Best Memory Care in Springfield, MO

Overview of James River Nursing and Rehabilitation

James River Nursing and Rehabilitation is a 120-bed skilled nursing facility at 3550 East Battlefield, Springfield, Greene County, Missouri, operated by Jrnrc Ops Inc under the administration of Kelsey Long. The facility provides short-term rehabilitation, long-term care, and respite care for Medicare, Medicaid, and private-pay residents.

The most significant finding in the recent inspection record is a November 2025 complaint investigation that revealed systemic problems with basic hygiene and staff scheduling. Prior complaint investigation in July 2024 identified 18 deficiencies across multiple categories. A health inspection in July 2024 found 7 deficiencies. The September 2022 health inspection documented failures to post daily nurse staffing information prominently and deficiencies in food storage protocols.

The facility remains subject to ongoing compliance monitoring.

LPNs provide 48 minutes/resident/day, 17% above the average of 41 minutes. Registered Nurses provide only 21 minutes/resident/day, 25% below the average of 28 minutes. Certified Nursing Aides provide 2 hours 15 minutes/resident/day, 3% below average. Weekend nursing total drops to 2 hours 35 minutes/resident/day, 15% below the average of 3 hours 3 minutes.

Weekend RN coverage falls to 12 minutes/resident/day, 40% below the average of 20 minutes. Physical therapy is minimal at 1 minute/resident/day, 50% below the average of 2 minutes.

The payroll ratio of 43.9% to revenue falls well below the 60-71% range considered adequate for Missouri SNFs.

Long-stay hospitalization rates are concerning at 3.61/1,000 resident days, 74% worse than the average of 2.08/1,000 days. Pressure ulcer rates in high-risk long-stay residents stand at 7.8%, 56% worse than the average of 5.0%. Long-stay emergency department visits are 1.92/1,000 resident days, 18% better than average. Falls with major injury affect 3.3% of long-stay residents, 18% better than the average of 4.0%.

Pneumococcal and influenza vaccination rates for long-stay residents reach 99.7% and 100% respectively, both significantly above average. Short-stay residents show discharge functional ability in 60.8% of cases, 13% better than the average. Short-stay re-hospitalization is 27.2%, 8% worse than the average of 25.3%.

CMS rates the facility 3 stars overall, placing it 14.1% above the Missouri average. Health Inspection is rated 3/5, marginally above average. The standout strength is Staffing, rated 5/5 and 38.9% above average. Quality Measures are rated 5/5, 43.4% above state average.

The facility provides 24-hour staffing with licensed nurses and certified nursing assistants on site. Therapeutic services include rehabilitation services and physical therapy. Resident amenities include a communal dining space, activity area, outdoor courtyard with gazebo, therapy gym, and salon services.

James River Nursing and Rehabilitation holds a A+ rating from the Better Business Bureau and occupies a highly walkable neighborhood with a walk score of 94.

Occupancy is strong at 83%, 25% above the Missouri average, with 64.4% of current residents on Medicaid.

The facility has been in operation for 26 years and maintains 120 licensed beds. No civil money penalties or payment denials were reported in the past three years.

Families evaluating James River should scrutinize the November 2025 complaint findings regarding shower frequency and staffing adequacy and assess weekend RN coverage.

Wilson’s Creek Nursing & Rehab is a skilled nursing home in Springfield, Missouri, located just west of the city center. The facility is operated by Michael Huffman through N & R of Springfield West, LLC. Medicaid and private pay are accepted, giving families different options for covering rehabilitation and ongoing nursing care. The 172-bed home has been operating for 17 years in the Springfield area, with an occupancy of 74%. Residents stay an average of 235 days, including post-acute rehabilitation patients and those receiving longer-term nursing care.

The facility focuses on rehabilitation, with full-time on-site medical coverage, a doctor on staff, and comprehensive pharmaceutical services. Total nurse staffing averages 3 hours and 52 minutes per resident each day. It’s broken down into 21 minutes of registered nurse time, 2 hours and 5 minutes of nurse aide support, and 20 minutes of LPN/LVN coverage. This staffing structure supports recovery after surgery as well as those managing chronic health conditions during longer stays.

Residents can access rehabilitation services and 24-hour staffing to support their needs at any time. Transportation services are available and can make it easier for residents to attend appointments, family visits, and off-site therapy. The facility has semi-private and private rooms. Free CNA and CMT classes are available to staff, supporting a culture of skill development and care quality.

The surrounding neighborhood has a Walk Score of 94, so it’s highly walkable. Family members can easily reach nearby services and amenities on foot, and the location provides convenient access to the surrounding community.