Federal inspection record · CMS data as of October 1, 2026
Aspire Senior Living Roaring River
812 Old Exeter Road, Cassville, MO · (417) 847-2184
- Certified beds
- 90
- Residents per day
- 72
- Ownership
- For-Profit
- Chain
- Aspire Senior Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1993
1
How this home got 3 stars
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
★★★★★no change
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
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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Aspire Senior Living Roaring River carries 90 inspection points. That is fewer than 44% 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
47 health citations on record since 2021. 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 (1)
-
G
Provide or obtain dental services for each resident.
Everything else, by area of care
Quality of Life and Care18E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide care or services that was trauma informed and/or culturally competent.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide activities to meet all resident's needs.
- 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 appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights8E
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 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.
- B
Honor the resident's right to manage his or her financial affairs.
- 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.
- D
Ensure residents have reasonable access to and privacy in their use of communication methods.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Pharmacy Service5D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
Nursing and Physician Services3F
- E
Post nurse staffing information every day.
- D
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.
- F
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.
Nutrition and Dietary3F
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- F
Provide and implement an infection prevention and control program.
Environmental2F
- E
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Freedom from Abuse, Neglect, and Exploitation2E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Assessment and Care Planning2E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
Inspection history
2026-02-24
11 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-03-01
24 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (11 deficiencies)
2021-12-10
12 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 26 min of nursing staff time a day, 23 min of it from a registered nurse.
This home
3 h 26 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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
$41,716 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-03-01 | Fine | $41,716 |
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 days0.3 pts worse | 2.3 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 2.0 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts better | 88.6% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.2 pts better | 100.0% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts worse | 6.1% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms13.4 pts better | 6.6% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts worse | 6.2% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4 pts worse | 29.6% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.4 pts better | 21.1% | 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 worsened2.7 pts better | 13.1% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.9 pts better | 8.5% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.6% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 2.2% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.9 pts worse | 20.0% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.7 pts worse | 8.1% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14 pts better | 79.7% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5 pts better | 8.4% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8 pts better | 69.4% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.1 pts worse | 28.8% | 25.7% | 23.4% |
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Who owns and runs it
24 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 |
|---|---|---|---|
| Brim, Robert | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Brim, Robert | Adp Of The SNF · Individual | 0% | 2 facilities |
| 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 |
| Cavero, Fernando | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Cavero, Fernando | Adp Of The SNF · Individual | 0% | 5 facilities |
| Chp SNF Holdings LLC | Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Chp SNF Opco Holdings LLC | Direct Ownership Interest · Organization | 0% | 6 facilities |
| Chp SNFco LLC | Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Eickhoff, Pamela | Indirect Ownership Interest · Individual | 0% | 7 facilities |
| Eickhoff, Pamela | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Eickhoff, Pamela | Adp Of The SNF · Individual | 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 |
| Leipham, Michelle | Indirect Ownership Interest · Individual | 0% | 7 facilities |
| Leipham, Michelle | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Leipham, Michelle | Adp Of The SNF · Individual | 0% | 7 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 |
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Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install an approved automatic sprinkler system.
- F
Install corridor and hallway doors that block smoke.
- E
Install a fire alarm system that can be heard throughout the facility.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
Emergency Preparedness4F
- F
List the names and contact information of those in the facility.
- F
Provide primary/alternate means for communication.
- F
List the names and contact information of those in the facility.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Gas, Vacuum, and Electrical Systems2F
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous2F
- F
Provide a written emergency evacuation plan.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Egress1F
- 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.
Services1F
- F
Meet other general requirements that are deficient.
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