Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

BISHOP SPENCER PLACE, INC, THE

KANSAS CITY, MO · 57 certified beds · Last Life Safety survey January 9, 2026

CMS Certification Number 265768 · first certified November 2003

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

22
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within MO

22 citations — more than 58% of the 487 certified nursing homes in MO. Compared within MO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 9 citations; the earlier surveys in the window averaged 6.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens March 2027 — about 5 months from now. This facility’s last Life Safety survey was January 2026. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 22 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 22 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.

This facility22MO median18National median11
Citations on file over three years, compared
MeasureCitations
This facility22
Median facility in MO18
Median facility nationally11

Survey history

Citations at each Life Safety survey
02022-07132024-0292026-01
Citations at each Life Safety survey
Survey dateCitations
July 19, 20220
February 6, 202413
January 9, 20269

Most-cited tags

Most-cited tags at this facility
K-03632K-03532K-03552K-09202E-00151K-03431K-07611K-03211
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.22026-01-09
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-01-09
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.22026-01-09
K-0920Ensure proper usage of power strips and extension cords.22026-01-09
E-0015Address subsistence needs for staff and patients.12026-01-09
K-0343Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.12024-02-06
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12024-02-06
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12024-02-06

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Miscellaneous Deficiencies 3
  • Egress Deficiencies 2
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Gas, Vacuum, and Electrical Systems Deficiencies5
Miscellaneous Deficiencies3
Egress Deficiencies2
Emergency Preparedness Deficiencies2
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 9, 2026 — 9 citations

Citations issued on January 9, 2026
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (February 23, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 23, 2026)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (February 23, 2026)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (February 23, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 23, 2026)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (February 23, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 23, 2026)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (February 23, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (February 23, 2026)

February 6, 2024 — 13 citations

Citations issued on February 6, 2024
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (March 22, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (March 22, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (March 22, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Waiver has been granted
K-0343Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.Deficient, Provider has date of correction (March 22, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 22, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (March 22, 2024)
K-0363Install corridor and hallway doors that block smoke.Waiver has been granted
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (March 22, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (March 22, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 22, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 22, 2024)
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.Deficient, Provider has date of correction (March 22, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.