109 S Tilley St, Advance, MO 63730
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
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Medicare-certifiedSkilled Nursing
Aspire Senior Living Advance
Advance, MissouriMedicare inspection record
About Aspire Senior Living Advance
ASPIRE SENIOR LIVING ADVANCE provides skilled nursing and rehabilitation care in Advance, Missouri. Our team focuses on recovery, healing, and helping residents regain independence through personalized therapeutic programs and compassionate medical support.
Community at a glance
Capacity
55 residents
Location
Advance, MO
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
315 SOUTH TILLEY STREET, Advance, Missouri 63730
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on March 6, 2026, state inspectors cited 6 health deficiencies (the Missouri average is 11.4).
Nurses and nurse aides spend 3 hours 22 minutes with each resident a day, about the same as the Missouri average.
Medicare has not fined Aspire Senior Living Advance in the last three years.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 22 minutes |
| Registered nurse time per resident, per day | 41 minutesAbove the Missouri average |
| Nursing staff who left in the past year | 52%Below the Missouri average |
Inspections
17 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
March 6, 2026 · Standard inspection · 6 citations
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 24, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 24, 2026Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 24, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Apr 24, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Apr 24, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 24, 2026
November 22, 2024 · Standard inspection · 11 citations
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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 6, 2025Notify 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 6, 2025Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jan 6, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 6, 2025Implement 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jan 6, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jan 6, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jan 6, 2025Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 6, 2025Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 6, 2025Post 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.
Minimal harm or risk, widespread (level C)Resident RightsCorrected Jan 6, 2025Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Minimal harm or risk, widespread (level C)Nursing and Physician ServicesCorrected Jan 6, 2025
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Aspire Senior Living Advance, LLC
- Medicare-certified beds
- 55
- Average residents per day
- 31
- Accepts
- Medicare and Medicaid
- First certified
- November 1, 1993
- Part of a chain
- Aspire Senior Living, 16 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 265550
Location
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315 SOUTH TILLEY STREETAdvance, MO 63730
3 other communities within 10 miles
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20104 STATE HIGHWAY O, Advance, MO 63730
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Assisted living & personal care24-hour supervisionMedication management
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Questions about Aspire Senior Living Advance
How did Aspire Senior Living Advance do on its last inspection?+
State inspectors visited on March 6, 2026 and cited 6 health deficiencies. The Missouri average is 11.4.
How much nursing care does each resident get at Aspire Senior Living Advance?+
Nurses and aides spend 3 hours 22 minutes with each resident per day, including 41 minutes from registered nurses. 52% of nursing staff left over the past year.
Has Aspire Senior Living Advance been fined by Medicare?+
Medicare's records show no fines against Aspire Senior Living Advance in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.