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Nursing HomeMedicaid

Aspire Senior Living Advance

Strong Medicare quality ratings; families often praise effective rehabilitation therapy program. Still worth an in-person visit.

315 South Tilley Street, Advance, MO 6373055 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.1/5

based on 9 Google reviews

5
4
3
2
1
Aspire Senior Living Advance Nursing Home in Advance, MO — Street View
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What this means for your family

While the rehabilitation therapy program is highly regarded for helping patients regain mobility, the facility faces serious allegations regarding hygiene and patient care standards. Families should conduct an unannounced visit to verify the cleanliness of the environment and observe how staff interact with residents during routine care tasks.

Google Reviews

Google Reviews

9 reviews on Google
ASPIRE SENIOR LIVING ADVANCE presents a stark contrast between positive experiences in rehabilitation therapy and serious concerns regarding basic nursing care and facility hygiene. While some residents praise the friendly staff and successful recovery programs, others report distressing issues involving patient neglect, poor sanitation, and questionable medication administration practices.

Quality Themes

Tap a score for details
FoodN/AStaff6.0Clean2.0ActivitiesN/AMeds1.0MemoryN/AComms3.0ValueN/A

Strengths

  • Effective rehabilitation therapy program
  • Friendly and personable staff
  • Smaller, more intimate facility environment

Concerns

  • Poor facility hygiene and cleanliness (mentioned by 2 reviewers)
  • Inadequate patient care and hygiene assistance (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.02018(1)1.02021(1)3.02022(2)5.02023(2)5.02025(1)1.02026(2)

Distribution · 9 analyzed

5
4
4
1
3
0
2
0
1
4

How They Respond to Reviews

22%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Since this is a smaller, more intimate facility, how do you ensure each resident gets personalized attention during their daily hygiene and care routines?
  • 2We've heard great things about your rehabilitation therapy program; could you tell us more about how that integrates into a resident's weekly schedule?
  • 3What specific protocols do you have in place to ensure the facility remains exceptionally clean and well-maintained for the residents?
  • 4How does the nursing team manage medication administration and communicate any changes in a resident's health status to their family members?
  • 5In the event of a medical emergency during the night, what is the immediate process for notifying both the medical staff and the family?
  • 6What kind of social activities or group outings do you organize to help residents stay engaged with one another in such a close-knit environment?

Personalized based on this facility's data


Key Review Excerpts

The therapy program was wonderful and allowed me to walk again to be able to return back to my home! I would choose to come back because the facility is smaller, and more personable to me.

Rehab patient · 2023★★★★★

the nursing home itself smells like rotten food dirty clothes and urine. The nursing home itself is in badly need of an update, patients need to be treated better and changed on time.

Long-term resident's family · 2022☆☆☆☆
Source: 9 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.78hrs
OK
Registered nurses for medical care
Total Nursing
3.85hrs
94%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
2/ 5
Better Than Avg

6

measures

Worse Than Avg

6

measures

Mixed Results

4

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility42.1%
Worse than Avg
Here
42.1%
US
15.3%
MO
18.9%
Stoddard
13.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.1%
Better than Avg
Here
99.1%
US
93.4%
MO
84.4%
Stoddard
70.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility45.8%
Worse than Avg
Here
45.8%
US
19.5%
MO
25.4%
Stoddard
23.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility97.1%
Better than Avg
Here
97.1%
US
95.5%
MO
90.9%
Stoddard
79.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility32.1%
Worse than Avg
Here
32.1%
US
15.5%
MO
23.6%
Stoddard
23.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility21.9%
Worse than Avg
Here
21.9%
US
12.1%
MO
16.7%
Stoddard
17.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.9%
Better than Avg
Here
90.9%
US
81.8%
MO
65.9%
Stoddard
54.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MO
2.2%
Stoddard
3.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
Near state avg (12.0)

ASPIRE SENIOR LIVING ADVANCE has 51 deficiencies across three surveys with no complaint-triggered violations, suggesting families haven't filed serious concerns. The facility shows persistent issues with fire safety systems, medication management, and care planning that repeat across multiple inspections. While all deficiencies report correction dates, the recurring nature of problems in critical areas like resident assessment and pharmacy services indicates ongoing operational challenges that warrant careful consideration during visits.

Mar 6, 2026Routine
13
0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0222Potential for harm · PatternCorrected

Egress Deficiencies

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.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0753Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Nov 22, 2024Routine
17
0353Potential for harm · Widespread

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

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.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0575Minimal · WidespreadCorrected

Resident Rights Deficiencies

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.

0947Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Aug 18, 2023Routine
19
0865Potential for harm · WidespreadCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

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.

0344Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have an alternate power supply for its alarm system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0567Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0925Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

0947Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0577Minimal · WidespreadCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Aspire Senior Living Advance

Organization Type

for profit

Chain Affiliation

Chain Name

Aspire Senior Living

Chain Size

16 facilities nationwide

Chain avg rating: 2.5/5 · Rank 2 of 14

Ownership & Management

Owners

Calvert, Gregg

Owner (parent company)

12%

Harris, Jerry

Owner (parent company)

10%

Steele, Sheri

Owner (parent company)

8%

Key personnel

Calvert, GreggW-2 Managing EmployeeHarris, JerryW-2 Managing EmployeeCalvert, GreggOfficer / DirectorHarris, JerryOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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