Missouri › Phelps County › Rolla
Silverstone Place
2735 Eagleson Dr, Rolla, MO 65401
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 110 beds, Silverstone Place serves Rolla in Phelps County, Missouri and has taken Medicare and Medicaid residents since 2015.
CMS gives it 3 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 4, staffing 1 and quality measures 2.
Inspectors recorded 33 health deficiencies across the three most recent survey cycles (2, 10, 21 by cycle, most recent first), none at the actual-harm level. That is 30.0 per 100 beds, about the same as the state median of 32.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 2.9 hours per resident per day (0.3 RN), close to the Missouri median of 3.4; nursing staff turnover is 57.7%.
Compared with county, state and nation
| Measure | This facility | Phelps Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 2 | 3.0 |
| Health citations, 3 cycles | 33 | 33 | 31 | 28.7 |
| Citations per 100 beds | 30.0 | 34.4 | 32.1 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.3 | 3.4 | 3.9 |
| RN hours per resident day | 0.3 | 0.8 | 0.4 | 0.7 |
| Nursing staff turnover | 57.7% | 58.0% | 56.1% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (6 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Jun 2025, 16 May 2024.
Severity mix: D ×7 E ×19 F ×5 C ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Nov 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | Past Non-Compliance |
| 24 Jul 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 15 Aug 2025 |
| 5 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 Jul 2025 |
| 12 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 10 Mar 2025 |
| 16 May 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard survey | 24 Jun 2024 |
| 16 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 24 Jun 2024 |
| 16 May 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 24 Jun 2024 |
| 16 May 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 24 Jun 2024 |
| 16 May 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Standard survey | 24 Jun 2024 |
| 16 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 24 Jun 2024 |
| 16 May 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 24 Jun 2024 |
| 16 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 24 Jun 2024 |
| 9 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 23 May 2023 |
| 9 Mar 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 23 May 2023 |
| 9 Mar 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 24 Apr 2023 |
| 9 Mar 2023 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 24 Apr 2023 |
| 9 Mar 2023 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Standard survey | 24 Apr 2023 |
| 9 Mar 2023 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard survey | 23 Apr 2023 |
| 9 Mar 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 24 Apr 2023 |
| 9 Mar 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 10 Apr 2023 |
| 9 Mar 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 24 Apr 2023 |
| 9 Mar 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 24 Apr 2023 |
| 9 Mar 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 24 Apr 2023 |
| 9 Mar 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 23 May 2023 |
| 9 Mar 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 23 Apr 2023 |
| 9 Mar 2023 | F0761 | 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. | E | Standard survey | 23 Apr 2023 |
| 9 Mar 2023 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 23 Apr 2023 |
| 9 Mar 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 23 May 2023 |
| 9 Mar 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 24 Apr 2023 |
| 9 Mar 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 24 Apr 2023 |
| 9 Mar 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 24 Apr 2023 |
| 9 Mar 2023 | F0575 | 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. | C | Standard survey | 24 Apr 2023 |
| 9 Mar 2023 | F0732 | Post nurse staffing information every day. | C | Standard survey | 15 Apr 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 57.7%, RNs 50.0%; 5 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.0% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 5.2% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.6% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.4% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 29.7% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.3% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.3% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Silverstone Snf Llc. Chain: Riley Spence Senior Living (5 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Riley Spence Management Company, LLC | Operational/managerial control | NOT APPLICABLE | 12/18/2024 |
| Riley Spence Management Company, LLC | Adp of the snf | NOT APPLICABLE | 01/08/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Phelps County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Phelps Health | Rolla | 20 | 5 | 5 | 5 | 1 | 5.0 | — | 28 Dec 2023 |
| Rolla Presbyterian Manor | Rolla | 30 | 5 | 4 | 5 | 8 | 26.7 | — | 6 Mar 2025 |
| St James Living Center | Saint James | 90 | 3 | 4 | 3 | 31 | 34.4 | $14K | 17 Nov 2025 |
| Aurora Health and Rehabilitation | Rolla | 116 | 2 | 3 | 1 | 46 | 39.7 | $33K | 10 Dec 2025 |
| Cedar Pointe | Rolla | 102 | 1 | 3 | 1 | 40 | 39.2 | — | 12 Feb 2026 |
All 6 facilities in Phelps County
Questions and answers
How many deficiencies has Silverstone Place been cited for?
33 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Silverstone Place been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Silverstone Place compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Silverstone Place?
It is part of the Riley Spence Senior Living chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Riley Spence Management Company, LLC. Individual owners and managers are not listed on this site.
When was Silverstone Place last inspected?
The most recent survey or investigation in the CMS record is dated 20 Nov 2025; the most recent standard health survey was 5 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.