Senior Home Review
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Nursing homeFAID #7199

Aspire Senior Living Advance

315 SOUTH TILLEY STREET, ADVANCE, MO, 63730
(573) 722-3440
55 licensed beds
★★★★★4/5CMS Five-Star overall4/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
55
State license
052186
CMS facility ID
265550
Care type
Nursing home
Facility name
Aspire Senior Living Advance
Street address
315 SOUTH TILLEY STREET
City / state / ZIP
Advance, MO 63730
Phone
(573) 722-3440
State license #
052186

Aspire Senior Living Advance is a Medicare/Medicaid-certified skilled nursing facility in Advance, Missouri. It is licensed for 55 beds — below the median for skilled nursing facilities in Missouri (97 beds).

It is one of 2 senior care facilities in Advance and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Aspire Senior Living Advance 49 times across 6 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Operator / owner
Aspire Senior Living Advance, Llc
Parent company
Aspire Senior Living
Ownership type
For profit - Corporation
Administrator
Julie Latham

Registered owners & officers

Calvert, Gregg
Indirect owner · Managing employee · Officer — 12% stake — since 2021
Harris, Jerry
Indirect owner · Managing employee · Officer — 10% stake — since 2021
Steele, Sheri
Indirect owner — 8% stake — since 2021

Regulatory standing

Licensed / certified since
1993-11-01
License expires
2026-09-30
CMS overall rating
4 of 5 stars
Health deficiencies
6 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-03-06
Nurse staffing
3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$234 per day (≈ $7,110/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
70% Medicaid · 13% Medicare · 17% private/other
Occupancy
49% (fiscal year 2023)
Vs. state median
9% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds
55
Licensed as
SNF
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-03-06Health inspection6 citations
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-04-24
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-04-24
F-0744
D · No harm found
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2026-04-24
F-0761
D · No harm found
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 2026-04-24
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-04-24
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-04-24
2024-11-22Health inspection11 citations
F-0575
C · No harm found
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
F-0623
D · No harm found
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
F-0625
D · No harm found
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
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-01-06
F-0700
D · No harm found
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
F-0744
D · No harm found
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2025-01-06
F-0758
D · No harm found
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
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-01-06
F-0761
D · No harm found
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
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-01-06
F-0947
C · No harm found
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
4 earlier / fire-safety inspections (32 citations)
2023-08-18Health inspection15 citations
F-0567
E · No harm found
Honor the resident's right to manage his or her financial affairs.
Corrected 2023-10-02
F-0577
C · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-10-02
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-10-02
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2023-10-02
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-10-02
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-10-02
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-02
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-02
F-0744
D · No harm found
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2023-10-02
F-0761
D · No harm found
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 2023-10-02
F-0865
F · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2023-10-02
F-0881
D · No harm found
Implement a program that monitors antibiotic use.
Corrected 2023-10-02
F-0921
D · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-10-02
F-0925
D · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-10-02
F-0947
D · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2023-10-02
2026-03-06Fire-safety inspection7 citations
K-0222
E · No harm found
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 2026-04-24
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-04-24
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2026-04-24
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-04-24
K-0374
F · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2026-04-24
K-0753
D · No harm found
Have restrictions on the use of highly flammable decorations.
Corrected 2026-04-24
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2026-04-24
2024-11-22Fire-safety inspection6 citations
K-0222
F · No harm found
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
K-0321
F · No harm found
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
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2025-01-06
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-01-06
K-0923
F · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-01-06
2023-08-18Fire-safety inspection4 citations
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-10-02
K-0222
F · No harm found
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
K-0344
F · No harm found
Have an alternate power supply for its alarm system.
Corrected 2023-10-02
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-02
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265550.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 49 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered