ElderGrade
C

64/100

Average

Bishop Spencer Place, Inc, The

4301 Madison Avenue, Kansas City, MO 64111

CMS 3/5 stars #12 of 38 in Jackson County (816) 931-4277
Certified beds
57
Occupancy
83%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $8,021 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

18.6/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -1.4 for 21 total citations against a national median of 17

Staffing

27.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 5.97 total nurse hours per resident per day (national median 3.77)
  • 0.84 RN hours per resident per day
  • Weekend staffing drops 19% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 41% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $8,021 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 5.46 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.84 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.41 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 40.60%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 25 citations

Last standard health inspection: January 9, 2026 (7 months ago).

F Jan 9, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

F Jan 9, 2026 F0881

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

No actual harm, potential for more than minimal harm

E Jan 9, 2026 F0607

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

No actual harm, potential for more than minimal harm

E Jan 9, 2026 F0656

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D Jan 9, 2026 F0636

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D Jan 9, 2026 F0644

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

No actual harm, potential for more than minimal harm

D Jan 9, 2026 F0686

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Jan 9, 2026 F0688

Quality of Life and Care Deficiencies

Provide 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.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
ACHELPHOL, RICHARD Individual CORPORATE DIRECTOR
CALVIN, KAREN Individual CORPORATE DIRECTOR
COULTER, JAMES Individual CORPORATE DIRECTOR
ELVING, BEVERLY Individual CORPORATE DIRECTOR
HAVENHILL, LISA Individual CORPORATE DIRECTOR
HUTCHERSON, ANNE Individual CORPORATE DIRECTOR
JOHNSON, JANI Individual CORPORATE DIRECTOR
JOHNSTON, NANETTE Individual CORPORATE DIRECTOR
KEYSE, ANDREW Individual CORPORATE DIRECTOR
LAMPO, JANE Individual CORPORATE DIRECTOR
MCBRIDE, SYDNEY Individual CORPORATE DIRECTOR
MEAUX, AMY Individual CORPORATE DIRECTOR

What families say

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Common questions about Bishop Spencer Place, Inc, The

What is the ElderGrade for Bishop Spencer Place, Inc, The? +

Bishop Spencer Place, Inc, The holds an ElderGrade of C (64 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Bishop Spencer Place, Inc, The? +

Residents receive an average of 5.46 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Bishop Spencer Place, Inc, The been cited for harming residents? +

Yes. 1 of the 25 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Bishop Spencer Place, Inc, The accept Medicaid? +

Yes, Bishop Spencer Place, Inc, The is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.