Home›Browse›Missouri›Cassville›Aspire Senior Living Roaring River

Nursing homeFAID #7192

Aspire Senior Living Roaring River

812 OLD EXETER ROAD, CASSVILLE, MO, 65625

(417) 847-2184

90 licensed beds

★★★★★3/5CMS Five-Star overall3/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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Address

812 Old Exeter Road

Cassville, MO 65625

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Public record summary

What we can show you for free.

Bed capacity

State license

053098

CMS facility ID

265538

Care type

Nursing home

Facility name

Aspire Senior Living Roaring River

Street address

812 OLD EXETER ROAD

City / state / ZIP

Cassville, MO 65625

Phone

(417) 847-2184

State license #

053098

About this facility — Aspire Senior Living Roaring River

Aspire Senior Living Roaring River is a Medicare/Medicaid-certified skilled nursing facility in Cassville, Missouri. It is licensed for 90 beds — close to the median for skilled nursing facilities in Missouri (97 beds).

It is one of 6 senior care facilities in Cassville 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 Roaring River 65 times across 11 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $46,303 in fines. 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.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

Aspire Senior Living Roaring River Llc

Parent company

Aspire Senior Living

Ownership type

For profit - Limited Liability company

Administrator

Robert Brim

Registered owners & officers

Brim, Robert

Operational control · Additional disclosable party — since 2025

Brody, Michael

Indirect owner — since 2025

Brown, Barbara

Indirect owner — since 2025

Brown, Daniel

Indirect owner · Operational control · Additional disclosable party — since 2025

Cavero, Fernando

Operational control · Additional disclosable party — since 2025

Chp Snf Holdings Llc

Indirect owner — since 2025

Chp Snf Opco Holdings Llc

Direct owner — since 2025

Chp Snfco Llc

Indirect owner — since 2025

Eickhoff, Pamela

Indirect owner · Operational control · Additional disclosable party — since 2025

Hero Health Management, Llc

Operational control · Additional disclosable party — since 2025

Leipham, Michelle

Indirect owner · Operational control · Additional disclosable party — since 2025

Shevlyagin, Victor

Indirect owner — since 2025

Stadtmueller, David

Indirect owner · Operational control · Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since

1993-08-01

License expires

2026-09-30

CMS overall rating

3 of 5 stars

Health deficiencies

11 at the last standard inspection

Federal fines

$46,303 total

Last standard inspection

2026-02-24

Nurse staffing

3.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$218 per day (≈ $6,630/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

77% Medicaid · 4% Medicare · 19% private/other

Occupancy

72% (fiscal year 2023)

Vs. state median

15% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds

Licensed as

SNF

Memory care

Yes — dedicated memory care

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.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-03-27Health inspectionComplaint-triggered1 citation

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-05-08

2026-02-24Health inspectionComplaint-triggered9 citations

F-0628

E · No harm found

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2026-04-09

F-0684

E · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-04-09

F-0686

E · No harm foundFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-04-09

F-0727

D · No harm foundFrom a complaint

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.

Corrected 2026-04-09

F-0732

E · No harm found

Post nurse staffing information every day.

Corrected 2026-04-09

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-04-09

F-0803

D · No harm foundFood safety

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.

Corrected 2026-04-09

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 2026-04-09

F-0909

E · No harm found

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.

Corrected 2026-04-09

8 earlier / fire-safety inspections (55 citations)

2025-11-14Health inspectionComplaint-triggered1 citation

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-01-09

2024-11-21Health inspectionComplaint-triggered1 citation

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-01-04

2024-03-01Health inspection23 citations

F-0580

D · No harm found

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-04-15

F-0607

E · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-04-15

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 2024-04-15

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-04-15

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-04-15

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-04-15

F-0678

D · No harm found

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2024-04-15

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-04-15

F-0688

D · No harm found

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.

Corrected 2024-04-15

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-04-15

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-04-15

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-04-15

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-04-15

F-0699

D · No harm found

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-04-15

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-04-15

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-04-15

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 2024-04-15

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-04-15

F-0791

G · Actual harm

Provide or obtain dental services for each resident.

Corrected 2024-04-15

F-0812

F · 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 2024-04-15

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-04-15

F-0881

F · No harm found

Implement a program that monitors antibiotic use.

Corrected 2024-04-15

F-0925

F · No harm found

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-04-15

2023-12-14Health inspectionComplaint-triggered1 citation

F-0567

B · No harm foundFrom a complaint

Honor the resident's right to manage his or her financial affairs.

2021-12-10Health inspection11 citations

F-0576

D · No harm found

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2022-01-24

F-0584

E · No harm found

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.

Corrected 2022-01-24

F-0607

E · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2022-01-24

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 2022-01-24

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2022-01-24

F-0679

E · No harm found

Provide activities to meet all resident's needs.

Corrected 2022-01-24

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-01-24

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 2022-01-24

F-0700

E · 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 2022-01-24

F-0727

F · No harm found

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.

Corrected 2022-01-24

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2022-02-08

2026-02-24Fire-safety inspection4 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 2026-02-25

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-04-09

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2026-04-09

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2026-04-09

2024-03-01Fire-safety inspection11 citations

E-0030

F · No harm found

List the names and contact information of those in the facility.

Corrected 2024-04-15

E-0032

F · No harm found

Provide primary/alternate means for communication.

Corrected 2024-04-15

K-0341

E · No harm found

Install a fire alarm system that can be heard throughout the facility.

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-04-15

K-0351

F · No harm found

Install an approved automatic sprinkler system.

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-15

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-04-15

K-0500

F · No harm found

Meet other general requirements that are deficient.

Corrected 2024-04-15

K-0711

F · No harm found

Provide a written emergency evacuation plan.

Corrected 2024-04-15

K-0741

E · No harm found

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

Corrected 2024-04-15

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-04-15

2021-12-10Fire-safety inspection3 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2022-02-07

E-0030

F · No harm found

List the names and contact information of those in the facility.

Corrected 2022-02-07

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2022-02-07

Federal penalties

2024-03-01Fine$41,716

2023-09-05Fine$4,587

Total fines$46,303

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 265538.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 65 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

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Original records

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