Nursing home · Springfield, MO
James River Nursing and Rehabilitation
3550 East Battlefield, Springfield, MO 65809 · 120 certified beds · for profit ownership · part of Anthony & Bryan Adams
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Jun 18, 2026, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Jul 30, 2024) it had 18 citations, compared with an average of 12.2 for Springfield-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.60 hours per resident per day here, 5% more than the Missouri average (3.43) and 7% less than the U.S. average (3.86). Registered nurses account for 0.48 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 64% over the past year, 8 points higher than Missouri (56%) and 18 points higher than the U.S. (46%).
How James River Nursing and Rehabilitation compares
This home's latest CMS figures next to the averages for Springfield-area homes (24), Missouri (487) and the U.S. (14,680).
| This home | Springfield area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.60 | 3.65 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.48 | 0.84 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.95 | 3.17 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 64% | 56% | 56% | 46% |
| Registered nurse turnover (past year) | 77% | 43% | 48% | 43% |
| Citations at the most recent standard inspection | 18 | 12.2 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 28 of 28 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jun 18, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Nov 4, 2025 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Jul 30, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | D | Deficient, Provider has date of correction |
| Jul 30, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | B | Deficient, Provider has date of correction |
| Jul 30, 2024 | Ensure that residents are free from significant medication errors. Pharmacy service | D | Deficient, Provider has date of correction |
| Jul 30, 2024 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | D | Deficient, Provider has date of correction |
| Jul 30, 2024 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | D | Deficient, Provider has date of correction |
| Jul 30, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of life and care | D | Deficient, Provider has date of correction |
| Jul 30, 2024 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the residentâs advance directives. Quality of life and care | D | Deficient, Provider has date of correction |
| Jul 30, 2024 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of life and care | D | Deficient, Provider has date of correction |
| Jul 30, 2024 | PASARR screening for Mental disorders or Intellectual Disabilities Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jul 30, 2024 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident rights | D | Deficient, Provider has date of correction |
| Jul 30, 2024 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Jul 30, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy service | E | Deficient, Provider has date of correction |
| Jul 30, 2024 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident rights | E | Deficient, Provider has date of correction |
| Jul 30, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Jul 30, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Jul 30, 2024 | Keep residents' personal and medical records private and confidential. Resident rights | D | Deficient, Provider has date of correction |
| Feb 9, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident assessment and care planning · complaint | E | Deficient, Provider has date of correction |
| Feb 9, 2024 | Provide safe, appropriate pain management for a resident who requires such services. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Feb 9, 2024 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from abuse, neglect, and exploitation · complaint | E | Deficient, Provider has date of correction |
| Sep 23, 2022 | Post nurse staffing information every day. Nursing and physician services | C | Deficient, Provider has date of correction |
| Sep 23, 2022 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Oct 9, 2019 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy service | E | Deficient, Provider has date of correction |
| Oct 9, 2019 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Oct 9, 2019 | Reasonably accommodate the needs and preferences of each resident. Resident rights | D | Deficient, Provider has date of correction |
| Oct 9, 2019 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | D | Deficient, Provider has date of correction |
| Oct 9, 2019 | Provide and implement an infection prevention and control program. Infection control | D | Deficient, Provider has date of correction |
Fines and penalties
No federal fines or payment denials reported by CMS in the past three years.
Location
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Reviews
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Questions about James River Nursing and Rehabilitation
Answers computed from CMS data for this facility.
What is James River Nursing and Rehabilitation's Medicare rating?
Medicare rates James River Nursing and Rehabilitation 3 out of 5 stars overall (average). The average for Springfield-area nursing homes is 3.0, for Missouri 2.51 and for the U.S. 2.99.
How did James River Nursing and Rehabilitation do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jun 18, 2026, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Jul 30, 2024) it had 18 citations, compared with an average of 12.2 for Springfield-area homes, 11.4 in Missouri and 9.2 nationally.
Has James River Nursing and Rehabilitation been fined?
CMS reports no federal fines for this facility in the past three years.
Does James River Nursing and Rehabilitation accept Medicaid?
James River Nursing and Rehabilitation is certified for both Medicare and Medicaid. Call (417) 889-9500 to ask whether a Medicaid bed is open.
Other nursing homes near Springfield
- 5/5Springfield Rehabilitation & Health Care CenterSpringfield · 146 beds
- 5/5Wilson's Creek Nursing & RehabSpringfield · 172 beds
- 4/5Cox Medical Centers Meyer Orthopedic and SurgicalSpringfield · 28 beds
- 4/5The Manor at ElfindaleSpringfield · 100 beds
- 4/5The Maples Health and RehabilitationSpringfield · 120 beds
- 4/5Maranatha VillageSpringfield · 120 beds
Compare all 24 Springfield-area nursing homes · Homes that take Medicaid · Rehab and skilled nursing · Springfield guide
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.