1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Located at 700 East Urbandale Drive in rural Randolph County, Aspire of Moberly operates as a skilled nursing facility with integrated memory care services in Moberly, Missouri. The facility is privately owned under a corporate structure.
Currently census at 64 residents within a 120-bed licensed capacity, the facility admits patients across multiple payment sources: Medicare (40% of new admissions, typical 1–2 month stays), Medicaid (22% of new admissions, typical 2-year stays), and private pay (37% of new admissions, typical 5–6 month stays). Current resident population reflects 7.8% Medicare, 53.1% Medicaid, and 39.1% private pay. Occupancy of 57.3% sits notably below the state benchmark of 66.6%, with an average length of stay of 364 days indicating a predominantly long-term care population despite the short-stay rehabilitation admissions pattern.
The one-star CMS overall rating reflects substantial performance gaps across regulatory categories. Health inspections score 59.7% below Missouri averages, staffing measures run 54.3% below state norms, and quality metrics fall 24.7% below state performance.
Registered nurse staffing provides 12 minutes per resident per day, 57% below the Missouri average of 28 minutes. Weekend RN coverage drops to 11 minutes, 45% below state average. Physical therapy services represent an exception: 9 minutes per resident per day, running 350% above state benchmarks. The facility operates with 82 total staff members (79 employees, 3 contractors), including 31 certified nursing assistants, 16 medication aides, 11 licensed practical nurses, and 5 registered nurses.
Federal enforcement actions reflect $111,000 in accumulated civil money penalties over the past three years, with a recent penalty of $95,000 imposed in September 2025. A Medicare/Medicaid payment denial occurred September 18, 2024, lasting 2 days.
Long-stay residents show elevated rates of urinary tract infections (6.5%, 138% worse than state average) and pressure ulcers (6.9%, 38% worse). However, the facility reports no falls with major injury among short-stay residents (0.0%), superior depression screening outcomes (4.9%, 62% better than state average), and strong functional outcome measures. Self-care capacity at discharge reaches 81.8%, 52% better than state benchmarks.
Though it has substantial regulatory concerns, the facility fits Medicaid-funded long-term care residents and Medicare-eligible rehabilitation patients.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 161st out of 282 homes in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 18m per day | ▼ 37% State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 50m per day | ▲ 21% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 26m per day | ▲ 4% State avg: 2h 20m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 1m per day | ■ Avg State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 9m per day | ▲ 336% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 13m per day | ▼ 37% State avg: 20m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
24% fewer staff per resident than Missouri average
0% compared with Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
5 total: 2 full-time employees and 3 contractors.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursAssists with medical care and medications.
All 11 LPN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursHelps with daily care and mobility.
All 31 CNA Staff are full-time employees. No contractors work on this role.
31
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,048 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 31 | 0 | 31 | 9,164 | 92 | 100% | 8.3 |
| Medication Aide/Technician | 16 | 0 | 16 | 5,680 | 92 | 100% | 8.5 |
| Licensed Practical Nurse | 11 | 0 | 11 | 4,988 | 92 | 100% | 9.6 |
| Registered Nurse | 2 | 3 | 5 | 1,340 | 92 | 100% | 6.9 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 920 | 70 | 76% | 6.8 |
| Dietitian | 2 | 0 | 2 | 729 | 68 | 74% | 7.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 596 | 63 | 68% | 9.5 |
| Nurse Aide in Training | 3 | 0 | 3 | 537 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Physical Therapy Assistant | 5 | 0 | 5 | 464 | 68 | 74% | 5.2 |
| RN Director of Nursing | 1 | 0 | 1 | 254 | 37 | 40% | 6.9 |
| Qualified Social Worker | 1 | 0 | 1 | 63 | 40 | 43% | 1.6 |
Includes penalties issued in 2024-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
52% higher than Missouri averageMissouri average: $73K
18% fewer fines than Missouri averageMissouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
45% more payment denials than Missouri averageMissouri average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 9, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 18, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.6
21% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.9
29% better than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
13.5%
32% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
11.1%
46% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.0%
6% better than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
5.8%
44% worse than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
6.9%
38% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
6.5%
138% worse than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
5.7%
In line with Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
4.9%
62% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
17.8%
19% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.4%
10% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
73.1%
20% worse than Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.62
26% worse than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.30
In line with Missouri averageMissouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
64.0%
In line with Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.8%
25% worse than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
45.2%
29% worse than Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.2%
In line with Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
27.8%
107% worse than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
81.8%
52% better than Missouri averageMissouri average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
50.4%
In line with Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
40% of new residents, usually for short-term rehab.
