Springfield Villa
1100 East Montclair · Springfield, MO · 65807 · 4175691114
146 certified beds For profit - Limited Liability company Chain: James & Judy Lincoln
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).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
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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
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.
$69,595 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.18 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.92 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
68% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
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: 1 of 5
| Total nurse hours / resident-day | 2.92 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.18 | 0.55–0.75 |
| Weekend hours / resident-day | 2.47 | ≈ weekday level |
| Nursing turnover / year | 68% | median 45% |
| Fines (3-yr window) | 1 · $69,595 |
Inspection citations (38 in the current record)
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Immediate jeopardy · J February 2, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 10, 2026 · Quality of Life and Care
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Potential for harm · D February 2, 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 March 10, 2026 · Pharmacy Service
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Potential for harm · D December 11, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 10, 2026 · Quality of Life and Care
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Potential for harm · D December 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 19, 2026 · Quality of Life and Care
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Potential for harm · D September 4, 2025 · 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 September 5, 2025 · Resident Rights
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Potential for harm · D September 4, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 5, 2025 · Quality of Life and Care
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Potential for harm · D July 10, 2025 · 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.
Deficient, Provider has no plan of correction · Resident Rights
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Potential for harm · D July 10, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · D July 10, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 20, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025 · 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.
Deficient, Provider has no plan of correction · Resident Rights
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Potential for harm · E June 5, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected July 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 5, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Actual harm · G February 28, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 10, 2025 · Quality of Life and Care
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Potential for harm · D February 28, 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 April 10, 2025 · Resident Rights
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Potential for harm · E November 21, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected January 5, 2024 · Resident Rights
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Potential for harm · E November 21, 2023
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 January 5, 2024 · Resident Rights
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Potential for harm · D November 21, 2023
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 January 5, 2024 · Quality of Life and Care
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Potential for harm · D November 21, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 5, 2024 · Quality of Life and Care
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Potential for harm · F November 21, 2023
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected January 5, 2024 · Nutrition and Dietary
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Potential for harm · E November 21, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected January 5, 2024 · Nutrition and Dietary
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Potential for harm · F November 21, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 5, 2024 · Nutrition and Dietary
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Potential for harm · E November 21, 2023
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected January 5, 2024 · Environmental
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Actual harm · G August 16, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 19, 2023 · Quality of Life and Care
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Actual harm · G June 27, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 19, 2023 · Quality of Life and Care
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Potential for harm · D June 27, 2023 · 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 August 11, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 11, 2025 | Fine | $69,595 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265814 · certified since June 1, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.