Birch Pointe Health and Rehabilitation
3705 S Jefferson Ave, Springfield, MO 65807 · Greene County · 120 certified beds · avg 106 residents/day · certified since Dec 28, 2017
Part of chain: ANTHONY & BRYAN ADAMS (38 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Aug 22, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 2, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (30)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 13, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 13, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Feb 13, 2025 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Feb 13, 2025 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Feb 13, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 13, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 13, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Feb 13, 2025 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Aug 22, 2024 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jul 12, 2024 | E · Potential for harm, repeated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Dec 1, 2023 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 1, 2023 | E · Potential for harm, repeated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Dec 1, 2023 | E · Potential for harm, repeated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Aug 1, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Aug 1, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Aug 1, 2023 | D · Potential for harm, one-off | The facility did not provide timely, approved x-ray services or have an agreement with an approved provider to supply them. · from a complaint |
| Jun 2, 2021 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 2, 2021 | E · Potential for harm, repeated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. |
| Jun 2, 2021 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jun 2, 2021 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jun 2, 2021 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. |
| Jun 2, 2021 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jun 2, 2021 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jun 2, 2021 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jun 2, 2021 | D · Potential for harm, one-off | The facility did not provide routine dental care and 24-hour emergency dental care for residents. |
| Jun 2, 2021 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 10 | 0 | F |
| 2023 | 10 | 0 | F |
| 2024 | 2 | 1 | G ▲ |
| 2025 | 8 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.63 | 3.66 | 3.95 | top 48% in Missouri; bottom 43% in the U.S. |
| Registered Nurse hours | 0.67 | 0.49 | 0.69 | top 15% in Missouri; top 40% in the U.S. |
| Weekend total nurse staffing | 3.16 | 3.22 | 3.50 | bottom 50% in Missouri; bottom 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.33 | 0.48 | top 26% in Missouri; bottom 46% in the U.S. |
| Total nursing staff turnover (%) | 63.3 | 56.0 | 45.8 | bottom 32% in Missouri; bottom 12% in the U.S. |
| RN turnover (%) | 69.2 | 47.8 | 42.9 | bottom 19% in Missouri; bottom 12% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.24, RN 0.60, weekend 2.82. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 3b Holdings, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/13/2015 |
| 50 Eggs, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
| Adams, Anthony | Individual | Corporate Officer | NOT APPLICABLE | 05/13/2015 |
| Adams, Anthony | Individual | ADP of the SNF | NOT APPLICABLE | 05/13/2015 |
| Adams, Bryan | Individual | Corporate Officer | NOT APPLICABLE | 05/13/2015 |
| Adams, Bryan | Individual | ADP of the SNF | NOT APPLICABLE | 05/13/2015 |
| Alumno, Martin | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/28/2024 |
| Alumno, Martin | Individual | ADP of the SNF | NOT APPLICABLE | 08/28/2024 |
| Dvorak, Nora | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/28/2017 |
| Dvorak, Nora | Individual | Corporate Director | NOT APPLICABLE | 01/01/2017 |
| Dvorak, Nora | Individual | ADP of the SNF | NOT APPLICABLE | 12/28/2017 |
| Ellis, John | Individual | ADP of the SNF | NOT APPLICABLE | 12/28/2017 |
| First Security Bancorp | Organization | ADP of the SNF | NOT APPLICABLE | 05/13/2015 |
| First Security Bank | Organization | ADP of the SNF | NOT APPLICABLE | 05/13/2015 |
| Incite Rehab, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/28/2017 |
| Koehler, Tobey | Individual | ADP of the SNF | NOT APPLICABLE | 12/28/2017 |
| Lowe, Clinton | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/15/2024 |
| Lowe, Clinton | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/15/2024 |
| Lowe, Clinton | Individual | ADP of the SNF | NOT APPLICABLE | 07/15/2024 |
| LTC Systems/Rx, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/28/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Cox Medical Centers Meyer Orthopedic and Surgical | 0.8 mi | Springfield, MO | ★★★★☆ | 4/5 | |
| Springfield Villa | 0.9 mi | Springfield, MO | ★☆☆☆☆ | 1/5 | |
| Maples Health and Rehabilitation, the | 1.4 mi | Springfield, MO | ★★★★☆ | 3/5 | |
| Neighborhoods at Quail Creek, the | 1.4 mi | Springfield, MO | ★★★☆☆ | 3/5 | |
| Spring Valley Health & Rehabilitation Center | 1.4 mi | Springfield, MO | ★★☆☆☆ | 1/5 | |
| Springfield Rehabilitation & Health Care Center | 1.5 mi | Springfield, MO | ★★★★★ | 4/5 | |
| Sunterra Springs Springfield | 1.7 mi | Springfield, MO | ★★★★☆ | 3/5 | |
| Magnolia Square Nursing and Rehab | 1.8 mi | Springfield, MO | ★★☆☆☆ | 2/5 | |
| Manor at Elfindale, the | 2.9 mi | Springfield, MO | ★★★★☆ | 4/5 | |
| James River Nursing and Rehabilitation | 3.8 mi | Springfield, MO | ★★★☆☆ | 3/5 | |
| Glendale Gardens Nursing & Rehab | 4.3 mi | Springfield, MO | ★★★☆☆ | 3/5 | |
| Wilson's Creek Nursing & Rehab | 5.0 mi | Springfield, MO | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 265865.