Aspire Senior Living Advance
315 SOUTH TILLEY STREET, Advance, MO 63730
Advance, Missouri · CMS verdict
Aspire Senior Living Advance's CMS overall star rating runs above the Missouri state average (2.5) and reflects above-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Aspire Senior Living Advance in Advance, Missouri holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 40 of 100 (grade F). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (thinner bed book)
Its certified bed capacity sits in the lower U.S. bed tercile (≤80). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 40 is built
Each segment is a dimension's weighted points toward the score, summing to 40.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Aspire Senior Living Advance's thinner certified-bed book
Quality ratings
The rating comes from CMS's most recent Care Compare release (data as of April 2026). CMS rolls three sub-ratings into the overall star: health inspection, staffing, and quality measures. The chart below sets each of them against the Missouri average.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Advance, Missouri. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 49% occupancy, this facility is running well below its certified bed capacity, worth asking why directly.
Same-ownership peers
Within Missouri, Aspire Senior Living Advance is one of 164 for profit - limited liability company nursing homes CMS rates. Its 4-star overall rating sits above the for profit - limited liability company-segment average of 2.1 stars, ahead of roughly 83% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility; the counts are in Facility details below. CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Aspire Senior Living Advance compares to Missouri
CMS five-star sub-ratings (0–5) for this facility against the Missouri facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Missouri state average. Higher is better on all four CMS measures.
Where Aspire Senior Living Advance ranks in Missouri
Among the 479 CMS-rated nursing homes in Missouri, Aspire Senior Living Advance’s 4-star overall rating is higher than 72% of them. The bars show how all Missouri homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
81 Missouri homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 55 |
| Residents | 27 |
| Ownership | For profit - Limited Liability company |
| County | Stoddard |
| Penalties | 0 |
| Deficiencies | 39 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Aspire Senior Living Advance? ▾
CMS rates Aspire Senior Living Advance at 4 out of 5 stars overall. How its three sub-ratings compare with the Missouri average is charted above.
How much does a nursing home cost per month in Missouri? ▾
In Missouri, a semi-private nursing home room runs a median $6,741/month ($80,893/year) per the CareScout 2025 survey; private rooms average $7,604/month.
What services does Aspire Senior Living Advance offer? ▾
Aspire Senior Living Advance operates as a skilled nursing facility. For the specific care and therapy services, contact the facility: CMS data covers capacity, ownership, ratings, and inspections, not a service menu.
Does Aspire Senior Living Advance have any deficiencies or penalties? ▾
Aspire Senior Living Advance has multiple deficiencies and no penalties recorded by CMS; the counts are in the Facility details table. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Missouri? ▾
In Missouri, alternatives include assisted living ($5,400/mo), home health aides ($6,292/mo), and adult day care ($2,058/mo).
Keep reading
Also see the Missouri elder-care overview and highest-rated states. Provider ID: 265550.
Read our methodology - how this data is sourced, computed, and verified.