Glendale Gardens Nursing & Rehab

Name: Glendale Gardens Nursing & Rehab
Address: 3535 EAST CHEROKEE, Springfield, MO, 65809, US
Telephone: 4178899955

3535 East Cherokee, Springfield, MO 65809 · Greene County · 120 certified beds · avg 96 residents/day · certified since Oct 28, 1991

Part of chain: JAMES & JUDY LINCOLN (56 facilities, chain avg rating 2.4★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.43

Nurse hours/resident/day (adjusted)

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.

All citations in the current public record (34)

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
Apr 24, 2026	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Mar 4, 2026	D · Potential for harm, one-off	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 11, 2025	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 11, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Dec 11, 2025	D · Potential for 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
Dec 10, 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.
Dec 10, 2025	E · Potential for harm, repeated	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Dec 10, 2025	E · Potential for harm, repeated	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 10, 2025	E · Potential for harm, repeated	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.
Dec 10, 2025	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.
Dec 10, 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.
Dec 10, 2025	E · Potential for harm, repeated	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.
Dec 10, 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.
Dec 10, 2025	E · Potential for harm, repeated	The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames.
Dec 10, 2025	D · Potential for 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.
Jul 1, 2025	D · Potential for harm, one-off	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
Jul 1, 2025	D · Potential for harm, one-off	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
Aug 1, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Feb 8, 2024	D · Potential for harm, one-off	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
Feb 8, 2024	D · Potential for harm, one-off	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
Jan 26, 2024	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.
Jan 26, 2024	E · Potential for harm, repeated	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Jan 26, 2024	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. · from a complaint
Jan 26, 2024	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.
Jan 26, 2024	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.
Jan 26, 2024	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Nov 5, 2021	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.
Nov 5, 2021	F · Potential for harm, facility-wide	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Nov 5, 2021	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Nov 5, 2021	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Nov 5, 2021	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.
Nov 5, 2021	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 5, 2021	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.
Nov 5, 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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 10).

Year	Citations	Worst severity that year
2021	8	F
2024	9	F
2025	15	E
2026	2	D

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)	3.43	3.66	3.95	bottom 43% in Missouri; bottom 33% in the U.S.
Registered Nurse hours	0.56	0.49	0.69	top 29% in Missouri; bottom 46% in the U.S.
Weekend total nurse staffing	2.67	3.22	3.50	bottom 25% in Missouri; bottom 15% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.28	0.33	0.48	top 48% in Missouri; bottom 27% in the U.S.
Total nursing staff turnover (%)	57.3	56.0	45.8	bottom 48% in Missouri; bottom 21% in the U.S.
RN turnover (%)	36.4	47.8	42.9	top 32% in Missouri; top 40% 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 3.15, RN 0.51, weekend 2.45. 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
Lincoln, James	Individual	5% or Greater Direct Ownership Interest	50%	12/01/2014
Lincoln, Judy	Individual	5% or Greater Direct Ownership Interest	50%	12/01/2014
LTC Management Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2014
Sharp, Brian	Individual	W-2 Managing Employee	NOT APPLICABLE	04/25/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
"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
James River Nursing and Rehabilitation	1.2 mi	Springfield, MO	★★★☆☆	3/5
Spring Valley Health & Rehabilitation Center	2.9 mi	Springfield, MO	★★☆☆☆	1/5
Springfield Villa	3.5 mi	Springfield, MO	★☆☆☆☆	1/5
Cox Medical Centers Meyer Orthopedic and Surgical	3.5 mi	Springfield, MO	★★★★☆	4/5
Birch Pointe Health and Rehabilitation	4.3 mi	Springfield, MO	★★★☆☆	3/5
Maples Health and Rehabilitation, the	4.3 mi	Springfield, MO	★★★★☆	3/5
Sunterra Springs Springfield	4.7 mi	Springfield, MO	★★★★☆	3/5
Springfield Rehabilitation & Health Care Center	4.8 mi	Springfield, MO	★★★★★	4/5
Magnolia Square Nursing and Rehab	5.0 mi	Springfield, MO	★★☆☆☆	2/5
Manor at Elfindale, the	5.2 mi	Springfield, MO	★★★★☆	4/5
Neighborhoods at Quail Creek, the	5.7 mi	Springfield, MO	★★★☆☆	3/5
Copper Rock Healthcare	5.9 mi	Rogersville, MO	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Springfield →

Facility data as of CMS processing date 2026-08-01. CCN 265473.

The Care File

Visit checklist — Glendale Gardens Nursing & Rehab

3535 East Cherokee, Springfield, MO 65809 · 4178899955

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265473 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)