James River Nursing and Rehabilitation
3550 East Battlefield · Springfield, MO · 65809 · 4178899500
120 certified beds For profit - Individual Chain: Anthony & Bryan Adams
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
65% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.21 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.37 | 0.55–0.75 |
| Weekend hours / resident-day | 2.76 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (27 in the current record)
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Potential for harm · E November 4, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected December 19, 2025 · Resident Rights
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Potential for harm · D July 30, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected September 13, 2024 · Resident Rights
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Potential for harm · D July 30, 2024
Keep residents' personal and medical records private and confidential.
Corrected September 13, 2024 · Resident Rights
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Potential for harm · E July 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.
Corrected September 13, 2024 · Resident Rights
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Potential for harm · D July 30, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 30, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 13, 2024 · Quality of Life and Care
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Potential for harm · D July 30, 2024
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected September 13, 2024 · Quality of Life and Care
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Potential for harm · D July 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.
Corrected September 13, 2024 · Quality of Life and Care
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Potential for harm · D July 30, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 13, 2024 · Quality of Life and Care
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Potential for harm · D July 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.
Corrected September 13, 2024 · Quality of Life and Care
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Potential for harm · D July 30, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected September 13, 2024 · Pharmacy Service
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Potential for harm · D July 30, 2024
Ensure that residents are free from significant medication errors.
Corrected September 13, 2024 · Pharmacy Service
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Potential for harm · E July 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.
Corrected September 13, 2024 · Pharmacy Service
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Potential for harm · F July 30, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 13, 2024 · Nutrition and Dietary
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Potential for harm · E July 30, 2024
Provide and implement an infection prevention and control program.
Corrected September 13, 2024 · Infection Control
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Potential for harm · E July 30, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 13, 2024 · Resident Rights
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No harm found · B July 30, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected September 13, 2024 · Resident Rights
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Potential for harm · E February 9, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected March 25, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 9, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 25, 2024 · Quality of Life and Care
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Potential for harm · E February 9, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · F September 23, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 7, 2022 · Nutrition and Dietary
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No harm found · C September 23, 2022
Post nurse staffing information every day.
Corrected November 7, 2022 · Nursing and Physician Services
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Potential for harm · D October 9, 2019
Reasonably accommodate the needs and preferences of each resident.
Corrected November 14, 2019 · Resident Rights
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Potential for harm · D October 9, 2019
Ensure medication error rates are not 5 percent or greater.
Corrected November 14, 2019 · Pharmacy Service
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Potential for harm · E October 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.
Corrected November 14, 2019 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265664 · certified since January 17, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.