Silverstone Place
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 60 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- High staff turnover (58%)
- High RN turnover (57%)
Below average in MO · Critically understaffed (RN) · No penalties on record
What this means for your family
While the facility is physically appealing, there is a consistent pattern of reports regarding neglect and poor communication. We strongly advise families to conduct unannounced visits during weekends and evenings to verify staffing levels and the quality of care, as these are the times most frequently cited as problematic.
Google Reviews
Google Reviews
60 reviews on Google“Silverstone Place presents a stark contrast between its physical appearance and the quality of care provided. While some reviewers appreciate the modern building and friendly staff, a significant number of families report serious concerns regarding neglect, poor hygiene, and inadequate staffing levels. Prospective families should be aware of recurring allegations involving resident safety, missing personal belongings, and unresponsive management.”
Quality Themes
Tap a score for detailsStrengths
- Modern, clean physical facility
- Some individual staff members show genuine compassion
- Positive initial impressions for some families
Concerns
- Severe neglect and lack of basic care (hygiene, feeding, hydration) (mentioned by 9 reviewers)
- Chronic understaffing leading to slow response times (mentioned by 6 reviewers)
- Loss or theft of resident personal belongings (mentioned by 3 reviewers)
- Poor management communication and responsiveness (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 68 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the current staffing levels, what specific protocols are in place to ensure residents receive timely assistance with daily needs like hygiene, feeding, and hydration?
- 2I noticed the facility is quite modern and clean; how do you maintain that standard of cleanliness while ensuring staff have enough time to provide direct, hands-on care to residents?
- 3Can you walk me through the process for how personal belongings are inventoried and secured to prevent items from being misplaced?
- 4What is your current strategy for improving communication between management and families, especially when concerns regarding a resident's care arise?
- 5Since medication management is a priority for us, could you explain the oversight process in place to ensure accuracy and consistency for residents?
- 6How do you ensure that residents are consistently engaged in meaningful daily activities, and how is that social time balanced with their medical care needs?
Personalized based on this facility's data
Key Review Excerpts
“My grandmother fell in the bathroom & got trapped under her walker for several hours without anyone checking in on her whatsoever. She was trapped underneath there & screaming for HOURS.”
“He has a horrible UTI, bed sores that were not treated, and the hardware in his ankle was infected.”
“The kitchen staff is rude, hateful, and full of drama. Plus when leaving they held the last check. 'Mailed it' but the recipient never received it and thru trying to rectify the situation for weeks, got the run around.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
5
measures
5
measures
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents needing more daily help over time
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
Residents who fell and were seriously hurt
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Silverstone Place shows concerning patterns with recurring medication management deficiencies appearing multiple times through 2025, including issues that families reported through complaints. The facility has had repeated problems with food safety and preparation, nursing staffing levels, and care planning across multiple surveys. While the facility corrects most violations when cited, the persistence of medication errors and the fact that six deficiencies were triggered by family complaints suggest ongoing quality concerns that warrant careful evaluation during any visit.
Nov 20, 2025Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Jul 24, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jun 5, 2025Routine1
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Mar 12, 2025Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
May 16, 2024Routine8
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Mar 9, 2023Routine31
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies
Assure the security of all personal funds of residents deposited with the facility.
Resident Rights Deficiencies
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 Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Quality of Life and Care Deficiencies
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 Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Resident Rights Deficiencies
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.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Ownership & Operations
Who Operates This Facility
Silverstone Place
for profit
Chain Affiliation
Riley Spence Senior Living
5 facilities nationwide
Chain avg rating: 1.8/5 · Rank 3 of 5
Ownership & Management
Owners
Riley, Charles
Owner
Spence, Gregory
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
60 reviews from families & visitors
Official Website
Visit rileyspence.com
Medicare data downloads
Original nursing home datasets
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