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RILEY SPENCE SENIOR LIVING

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

5

States

1

Beds

694

Avg score

59.5

Avg turnover

58%

Federal fines

$269,586

All 5 homes

B

72/100

Parkwood Skilled Nursing And Rehabilitation Center

Maryland Heights, MO · St. Louis County

CMS 1/5130 bedsFor-profitMedicaid
Nurse hours
3.18 /day
Staff turnover
52%
Serious cites
0

Parkwood runs on 3.18 nursing hours per resident day, about 18% under the national average of 3.86, and weekend coverage dips roughly 7% below its own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover sits at 51.6%, above the 45.8% national figure, which means many of the people caring for your relative are new to the building. The current record carries 65 deficiencies, including one at the harm or jeopardy level and two tied to abuse; its last inspection was August 2024. Inspections and quality measures each score 2 out of 5, staffing 1 out of 5. Corporate-owned, 130 beds. Ask how the low-staffing shifts are actually covered.

C

60/100

Woodland Manor Nursing Center

Arnold, MO · Jefferson County

CMS 2/5178 bedsFor-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
63%
Serious cites
0

Woodland Manor runs 178 certified beds under for-profit LLC ownership, and its last health inspection came through in late March 2026 with a clean record on harm-level deficiencies, 39 findings total, none rising to actual harm or jeopardy, though one is abuse-related. The staffing picture is where the trouble sits: 3.76 nurse hours per resident day, a bit under the national average, with weekends about 8% thinner than weekdays and turnover at 63.1% against a national 45.8%. Inspectors rated the place 4 of 5, but quality measures and staffing both came back 1 of 5. High turnover plus weekend gaps is what tends to wear on day-to-day care.

C

57/100

Marymount Manor

Eureka, MO · St. Louis County

CMS 1/5174 bedsFor-profitMedicaid
Nurse hours
3.69 /day
Staff turnover
56%
Serious cites
0

Marymount Manor runs 174 beds in Eureka under corporate ownership, and its staffing is thinner than it looks at first glance, 3.69 nurse hours per resident day sits below the national average of 3.86, and weekends drop roughly 8% below what the home itself staffs on weekdays. The bigger concern is stability: 56.3% annual turnover means more than half the nursing staff leaves each year, well above the 45.8% national figure. On inspections, the record shows 51 deficiencies, including 3 at harm or jeopardy level and 2 tied to abuse, with a $132,696 fine and a June 2025 inspection. The pattern in these numbers, heavy turnover, weekend shortfalls, repeat serious findings, is what drives the low marks on quality and inspection performance despite the staffing star.

C

57/100

Silverstone Place

Rolla, MO · Phelps County

CMS 3/5110 bedsFor-profitMedicaid
Nurse hours
2.88 /day
Staff turnover
58%
Serious cites
0

Silverstone Place runs on 2.88 nurse hours per resident day, roughly a quarter below the national average, and weekends dip about 5% below its own weekday levels. Staff turnover sits at 57.7% against a national 45.8%, so more than half the nursing staff leaves each year. The 33 deficiencies on record include two abuse-related citations, though none reached harm or jeopardy. A June 2025 inspection is recent, and the 4/5 health inspection rating suggests the building itself is kept in reasonable order, but a 1/5 staffing rating and 2/5 quality measures tell you where the strain shows up. Ask about weekend coverage and how they retain aides before deciding.

D

51.5/100

Cedar Pointe

Rolla, MO · Phelps County

CMS 1/5102 bedsFor-profitMedicaid
Nurse hours
3.17 /day
Staff turnover
59%
Serious cites
0

Cedar Pointe runs on 3.17 nurse hours per resident per day, roughly 18% under the national average of 3.86, and weekends drop about 15% below what the home staffs on weekdays. That thin coverage sits behind a 58.9% annual turnover rate, well above the 45.8% national figure, so the aides and nurses working the floor keep changing. The current record carries 39 deficiencies, including one at the harm or jeopardy level and three tied to abuse. The last inspection was July 18, 2024, and the for-profit partnership has drawn a 2/5 on health inspections with 1/5 on both quality measures and staffing.