The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
SILVERSTONE PLACE
ROLLA, MO · Medicare-certified · 110 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Silverstone Place in Rolla, MO has a 3-star overall rating. The main concerns are a 1-star staffing rating, reported nurse staffing of 2.88 hours per resident per day versus the 4.1 federal benchmark, and a 2-star quality measures rating; there were no fines in the last 24 months, and the health inspection rating is 4 stars.
Facility ratings
Health inspections
Staffing
2.8789 hrs/resident/day
Quality measures
Last inspection: November 20, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8789.
Staffing detail
- Registered nurses
- 0.27
- Licensed practical nurses
- 0.58
- Nurse aides
- 2.03
- Weekend nursing
- 2.74
Hours per resident per day.
Total staff turnover: 58%
Registered nurse turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
18.2%18.2%No change
Residents with a fall causing major injury
7.8%6.1%Improving
Residents with pressure ulcers (bedsores)
4.4%2.9%Improving
Residents with a urinary tract infection
1.3%2.5%Worsening
Residents who lost too much weight
8.9%8.5%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.3%14%Improving
Residents whose ability to walk got worse
—29%—
Long-stay residents on antianxiety or sleep medication
22.8%28.3%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
5.2%6.1%Worsening
Residents with new or worsening incontinence
18.7%18.1%Improving
Residents with depressive symptoms
11.9%13.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.6%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—97.6%—
Short-stay residents given the pneumonia vaccine
100%75%Worsening
What the inspectors found
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 802 — 42 CFR §483.60 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: E
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 623 — 42 CFR §483.15 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of RILEY SPENCE SENIOR LIVING · 5 homes · 1.6 stars avg
- Occupancy
- 86.2 residents on an average day (78% of 110 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 11 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.