BISHOP SPENCER PLACE, INC, THE
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-07-29 — IMMEDIATE JEOPARDY (tag F0760, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
Staffing, from payroll records
Nursing hours / resident / day
4.41
state median 2.42
Weekend staffing gap
−14%
fewer nursing hours on weekends · state median −11%
RN hours / resident / day
0.46
registered nurses only
Contract (agency) staff
4%
share of all nursing hours
Days with zero RN hours reported
3
with residents present
Nursing staff turnover
41%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $8,021 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-07-29 | Fine | $8,021 |
Ownership
Ownership type: Non profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-01-09 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2026-01-09 | F0636 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-01-09 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-01-09 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-01-09 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-09 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-09 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-09 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2026-01-09 | F0881 | Infection Control Deficiencies | F | not recorded |
| 2024-07-29 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-29 | F0760 | Pharmacy Service Deficiencies | J | not recorded |
| 2024-02-06 | F0569 | Resident Rights Deficiencies | E | not recorded |
| 2024-02-06 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-02-06 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-02-06 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-06 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-02-06 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-02-06 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-02-06 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-02-06 | F0883 | Infection Control Deficiencies | D | not recorded |
| 2023-08-29 | F0624 | Resident Rights Deficiencies | D | not recorded |
| 2022-07-19 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-07-19 | F0698 | Quality of Life and Care Deficiencies | E | not recorded |
| 2022-07-19 | F0800 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2022-07-19 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |