Deficiency Index

Cedar Pointe

Rolla, Missouri · CCN 265279

28 surveys since 2011, 5 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
107
Surveys
28
Harm or worse
5
Immediate jeopardy
1
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file19/28

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
102
Ownership
For profit - Limited Liability company
Chain
RILEY SPENCE SENIOR LIVING
County
Phelps · rural
Medicare-certified since
1985

CMS ratings

Overall
1
Health inspection
3
Staffing
1
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 118 for-profit facilities of 100–127 beds in Missouri.

Last survey on record

Feb 12, 2026

270 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.173.32
Registered-nurse hours per resident day0.24—
Annual nurse turnover58.9%57.7%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ12.3%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1534.9%E1637.2%F716.3%
No harm, potential for minimalA—B—C49.3%
CMS’s current file: 43 of the 107 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8804×

    Provide and implement an infection prevention and control program.

  • F6583×

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

  • F7613×

    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.

  • F5752×

    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.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

In the surveyor’s words

From the most serious findings on record at Cedar Pointe, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF689Apr 10, 2023

    Based on observation, interview, and record review, facility staff failed to monitor one resident (Resident #220) they assessed as an unsafe smoker who used a vaping device (electronic cigarette/nicotine). Staff failed to plan and implement measures to ensure the resident's safety. Staff failed to prevent the resident from using a vape device while wearing oxygen and from keeping vape devices in his/her room. The facility census was 69. The administrator was notified on 4/4/23 at 4:15 P.M., of an Immediate Jeopardy (IJ) which began on 4/4/23. The IJ was removed on 4/7/23, as confirmed by surveyor onsite verification. 1. […]

  • No harm, potential for more than minimal, widespreadF814Feb 12, 2026

    Based on interview and record review, the facility staff failed to properly contain waste and refuse to prevent the harboring and/or feeding of rodents and pests when the facility staff failed to ensure indoor and outdoor waste containers remained covered when not in actual use. This failure has the potential to affect all facility occupants. The facility census was 65.1. Observations on 02/10/26 at 10:15 A.M. and 1:15 P.M., showed the lids to the outside dumpster, which contained waste, opened and the area unattended by staff. Observation on 02/11/26 at 9:00 A.M., showed the lids to the outside dumpster, which contained waste, opened and the area unattended by staff. […]

  • No harm, potential for more than minimal, widespreadF725Jul 18, 2024

    Based on interview and record review, the facility staff failed to provide staff in accordance with their Facility Assessment based on the care needs of their residents. The facility census was 70. 1. Review of the Facility Assessment, dated 04/10/24, showed facility staff documented the staffing requirements needed on a 24-hour basis to meet the needs of their residents for an average census of 70-80 are as follows: -West Unit: Registered Nurse (RN) or Licensed practical nurse: 1 for each shift; -East Unit: Registered Nurse (RN) or Licensed practical nurse: 1 for each shift. 2. […]

  • No harm, potential for more than minimal, widespreadF727Jul 18, 2024

    Based on interview and record review, facility staff failed to provide the services of a Registered Nurse (RN) for at least eight consecutive hours per day, seven days a week. The facility census was 70. 1. Review of the facility's Resident Services Policy, dated March 27, 2017, showed the facility provides sufficiant licensed nursing and ancillary services 24 hours a day, including a registered nurse for at least 8 consecutive hours daily. 2. Review of the facility's RN staff schedule, dated June 2024, showed the facility did not have an RN in the building on: -06/01/24; -06/02/34; -06/08/24; -06/09/24; -06/15/24; -06/16/24; -06/22/24; -06/23/24; -06/29/24; -06/30/24. 3. […]

  • No harm, potential for more than minimal, widespreadF880Jul 18, 2024

    45564 Based on observation, interview and record review, the facility staff failed to develop and implement complete policies and procedures for the inspection, testing and maintenance of the facility's water systems to inhibit the growth of waterborne pathogens and reduce the risk of an outbreak of Legionnaire's Disease (LD- a serious type of pneumonia (lung infection) caused by Legionella bacteria. Facility staff failured to develop and implement complete policies and procedures for the inspection, testing and maintenance of the facility's water systems has the potential for the failure of staff to identify and mitigate the presence of waterborne pathogens, which places all residents of the facility at risk of exposure which could lead to illness. […]

Read 24 findings in full →The most serious and the most recent: 24 of 107 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 12, 2026Standard4 findings
  • Apr 2, 2025Complaint2 findings
  • Jan 23, 2025Complaint1 finding
  • Oct 1, 2024Complaint2 findings
  • Jul 18, 2024Standard11 findings
  • Mar 5, 2024Complaint3 findings
  • Nov 9, 2023Complaint1 finding
  • Apr 10, 2023Standard16 findings · 1 harm
Show the 20 earlier surveys
  • Feb 24, 2023Complaint1 finding
  • Feb 14, 2022Complaint6 findings
  • Oct 22, 2021Complaint2 findings
  • Apr 14, 2021Complaint1 finding
  • Feb 4, 2021Standard3 findings
  • May 29, 2020Infection control1 finding
  • Mar 21, 2019Standard6 findings
  • Apr 19, 2018Standard2 findings
  • May 24, 2017Complaint1 finding
  • Apr 28, 2017Standard3 findings
  • Sep 12, 2016Complaint1 finding
  • Jun 3, 2016Complaint1 finding · 1 harm
  • Apr 15, 2016Standard6 findings · 1 harm
  • Jun 4, 2015Standard4 findings
  • Apr 10, 2014Standard4 findings
  • Jun 12, 2013—2 findings
  • Apr 29, 2013—1 finding · 1 harm
  • Apr 20, 2012—10 findings
  • Apr 2, 2012—1 finding
  • May 12, 2011—11 findings · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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