Magnolia Square Nursing and Rehab
1502 West Edgewood, Springfield, MO 65807 · Greene County · 120 certified beds · avg 97 residents/day · certified since Mar 5, 2002
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: ★★☆☆☆2/5 · CMS overall rating: 2/5
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)
▲ Immediate jeopardy, repeated · Feb 14, 2025 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Mar 31, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (7)
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 |
|---|---|---|
| Jan 15, 2026 | 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 14, 2025 | ▲ K · Immediate jeopardy, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Feb 14, 2025 | 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. |
| Aug 23, 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 |
| Dec 14, 2023 | 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. |
| Dec 14, 2023 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Jun 25, 2021 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 1 | 0 | D |
| 2023 | 2 | 0 | F |
| 2024 | 1 | 0 | D |
| 2025 | 2 | 1 | K ▲ |
| 2026 | 1 | 0 | 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)
1 fine totaling $26,215.
| Date | Type | Amount / length |
|---|---|---|
| Feb 14, 2025 | Fine | $26,215 |
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) | 3.82 | 3.66 | 3.95 | top 41% in Missouri; top 48% in the U.S. |
| Registered Nurse hours | 0.38 | 0.49 | 0.69 | bottom 42% in Missouri; bottom 19% in the U.S. |
| Weekend total nurse staffing | 2.93 | 3.22 | 3.50 | bottom 39% in Missouri; bottom 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.14 | 0.33 | 0.48 | bottom 11% in Missouri; bottom 4% in the U.S. |
| Total nursing staff turnover (%) | 53.8 | 56.0 | 45.8 | top 41% in Missouri; bottom 28% in the U.S. |
| RN turnover (%) | 44.4 | 47.8 | 42.9 | top 44% in Missouri; bottom 45% 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 3.46, RN 0.35, weekend 2.66. 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: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| RHC Operations INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 08/07/2016 |
| 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 | 10/01/2016 |
| 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 West, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2016 |
| Home Bancshares | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2016 |
| Incite Rehab, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2016 |
| Koehler, Tobey | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2016 |
| LTC Systems/Rx, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2016 |
| Mainord, William | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2016 |
| McGinnis, Larry | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2016 |
| Parker, Shana | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/26/2018 |
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?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "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 |
|---|---|---|---|---|---|
| Springfield Rehabilitation & Health Care Center | 0.3 mi | Springfield, MO | ★★★★★ | 4/5 | |
| Maples Health and Rehabilitation, the | 0.7 mi | Springfield, MO | ★★★★☆ | 3/5 | |
| Manor at Elfindale, the | 1.2 mi | Springfield, MO | ★★★★☆ | 4/5 | |
| Birch Pointe Health and Rehabilitation | 1.8 mi | Springfield, MO | ★★★☆☆ | 3/5 | |
| Springfield Villa | 1.8 mi | Springfield, MO | ★☆☆☆☆ | 1/5 | |
| Neighborhoods at Quail Creek, the | 2.1 mi | Springfield, MO | ★★★☆☆ | 3/5 | |
| Cox Medical Centers Meyer Orthopedic and Surgical | 2.2 mi | Springfield, MO | ★★★★☆ | 4/5 | |
| Spring Valley Health & Rehabilitation Center | 2.2 mi | Springfield, MO | ★★☆☆☆ | 1/5 | |
| Wilson's Creek Nursing & Rehab | 3.2 mi | Springfield, MO | ★★★★★ | 5/5 | |
| Brookhaven Nursing & Rehab | 3.3 mi | Springfield, MO | ★★☆☆☆ | 3/5 | |
| Sunterra Springs Springfield | 3.5 mi | Springfield, MO | ★★★★☆ | 3/5 | |
| Springfield Skilled Care Center | 3.5 mi | Springfield, MO | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 265731.