Silverstone Place
Rolla, Missouri · CCN 265851
17 surveys since 2016, 1 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
- 90
- Surveys
- 17
- Harm or worse
- 1
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 110
- Ownership
- For profit - Limited Liability company
- Chain
- RILEY SPENCE SENIOR LIVING
- County
- Phelps · rural
- Medicare-certified since
- 2015
CMS ratings
- Overall
- 3
- Health inspection
- 4
- Staffing
- 1
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer 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
Nov 20, 2025
354 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.88 | 3.32 |
| Registered-nurse hours per resident day | 0.27 | — |
| Annual nurse turnover | 57.7% | 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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D721.2% | E1957.6% | F515.2% |
| No harm, potential for minimal | A— | B— | C26.1% |
Most frequently cited here
In CMS’s current monthly file.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F7602×
Ensure that residents are free from significant medication errors.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5671×
Honor the resident's right to manage his or her financial affairs.
In the surveyor’s words
From the most serious findings on record at Silverstone Place, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF812Jun 5, 2025
Based on observation, interview and record review, facility staff failed to preform hand hygiene as often as necessary using approved techniques to prevent cross-contamination. Facility staff also failed to wash, rinse and sanitize mechanically washed dishes in a manner to prevent cross-contamination and allow cleansed dishes to air dry before they were stacked in storage or used to prevent the growth of foodborne pathogens. These failures have the potential to affect all residents. The facility census was 77. 1. Review of the facility's policy titled Hand Washing, dated 03/21/18, showed the policy directed staff to wash their hands whenever visibly soiled and before, during and after food preparations. […]
- No harm, potential for more than minimal, widespreadF802May 16, 2024
Based on observation, interview, and record review, facility staff failed to ensure dietary staff had the appropriate competencies and skills to safely and effectively carry out the functions of food and nutrition services. Facility staff failed to provide effective training to dietary staff related to kitchen ware washing/sanitation. The facility census was 87. 1. Review of the facility's Food Service policy, undated, showed dishwashing machines use either heat or chemical sanitization methods. […]
- No harm, potential for more than minimal, widespreadF812May 16, 2024
Based on observation, interview and record review, facility staff failed to thaw frozen food in a manner to prevent potential contamination. Facility staff failed to store frozen food in a manner to prevent potential contamination. Facility staff failed to allow cleansed dishes to air-dry prior to stacking in storage to prevent the growth of food-borne pathogens. These failures have the potential to affect all residents. The facility census was 87. 1. Review of the facility's Food Service policy, undated, showed thawing some foods at room temperature may not be acceptable because it may be within the danger zone for rapid bacterial proliferation. […]
- No harm, potential for more than minimal, widespreadF812Mar 9, 2023
Based on observation, interviews, and record reviews, the facility staff failed to protect, label, and date stored food to prevent cross contamination and outdated use; to ensure the ice machine drained through an air gap; and to perform hand hygiene as often as necessary. Facility staff also failed to test the sanitizing solution according to facility policy and to protect stored dishes, silverware, and plastic ware to prevent contamination. This failure had the potential to affect all facility occupants. The census was 82. 1. Review of the facility's Purchasing and Storage: Facility and Resident Food and Supplies policy, undated, showed the policy did not address the storage of food in the kitchen. […]
- No harm, potential for more than minimal, widespreadF880Mar 9, 2023
43327 Based on observation, interview, and record review, the facility staff failed to maintain a clean blood glucose meter (device used to obtain a blood sugar reading) between two residents (Resident #49 and #195) and failed to use hand hygiene, change gloves, and wiped multiple times with the same area of a wipe/gauze during perineal care and wound care in a manner to reduce the risk of infection for one resident (Resident #23). Additionally, staff failed to ensure all employees were screened for Tuberculosis (TB), a potentially serious infectious bacterial disease that mainly affects the lungs), when staff failed to ensure a two-step purified protein derivative (PPD) (skin test for TB) was completed and documented as per the facility policy for ten out of ten sampled employees (Dietary… […]
Read 21 findings in full →The most serious and the most recent: 21 of 90 on record.
Every survey on record
FindingsAt actual harm or above
- Nov 20, 2025Complaint1 finding
- Jul 24, 2025Complaint1 finding
- Jun 5, 2025Standard1 finding
- Mar 12, 2025Complaint1 finding
- May 16, 2024Standard8 findings
- May 1, 2023Complaint1 finding
- Mar 9, 2023Standard and complaint21 findings
- Aug 23, 2022Complaint1 finding
Show the 9 earlier surveys
- Jul 15, 2021Complaint1 finding
- Oct 9, 2020Infection control1 finding
- Sep 22, 2020Standard15 findings
- Oct 4, 2019Complaint1 finding · 1 harm
- Mar 15, 2019Standard13 findings
- Jun 22, 2018Standard17 findings
- Jun 2, 2017Standard3 findings
- Nov 18, 2016Complaint1 finding
- Apr 8, 2016Standard3 findings
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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