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Silverstone Place

⌖ Rolla, MO · Phelps County
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Medicare overall rating 3 of 5 stars
Certified beds110
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)

About Silverstone Place

Silverstone Place is a 110-bed for-profit nursing home in Rolla, MO. Medicare rates it 3 out of 5 stars overall (average); the average in Missouri is 2.5. At its last full inspection (Jun 2025), inspectors found 2 problems, fewer than the Missouri average of 11.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 2 hr 53 min a day with each resident, less than the Missouri average of 3 hr 26 min. About 58% of its nursing staff left in the past year. It has had no federal fines in the last three years. Its quality ratings are similar for short-term rehab (2 of 5) and long-term care (1 of 5).

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameSilverstone Place
LocationPhelps County, Missouri
Address2735 Eagleson Dr, Rolla, MO 65401 · Phelps County
CMS provider number265851
Ownership typeFor-profit (limited liability company)
Operating companyRiley Spence Senior Living · 5 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceMarch 25, 2015 (11 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating3 of 5Average
Health inspections4 of 5Above average
Quality measures2 of 5Below average
Staffing1 of 5Much below average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

3 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Jun 2025.
    Strength
  • Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
    Strength
  • Health citations at last inspection2 (Jun 2025)Missouri average: 11.4. Most citations are minor and corrected within weeks.
    Strength

About average

  • Nursing staff turnover58% a yearMissouri average: 56%
    About average

Things to ask about

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  • Nurse staffing per resident2 hr 53 min a dayMissouri average: 3 hr 26 min
    Worse than state average
  • Registered nurse time per resident16 min a dayMissouri average: 28 min
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Missouri average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 2 of 5 (below average)

  • Sent back to the hospital25.4%State average: 26.0%
    About average
  • Needed an emergency room visit10.8%State average: 13.7%
    Better than average
  • Newly given antipsychotic drugs0.0%State average: 2.2%
    Better than average

Physical therapist time: about 1 minute per resident a day. That is less than the state average of 2 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 1 of 5 (much below average)

  • Falls with a major injury7.4%State average: 4.1%
    Worse than average
  • Pressure sores (bedsores)2.3%State average: 4.5%
    Better than average
  • Given antipsychotic drugs19.3%State average: 23.5%
    About average
  • Hospital stays per 1,000 resident days1.5State average: 2.1
    Better than average

Source: Medicare (CMS) quality measures, compared with the Missouri average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Missouri, Medicaid pays for 65% of resident days at a typical home.

  • 79% Medicaid
  • 4% Medicare
  • 18% Private pay, insurance and other
Beds in use, on average75%Missouri typical: 71%
Cost of care per resident day$197Missouri typical: $254

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 3 stars now, the same as 3 stars in January 2019. It has ranged from 1 to 3 stars and changed 7 times.

Overall rating3★
Health inspections4★
Staffing1★
Quality of care2★
Nurse hours per resident per day2.9
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201934132.6
Jan 202022232.3
Jan 202122242.3
Jan 202212212.0
Jan 202312212.8
Jan 202411122.8
Feb 202512112.8
Feb 202624112.9
Sep 202634122.9

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.