Nursing homeActive

Bishop Spencer Place, Inc, The

4301 Madison Avenue, Kansas City, MO 64111816931427757 certified beds · 47 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2022
Deficiencies
25
0241
Penalties · 3 yrs
$8,021
1 fine
Last survey
2026-01-09
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-01-09Standard090CMS-2567 (Care Compare)
2024-07-29Complaint011CMS-2567 (Care Compare)
2024-02-06Standard090CMS-2567 (Care Compare)
2023-08-29Complaint010CMS-2567 (Care Compare)
2022-07-19Standard040CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-01-09Standard survey · 9 deficienciesOfficial report
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-23Record 265768-20260109-F607
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-23Record 265768-20260109-F636
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-23Record 265768-20260109-F644
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-23Record 265768-20260109-F656
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-23Record 265768-20260109-F686
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-23Record 265768-20260109-F688
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-23Record 265768-20260109-F690
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-06Record 265768-20260109-F880
F881Implement a program that monitors antibiotic use.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-06Record 265768-20260109-F881
2024-07-29Complaint survey · 2 deficienciesOfficial report
F760Ensure that residents are free from significant medication errors.Scope/severity JHarm
Medication
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-07-25Record 265768-20240729-F760
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-28Record 265768-20240729-F684
2024-02-06Standard survey · 9 deficienciesOfficial report
F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 265768-20240206-F569
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 265768-20240206-F645
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 265768-20240206-F658
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 265768-20240206-F686
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 265768-20240206-F695
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 265768-20240206-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 265768-20240206-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 265768-20240206-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 265768-20240206-F883
2023-08-29Complaint survey · 1 deficiencyOfficial report
F624Prepare residents for a safe transfer or discharge from the nursing home.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-13Record 265768-20230829-F624
2022-07-19Standard survey · 4 deficienciesOfficial report
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-02Record 265768-20220719-F695
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-02Record 265768-20220719-F698
F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-02Record 265768-20220719-F800
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-02Record 265768-20220719-F804

Penalties & enforcement

DateActionAmountSource
2024-07-29Civil money penalty$8,021CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.84
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day5.46
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours4.41
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover41%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover58%
Facility
Missouri
National
Missouri 48% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityMissouriNational
Percentage of long-stay residents with pressure ulcers
lower is better
11.2%4.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.0%4.1%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
9.3%23.5%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
7.8%2.3%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
13.3%18.1%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
6.9%5.3%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
3.2%25.6%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Achelphol, Richard
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Calvin, Karen
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Coulter, James
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Elving, Beverly
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Havenhill, Lisa
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hutcherson, Anne
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Jackson, Anthony
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Johnson, Jani
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Johnston, Nanette
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Keyse, Andrew
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lampo, Jane
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mcbride, Sydney
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Meaux, Amy
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Purcell, Jason
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Saint Lukes Health System Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sparks, Randy
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Wootton, Kristen
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Achelphol, Richard
Individual
CORPORATE DIRECTORNOT APPLICABLE
Calvin, Karen
Individual
CORPORATE DIRECTORNOT APPLICABLE
Coulter, James
Individual
CORPORATE DIRECTORNOT APPLICABLE
Elving, Beverly
Individual
CORPORATE DIRECTORNOT APPLICABLE
Havenhill, Lisa
Individual
CORPORATE DIRECTORNOT APPLICABLE
Havenhill, Lisa
Individual
CORPORATE OFFICERNOT APPLICABLE
Hutcherson, Anne
Individual
CORPORATE DIRECTORNOT APPLICABLE
Jackson, Anthony
Individual
ADP OF THE SNFNOT APPLICABLE
Johnson, Jani
Individual
CORPORATE DIRECTORNOT APPLICABLE
Johnston, Nanette
Individual
CORPORATE DIRECTORNOT APPLICABLE
Keyse, Andrew
Individual
CORPORATE DIRECTORNOT APPLICABLE
Lampo, Jane
Individual
CORPORATE DIRECTORNOT APPLICABLE
Mcbride, Sydney
Individual
CORPORATE OFFICERNOT APPLICABLE
Mcbride, Sydney
Individual
CORPORATE DIRECTORNOT APPLICABLE
Meaux, Amy
Individual
CORPORATE DIRECTORNOT APPLICABLE
Purcell, Jason
Individual
CORPORATE DIRECTORNOT APPLICABLE
Saint Lukes Health System Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Sparks, Randy
Individual
ADP OF THE SNFNOT APPLICABLE
Wootton, Kristen
Individual
CORPORATE DIRECTORNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.

No county cost figures on file for Jackson.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Summit, The
Kansas City
0.8 mi2025-12-080440
Clara Manor Nursing Home
Kansas City
1.1 mi2025-11-200516
Parkway Health Care Center
Kansas City
2.1 mi2026-06-290502
Highland Rehabilitation & Health Care Center
Kansas City
3.3 mi2026-06-040144
The Village At Mission
Prairie Village
3.8 mi2026-06-290142
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01