Missouri › Greene County › Springfield
James River Nursing and Rehabilitation
3550 East Battlefield, Springfield, MO 65809
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
James River Nursing and Rehabilitation is a For-profit, individual nursing home in Springfield, Missouri, certified for 120 beds and caring for about 98 residents a day.
CMS gives it 3 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 3, staffing 2 and quality measures 3.
Inspectors recorded 28 health deficiencies across the three most recent survey cycles (18, 2, 8 by cycle, most recent first), none at the actual-harm level. That is 23.3 per 100 beds, fewer than the state median of 32.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.6 hours per resident per day (0.5 RN), close to the Missouri median of 3.4; nursing staff turnover is 64.0%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Greene Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 2 | 3.0 |
| Health citations, 3 cycles | 28 | 28 | 31 | 28.7 |
| Citations per 100 beds | 23.3 | 25.0 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.2 | 3.4 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 64.0% | 57.3% | 56.1% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (21 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Jul 2024, 23 Sep 2022.
Severity mix: D ×15 E ×9 F ×2 B ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 4 Nov 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Complaint investigation | 19 Dec 2025 |
| 30 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 13 Sep 2024 |
| 30 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 13 Sep 2024 |
| 30 Jul 2024 | F0584 | 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. | E | Standard survey | 13 Sep 2024 |
| 30 Jul 2024 | F0761 | 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. | E | Standard survey | 13 Sep 2024 |
| 30 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 13 Sep 2024 |
| 30 Jul 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 13 Sep 2024 |
| 30 Jul 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 13 Sep 2024 |
| 30 Jul 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 13 Sep 2024 |
| 30 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 13 Sep 2024 |
| 30 Jul 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Standard survey | 13 Sep 2024 |
| 30 Jul 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 13 Sep 2024 |
| 30 Jul 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 13 Sep 2024 |
| 30 Jul 2024 | F0700 | 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. | D | Standard survey | 13 Sep 2024 |
| 30 Jul 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 13 Sep 2024 |
| 30 Jul 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 13 Sep 2024 |
| 30 Jul 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 13 Sep 2024 |
| 9 Feb 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint investigation | 25 Mar 2024 |
| 9 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 25 Mar 2024 |
| 9 Feb 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 25 Mar 2024 |
| 23 Sep 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 7 Nov 2022 |
| 23 Sep 2022 | F0732 | Post nurse staffing information every day. | C | Standard survey | 7 Nov 2022 |
| 9 Oct 2019 | F0761 | 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. | E | Standard survey | 14 Nov 2019 |
| 9 Oct 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 14 Nov 2019 |
| 9 Oct 2019 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 14 Nov 2019 |
| 9 Oct 2019 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 14 Nov 2019 |
| 9 Oct 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Nov 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 64.0%, RNs 76.9%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.9% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.9% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.8% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.3% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, individual. CMS groups this facility with 38 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 3b Holdings, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2016 |
| Centennial Bank | Adp of the snf | NOT APPLICABLE | 04/14/2022 |
| Greeneco Re East, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2016 |
| Home Bancshares | Adp of the snf | NOT APPLICABLE | 04/14/2022 |
| Incite Rehab, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2016 |
| LTC Systems/Rx, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2016 |
| Pharmacy Consults, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2016 |
| Reliance Health Care, Inc. | Adp of the snf | NOT APPLICABLE | 10/01/2016 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Greene County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Republic Nursing & Rehab | Republic | 127 | 5 | 4 | 3 | 17 | 13.4 | — | 18 Sep 2025 |
| Springfield Rehabilitation & Health Care Center | Springfield | 146 | 5 | 4 | 4 | 28 | 19.2 | — | 10 Apr 2026 |
| Wilson'S Creek Nursing & Rehab | Springfield | 172 | 5 | 5 | 4 | 18 | 10.5 | — | 30 Nov 2023 |
| Cox Medical Centers Meyer Orthopedic and Surgical | Springfield | 28 | 4 | 4 | 4 | 9 | 32.1 | — | 23 Apr 2026 |
| Manor At Elfindale, The | Springfield | 100 | 4 | 4 | 4 | 10 | 10.0 | — | 17 Nov 2025 |
| Maples Health and Rehabilitation, The | Springfield | 120 | 4 | 3 | 3 | 22 | 18.3 | — | 7 Mar 2025 |
| Maranatha Village, Inc | Springfield | 120 | 4 | 3 | 4 | 26 | 21.7 | $16K | 3 Jun 2025 |
| Sunterra Springs Springfield | Springfield | 38 | 4 | 3 | 4 | 27 | 71.1 | $37K | 2 Jun 2025 |
All 21 facilities in Greene County
Questions and answers
How many deficiencies has James River Nursing and Rehabilitation been cited for?
28 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has James River Nursing and Rehabilitation been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at James River Nursing and Rehabilitation compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates James River Nursing and Rehabilitation?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, individual. Individual owners and managers are not listed on this site.
When was James River Nursing and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 18 Jun 2026; the most recent standard health survey was 30 Jul 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.