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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMissouriJames River Nursing and Rehabilitation

James River Nursing and Rehabilitation

3550 East Battlefield, Springfield, MO 658094178899500
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
2/5
Quality
4/5
Beds
120
certified

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 120 certified beds with an average of 90.7 residents per day (76% occupancy)

• Last health inspection found 17 deficiencies (inspected Jul 30, 2024)

• No fines on record

• Total nursing staff: 3.41 hours per resident per day

• Staff turnover rate: 58.3% (high)

• Part of the Anthony & Bryan Adams chain (38 facilities)

James River Nursing and Rehabilitation is a 3-star Medicare and Medicaid certified nursing home in Springfield, Missouri with 120 certified beds. It has been operating since 1997. The facility scored at average compared to Missouri facilities.

Beds
120
Avg Residents/Day
90.7
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 17, 1997
Sprinklers
Yes
Council
Resident
County
Greene
Last Inspection
Jul 30, 2024
Deficiencies (Cycle 1)
17
Weighted Score
81.0
Infection Citations
0

Deficiency Citations (27)

F0561Potential for Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey: Nov 4, 2025Corrected: NoCycle: 1
F0561Potential for Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey: Jul 30, 2024Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Jul 30, 2024Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Jul 30, 2024Corrected: NoCycle: 1
F0623Minimal Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Jul 30, 2024Corrected: NoCycle: 1
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Jul 30, 2024Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jul 30, 2024Corrected: NoCycle: 1
F0678Potential for Harm

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Survey: Jul 30, 2024Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Jul 30, 2024Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Jul 30, 2024Corrected: NoCycle: 1
F0700Potential for Harm

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.

Survey: Jul 30, 2024Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Jul 30, 2024Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Jul 30, 2024Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Jul 30, 2024Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jul 30, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 30, 2024Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Jul 30, 2024Corrected: NoCycle: 1
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Feb 9, 2024Corrected: NoCycle: 2
F0697Potential for Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Feb 9, 2024Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Feb 9, 2024Corrected: NoCycle: 2
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Sep 23, 2022Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Sep 23, 2022Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Oct 9, 2019Corrected: NoCycle: 3
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Oct 9, 2019Corrected: NoCycle: 3
F0761Potential for Harm

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.

Survey: Oct 9, 2019Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Oct 9, 2019Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 9, 2019Corrected: NoCycle: 3
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.26 hrs
National avg: 2.35 hrs
LPN0.81 hrs
National avg: 0.86 hrs
RN0.35 hrs
National avg: 0.68 hrs
Total Nursing3.41 hrs
National avg: 3.89 hrs
Weekend Total2.77 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
58.3%
RN Turnover
40.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Individual
Recent Change
No

Owners & Managers (8)

NameRoleTypeOwnership %Since
RHC OPERATIONS INC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Oct 1, 2016
ADAMS, ANTHONY5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%Oct 1, 2016
ADAMS, BRYAN5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%Oct 1, 2016
ALUMNO, MARTINOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 28, 2024
LONG, KELSEYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 8, 2023
ADAMS, ANTHONYCORPORATE OFFICERIndividualN/AOct 1, 2016
ADAMS, BRYANCORPORATE OFFICERIndividualN/AOct 1, 2016
KOEHLER, TOBEYCORPORATE OFFICERIndividualN/AOct 1, 2016

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Frequently Asked Questions

What is the CMS rating for James River Nursing and Rehabilitation?▾
James River Nursing and Rehabilitation has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 2/5, and quality measures rating of 4/5. This facility is rated average.
Has James River Nursing and Rehabilitation had any health inspection violations?▾
James River Nursing and Rehabilitation had 17 deficiency citations in its most recent health inspection (Jul 30, 2024). The facility has no fines on record.
What are the staffing levels at James River Nursing and Rehabilitation?▾
James River Nursing and Rehabilitation provides 3.41 total nursing staff hours per resident per day, including 0.35 RN hours, 0.81 LPN hours, and 2.26 nurse aide hours. The total staff turnover rate is 58.3%.
How many beds does James River Nursing and Rehabilitation have?▾
James River Nursing and Rehabilitation has 120 certified beds with an average of 90.7 residents per day, resulting in approximately 76% occupancy. The facility is For profit - Individual owned and is part of the Anthony & Bryan Adams chain.
Are there other nursing homes near James River Nursing and Rehabilitation?▾
Yes, there are 16 other nursing homes in Springfield, Missouri with an average rating of 3/5. You can compare all facilities on the Springfield nursing homes page.

Part of Anthony & Bryan Adams

This chain operates 38 facilities. View all →