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Complaint Investigation

Silverstone Place

Inspection Date: November 20, 2025
Total Violations 1
Facility ID 265851
Location ROLLA, MO
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Inspection Findings

F-Tag F0760

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0760 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Administration Record verses the resident and the medication. He/She said he/she should have verified the resident's last name and date of birth prior to administering the insulin. CMT B said he/she did not ask the resident's last name and knew he/she should have asked. He/She said the two residents had just been admitted to the facility.During an interview on 11/20/24 at 8:28 A.M., Resident #1 said staff did give her the wrong medication, he/she said he/she does not know a lot of details, but staff scrambled to get him/her sugar because the insulin took his/her sugar too low. He/She said staff checked on him/her constantly.

He/She said he/she is a diabetic, but he/she does not take insulin just metformin. He/She said the medication error was scary, but staff handled it well.During an interview on 11/20/25 at 8:55 A.M., the administrator said CMT B gave Resident #1 Resident #2's insulin, when resident #1 does not receive insulin for his/her diabetes diagnoses. He/She said the residents have the same first name and were admitted about the same time and across the hall from each other. He/She said CMT B states she verified

the residents name, and the resident said yes. He/She said the resident refused to go to the hospital.

He/She said the resident was given sugar and was place on one-on-one monitoring for over 24 hours.

He/She said there was a full investigation into the medication error and staff were in serviced on insulin administration and the seven rights of medication administration.During an interview on 11/20/25 at 9:45 A.M., The DON said he/she expects all staff administering medication to follow the seven rights of medication administration, and if they have questions they need to verify further. He/She said the medication error was not intentional, Resident #1 and Resident #2 share the same first name and the CMT was confused. He/She educated staff for insulin administration and the seven rights of medication administration.2626672

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📋 Inspection Summary

SILVERSTONE PLACE in ROLLA, MO inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ROLLA, MO, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SILVERSTONE PLACE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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