C77

BISHOP SPENCER PLACE, INC, THE

Grade C 77/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
4/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

57

Ownership

Non profit - Corporation

Total Fines

$8,021

Last Survey

N/A

4301 MADISON AVENUE, KANSAS CITY, MO 64111
8169314277

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.93h
LPN
1.88h
CNA
2.86h
Total
5.67h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

SAINT LUKES HEALTH SYSTEM INC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2016

100%

BJC HEALTH SYSTEM

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2024

100%

COLLIER, LOUIS

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

BRUCE, DIANE

IndividualCORPORATE DIRECTORSince Jan 2022

BURNETT, STEVEN

IndividualCORPORATE DIRECTORSince Jan 2024

CALVIN, KAREN

IndividualCORPORATE DIRECTORSince Jan 2022

COULTER, JAMES

IndividualCORPORATE DIRECTORSince Jan 2024

ELVING, BEVERLY

IndividualCORPORATE DIRECTORSince Jan 2019

FANGMAN, ANTHONY

IndividualCORPORATE DIRECTORSince Jan 2019

GEORGE, WALT

IndividualCORPORATE DIRECTORSince Jan 2024

HUTCHERSON, ANNE

IndividualCORPORATE DIRECTORSince Jan 2024

JOHNSON, JANI

IndividualCORPORATE DIRECTORSince Jan 2020

KEYSE, ANDREW

IndividualCORPORATE DIRECTORSince Jan 2024

LAMPO, JANE

IndividualCORPORATE DIRECTORSince Jan 2022

LEVI, PHILLIP

IndividualCORPORATE DIRECTORSince Jan 2024

PECK, JANE

IndividualCORPORATE DIRECTORSince Jan 2020

COLLIER, LOUIS

IndividualCORPORATE OFFICERSince Aug 2023

HAVENHILL, LISA

IndividualCORPORATE OFFICERSince Jan 2019

QUIRIN, JULIE

IndividualCORPORATE OFFICERSince Jan 2024

Penalties & Fines (1)

$8,021total fines
DateTypeDescriptionAmount
Jul 29, 2024Fine$8,021

Health Inspection Deficiencies (23)

July 29, 2024Health2 deficiencies1 severe
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Aug 28, 2024
0760JImmediate jeopardy, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jul 25, 2024
February 6, 2024Health9 deficiencies
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Mar 22, 2024
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Mar 22, 2024
0569EMinimal harm, Pattern

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Resident Rights Deficiencies

Corrected Mar 22, 2024
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Mar 22, 2024
0695EMinimal harm, Pattern

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Mar 22, 2024
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Mar 22, 2024
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Mar 22, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 22, 2024
0883DMinimal harm, Isolated

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

Infection Control Deficiencies

Corrected Mar 22, 2024
August 29, 2023Health1 deficiency
0624DMinimal harm, Isolated

Prepare residents for a safe transfer or discharge from the nursing home.

Resident Rights Deficiencies

Corrected Sep 13, 2023
June 6, 2023Health2 deficiencies
0602DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 14, 2023
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jul 3, 2023
July 19, 2022Health4 deficiencies
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Sep 2, 2022
0698EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Sep 2, 2022
0800EMinimal harm, Pattern

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Nutrition and Dietary Deficiencies

Corrected Sep 2, 2022
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Sep 2, 2022
September 19, 2019Health5 deficiencies
0655EMinimal harm, Pattern

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Nov 2, 2019
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Nov 2, 2019
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Nov 2, 2019
0790DMinimal harm, Isolated

Provide routine and 24-hour emergency dental care for each resident.

Quality of Life and Care Deficiencies

Corrected Nov 2, 2019
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 2, 2019

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Frequently Asked Questions

What is the CareGrader rating for BISHOP SPENCER PLACE, INC, THE?

BISHOP SPENCER PLACE, INC, THE in KANSAS CITY, Missouri has a CareGrader grade of C (Average), with a composite score of 77 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for BISHOP SPENCER PLACE, INC, THE?

BISHOP SPENCER PLACE, INC, THE has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does BISHOP SPENCER PLACE, INC, THE have?

BISHOP SPENCER PLACE, INC, THE has 23 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has BISHOP SPENCER PLACE, INC, THE been fined?

Yes. BISHOP SPENCER PLACE, INC, THE has $8,021 in total fines from CMS enforcement actions across 1 penalty.

How many beds does BISHOP SPENCER PLACE, INC, THE have?

BISHOP SPENCER PLACE, INC, THE has 57 certified beds with approximately 43 current residents (75% occupancy). The facility is located at 4301 MADISON AVENUE, KANSAS CITY, Missouri 64111. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.