Federal inspection record · CMS data as of October 1, 2026
Aspire Senior Living New Florence
515 Picnic Street, New Florence, MO · (573) 415-9333
- Certified beds
- 87
- Residents per day
- 53
- Ownership
- For-Profit
- Chain
- Aspire Senior Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 5, 1995
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Aspire Senior Living New Florence carries 94.5 inspection points. That is fewer than 43% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
35 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
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G
Ensure services provided by the nursing facility meet professional standards of quality.
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G
Ensure services provided by the nursing facility meet professional standards of quality.
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G
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Everything else, by area of care
Resident Rights8E
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- C
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
- C
Assure the security of all personal funds of residents deposited with the facility.
- C
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.
Infection Control6F
- F
Implement a program that monitors antibiotic use.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- C
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Quality of Life and Care5E
- E
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.
- E
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning5E
- C
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- C
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Nursing and Physician Services5E
- C
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- C
Post nurse staffing information every day.
- D
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
- C
Post nurse staffing information every day.
Administration1E
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Pharmacy Service1D
- D
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.
Inspection history
2025-11-17
10 health deficiencies · 8 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2024-09-06
9 health deficiencies · 9 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2022-10-27
16 health deficiencies · 12 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 59 min of nursing staff time a day, 24 min of it from a registered nurse.
This home
2 h 59 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 84% of nursing staff and 88% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$28,486 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-06 | Fine | $28,486 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 2.2 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.6 pts worse | 3.8 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.2 pts better | 91.2% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.9 pts better | 92.7% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better | 3.6% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14.4 pts better | 5.6% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts better | 2.2% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.8 pts better | 24.8% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.4 pts better | 12.1% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened17.8 pts worse | 33.6% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9 pts worse | 26.4% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.5% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts worse | 3.7% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.3 pts better | 14.8% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts worse | 4.7% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.1 pts worse | 52.6% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit16.7 pts worse | 30.1% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication5.9 pts worse | 8.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine25.3 pts worse | 36.1% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.6 pts better | 22.1% | 25.7% | 23.4% |
·
Who owns and runs it
25 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Brody, Michael | Indirect Ownership Interest · Individual | 0% | 7 facilities |
| Brown, Barbara | Indirect Ownership Interest · Individual | 0% | 9 facilities |
| Brown, Daniel | Indirect Ownership Interest · Individual | 0% | 21 facilities |
| Brown, Daniel | Operational/Managerial Control · Individual | 0% | 21 facilities |
| Brown, Daniel | Adp Of The SNF · Individual | 0% | 21 facilities |
| Choudhary, Navin | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Choudhary, Navin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Choudhary, Navin | Adp Of The SNF · Individual | 0% | 1 facilities |
| Chp SNF Holdings LLC | Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Chp SNF Opco Holdings 2, LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Chp SNF Opco Holdings LLC | Direct Ownership Interest · Organization | 0% | 6 facilities |
| Chp SNFco LLC | Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Chp SNFco LLC | Operational/Managerial Control · Organization | 0% | 7 facilities |
| Hero Health Management, LLC | Operational/Managerial Control · Organization | 0% | 7 facilities |
| Hero Health Management, LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Rice, Shontae | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Rice, Shontae | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rice, Shontae | Adp Of The SNF · Individual | 0% | 1 facilities |
| Shafer, Joseph | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Shafer, Joseph | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Shafer, Joseph | Adp Of The SNF · Individual | 0% | 1 facilities |
| Shevlyagin, Victor | Indirect Ownership Interest · Individual | 0% | 6 facilities |
| Stadtmueller, David | Indirect Ownership Interest · Individual | 0% | 8 facilities |
| Stadtmueller, David | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Stadtmueller, David | Adp Of The SNF · Individual | 0% | 8 facilities |
·
Fire safety
29 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke14F
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems7F
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- E
Meet requirements for the installation and maintenance of electrical systems.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- E
Meet requirements for the installation and maintenance of electrical systems.
- E
Have proper medical gas storage and administration areas.
Emergency Preparedness3F
- F
Establish staff and initial training requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Provide primary/alternate means for communication.
Miscellaneous3F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Egress2F
- F
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.
- F
Install emergency lighting that can last at least 1 1/2 hours.
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Other homes nearby
-
Aspire Senior Living Jonesburg
Jonesburg, MO · Aspire Senior Living
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 54 min
- Fines
- $0
-
Wellsville Health Care Center
Wellsville, MO · Reliant Care Management
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 1 h 45 min
- Fines
- $20,642
-
Stonebridge Hermann
Hermann, MO · Stonebridge Senior Living
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 43 min
- Fines
- $0