37% of new residents, often for short stays.
22% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
64Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Aspire of Moberly from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #141 / 292Payroll — State benchmarkedThis home is ranked 141st out of 292 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #65 / 292Payroll % — State benchmarkedThis home is ranked 65th out of 292 homes in Missouri. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–71% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (40% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.3 miles from city center
Estimated distance in miles from Moberly's city center to Aspire of Moberly's address, calculated via Google Maps.
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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Pioneer by Americare | NH HC | Marceline | 96
Facility
96
MO AVG
97
Rank
#201 / 454 |
54.5%
Facility
54.5%
MO AVG
66.6%
Rank
#321 / 434 | -18% | 4.09
Facility
4.09
MO AVG
3.74
Rank
#87 / 282 | -5% | +9% | $47.5k
Facility
$47.5k
MO AVG
$76.9k
Rank
#230 / 289 | 22
Facility
22
MO AVG
36.5
Rank
#89 / 287 | 4.4
Facility
4.4
MO AVG
5.7
Rank
#98 / 287 | 2 | 56 | - |
4
Facility
4
MO AVG
45
Rank
#530 / 563 | Pioneer Nursing, LLC | $5.1M
Facility
$5.1M
MO AVG
$8.4M
Rank
#204 / 292 | $2.5M
Facility
$2.5M
MO AVG
$3.3M
Rank
#219 / 292 | 49.5%
Facility
49.5%
MO AVG
45.6%
Rank
#184 / 292 | 265169 | ||||
| Valley View Health & Rehabilitation | NH | Moberly | 96
Facility
96
MO AVG
97
Rank
#201 / 454 |
79.2%
Facility
79.2%
MO AVG
66.6%
Rank
#121 / 434 | +19% | 3.41
Facility
3.41
MO AVG
3.74
Rank
#187 / 282 | +33% | -9% | $62.4k
Facility
$62.4k
MO AVG
$76.9k
Rank
#236 / 289 | 31
Facility
31
MO AVG
36.5
Rank
#146 / 287 | 3.4
Facility
3.4
MO AVG
5.7
Rank
#46 / 287 | 4 | 74 | - |
68
Facility
68
MO AVG
45
Rank
#92 / 563 | Zelig Friedman | $6.8M
Facility
$6.8M
MO AVG
$8.4M
Rank
#84 / 292 | $3.5M
Facility
$3.5M
MO AVG
$3.3M
Rank
#134 / 292 | 50.9%
Facility
50.9%
MO AVG
45.6%
Rank
#249 / 292 | 265536 | ||||
| Aspire of Moberly | NH HC MC NC PC RC | Moberly (East Urbandale Drive) | 101
Facility
101
MO AVG
97
Rank
#176 / 454 |
57.3%
Facility
57.3%
MO AVG
66.6%
Rank
#299 / 434 | -14% | 3.60
Facility
3.60
MO AVG
3.74
Rank
#161 / 282 | -21% | -4% | $79.3k
Facility
$79.3k
MO AVG
$76.9k
Rank
#252 / 289 | 33
Facility
33
MO AVG
36.5
Rank
#158 / 287 | 6.6
Facility
6.6
MO AVG
5.7
Rank
#206 / 287 | 2 | 69 | - |
16
Facility
16
MO AVG
45
Rank
#467 / 563 | - | $5.4M
Facility
$5.4M
MO AVG
$8.4M
Rank
#164 / 292 | $3.7M
Facility
$3.7M
MO AVG
$3.3M
Rank
#141 / 292 | 67.8%
Facility
67.8%
MO AVG
45.6%
Rank
#65 / 292 | 265407 |
Aspire of Moberly is located in Moberly, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Aspire of Moberly is in the East Urbandale Drive neighborhood.
Aspire of Moberly has a walk score of 16. Car-dependent. Most errands require a car, with limited nearby walkable options.
Aspire of Moberly's occupancy is 57.3%.
Aspire of Moberly is registered as a for-profit.
Yes — there are 3 photos of Aspire of Moberly in the photo gallery on this page.
Aspire of Moberly is located at 700 E Urbandale Dr, Moberly, MO 65270.
(660) 263-9060 will put you in contact with the team at Aspire of Moberly.
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