Federal inspection record · CMS data as of October 1, 2026
Cedar Pointe
1800 White Columns Drive, Rolla, MO · (573) 364-7766
- Certified beds
- 102
- Residents per day
- 71
- Ownership
- For-Profit
- Chain
- Riley Spence Senior Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 3, 1985
1
How this home got 1 star
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
★★★★★−1 star
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
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Cedar Pointe carries 54 inspection points. That is fewer than 65% 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
40 health citations on record since 2023. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights9E
- D
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- C
Honor the resident's right to manage his or her financial affairs.
- D
Keep residents' personal and medical records private and confidential.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
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.
- E
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.
- C
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.
Resident Assessment and Care Planning8E
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control6F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Nursing and Physician Services4F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- C
Post nurse staffing information every day.
Pharmacy Service4E
- D
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.
- D
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.
- E
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.
- 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.
Freedom from Abuse, Neglect, and Exploitation3E
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- E
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Respond appropriately to all alleged violations.
Quality of Life and Care3E
- C
Provide activities to meet all resident's needs.
- E
Provide activities to meet all resident's needs.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Nutrition and Dietary2F
- F
Dispose of garbage and refuse properly.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-02-12
4 health deficiencies · 5 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-07-18
16 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2023-04-10
20 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 3 min of nursing staff time a day, 15 min of it from a registered nurse.
This home
3 h 3 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 63% of nursing staff and 67% 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
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 days0.3 pts better | 1.7 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better | 1.1 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts worse | 80.2% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better | 97.1% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury5.7 pts worse | 9.7% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.9 pts better | 13.1% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts worse | 7.8% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.4 pts worse | 32.0% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10 pts worse | 33.5% | 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 ability to walk independently worsened5.5 pts worse | 21.3% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.3 pts worse | 24.7% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.3 pts worse | 3.2% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection4.3 pts worse | 6.5% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.4 pts better | 13.7% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.7 pts worse | 6.1% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.8 pts worse | 51.9% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.8 pts worse | 14.2% | 13.4% | 11.8% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.8 pts worse | 47.6% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission12.8 pts worse | 38.5% | 25.7% | 23.4% |
·
Who owns and runs it
8 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 |
|---|---|---|---|
| Riley Spence Management Company, LLC | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Riley, Charles | Limited Partnership Interest · Individual | 0% | 5 facilities |
| Rolla Grand LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Spence, Gregory | Contracted Managing Employee · Individual | 0% | 5 facilities |
| Spence, Gregory | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Spence, Gregory | Limited Partnership Interest · Individual | 0% | 5 facilities |
| Szerzinski, Steven | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Szerzinski, Steven | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have restrictions on the use of highly flammable decorations.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress4F
- F
Have properly located and lighted "Exit" signs.
- E
Have exits that are accessible at all times.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
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.
Gas, Vacuum, and Electrical Systems2E
- E
Have proper medical gas storage and administration areas.
- E
Ensure proper usage of power strips and extension cords.
·
Other homes nearby
-
Phelps Health
Rolla, MO
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 7 h 39 min
- Fines
- $0
-
Silverstone Place
Rolla, MO · Riley Spence Senior Living
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 53 min
- Fines
- $0
-
Rolla Presbyterian Manor
Rolla, MO · Presbyterian Manors Of Mid-America
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 35 min
- Fines
- $0