Silverstone Place

Name: Silverstone Place
Address: 2735 EAGLESON DR, Rolla, MO, 65401, US
Telephone: 5734266200

2735 Eagleson Dr, Rolla, MO 65401 · Phelps County · 110 certified beds · avg 86 residents/day · certified since Mar 25, 2015

Part of chain: RILEY SPENCE SENIOR LIVING (5 facilities, chain avg rating 1.6★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.05

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (33)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Nov 20, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Jul 24, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jun 5, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 12, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
May 16, 2024	F · Potential for harm, facility-wide	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
May 16, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 16, 2024	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
May 16, 2024	E · Potential for harm, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
May 16, 2024	E · Potential for harm, repeated	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
May 16, 2024	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
May 16, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
May 16, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 9, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 9, 2023	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 9, 2023	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Mar 9, 2023	E · Potential for harm, repeated	The facility did not honor residents' right to manage their own money and financial affairs.
Mar 9, 2023	E · Potential for harm, repeated	The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died.
Mar 9, 2023	E · Potential for harm, repeated	The facility did not properly protect the personal money residents deposited with it for safekeeping.
Mar 9, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Mar 9, 2023	E · Potential for harm, repeated	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Mar 9, 2023	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 9, 2023	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Mar 9, 2023	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 9, 2023	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Mar 9, 2023	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Mar 9, 2023	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 9, 2023	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Mar 9, 2023	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Mar 9, 2023	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Mar 9, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 9, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Mar 9, 2023	C · Minimal risk, facility-wide	The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency.
Mar 9, 2023	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (8 → 1).

Year	Citations	Worst severity that year
2023	21	F
2024	8	F
2025	4	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Missouri avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.05	3.66	3.95	bottom 24% in Missouri; bottom 16% in the U.S.
Registered Nurse hours	0.28	0.49	0.69	bottom 23% in Missouri; bottom 8% in the U.S.
Weekend total nurse staffing	2.91	3.22	3.50	bottom 38% in Missouri; bottom 26% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.20	0.33	0.48	bottom 27% in Missouri; bottom 12% in the U.S.
Total nursing staff turnover (%)	57.7	56.0	45.8	bottom 46% in Missouri; bottom 20% in the U.S.
RN turnover (%)	50.0	47.8	42.9	top 46% in Missouri; bottom 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.88, RN 0.27, weekend 2.74. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 1/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Riley, Charles	Individual	Direct Ownership Interest	NOT APPLICABLE	01/14/2011
Spence, Gregory	Individual	Direct Ownership Interest	NOT APPLICABLE	01/14/2011
Gott, Charity	Individual	W-2 Managing Employee	NOT APPLICABLE	07/05/2023
Gott, Charity	Individual	ADP of the SNF	NOT APPLICABLE	01/08/2025
Lebedowicz, Bohdan	Individual	Contracted Managing Employee	NOT APPLICABLE	01/01/2016
Lebedowicz, Bohdan	Individual	ADP of the SNF	NOT APPLICABLE	01/08/2025
Riley Spence Management Company, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/18/2024
Riley Spence Management Company, LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/08/2025
Riley, Charles	Individual	ADP of the SNF	NOT APPLICABLE	01/08/2025
Spence, Gregory	Individual	ADP of the SNF	NOT APPLICABLE	01/08/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What systems do you use to prevent medication errors, and what happens when one occurs?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How is your kitchen staffed, and have meals ever been delayed because of staffing?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Cedar Pointe	0.9 mi	Rolla, MO	★☆☆☆☆	3/5
Phelps Health	1.5 mi	Rolla, MO	★★★★★	5/5
Rolla Presbyterian Manor	1.8 mi	Rolla, MO	★★★★★	4/5
Aurora Health and Rehabilitation	2.2 mi	Rolla, MO	★★☆☆☆	3/5
St James Living Center	9.4 mi	Saint James, MO	★★★☆☆	4/5
Maries Manor	17.7 mi	Vienna, MO	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Rolla →

Facility data as of CMS processing date 2026-08-01. CCN 265851.

The Care File

Visit checklist — Silverstone Place

2735 Eagleson Dr, Rolla, MO 65401 · 5734266200

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How is your kitchen staffed, and have meals ever been delayed because of staffing?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265851 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)