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
2 of 5 overall
2 out of 5 stars overall. Silverstone Place in Rolla, MO has strong health inspection results at 4 stars, but very low staffing and quality ratings at 1 star each, with reported nurse staffing of 2.8 hours per resident per day below the 4.1-hour federal benchmark; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.7978 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 2.7978.
Staffing detail
- Registered nurses
- 0.25
- Licensed practical nurses
- 0.48
- Nurse aides
- 2.07
- Weekend nursing
- 2.49
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 63%
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
17.5%23.4%Worsening
Residents with a fall causing major injury
11.7%6.2%Improving
Residents with pressure ulcers (bedsores)
1.1%0.9%No change
Residents with a urinary tract infection
5.4%2.5%Improving
Residents who lost too much weight
9.1%5.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.1%21.8%Worsening
Residents whose ability to walk got worse
22.8%29%Worsening
Long-stay residents on antianxiety or sleep medication
25.9%26.3%No change
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
5.5%7.2%Worsening
Residents with new or worsening incontinence
13.4%33.9%Worsening
Residents with depressive symptoms
10.7%14.7%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%90.2%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 · 1.2 stars avg
- Occupancy
- 86.4 residents on an average day (79% 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.