BISHOP SPENCER PLACE, INC, THE
4301 MADISON AVENUE, KANSAS CITY, MO 64111 · CCN 265768
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 57
- Avg residents/day
- 43.4
- Phone
- 8169314277
Inspection history vs Missouri & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Missouri avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-02-06 | 9 | 11.9 | 9.5 | -2.9 better |
| 2 | 2022-07-19 | 6 | 13.0 | 9.8 | -7.0 better |
| 3 | 2019-09-19 | 8 | 11.0 | 9.3 | -3.0 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 2 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.19 | 50.0% |
| RN staffing (reported) | 0.85 | 50.0% |
| Total nurse staffing (adjusted) | 5.67 | — |
Fines & penalties
- Total fines
- $8,021
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (23)1 immediate jeopardy
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-29 · Health · corrected 2024-08-28
Potential for more than minimal harm
- JF0760Ensure that residents are free from significant medication errors.2024-07-29 · Health · corrected 2024-07-25
Immediate jeopardy
- EF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2024-02-06 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-02-06 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-06 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-06 · Health · corrected 2024-03-22
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-06 · Health · corrected 2024-03-22
Potential for more than minimal harm
- EF0761Ensure 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.2024-02-06 · Health · corrected 2024-03-22
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-06 · Health · corrected 2024-03-22
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-02-06 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-02-06 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0624Prepare residents for a safe transfer or discharge from the nursing home.2023-08-29 · Health · corrected 2023-09-13
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-06-06 · Health · corrected 2023-04-14
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-06-06 · Health · corrected 2023-07-03
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-07-19 · Health · corrected 2022-09-02
Potential for more than minimal harm
- EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-07-19 · Health · corrected 2022-09-02
Potential for more than minimal harm
- EF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2022-07-19 · Health · corrected 2022-09-02
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-07-19 · Health · corrected 2022-09-02
Potential for more than minimal harm
- EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2019-09-19 · Health · corrected 2019-11-02
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2019-09-19 · Health · corrected 2019-11-02
Potential for more than minimal harm
- DF0758Implement 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.2019-09-19 · Health · corrected 2019-11-02
Potential for more than minimal harm
- DF0790Provide routine and 24-hour emergency dental care for each resident.2019-09-19 · Health · corrected 2019-11-02
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2019-09-19 · Health · corrected 2019-11-02
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SAINT LUKES HEALTH SYSTEM INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1996-12-16 |
| ACHELPHOL, RICHARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| CALVIN, KAREN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-01-01 |
| COULTER, JAMES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 |
| ELVING, BEVERLY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| HAVENHILL, LISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-01-19 |
| HUTCHERSON, ANNE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 |
| JACKSON, ANTHONY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| JOHNSON, JANI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-01-15 |
| JOHNSTON, NANETTE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| KEYSE, ANDREW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 |
| LAMPO, JANE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-01-01 |
| MCBRIDE, SYDNEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-08-07 |
| MEAUX, AMY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-03 |
| PURCELL, JASON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| SPARKS, RANDY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-01 |
| WOOTTON, KRISTEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| ACHELPHOL, RICHARD | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| CALVIN, KAREN | Individual | CORPORATE DIRECTOR | — | 2022-01-01 |
| COULTER, JAMES | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| ELVING, BEVERLY | Individual | CORPORATE DIRECTOR | — | 2019-01-01 |
| HAVENHILL, LISA | Individual | CORPORATE DIRECTOR | — | 2020-01-19 |
| HUTCHERSON, ANNE | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| JOHNSON, JANI | Individual | CORPORATE DIRECTOR | — | 2020-01-15 |
| JOHNSTON, NANETTE | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| KEYSE, ANDREW | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| LAMPO, JANE | Individual | CORPORATE DIRECTOR | — | 2022-01-01 |
| MCBRIDE, SYDNEY | Individual | CORPORATE DIRECTOR | — | 2025-08-11 |
| MEAUX, AMY | Individual | CORPORATE DIRECTOR | — | 2025-05-03 |
| PURCELL, JASON | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| WOOTTON, KRISTEN | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| HAVENHILL, LISA | Individual | CORPORATE OFFICER | — | 2019-01-19 |
| MCBRIDE, SYDNEY | Individual | CORPORATE OFFICER | — | 2025-08-11 |
Other facilities in KANSAS CITY
| Name | Overall | Beds |
|---|---|---|
| HOPE CARE CENTER | ★★★★★ | 16 |
| JEANNE JUGAN CENTER | ★★★★★ | 52 |
| MCCRITE PLAZA AT BRIARCLIFF SKILLED FACILITY | ★★★★☆ | 56 |
| IGNITE MEDICAL RESORT KANSAS CITY, LLC | ★★★★☆ | 90 |
| SEASONS REHAB AND HEALTHCARE CENTER | ★★★★☆ | 78 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.