Aspire Senior Living Roaring River
Nursing Home · Cassville, MO
CMS certification number265538
Contact & location
812 Old Exeter RoadCassville, MO 65625
Barry County
- Phone
- (417) 847-2184
- ZIP code
- 65625 – all care providers
Facility details
- Certified beds
- 90
- Residents per day
- 67.0 (74% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Aspire Senior Living Roaring River LLC
- Chain
- Aspire Senior Living (16 facilities, avg 1.9★)
- Medicare certified since
- August 1, 1993
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.49 (state 3.43 · U.S. 3.86)
- Registered nurses (RN)
- 0.45 (state 0.46 · U.S. 0.69)
- Licensed practical nurses
- 0.42 (state 0.68 · U.S. 0.86)
- Nurse aides
- 2.62 (state 2.29 · U.S. 2.32)
- Weekend total
- 3.09 (state 3.02 · U.S. 3.42)
- Nursing staff turnover
- —
- RN turnover
- —
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- February 24, 2026
- Health deficiencies (last cycle)
- 11.0 (state 11.5 · U.S. 9.3)
- From complaints
- 5
- Citations on record (3 years)
- 47 health · 18 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-27 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-08 |
| 2026-02-24 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-09 |
| 2026-02-24 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-09 |
| 2026-02-24 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-09 |
| 2026-02-24 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-09 |
| 2026-02-24 | 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. F0909 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-09 |
| 2026-02-24 | 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. F0727 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-09 |
| 2026-02-24 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-09 |
| 2026-02-24 | 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. F0803 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-09 |
| 2026-02-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-09 |
| 2025-11-14 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-09 |
| 2024-11-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-04 |
| 2024-03-01 | Provide or obtain dental services for each resident. F0791 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2024-04-15 |
| 2024-03-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | 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. F0625 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | 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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-03-01 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2023-12-14 | Honor the resident's right to manage his or her financial affairs. F0567 · Resident Rights Deficiencies · complaint inspection |
B No actual harm, potential for minimal harm |
Deficient, Provider has no plan of correction |
| 2021-12-10 | 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. F0727 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2022-01-24 |
| 2021-12-10 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2022-02-08 |
| 2021-12-10 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-01-24 |
| 2021-12-10 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-01-24 |
| 2021-12-10 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-01-24 |
| 2021-12-10 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-01-24 |
| 2021-12-10 | 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. F0700 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-01-24 |
| 2021-12-10 | Ensure residents have reasonable access to and privacy in their use of communication methods. F0576 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-01-24 |
| 2021-12-10 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-01-24 |
| 2021-12-10 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-01-24 |
| 2021-12-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-01-24 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $46,303 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-03-01 | Fine | $41,716 |
| 2023-09-05 | Fine | $4,587 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Brim, Robert (individual) | Administrator · NOT APPLICABLE | |
| Brown, Daniel (individual) | Administrator · NOT APPLICABLE | |
| Cavero, Fernando (individual) | Administrator · NOT APPLICABLE | |
| Eickhoff, Pamela (individual) | Administrator · NOT APPLICABLE | |
| Hero Health Management, LLC (organization) | Administrator · NOT APPLICABLE | |
| Leipham, Michelle (individual) | Administrator · NOT APPLICABLE | |
| Stadtmueller, David (individual) | Administrator · NOT APPLICABLE | |
| CHP SNF Opco Holdings LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Brody, Michael (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Brown, Barbara (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Brown, Daniel (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| CHP SNF Holdings LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| CHP Snfco LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Eickhoff, Pamela (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Leipham, Michelle (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Shevlyagin, Victor (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Stadtmueller, David (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Brim, Robert (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Brown, Daniel (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Cavero, Fernando (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Eickhoff, Pamela (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hero Health Management, LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Leipham, Michelle (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Stadtmueller, David (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Aspire Senior Living Roaring River?
Aspire Senior Living Roaring River has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.
How many beds does Aspire Senior Living Roaring River have?
It has 90 certified beds and cares for about 67 residents per day.
Has Aspire Senior Living Roaring River been fined?
Yes. CMS lists 2 penalties totaling $46,303 in the last three years.
Who owns Aspire Senior Living Roaring River?
It is part of Aspire Senior Living and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Aspire Senior Living Roaring River?
(417) 847-2184. The facility is located at 812 Old Exeter Road, Cassville, MO 65625.
Other nursing homes in Cassville
-
Cassville Health Care Center
Nursing Home · Cassville, MO · 60 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.