James River Nursing and Rehabilitation

Name: James River Nursing and Rehabilitation
Address: 3550 EAST BATTLEFIELD, Springfield, MO, 65809, US
Telephone: 4178899500

3550 East Battlefield, Springfield, MO 65809 · Greene County · 120 certified beds · avg 98 residents/day · certified since Jan 17, 1997

Part of chain: ANTHONY & BRYAN ADAMS (38 facilities, chain avg rating 3.8★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.99

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 most recent standard health inspection was more than 2 years ago — conditions may have changed.

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 (28)

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
Jun 18, 2026	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. · from a complaint
Nov 4, 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. · from a complaint
Jul 30, 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.
Jul 30, 2024	E · Potential for harm, repeated	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
Jul 30, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jul 30, 2024	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.
Jul 30, 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.
Jul 30, 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.
Jul 30, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Jul 30, 2024	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Jul 30, 2024	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.
Jul 30, 2024	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.
Jul 30, 2024	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.
Jul 30, 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.
Jul 30, 2024	D · Potential for harm, one-off	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.
Jul 30, 2024	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.
Jul 30, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jul 30, 2024	B · Minimal risk, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Feb 9, 2024	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. · from a complaint
Feb 9, 2024	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Feb 9, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Sep 23, 2022	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.
Sep 23, 2022	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Oct 9, 2019	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.
Oct 9, 2019	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.
Oct 9, 2019	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Oct 9, 2019	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.
Oct 9, 2019	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 16).

Year	Citations	Worst severity that year
2019	5	E
2022	2	F
2024	19	F
2025	1	E
2026	1	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)	3.99	3.66	3.95	top 34% in Missouri; top 40% in the U.S.
Registered Nurse hours	0.53	0.49	0.69	top 33% in Missouri; bottom 42% in the U.S.
Weekend total nurse staffing	3.27	3.22	3.50	top 44% in Missouri; bottom 46% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.30	0.33	0.48	top 42% in Missouri; bottom 32% in the U.S.
Total nursing staff turnover (%)	64.0	56.0	45.8	bottom 29% in Missouri; bottom 11% in the U.S.
RN turnover (%)	76.9	47.8	42.9	bottom 11% in Missouri; bottom 7% 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 3.60, RN 0.48, weekend 2.95. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
3b Holdings, LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2016
Adams, Anthony	Individual	Corporate Officer	NOT APPLICABLE	10/01/2016
Adams, Anthony	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2016
Adams, Bryan	Individual	Corporate Officer	NOT APPLICABLE	10/01/2016
Adams, Bryan	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2016
Alumno, Martin	Individual	Operational/Managerial Control	NOT APPLICABLE	08/28/2024
Alumno, Martin	Individual	ADP of the SNF	NOT APPLICABLE	08/28/2024
Centennial Bank	Organization	ADP of the SNF	NOT APPLICABLE	04/14/2022
Dvorak, Nora	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2017
Dvorak, Nora	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2017
Ellis, John	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2016
Greeneco Re East, LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2016
Home Bancshares	Organization	ADP of the SNF	NOT APPLICABLE	04/14/2022
Incite Rehab, LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2016
Koehler, Tobey	Individual	Corporate Officer	NOT APPLICABLE	10/01/2016
Koehler, Tobey	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2016
Long, Kelsey	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/08/2023
Long, Kelsey	Individual	Operational/Managerial Control	NOT APPLICABLE	08/08/2023
Long, Kelsey	Individual	ADP of the SNF	NOT APPLICABLE	08/08/2023
LTC Systems/Rx, LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2016

Questions to ask on your visit

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

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"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?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"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
Glendale Gardens Nursing & Rehab	1.2 mi	Springfield, MO	★★★☆☆	3/5
Spring Valley Health & Rehabilitation Center	2.7 mi	Springfield, MO	★★☆☆☆	1/5
Cox Medical Centers Meyer Orthopedic and Surgical	3.1 mi	Springfield, MO	★★★★☆	4/5
Springfield Villa	3.2 mi	Springfield, MO	★☆☆☆☆	1/5
Birch Pointe Health and Rehabilitation	3.8 mi	Springfield, MO	★★★☆☆	3/5
Sunterra Springs Springfield	3.9 mi	Springfield, MO	★★★★☆	3/5
Maples Health and Rehabilitation, the	4.3 mi	Springfield, MO	★★★★☆	3/5
Springfield Rehabilitation & Health Care Center	4.8 mi	Springfield, MO	★★★★★	4/5
Magnolia Square Nursing and Rehab	4.9 mi	Springfield, MO	★★☆☆☆	2/5
Neighborhoods at Quail Creek, the	5.2 mi	Springfield, MO	★★★☆☆	3/5
Copper Rock Healthcare	5.3 mi	Rogersville, MO	★☆☆☆☆	2/5
Manor at Elfindale, the	5.4 mi	Springfield, MO	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Springfield →

Facility data as of CMS processing date 2026-08-01. CCN 265664.

The Care File

Visit checklist — James River Nursing and Rehabilitation

3550 East Battlefield, Springfield, MO 65809 · 4178899500

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

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "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?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "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 265664 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)