Rolla, MO

Cedar Pointe

1-star overall rating with 2-star inspections with $21,687 in total fines with 13 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

1800 White Columns Drive, Rolla, MO

(573) 364-7766

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

102

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Riley Spence Senior Living

Operator or chain grouping

Approved since

1985-07-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

5 facilities

Chain averages 2 overall / 3 health / 2 staffing / 2 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.31

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.80

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.11

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.22

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

1.11

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

2.85

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.24

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.35

CMS adjusted RN staffing hours

Adjusted total hours

3.67

CMS adjusted total nurse staffing hours

Case-mix index

1.20

Higher values indicate more complex resident acuity

RN turnover

63%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

58%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,240

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

7.26

Composite VBP score used to determine payment impact.

Payment multiplier

0.9807

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.43

Baseline 23.33% · Performance 22.74% · Measure score 0.43 · Achievement 0 · Improvement 0.43

Healthcare-associated infections

0.02

Baseline 8.87% · Performance 8.67% · Measure score 0.02 · Achievement 0 · Improvement 0.02

Total nurse turnover

1.88

Baseline 56.45% · Performance 56.00% · Measure score 1.88 · Achievement 1.88 · Improvement 0

Adjusted total nurse staffing

0.57

Baseline 2.94 hours · Performance 3.24 hours · Measure score 0.57 · Achievement 0.57 · Improvement 0.56

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.84%	10.72% 2.1 pts worse	No Different than the National Rate · Eligible stays 55 · Observed rate 25.45% · Lower 95% interval 9.37%
Discharge to community	39.33%	50.57% 11.2 pts worse	No Different than the National Rate · Eligible stays 37 · Observed rate 24.32% · Lower 95% interval 24.78%
Medicare spending per beneficiary	0.98	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 21 · Denominator 21
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 21
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	4.76%	2.29% 2.5 pts worse	Numerator 1 · Denominator 21 · Adjusted rate 3.95%
Healthcare-associated infections requiring hospitalization	8.67%	7.12% 1.5 pts worse	No Different than the National Rate · Eligible stays 35 · Observed rate 17.14% · Lower 95% interval 4.56%
Staff COVID-19 vaccination coverage	1.27%	8.2% 6.9 pts worse	Numerator 1 · Denominator 79
Staff flu vaccination coverage	30%	42% 12 pts worse	Numerator 27 · Denominator 90
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.5	2.1 1.4 pts worse	1.9 1.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 2.2 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	4.3	2.3 2 pts worse	1.8 2.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 4.3 · Observed 3.6 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	95.6%	84.8% 10.8 pts better	93.4% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 94.9% · Q4 87.3% · 4Q avg 95.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	90.9% 9.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	6.4%	4.1% 2.3 pts worse	3.3% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 8.2% · Q3 3.4% · Q4 6.3% · 4Q avg 6.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	9.1%	14.7% 5.6 pts better	11.4% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 10.2% · Q3 5.5% · Q4 8.2% · 4Q avg 9.1%
Percentage of long-stay residents who lose too much weight	11.2%	5.5% 5.7 pts worse	5.4% 5.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 4.3% · Q3 15.7% · Q4 17.9% · 4Q avg 11.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	34.3%	25.3% 9 pts worse	19.6% 14.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.2% · Q2 40.8% · Q3 32.7% · Q4 29.3% · 4Q avg 34.3%
Percentage of long-stay residents who received an antipsychotic medication	36.9%	25.0% 11.9 pts worse	16.7% 20.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.1% · Q2 39.0% · Q3 39.5% · Q4 34.0% · 4Q avg 36.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	19.0%	20.3% 1.3 pts better	16.3% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 24.5% · Q3 8.7% · Q4 23.2% · 4Q avg 19.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	22.3%	19.8% 2.5 pts worse	14.9% 7.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 33.3% · Q3 18.2% · Q4 28.8% · 4Q avg 22.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.7%	1.4% 1.3 pts worse	1.0% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.4% · Q3 0.0% · Q4 4.1% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	7.4%	2.6% 4.8 pts worse	1.7% 5.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 11.9% · Q3 6.9% · Q4 3.3% · 4Q avg 7.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.8%	18.1% 3.3 pts better	19.8% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 17.7% · Q3 13.1% · Q4 11.1% · 4Q avg 14.8%
Percentage of long-stay residents with pressure ulcers	6.7%	5.0% 1.7 pts worse	5.1% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 6.5% · Q3 7.8% · Q4 7.0% · 4Q avg 6.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	54.8%	66.4% 11.6 pts worse	81.7% 26.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 69.2% · Q2 55.6% · Q3 51.7% · Q4 40.9% · 4Q avg 54.8%
Percentage of short-stay residents who had an outpatient emergency department visit	10.7%	13.4% 2.7 pts better	12.0% 1.3 pts better	Short Stay · 20240701-20250630 · Adjusted 10.7% · Observed 11.5% · Expected 12.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	9.1%	2.2% 6.9 pts worse	1.6% 7.5 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 9.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	61.8%	63.5% 1.7 pts worse	79.7% 17.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 61.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.2%	25.3% 1.9 pts worse	23.9% 3.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.2% · Observed 26.9% · Expected 23.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-07-18 · Fire 2024-07-18

