ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes
B

70.5/100

Above average

James River Nursing And Rehabilitation

3550 East Battlefield, Springfield, MO 65809

CMS 3/5 stars #13 of 21 in Greene County (417) 889-9500
Certified beds
120
Occupancy
81%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • Nursing staff turnover of 64%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

  • Last inspection was more than 2 years ago

    Ratings here are based on older survey data than at most facilities.

Our read on James River Nursing And Rehabilitation

James River Nursing and Rehabilitation runs 120 certified beds in Springfield under individual for-profit ownership, and its staffing picture is the main thing to know. Nurses provide 3.60 hours per resident day, roughly 7% under the national average, and weekend coverage drops about 18% below what the home staffs on weekdays. Annual turnover sits at 64% against a national 45.8%, so the people caring for residents change often. The current record shows 27 deficiencies, one abuse-related, though none at the harm or jeopardy level. Inspectors last visited July 30, 2024. CMS gives the home middle marks for health inspections and quality measures, but two stars for staffing, the number that tracks closest to daily care.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing16.5/30Stability5/15Outcomes9/15Enforcement10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

16.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →3.99 total nurse hours per resident per day (national median 3.77)
  • →0.48 RN hours per resident per day
  • →Weekend staffing drops 18% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →64% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →3 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day3.60 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.48 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours2.95 hrs
National average 3.42 hrsBelow average

The shift most families visit, and the one thinned first.

Nursing staff turnover64.00%
National average 45.80%Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: July 30, 2024 (2 years ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of ANTHONY & BRYAN ADAMS, which operates 38 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

Write a review

No family reviews yet for James River Nursing And Rehabilitation. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern , that routes you to your state ombudsman, who can actually intervene.

Common questions about James River Nursing And Rehabilitation

What is the ElderGrade for James River Nursing And Rehabilitation? +

James River Nursing And Rehabilitation holds an ElderGrade of B (70.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at James River Nursing And Rehabilitation? +

Residents receive an average of 3.60 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has James River Nursing And Rehabilitation been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does James River Nursing And Rehabilitation accept Medicaid? +

Yes, James River Nursing And Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.