Advance, MO

Aspire Senior Living Advance

4-star overall rating with 4-star inspections with 11 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

315 South Tilley Street, Advance, MO

(573) 722-3440

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Aspire Senior Living

Operator or chain grouping

Approved since

1993-11-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

14 facilities

Chain averages 3 overall / 3 health / 2 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.51

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

1.12

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.45

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

4.07

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

1.63

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

3.44

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.77

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.24

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.49

CMS adjusted RN staffing hours

Adjusted total hours

3.89

CMS adjusted total nurse staffing hours

Case-mix index

1.43

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

64%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,585

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

19.85

Composite VBP score used to determine payment impact.

Payment multiplier

0.9823

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

3.88

Baseline 7.48% · Performance 6.67% · Measure score 3.88 · Achievement 3.88 · Improvement 2.74

Total nurse turnover

0.63

Performance 61.11% · Measure score 0.63 · Achievement 0.63 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

1.44

Baseline 4.01 hours · Performance 3.49 hours · Measure score 1.44 · Achievement 1.44 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.36%	10.72% 2.6 pts worse	No Different than the National Rate · Eligible stays 54 · Observed rate 24.07% · Lower 95% interval 8.41%
Discharge to community	40.14%	50.57% 10.4 pts worse	No Different than the National Rate · Eligible stays 34 · Observed rate 29.41% · Lower 95% interval 27.12%
Medicare spending per beneficiary	1.31	1.02 0.3 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 22 · Denominator 22
Falls with major injury	4.55%	0.77% 3.8 pts worse	Numerator 1 · Denominator 22
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	4.55%	2.29% 2.3 pts worse	Numerator 1 · Denominator 22 · Adjusted rate 4.54%
Healthcare-associated infections requiring hospitalization	6.67%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 26 · Observed rate 3.85% · Lower 95% interval 3.7%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 46
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.8	2.1 1.3 pts better	1.9 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	4.9	2.3 2.6 pts worse	1.8 3.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 4.9 · Observed 4.4 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.3%	84.8% 13.5 pts better	93.4% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 100.0% · Q3 100.0% · Q4 96.3% · 4Q avg 98.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.1%	90.9% 6.2 pts better	95.5% 1.6 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	4.1% 4.1 pts better	3.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	18.1%	14.7% 3.4 pts worse	11.4% 6.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 12.0% · Q3 20.8% · Q4 32.0% · 4Q avg 18.1%
Percentage of long-stay residents who lose too much weight	8.2%	5.5% 2.7 pts worse	5.4% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 13.0% · Q4 5.0% · 4Q avg 8.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	43.3%	25.3% 18 pts worse	19.6% 23.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 37.0% · Q2 43.5% · Q4 47.6% · 4Q avg 43.3%
Percentage of long-stay residents who received an antipsychotic medication	39.1%	25.0% 14.1 pts worse	16.7% 22.4 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 39.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	38.6%	20.3% 18.3 pts worse	16.3% 22.3 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 38.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.9%	19.8% 1.9 pts better	14.9% 3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 14.3% · 4Q avg 17.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	5.7%	1.4% 4.3 pts worse	1.0% 4.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 9.9% · Q3 0.0% · Q4 2.3% · 4Q avg 5.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.5%	2.6% 0.9 pts worse	1.7% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.1% · Q3 0.0% · Q4 7.7% · 4Q avg 3.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	15.5%	18.1% 2.6 pts better	19.8% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 7.4% · Q3 11.7% · Q4 32.7% · 4Q avg 15.5%
Percentage of long-stay residents with pressure ulcers	6.3%	5.0% 1.3 pts worse	5.1% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 6.8% · Q3 6.1% · Q4 7.4% · 4Q avg 6.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	87.2%	66.4% 20.8 pts better	81.7% 5.5 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 87.2%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-22 · Fire 2024-11-22

11 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-08-18 · Fire 2023-08-18

15 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2021-10-22 · Fire 2021-10-22

13 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-22

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-01-06

F · Potential for more than minimal harm 2024-11-22

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-01-06

F · Potential for more than minimal harm 2024-11-22

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-01-06

F · Potential for more than minimal harm 2024-11-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Not marked corrected

F · Potential for more than minimal harm 2024-11-22

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-01-06

F · Potential for more than minimal harm 2024-11-22

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-01-06

F · Potential for more than minimal harm 2023-08-18

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-10-02

F · Potential for more than minimal harm 2023-08-18

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-10-02

F · Potential for more than minimal harm 2023-08-18

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2023-10-02

F · Potential for more than minimal harm 2023-08-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-10-02

F · Potential for more than minimal harm 2021-10-22

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2021-12-06

F · Potential for more than minimal harm 2021-10-22

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2021-12-06

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-11-22

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-01-06

D · Potential for more than minimal harm 2024-11-22

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2025-01-06

D · Potential for more than minimal harm 2024-11-22

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-01-06

D · Potential for more than minimal harm 2024-11-22

F700 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2025-01-06

D · Potential for more than minimal harm 2024-11-22

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2025-01-06

D · Potential for more than minimal harm 2024-11-22

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-01-06

D · Potential for more than minimal harm 2024-11-22

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-01-06

D · Potential for more than minimal harm 2024-11-22

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-01-06

D · Potential for more than minimal harm 2024-11-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-06

C · Minimal harm 2024-11-22

F575 · Resident Rights Deficiencies

Health

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Corrected 2025-01-06

C · Minimal harm 2024-11-22

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2025-01-06

F · Potential for more than minimal harm 2023-08-18

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2023-10-02

E · Potential for more than minimal harm 2023-08-18