Bishop Spencer Place, Inc, the

4301 Madison Avenue · Kansas City, MO · 64111 · 8169314277

57 certified beds Non profit - Corporation Part of a CCRC

  • Inspection results have improved across recent cycles.

The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 47
Serious harm & abuse 20% 94
Staffing 20% 79
Federal penalties 15% 77
Trend 10% 76
Context 5% 85

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.703.48 min · 4.1 strong
RN hours / resident-day0.580.55–0.75
Weekend hours / resident-day4.22≈ weekday level
Nursing turnover / year50%median 45%
Fines (3-yr window)1 · $8,021

Inspection citations (23 in the current record)

  • Immediate jeopardy · J July 29, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected July 25, 2024 · Pharmacy Service

  • Potential for harm · D July 29, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 28, 2024 · Quality of Life and Care

  • Potential for harm · E February 6, 2024

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Corrected March 22, 2024 · Resident Rights

  • Potential for harm · D February 6, 2024

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected March 22, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D February 6, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 22, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D February 6, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected March 22, 2024 · Quality of Life and Care

  • Potential for harm · E February 6, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 22, 2024 · Quality of Life and Care

  • Potential for harm · E February 6, 2024

    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.

    Corrected March 22, 2024 · Pharmacy Service

  • Potential for harm · F February 6, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 22, 2024 · Nutrition and Dietary

  • Potential for harm · E February 6, 2024

    Provide and implement an infection prevention and control program.

    Corrected March 22, 2024 · Infection Control

  • Potential for harm · D February 6, 2024

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected March 22, 2024 · Infection Control

  • Potential for harm · D August 29, 2023 · found via complaint

    Prepare residents for a safe transfer or discharge from the nursing home.

    Corrected September 13, 2023 · Resident Rights

  • Potential for harm · D June 6, 2023 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected April 14, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 6, 2023 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected July 3, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D July 19, 2022

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected September 2, 2022 · Quality of Life and Care

  • Potential for harm · E July 19, 2022

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected September 2, 2022 · Quality of Life and Care

  • Potential for harm · E July 19, 2022

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Corrected September 2, 2022 · Nutrition and Dietary

  • Potential for harm · E July 19, 2022

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected September 2, 2022 · Nutrition and Dietary

  • Potential for harm · E September 19, 2019

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected November 2, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D September 19, 2019

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected November 2, 2019 · Pharmacy Service

  • Potential for harm · D September 19, 2019

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected November 2, 2019 · Pharmacy Service

  • Potential for harm · D September 19, 2019

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected November 2, 2019 · Quality of Life and Care

  • Potential for harm · E September 19, 2019

    Provide and implement an infection prevention and control program.

    Corrected November 2, 2019 · Infection Control

Federal penalties

DateTypeAmount / length
July 29, 2024Fine$8,021

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265768 · certified since November 7, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.