFR Part 488 Subpart F.
At today's staffing levels, Aspire Senior Living Roaring River would not meet the cadre-specific minimums scheduled to take effect on the May 2029 timeline under 89 FR 40876: RN HPRD is 0.535 vs the 0.55 floor, a 0.02-hour gap and nurse-aide HPRD is 2.444 vs the 2.45 floor, a 0.01-hour gap. Closing this gap typically requires either net new hires at the specific cadre, shifted scheduling that reallocates existing FTEs to direct-care hours, or a hardship exemption application under 42 CFR 483.35.
Total nurse staffing: 3.332 hours per resident day (HPRD), which is 0.15 hours below the 3.48 total HPRD floor scheduled to take effect for rural-facility facilities by May 2029 (89 FR 40876, May 2024); facilities projected to remain below the floor at the effective date must either close the gap, qualify for a hardship exemption, or face citation under 42 CFR 483.35.
Staffing mix: RN 0.535 HPRD, LPN 0.352 HPRD, CNA 2.444 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2029 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.
Weekend RN staffing: 0.303 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.
Administrator turnover events in the most recent reporting window: 1. Multiple administrator changes in a 12-month window is associated with substantial leadership-discontinuity risk during the next standard survey.
Aspire Senior Living Roaring River is independently operated (not part of a multi-facility chain). Independent SNFs typically rely on internal compliance staff or contracted consultants rather than corporate-level survey-prep teams; this affects both how quickly Plans of Correction are produced and how F-tag remediation is documented across multiple shifts.
Provider type designation: Medicare And Medicaid.
The facility is classified by CMS as rural (outside metropolitan statistical areas). Rural SNFs face different challenges — referral pipeline depth, RN availability, ambulance distance for transfers — and CMS applies certain modifiers to the staffing minimums under hardship exemption pathways for rural facilities.
Peer comparisons use a same-state cohort of 200 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.
FileFlo's compliance indicator for Aspire Senior Living Roaring River is 26/100 (High Risk). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.
FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.
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Aspire Senior Living Roaring River (CCN 265538) holds a CMS overall Five-Star rating of 1 of 5 stars on CMS Care Compare. CMS updates these ratings quarterly from the facility's submitted assessment and claims data.
Aspire Senior Living Roaring River is a Medicare-certified skilled nursing facility (CMS Certification Number 265538) in Cassville, Missouri.
FileFlo scores Aspire Senior Living Roaring River's CMS survey-readiness at 26/100 (High Risk). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.
As a Medicare-certified skilled nursing facility, Aspire Senior Living Roaring River is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.
Run FileFlo's free CMS survey-readiness audit for Aspire Senior Living Roaring River — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.
The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:
Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →
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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile