Maples Health and Rehabilitation, the
610 West Sunset Street, Springfield, MO 65807 · Greene County · 120 certified beds · avg 96 residents/day · certified since Dec 28, 1993
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: 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jun 23, 2023 · F-0697
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
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: Aug 7, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (22)
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 |
|---|---|---|
| Mar 7, 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. |
| Mar 7, 2025 | E · Potential for harm, repeated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Mar 7, 2025 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Mar 7, 2025 | 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. |
| Mar 7, 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. |
| Mar 7, 2025 | 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. |
| Mar 7, 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. |
| Mar 7, 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. |
| Dec 18, 2024 | D · Potential for harm, one-off | 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 |
| Oct 4, 2024 | E · Potential for harm, repeated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint |
| Feb 5, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Jun 23, 2023 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jun 23, 2023 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Jun 23, 2023 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Jun 23, 2023 | 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. |
| Jun 23, 2023 | 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. |
| Jun 23, 2023 | 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 23, 2023 | 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 23, 2023 | 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. |
| Feb 19, 2020 | 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. |
| Feb 19, 2020 | 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. |
| Feb 19, 2020 | 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 stayed about the same across the last two inspection cycles (8 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 3 | 0 | E |
| 2023 | 8 | 1 | G ▲ |
| 2024 | 3 | 0 | E |
| 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) | 3.74 | 3.66 | 3.95 | top 43% in Missouri; bottom 49% in the U.S. |
| Registered Nurse hours | 0.51 | 0.49 | 0.69 | top 35% in Missouri; bottom 40% in the U.S. |
| Weekend total nurse staffing | 3.32 | 3.22 | 3.50 | top 42% in Missouri; bottom 48% 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 (%) | 49.5 | 56.0 | 45.8 | top 32% in Missouri; bottom 38% in the U.S. |
| RN turnover (%) | 8.3 | 47.8 | 42.9 | top 4% in Missouri; top 3% 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 3.85, RN 0.53, weekend 3.42. Staffing rating: 3/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 3b Holdings, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2021 |
| Adams, Anthony | Individual | Corporate Officer | NOT APPLICABLE | 11/05/2020 |
| Adams, Anthony | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2021 |
| Adams, Bryan | Individual | Corporate Officer | NOT APPLICABLE | 11/05/2020 |
| Adams, Bryan | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2021 |
| Centennial Bank | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 11/01/2009 |
| Centennial Bank | Organization | ADP of the SNF | NOT APPLICABLE | 09/09/2025 |
| Dvorak, Nora | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/15/2020 |
| Dvorak, Nora | Individual | Corporate Director | NOT APPLICABLE | 12/15/2020 |
| Dvorak, Nora | Individual | ADP of the SNF | NOT APPLICABLE | 12/15/2020 |
| Ellis, John | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2004 |
| Ellis, John | Individual | ADP of the SNF | NOT APPLICABLE | 12/15/2020 |
| Greeneco Re Central, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/03/2025 |
| Home Bancshares | Organization | ADP of the SNF | NOT APPLICABLE | 09/09/2025 |
| Incite Rehab, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/15/2020 |
| Koehler, Tobey | Individual | Corporate Officer | NOT APPLICABLE | 12/20/2020 |
| Koehler, Tobey | Individual | ADP of the SNF | NOT APPLICABLE | 12/15/2020 |
| LTC Systems/Rx, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/15/2020 |
| Mainord, William | Individual | ADP of the SNF | NOT APPLICABLE | 12/15/2020 |
| Mantala, Marcelo | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/15/2020 |
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 assess and manage residents' pain, especially for those who have trouble communicating?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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 | 0.5 mi | Springfield, MO | ★★★★★ | 4/5 | |
| Magnolia Square Nursing and Rehab | 0.7 mi | Springfield, MO | ★★☆☆☆ | 2/5 | |
| Springfield Villa | 1.2 mi | Springfield, MO | ★☆☆☆☆ | 1/5 | |
| Birch Pointe Health and Rehabilitation | 1.4 mi | Springfield, MO | ★★★☆☆ | 3/5 | |
| Manor at Elfindale, the | 1.5 mi | Springfield, MO | ★★★★☆ | 4/5 | |
| Cox Medical Centers Meyer Orthopedic and Surgical | 1.6 mi | Springfield, MO | ★★★★☆ | 4/5 | |
| Spring Valley Health & Rehabilitation Center | 1.6 mi | Springfield, MO | ★★☆☆☆ | 1/5 | |
| Neighborhoods at Quail Creek, the | 2.2 mi | Springfield, MO | ★★★☆☆ | 3/5 | |
| Sunterra Springs Springfield | 3.1 mi | Springfield, MO | ★★★★☆ | 3/5 | |
| Wilson's Creek Nursing & Rehab | 3.7 mi | Springfield, MO | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 265559.