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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 11th out of 251 homes in Missouri.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 51m per day | ▲ 82% State avg: 28m per day · National avg: 41m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 37m per day | ▲ 12% State avg: 2h 20m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 5m per day | ▲ 34% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ▲ 200% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 28m per day | ▲ 40% State avg: 20m per day · National avg: 29m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
37% of new residents, usually for short-term rehab.
63% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #13 / 258Payroll — state benchmarkedThis home is ranked 13th out of 258 homes in Missouri.Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Missouri average: 66.6%The Bishop Spencer Place, Inc is legally operated by The Bishop Spencer Place, Inc., and administrated by Michele Duckstein.
Key information about the people who lead and staff this community.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Missouri average: 35 deficiencies
The most recent inspection on July 29, 2024, identified deficiencies related to medication errors, including wrong medication administration, double dosing, and a significant overdose of morphine concentrate. Earlier inspections showed a pattern of issues involving medication management, discharge planning, resident financial protection, infection control, and food safety. Prior complaint investigations substantiated concerns about unsafe discharge practices and financial exploitation by staff, while routine surveys noted deficiencies in care planning, respiratory care, and medication storage. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows recurring challenges with medication and care coordination, with no clear pattern of improvement or worsening over time.
Missouri average 6.6
Last Health inspection on Jul 2024
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
18 of 24 citations resulted from standard inspections; and 6 of 24 resulted from complaint investigations.
43% worse than Missouri averageMissouri average: 0.7
0
100% better than Missouri averageMissouri average: 1
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 29, 2024
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 29, 2024
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 06, 2024
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 06, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
| The Bishop Spencer Place, Inc |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Kansas City (Downtown Kansas City) | 57 | 87.5% | +31% | 5.47 | +17% | +46% | 1 | 24 | 3.4 | 1 | 44 | - | - | Saint Lukes Health System Inc | $15.4M | $6.2M | 40.2% | 265768 | ||||
| McCrite Plaza at Briarcliff Skilled Facility |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Kansas City (Downtown Kansas City) | 56 | 76.7% | +15% | 5.73 | -9% | +53% | 1 | 34 | 5.7 | 1 | 44 | - | - | Mccrite, Cassidy | $8.2M | $3.3M | 40.7% | 265869 | ||||
| Ignite Medical Resort Kansas City LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Kansas City | 90 | 90.0% | +35% | 2.95 | +58% | -21% | 1 | 35 | 5.8 | 1 | 80 | - | - | Hageman Investments Llc | $18.6M | $4.5M | 24.2% | 265872 | ||||
| Rehab of Kansas City South |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Kansas City (Downtown Kansas City) | 100 | 83.0% | +25% | 2.79 | -89% | -25% | 0 | 46 | 3.5 | 0 | 92 | - | - | Mercier, David | $9.6M | $3.9M | 41.2% | 265758 | ||||
| New Mark Rehab and Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Kansas City (Downtown Kansas City) | 199 | 56.5% | -15% | 3.13 | -32% | -16% | 1 | 42 | 6.0 | 4 | 158 | - | - | New Mark Operator Llc | $10.9M | $4.8M | 43.9% | 265308 |
134.4 miles from city center
Estimated distance in miles from KANSAS CITY's city center to The Bishop Spencer Place, Inc's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with Missouri averageMissouri average ratio: 1.71:1
0% compared with Missouri averageMissouri average: 8.1 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Total hours from contractors
2,931 contractor hours this quarter
| Certified Nursing Assistant | 30 | 0 | 30 | 9,073 | 91 | 100% | 8.5 |
| Licensed Practical Nurse | 19 | 0 | 19 | 5,921 | 91 | 100% | 10.2 |
| Registered Nurse | 8 | 0 | 8 | 2,299 | 91 | 100% | 9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 890 | 61 | 67% | 8.9 |
| Mental Health Service Worker | 2 | 0 | 2 | 864 | 64 | 70% | 8 |
| Physical Therapy Aide | 0 | 3 | 3 | 853 | 78 | 86% | 6.2 |
| Other Dietary Services Staff | 4 | 0 | 4 | 737 | 88 | 97% | 5 |
| RN Director of Nursing | 2 | 0 | 2 | 637 | 58 | 64% | 7.6 |
| Speech Language Pathologist | 0 | 2 | 2 | 631 | 91 | 100% | 5.2 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 607 | 73 | 80% | 5.9 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 432 | 75 | 82% | 5.8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 384 | 80 | 88% | 4 |
| Medication Aide/Technician | 1 | 0 | 1 | 111 | 21 | 23% | 5.3 |
| Medical Director | 1 | 0 | 1 | 33 | 13 | 14% | 2.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 37 | 41% | 0.7 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
53Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.4
23% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.0
23% better than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
12.0%
39% better than Missouri averageMissouri average: 19.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.0%
In line with Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
10.8%
114% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
6.8%
150% worse than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
11.0%
97% worse than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
5.4%
58% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
19.8%
10% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.9%
15% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
85.2%
6% worse than Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
0.72
65% better than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.91
61% better than Missouri averageMissouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.4%
24% better than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
19% better than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
67.6%
6% better than Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.8%
10% better than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.0%
40% better than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.7%
10% better than Missouri averageMissouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
48.3%
10% worse than Missouri averageMissouri average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
56.8%
12% better than Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
89% lower than Missouri averageMissouri average: $73K
59% fewer fines than Missouri averageMissouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 29, 2024Last updated: Jan 2026
Historical financial and operational data for The Bishop Spencer Place, Inc based on CMS SNF Cost Reports.
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