Silverstone Place
2735 Eagleson Dr · Rolla, MO · 65401 · 5734266200
110 certified beds For profit - Limited Liability company Chain: Riley Spence Senior Living
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 74 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.25 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.80 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 2.80 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.25 | 0.55–0.75 |
| Weekend hours / resident-day | 2.49 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (33 in the current record)
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Potential for harm · D November 20, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Past Non-Compliance · Pharmacy Service
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Potential for harm · D July 24, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F June 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 11, 2025 · Nutrition and Dietary
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Potential for harm · D March 12, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 10, 2025 · Pharmacy Service
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Potential for harm · E May 16, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 16, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 24, 2024 · Resident Rights
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Potential for harm · E May 16, 2024
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.
Corrected June 24, 2024 · Resident Rights
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Potential for harm · D May 16, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 16, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · F May 16, 2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected June 24, 2024 · Nutrition and Dietary
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Potential for harm · E May 16, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 24, 2024 · Nutrition and Dietary
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Potential for harm · F May 16, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 24, 2024 · Nutrition and Dietary
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Potential for harm · E March 9, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 24, 2023 · Resident Rights
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Potential for harm · E March 9, 2023
Honor the resident's right to manage his or her financial affairs.
Corrected April 24, 2023 · Resident Rights
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Potential for harm · E March 9, 2023
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected April 24, 2023 · Resident Rights
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Potential for harm · E March 9, 2023
Assure the security of all personal funds of residents deposited with the facility.
Corrected April 23, 2023 · Resident Rights
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Potential for harm · E March 9, 2023
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.
Corrected April 24, 2023 · Resident Rights
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Potential for harm · E March 9, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected April 10, 2023 · Resident Assessment and Care Planning
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Potential for harm · E March 9, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · E March 9, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 24, 2023 · Quality of Life and Care
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Potential for harm · E March 9, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 24, 2023 · Quality of Life and Care
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Potential for harm · D March 9, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 24, 2023 · Quality of Life and Care
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Potential for harm · D March 9, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 24, 2023 · Quality of Life and Care
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Potential for harm · D March 9, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 24, 2023 · Quality of Life and Care
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Potential for harm · E March 9, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 23, 2023 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265851 · certified since March 25, 2015. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.