Springfield Skilled Care Center
2401 West Grand · Springfield, MO · 65802 · 4178644545
120 certified beds For profit - Corporation Chain: Mgm Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $189,066 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
4 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$189,066 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
76% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.06 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 2.55 | ≈ weekday level |
| Nursing turnover / year | 76% | median 45% |
| Fines (3-yr window) | 2 · $189,066 |
Inspection citations (97 in the current record)
-
Potential for harm · D January 27, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 24, 2026 · Resident Rights
-
Actual harm · G January 13, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 24, 2026 · Quality of Life and Care
-
Actual harm · G January 13, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 24, 2026 · Pharmacy Service
-
Potential for harm · D January 13, 2026 · found via complaint
Honor the resident's right to manage his or her financial affairs.
Corrected February 24, 2026 · Resident Rights
-
Potential for harm · E January 13, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 24, 2026 · Pharmacy Service
-
Potential for harm · D January 13, 2026 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected February 24, 2026 · Pharmacy Service
-
Potential for harm · D January 13, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 24, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D April 10, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 20, 2025 · Pharmacy Service
-
Immediate jeopardy · J February 13, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 27, 2025 · Quality of Life and Care
-
Actual harm · G February 13, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 27, 2025 · Quality of Life and Care
-
Actual harm · G February 13, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 27, 2025 · Pharmacy Service
-
Potential for harm · D February 13, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 27, 2025 · Resident Rights
-
Potential for harm · D February 13, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 27, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D February 13, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 27, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D February 13, 2025
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected March 27, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D February 13, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 27, 2025 · Quality of Life and Care
-
Potential for harm · D February 13, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 27, 2025 · Quality of Life and Care
-
Potential for harm · D February 13, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 20, 2025 · Quality of Life and Care
-
Potential for harm · E February 13, 2025
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 May 20, 2025 · Quality of Life and Care
-
Potential for harm · D February 13, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 27, 2025 · Resident Assessment and Care Planning
-
Potential for harm · F February 13, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected March 27, 2025 · Administration
-
Potential for harm · D February 13, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected March 27, 2025 · Environmental
-
Potential for harm · D February 13, 2025 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 27, 2025 · Resident Rights
-
Potential for harm · D February 13, 2025 · found via complaint
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 March 27, 2025 · Quality of Life and Care
-
Potential for harm · E February 13, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 20, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 13, 2026 | Fine | $83,545 |
| February 13, 2025 | Fine | $105,521 |
| February 13, 2025 | Payment Denial | 46 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265477 · certified since November 15, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.