13 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2023-04-10 · Fire 2023-04-10

22 health deficiencies

Top issue: Resident Rights (6 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2021-02-04 · Fire 2021-02-04

4 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-07-18

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-07-18

F · Potential for more than minimal harm 2024-07-18

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-07-18

F · Potential for more than minimal harm 2024-07-18

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2024-07-18

F · Potential for more than minimal harm 2024-07-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-07-18

E · Potential for more than minimal harm 2024-07-18

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-08-23

E · Potential for more than minimal harm 2024-07-18

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-08-23

E · Potential for more than minimal harm 2024-07-18

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-08-23

F · Potential for more than minimal harm 2023-04-10

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-05-15

F · Potential for more than minimal harm 2023-04-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-01

F · Potential for more than minimal harm 2023-04-10

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-05-10

E · Potential for more than minimal harm 2023-04-10

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-05-17

E · Potential for more than minimal harm 2023-04-10

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2023-05-15

E · Potential for more than minimal harm 2023-04-10

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-05-08

E · Potential for more than minimal harm 2023-04-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-05-10

D · Potential for more than minimal harm 2023-04-10

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-05-08

F · Potential for more than minimal harm 2021-02-04

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2021-03-21

F · Potential for more than minimal harm 2021-02-04

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2021-03-21

F · Potential for more than minimal harm 2021-02-04

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2021-03-21

F · Potential for more than minimal harm 2021-02-04

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2021-03-21

E · Potential for more than minimal harm 2021-02-04

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2021-03-21

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-02

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-03-31

D · Potential for more than minimal harm 2025-04-02

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-04-03

D · Potential for more than minimal harm 2025-01-23

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-02-10

E · Potential for more than minimal harm 2024-10-01

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-10-17

D · Potential for more than minimal harm 2024-10-01

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-10-18

F · Potential for more than minimal harm 2024-07-18

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-08-09

F · Potential for more than minimal harm 2024-07-18

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2024-08-23

F · Potential for more than minimal harm 2024-07-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-22

F · Potential for more than minimal harm 2024-07-18

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2024-08-23

E · Potential for more than minimal harm 2024-07-18

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-07-18

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-07-18

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-07-18

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-07-18

F761 · Pharmacy Service Deficiencies

Health

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 2024-07-26

C · Minimal harm 2024-07-18

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2024-07-26

C · Minimal harm 2024-07-18

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-03-05

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-03-08

D · Potential for more than minimal harm 2024-03-05

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-03-08

D · Potential for more than minimal harm 2024-03-05

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-03-08

E · Potential for more than minimal harm 2023-11-09

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-12-08

J · Immediate jeopardy 2023-04-10

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-05-15

F · Potential for more than minimal harm 2023-04-10

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-05-11

E · Potential for more than minimal harm 2023-04-10

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2023-05-04

E · Potential for more than minimal harm 2023-04-10

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-05-17

E · Potential for more than minimal harm 2023-04-10

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2023-05-10

E · Potential for more than minimal harm 2023-04-10

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2023-05-15

E · Potential for more than minimal harm 2023-04-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-05-15

E · Potential for more than minimal harm 2023-04-10

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-15

E · Potential for more than minimal harm 2023-04-10

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2023-05-17

E · Potential for more than minimal harm 2023-04-10

F758 · Pharmacy Service Deficiencies

Health

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 2023-05-15

E · Potential for more than minimal harm 2023-04-10

F761 · Pharmacy Service Deficiencies

Health

Corrected 2023-05-11

E · Potential for more than minimal harm 2023-04-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-05

E · Potential for more than minimal harm 2023-04-10

F883 · Infection Control Deficiencies

Health

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

Corrected 2023-05-17

E · Potential for more than minimal harm 2023-04-10

F887 · Infection Control Deficiencies

Health

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.

Corrected 2023-05-17

C · Minimal harm 2023-04-10

F575 · Resident Rights Deficiencies

Health

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.

Corrected 2023-05-04

C · Minimal harm 2023-04-10

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-05-01

F · Potential for more than minimal harm 2021-02-04

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2021-03-21

E · Potential for more than minimal harm 2021-02-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-03-21

D · Potential for more than minimal harm 2021-02-04

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2021-03-21

Penalties and ownership