Aspire Senior Living Roaring River
Inspection Findings
F-Tag F0580
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
10/15/25, the Assistant Director of Nursing (ADON) documented a 1.4 centimeter (cm) by 0.5 cm by 0.1 cm, stage two pressure area (partial-thickness loss of skin with exposed dermis, presenting as a shallow open ulcer) to the resident sacrum/coccyx;-On 10/29/25, the ADON documented a stage two pressure area to sacrum/coccyx area, dark pink with no open area;-On 11/01/25, the ADON documented a stage two pressure area to sacrum/coccyx area and resident refused treatment;-On 11/05/25, the ADON documented
a 5.5 cm by 5 cm by 0.5 cm, stage four pressure area (full-thickness skin and tissue loss) to sacrum/coccyx area with necrotic (dead) tissue present. The wound has deteriorated. Staff notified physician with new orders received. (Staff did not document notification of the resident's representative of the change in the wound's condition or new orders received.) Review of the resident's Physician Orders, dated 10/15/25 to 11/07/25, showed an order, dated 11/07/25, for staff to cleanse wound to coccyx with hypochlorous acid, apply calcium alginate (highly absorbent dressing/substance) to wound bed, cover with bordered gauze, and change every day and as needed. Review of the resident's nursing progress notes dated 11/07/25, at 7:15 P.M., showed staff documented family present at bed side informed of wound to coccyx and plan for treatment. Family then went to resident's room. Fifteen minutes later family informed staff of request to send resident to emergency room for wound evaluation at 7:36 P.M., second family member arrived at bed side and requested resident transferred to emergency room. Staff notified the Administrator and ADON.
Resident sent to emergency room at 7:46 P.M. During an interview on 11/13/25, at 11:00 A.M., the ADON said the following: -He/she was the wound care nurse for the facility and did the wound treatments along with the charge nurses;-He/she measured all wounds of residents who were not seen by the wound care doctor;-He/she tried to speak to all families or residents who admit with wounds;-The resident had a stage two pressure area to his/her coccyx that they admitted to the facility with;-He/she did not know if the family knew of the wound on admission;-On 11/07/25 was the only time he/she spoke to the family regarding the resident's wound;-He/she did not notify the family when he/she received a new order for wound care;-He/she did not notify the family when the wound began to decline. During an interview on 11/13/25, at 11:45 A.M., Licensed Practical Nurse (LPN) A said the following:-Any changes to wounds are to be reported to the ADON, the Director of Nursing (DON), the physician, and the family;-Staff document all wounds and changes to wounds in the nurses' notes; -Family notifications should be documented in the nurses' notes;-Nursing interventions for residents with wounds include turning and repositioning, also involving family with residents are refusing care. During an interview on 11/13/25, at approximately 1230 P.M., the DON said the following:-All residents that admit are assessed for wounds;-If a resident admits to
the facility with a wound staff are to notify the wound nurse for tracking, obtain orders from physician if no orders are present, document the site, and notify family;-The admitting nurse was responsible for notifications when the resident admitted if it was within business hours. Resident condition would determine priority of notification;-He/she would expect family to be notified when a resident has a change of condition and if a resident was frequently refusing treatments. During an interview on 11/14/25, at 11:00 A.M., the Administrator said the following: -He/she was not aware that the family of the resident was not notified of
the change in the residents wound until 11/07/25;-He/she expected staff to notify the physician and the resident's family if the resident has a change of condition as soon as possible. Compliant 2665566
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ASPIRE SENIOR LIVING ROARING RIVER in CASSVILLE, MO inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CASSVILLE, MO, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ASPIRE SENIOR LIVING ROARING RIVER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.