Federal inspection record · CMS data as of October 1, 2026
Bishop Spencer Place, Inc, The
4301 Madison Avenue, Kansas City, MO · (816) 931-4277
- Certified beds
- 57
- Residents per day
- 47
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 7, 2003
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Bishop Spencer Place, Inc, The carries 86.75 inspection points. That is fewer than 47% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
24 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Quality of Life and Care8E
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning5E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control4F
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Rights1E
- E
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Pharmacy Service1E
- E
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.
Inspection history
2026-01-09
9 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-02-06
9 health deficiencies · 13 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2022-07-19
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 13 min of nursing staff time a day, 55 min of it from a registered nurse.
This home
5 h 13 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 73% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,021 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-07-29 | Fine | $8,021 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts better | 1.2 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.5 pts better | 0.7 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.4 pts better | 91.4% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.5 pts better | 91.3% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4 pts better | 0.0% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.5 pts better | 14.5% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.4 pts worse | 8.5% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication22.5 pts better | 3.1% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication14.7 pts better | 8.8% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.3 pts better | 16.1% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 1.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.1 pts worse | 5.3% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.5 pts better | 15.6% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.2 pts worse | 8.6% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.3 pts better | 82.0% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.4 pts better | 11.0% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same | 2.1% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine19.6 pts better | 81.0% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.9 pts worse | 29.6% | 25.7% | 23.4% |
·
Who owns and runs it
36 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Achelphol, Richard | Corporate Director · Individual | 0% | 1 facilities |
| Achelphol, Richard | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Calvin, Karen | Corporate Director · Individual | 0% | 1 facilities |
| Calvin, Karen | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Coulter, James | Corporate Director · Individual | 0% | 1 facilities |
| Coulter, James | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Elving, Beverly | Corporate Director · Individual | 0% | 1 facilities |
| Elving, Beverly | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Havenhill, Lisa | Corporate Director · Individual | 0% | 1 facilities |
| Havenhill, Lisa | Corporate Officer · Individual | 0% | 1 facilities |
| Havenhill, Lisa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hutcherson, Anne | Corporate Director · Individual | 0% | 1 facilities |
| Hutcherson, Anne | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Jackson, Anthony | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Jackson, Anthony | Adp Of The SNF · Individual | 0% | 1 facilities |
| Johnson, Jani | Corporate Director · Individual | 0% | 1 facilities |
| Johnson, Jani | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Johnston, Nanette | Corporate Director · Individual | 0% | 1 facilities |
| Johnston, Nanette | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Keyse, Andrew | Corporate Director · Individual | 0% | 1 facilities |
| Keyse, Andrew | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lampo, Jane | Corporate Director · Individual | 0% | 1 facilities |
| Lampo, Jane | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mcbride, Sydney | Corporate Director · Individual | 0% | 1 facilities |
| Mcbride, Sydney | Corporate Officer · Individual | 0% | 1 facilities |
| Mcbride, Sydney | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Meaux, Amy | Corporate Director · Individual | 0% | 1 facilities |
| Meaux, Amy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Purcell, Jason | Corporate Director · Individual | 0% | 1 facilities |
| Purcell, Jason | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Saint Lukes Health System Inc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Saint Lukes Health System Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Sparks, Randy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sparks, Randy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wootton, Kristen | Corporate Director · Individual | 0% | 1 facilities |
| Wootton, Kristen | Operational/Managerial Control · Individual | 0% | 1 facilities |
·
Fire safety
22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- E
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems5F
- E
Ensure proper usage of power strips and extension cords.
- D
Meet requirements for the installation and maintenance of electrical systems.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- D
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Miscellaneous3F
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Emergency Preparedness2F
- F
Address subsistence needs for staff and patients.
- F
Implement emergency and standby power systems.
Egress2F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
Services1F
- F
Have elevators that firefighters can control in the event of a fire.
·
Other homes nearby
-
Summit, The
Kansas City, MO
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 1 h 47 min
- Fines
- $0
-
Clara Manor Nursing Home
Kansas City, MO · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- —
- Fines
- $0
-
Parkway Health Care Center
Kansas City, MO · Reliant Care Management
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 52 min
- Fines
- $25,914