Aspire Senior Living Roaring River
ASPIRE SENIOR LIVING ROARING RIVER in CASSVILLE, MO — inspection on November 14, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
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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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.