Silverstone Place: Staffing, Turnover, and Inspection Record
Silverstone Place is a 110-bed for-profit nursing home in Rolla, Missouri, part of Riley Spence Senior Living. In the CMS August 2026 release it reported 2.03 nurse aide hours per resident per day, 11% below the Missouri average of 2.29, and 57.7% nursing staff turnover (Missouri average 56.0%).
Silverstone Place
2735 Eagleson DrRolla, MO 65401
Phelps County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Silverstone Place, nurse aides logged 2.03 hours per resident per day, 11% below the Missouri average. With about 86 residents a day, that works out to roughly 175 aide hours a day, or about 22 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 5% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.03 | 2.29 | 2.32 |
| Licensed practical nurses | 0.58 | 0.68 | 0.86 |
| Registered nurses | 0.27 | 0.46 | 0.69 |
| All nursing staff | 2.88 | 3.43 | 3.86 |
| All nursing staff, weekends | 2.74 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
57.7% of nursing staff at Silverstone Place left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 50.0%. 5 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 5, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (Missouri average 11.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Silverstone Place holds 3 of 5 overall; the Missouri average is 2.5.
About Silverstone Place
- Ownership: For profit - Limited Liability company
- Chain: Riley Spence Senior Living, 5 homes
- Legal name: Silverstone SNF LLC
- Medicare and Medicaid certified since: Mar 25, 2015
- Councils: resident council
- Area: rural
Nursing homes near Silverstone Place
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Cedar Pointe Rolla | 0.9 | 102 | 2.09 | 3.17 | 58.9% | 1 | None |
| Phelps Health Rolla | 1.5 | 20 | 2.52 | 7.56 | 50.0% | 5 | None |
| Rolla Presbyterian Manor Rolla | 1.8 | 30 | 2.47 | 4.49 | 53.3% | 5 | None |
| Aurora Health and Rehabilitation Rolla | 2.2 | 116 | 2.11 | 3.34 | 73.4% | 2 | $32,782 |
| St James Living Center Saint James | 9.4 | 90 | 2.35 | 3.12 | 58.0% | 3 | $14,069 |
| Maries Manor Vienna | 17.7 | 98 | 1.97 | 2.73 | 64.7% | 3 | None |
| Cuba Manor Inc Cuba | 21.6 | 90 | 1.69 | 2.93 | 31.4% | 4 | None |
| Steelville Senior Living Steelville · many days without an RN | 22.8 | 72 | 2.55 | 3.31 | 68.4% | 1 | $87,749 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.