Total staff
82
Employees
79
Contractors
3
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Aspire of Moberly
Nursing Home & Memory Care · Moberly, MO
CMS overall rating
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.
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.
Aspire of Moberly
Nursing Home & Memory Care · Moberly, MO
CMS overall rating
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.
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.
Aspire of Moberly accepts Medicare, Medicaid, and private pay.
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.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 158th out of 276 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.
This home is ranked 158th out of 276 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.
3h 36m per day
Rank #158 / 276Nurse hours — State benchmarkedThis home is ranked 158th out of 276 homes in Missouri. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 276 Missouri facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Missouri avg
-4%
Standout metric
Physical Therapist is +336% above state avg
| 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 |
Capacity and availability
This home usually has availability
Occupancy rate
57.3%
Rank #290 / 428Occupancy rate — State benchmarkedThis home is ranked 290th out of 428 homes in Missouri. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 428. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
364 days
Walk Score: 16 / 100 Rank #467 / 563Walk Score — State benchmarkedThis home is ranked 467th out of 563 homes in Missouri. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri facilities. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.28 : 1
24% fewer staff per resident than Missouri average
Avg staff/day
34
Average shift
8.2 hours
0% compared with Missouri average
Total staff hours (quarter)
25,790
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
5 total: 2 full-time employees and 3 contractors.
5
5 total: 2 full-time employees and 3 contractors.
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
All 11 LPN Staff are full-time employees. No contractors work on this role.
11
All 11 LPN Staff are full-time employees. No contractors work on this role.
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
All 31 CNA Staff are full-time employees. No contractors work on this role.
31
All 31 CNA Staff are full-time employees. No contractors work on this role.
31
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4.1%
1,048 contractor hours this quarter
Registered Nurse: 3
Staff by category
Q4 2025 · Oct 1 – Dec 31
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 |
31 Certified Nursing Assistant
% of Days
100%
16 Medication Aide/Technician
% of Days
100%
11 Licensed Practical Nurse
% of Days
100%
5 Registered Nurse
% of Days
100%
4 Respiratory Therapy Technician
% of Days
76%
2 Dietitian
% of Days
74%
1 Mental Health Service Worker
% of Days
68%
3 Nurse Aide in Training
% of Days
70%
1 Administrator
% of Days
72%
1 Nurse Practitioner
% of Days
72%
5 Physical Therapy Assistant
% of Days
74%
1 RN Director of Nursing
% of Days
40%
1 Qualified Social Worker
% of Days
43%
Penalties and fines
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)
Total fines amount
$111K Rank #186 / 283Federal fines — State benchmarkedThis home is ranked 186th out of 283 homes in Missouri. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 283 facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
52% higher than Missouri averageMissouri average: $73K
Number of fines
2
18% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
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
Fines amount comparison
Fines amount comparison
This facility
$111K
Missouri average
$73K
Penalty History
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.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 9, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 9, 2025
$95K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 18, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 18, 2024
2 days
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.6
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.9
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
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
13.5%
Percent of long-stay residents whose need for help with daily activities has increased
13.5%
32% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.1%
Percent of long-stay residents whose ability to move independently worsened
11.1%
46% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.0%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.8%
Percent of long-stay residents experiencing one or more falls with major injury
5.8%
44% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.9%
Percent of long-stay high risk residents with pressure ulcers
6.9%
38% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
6.5%
Percent of long-stay residents with a urinary tract infection
6.5%
138% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.7%
Percent of long-stay residents who lose too much weight
5.7%
In line with Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.9%
Percent of long-stay residents who have depressive symptoms
4.9%
62% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
17.8%
Percent of long-stay residents who received an antipsychotic medication
17.8%
19% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.4%
10% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
73.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
73.1%
20% worse than Missouri averageMissouri average: 90.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.62
Number of hospitalizations per 1,000 long-stay resident days.
2.62
26% worse than Missouri averageMissouri average: 2.08
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.30
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.30
In line with Missouri averageMissouri average: 2.35
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
64.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
64.0%
In line with Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.8%
Percent of short-stay residents who newly received an antipsychotic medication
2.8%
25% worse than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
45.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
45.2%
29% worse than Missouri averageMissouri average: 63.5%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.2%
In line with Missouri averageMissouri average: 25.3%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
27.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
27.8%
107% worse than Missouri averageMissouri average: 13.4%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
81.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
81.8%
52% better than Missouri averageMissouri average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
50.4%
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.
Breakdown by payment type
Medicare
40% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
37% of new residents, often for short stays.
Typical stay
5 - 6 months
Medicaid
22% of new residents, often for long-term daily care.
Typical stay
2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
64
Medicare
5
7.8% of residents
Medicaid
34
53.1% of residents
Private pay or other
25
39.1% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Financial Trends
Historical financial and operational data for Aspire of Moberly based on CMS SNF Cost Reports.
Occupancy Rate
57.3%
↓ 1.3pp vs 2022
Net Income
-$131.7K
↑ ~$112.5K vs 2022
Total Payroll
$3.8M
↑ ~$578.8K vs 2022
Profit Margin
-2.2%
↑ 2.6pp vs 2022
Finances and operations
Privately-owned community
Operated by a single business entity.
Home revenue
$5.9M
Operating loss
-$131.7K
Privately-owned community
Operated by a single business entity.
Home revenue
$5.9M Rank #158 / 286Revenue — State benchmarkedThis home is ranked 158th out of 286 homes in Missouri. Shows this facility's annual revenue compared to the Missouri average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$131.7K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #137 / 286Payroll — State benchmarkedThis home is ranked 137th out of 286 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #137 / 286Payroll — State benchmarkedThis home is ranked 137th out of 286 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.0M
What does this home offer?
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Aspire of Moberly
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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Financial Assistance for
Nursing Home in Missouri
Aspire of Moberly is located in Moberly, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Frequently Asked Questions about Aspire of Moberly
What neighborhood is Aspire of Moberly in?
Aspire of Moberly is in the East Urbandale Drive neighborhood.
Is Aspire of Moberly in a walkable area?
Aspire of Moberly has a walk score of 16. Car-dependent. Most errands require a car, with limited nearby walkable options.
Are there photos of Aspire of Moberly?
Yes — there are 3 photos of Aspire of Moberly in the photo gallery on this page.
What is the address of Aspire of Moberly?
Aspire of Moberly is located at 700 E Urbandale Dr, Moberly, MO 65270, United States.
What is the phone number of Aspire of Moberly?
(660) 263-9060 will put you in contact with the team at Aspire of Moberly.
Is Aspire of Moberly Medicare or Medicaid certified?
Yes — Aspire of Moberly is a CMS-certified provider of Medicare and Medicaid.
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