Aspire Senior Living Roaring River
812 Old Exeter Road, Cassville, MO, 65625
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Aspire Senior Living
- Certified beds
- 90 · avg 63 residents/day
- Administrators who left
- 1 departed — near the Missouri averageMissouri avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $46,303 total
Medicare certification
- CMS Certification Number
- 265538
- Certified beds
- 90 beds · avg 63 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Aspire Senior Living Roaring River Llc
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (5 on record)
- Keith Lemley
Adp of The Snf · since 2025
- Sarah Ann Olson
Adp of The Snf · since 2023
- Lora Kuhl
Operational/managerial Control · since 2019
- 1415 Opco Llc
General Partnership Interest · 1% · since 2014
- Fernando Cavero
Adp of The Snf · since 2014
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 48)
- D0684·Mar 27, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0727·Feb 24, 2026Complaint
Nursing and Physician Services Deficiencies
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.
- E0686·Feb 24, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E0684·Feb 24, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0580·Nov 14, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D0684·Nov 21, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F0925·Mar 1, 2024
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- F0881·Mar 1, 2024
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Federal penalties
By year
- 20241 fine · $42K
- 20231 fine · $4,587
Most recent events
- Mar 1, 2024Fine · $42K
- Sep 5, 2023Fine · $4,587
Largest single fine on record: $42K.
Fire-safety citations
17 Life-Safety-Code citations on file. Most recent: Mar 1, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Aspire Senior Living Roaring Riverinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.