Manor at Elfindale, the
1707 West Elfindale Street, Springfield, MO 65807 · Greene County · 100 certified beds · avg 93 residents/day · certified since Aug 11, 2006
Part of chain: VETTER SENIOR LIVING (22 facilities, chain avg rating 4.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 (10)
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 |
|---|---|---|
| Nov 17, 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. |
| Nov 17, 2025 | 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 17, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Nov 17, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Nov 17, 2025 | 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. |
| Nov 17, 2025 | 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. |
| Nov 17, 2025 | 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. |
| Dec 3, 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. |
| Dec 3, 2021 | 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. |
| Dec 3, 2021 | 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 3 | 0 | F |
| 2025 | 7 | 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) | 4.92 | 3.66 | 3.95 | top 9% in Missouri; top 15% in the U.S. |
| Registered Nurse hours | 0.68 | 0.49 | 0.69 | top 14% in Missouri; top 38% in the U.S. |
| Weekend total nurse staffing | 4.15 | 3.22 | 3.50 | top 15% in Missouri; top 19% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.33 | 0.48 | top 31% in Missouri; bottom 42% in the U.S. |
| Total nursing staff turnover (%) | 34.9 | 56.0 | 45.8 | top 6% in Missouri; top 24% in the U.S. |
| RN turnover (%) | 41.2 | 47.8 | 42.9 | top 41% in Missouri; top 49% 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 4.43, RN 0.61, weekend 3.74. Staffing rating: 4/5.
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
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Vetter Senior Living | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/23/2016 |
| Dahlberg, Thomas | Individual | Contracted Managing Employee | NOT APPLICABLE | 01/01/2022 |
| Dahlberg, Thomas | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2022 |
| Gould, Matthew | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Gould, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| Stuhr, Brian | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Stuhr, Brian | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2017 |
| Stuhr, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| Vanekeren, Glenn | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Vanekeren, Glenn | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2017 |
| Vanekeren, Glenn | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| Vetter Senior Living | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/23/2016 |
| Vetter, Eldora | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Vetter, Eldora | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2017 |
| Vetter, Eldora | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| Vetter, Jack | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Vetter, Jack | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2017 |
| Vetter, Jack | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| VSL Vetter Health Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "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?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "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 |
|---|---|---|---|---|---|
| Magnolia Square Nursing and Rehab | 1.2 mi | Springfield, MO | ★★☆☆☆ | 2/5 | |
| Springfield Rehabilitation & Health Care Center | 1.4 mi | Springfield, MO | ★★★★★ | 4/5 | |
| Maples Health and Rehabilitation, the | 1.5 mi | Springfield, MO | ★★★★☆ | 3/5 | |
| Wilson's Creek Nursing & Rehab | 2.3 mi | Springfield, MO | ★★★★★ | 5/5 | |
| Brookhaven Nursing & Rehab | 2.3 mi | Springfield, MO | ★★☆☆☆ | 3/5 | |
| Springfield Villa | 2.6 mi | Springfield, MO | ★☆☆☆☆ | 1/5 | |
| Springfield Skilled Care Center | 2.8 mi | Springfield, MO | ★☆☆☆☆ | 1/5 | |
| Spring Valley Health & Rehabilitation Center | 2.9 mi | Springfield, MO | ★★☆☆☆ | 1/5 | |
| Birch Pointe Health and Rehabilitation | 2.9 mi | Springfield, MO | ★★★☆☆ | 3/5 | |
| Cox Medical Centers Meyer Orthopedic and Surgical | 3.0 mi | Springfield, MO | ★★★★☆ | 4/5 | |
| Neighborhoods at Quail Creek, the | 3.3 mi | Springfield, MO | ★★★☆☆ | 3/5 | |
| Sunterra Springs Springfield | 4.6 mi | Springfield, MO | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 265804.