Nursing home · Rolla, MO
Silverstone Place
2735 Eagleson Dr, Rolla, MO 65401 · 110 certified beds · for profit ownership · part of Riley Spence Senior Living
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Nov 20, 2025, when they cited 1 problem from a complaint investigation. The most common area was pharmacy service (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. All have been marked corrected. At its most recent standard inspection (Jun 5, 2025) it had 2 citations, compared with an average of 6.2 for Rolla-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 2.88 hours per resident per day here, 16% less than the Missouri average (3.43) and 25% less than the U.S. average (3.86). Registered nurses account for 0.27 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 58% over the past year, 2 points higher than Missouri (56%) and 12 points higher than the U.S. (46%).
How Silverstone Place compares
This home's latest CMS figures next to the averages for Rolla-area homes (12), Missouri (487) and the U.S. (14,680).
| This home | Rolla area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 2.88 | 3.68 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.27 | 0.85 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.74 | 3.29 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 58% | 57% | 56% | 46% |
| Registered nurse turnover (past year) | 50% | 55% | 48% | 43% |
| Citations at the most recent standard inspection | 2 | 6.2 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 33 of 33 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Nov 20, 2025 | Ensure that residents are free from significant medication errors. Pharmacy service · complaint | D | Past Non-Compliance |
| Jul 24, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Jun 5, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Mar 12, 2025 | Ensure that residents are free from significant medication errors. Pharmacy service · complaint | D | Past Non-Compliance |
| May 16, 2024 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | E | Deficient, Provider has date of correction |
| May 16, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | E | Deficient, Provider has date of correction |
| May 16, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| 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. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| 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. Resident rights | E | Deficient, Provider has date of correction |
| May 16, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
| May 16, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| May 16, 2024 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Mar 9, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | E | Deficient, Provider has date of correction |
| Mar 9, 2023 | 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. Resident rights | C | Deficient, Provider has date of correction |
| Mar 9, 2023 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 9, 2023 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 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. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 9, 2023 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection control | E | Deficient, Provider has date of correction |
| Mar 9, 2023 | Implement a program that monitors antibiotic use. Infection control | E | Deficient, Provider has date of correction |
| Mar 9, 2023 | 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. Pharmacy service | E | Deficient, Provider has date of correction |
| Mar 9, 2023 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | E | Deficient, Provider has date of correction |
| Mar 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. Nursing and physician services | E | Deficient, Provider has date of correction |
| Mar 9, 2023 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident rights | E | Deficient, Provider has date of correction |
| Mar 9, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | E | Deficient, Provider has date of correction |
| Mar 9, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Mar 9, 2023 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Mar 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. Resident rights | E | Deficient, Provider has date of correction |
| Mar 9, 2023 | Assure the security of all personal funds of residents deposited with the facility. Resident rights | E | Deficient, Provider has date of correction |
| Mar 9, 2023 | Honor the resident's right to manage his or her financial affairs. Resident rights | E | Deficient, Provider has date of correction |
| Mar 9, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights | E | Deficient, Provider has date of correction |
| Mar 9, 2023 | Provide and implement an infection prevention and control program. Infection control | F | Deficient, Provider has date of correction |
| Mar 9, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Mar 9, 2023 | Post nurse staffing information every day. Nursing and physician services | C | Deficient, Provider has date of correction |
Fines and penalties
No federal fines or payment denials reported by CMS in the past three years.
Location
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Reviews
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Questions about Silverstone Place
Answers computed from CMS data for this facility.
What is Silverstone Place's Medicare rating?
Medicare rates Silverstone Place 3 out of 5 stars overall (average). The average for Rolla-area nursing homes is 3.1, for Missouri 2.51 and for the U.S. 2.99.
How did Silverstone Place do on its last inspection?
Inspectors' most recent visit in the CMS data was on Nov 20, 2025, when they cited 1 problem from a complaint investigation. The most common area was pharmacy service (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. All have been marked corrected. At its most recent standard inspection (Jun 5, 2025) it had 2 citations, compared with an average of 6.2 for Rolla-area homes, 11.4 in Missouri and 9.2 nationally.
Has Silverstone Place been fined?
CMS reports no federal fines for this facility in the past three years.
Does Silverstone Place accept Medicaid?
Silverstone Place is certified for both Medicare and Medicaid. Call (573) 426-6200 to ask whether a Medicaid bed is open.
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.