Spring Valley Health and Rehabilitation Center operates a 194-bed nursing facility at 2915 South Fremont Avenue in Springfield’s Greene County. The facility is administered by Holly Anderson under ownership by MC Fremont Healthcare, LLC. It accommodates Medicare, Medicaid, and private-pay residents and maintains an occupancy rate of 80%, notably above the Missouri state average of 66.6%.
Spring Valley carries a 2-star overall CMS rating. The health inspection rating is 1 star, placing the facility 65.5% below the Missouri average. Its deficiency record since 2018 totals 78 citations; 123% above the typical Missouri nursing home.
Inspections conducted in August and November 2025 identified medication documentation errors, tube feeding care deficiencies, and environmental sanitation failures. A medication error rate of 20% was documented in the August 2025 investigation. The facility’s record includes two substantiated abuse-related deficiencies: failure to timely report a sexual abuse allegation in January 2024 and failure to timely report and investigate a physical abuse allegation in January 2025.
Total adjusted nursing hours average 2 hours 4 minutes per resident daily; 45% below the Missouri standard and the lowest-ranked measure among 276 state facilities. Registered nurse coverage runs 20 minutes per day (29% below average), licensed practical nurse coverage 35 minutes (15% below average), and certified nurse aide hours 1 hour 52 minutes (20% below average).
The facility’s payroll represents 38.5% of revenue, ranked among the lowest one percent statewide.
The facility scored 5 stars for quality measures, 79.2% above state average. Long-stay residents show lower hospitalization and emergency department utilization rates than peers. Yet 78.2% of long-stay residents are documented with depressive symptoms; 509% worse than the state average. Vaccination rates for influenza and pneumococcal coverage fall below state benchmarks.
The facility operates memory care and hospice services and accepts short-stay rehabilitation and long-term care residents on a mixed medical acuity model.


















