Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
117
103 employees · 14 contractors · 42 on an average day James River Nursing and Rehabilitation
Nursing Home, Memory Care, Respite Care & Skilled Nursing · Springfield, MO
ALM Inspection Grade
B+
ALM's inspection grade is 87 / 100, a B+ — 4 points above the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 87 / 100, a B+ — 4 points above the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
James River Nursing and Rehabilitation
Nursing Home, Memory Care, Respite Care & Skilled Nursing · Springfield, MO
ALM Inspection Grade
B+
ALM's inspection grade is 87 / 100, a B+ — 4 points above the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 87 / 100, a B+ — 4 points above the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
James River Nursing and Rehabilitation accepts Medicare, Medicaid, and private pay.
Overview of James River Nursing and Rehabilitation
James River Nursing and Rehabilitation provides nursing home and skilled nursing care, memory care, and respite care in Springfield, Missouri. Skilled nursing includes licensed nursing care on site around the clock, while memory care provides a secured setting with supervision for someone at risk of wandering.
Respite care is available for a short stay when a family caregiver needs to travel or recover. The community may suit families seeking ongoing nursing support, memory care, or temporary care.
There are 120 beds, with Medicare, Medicaid, and private pay accepted as ways to cover eligible care costs. Total nurse staffing is 3 hours and 37 minutes per resident per day, representing the amount of daily nurse staffing assigned per resident.
Kelsey Long administers the community, which is operated by Jrnrc Ops. Short term rehabilitation takes place on site with support from a therapy gym, so residents can receive rehabilitation services without leaving the community.
Private rooms give each resident a personal room. An outdoor courtyard with a gazebo provides a designated outdoor area, while salon services allow residents to have grooming done on site.
Meals are prepared by a certified dietary manager and cooks, with accommodations for food allergies and preferences. A Walk Score of 94 places the area in the walker’s paradise range, so daily errands do not require a car and a resident who no longer drives can still get out independently.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 88th out of 267 nursing homes we track in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 37m
This nursing home is ranked 88th out of 267 nursing homes we track in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 37mStandout metric: Registered nurse (RN) is +17% above Missouri average
3 of 6 metrics below Missouri average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 4 are the facility's own employees; no agency contractors work in this role.
4 staff · 8.7-hour shifts
33m
↑ 17% · MO 28mThis facility: 33m per resident per day, 17% above the Missouri average of 28m (among Missouri facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 4 are the facility's own employees; no agency contractors work in this role.
4 staff · 8.7-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 15 are the facility's own employees; no agency contractors work in this role.
15 staff · 9.4-hour shifts
42m
↑ 2% · MO 41mThis facility: 42m per resident per day, 2% above the Missouri average of 41m (among Missouri facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 15 are the facility's own employees; no agency contractors work in this role.
15 staff · 9.4-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 54 are the facility's own employees; no agency contractors work in this role.
54 staff · 9-hour shifts
2h 23m
↑ 3% · MO 2h 19mThis facility: 2h 23m per resident per day, 3% above the Missouri average of 2h 19m (among Missouri facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 54 are the facility's own employees; no agency contractors work in this role.
54 staff · 9-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
2m
↓ 2% · MO 2mThis facility: 2m per resident per day, 2% below the Missouri average of 2m (among Missouri facilities reporting a recent figure).
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
2h 55m
↓ 4% · MO 3h 3mThis facility: 2h 55m per resident per day, 4% below the Missouri average of 3h 3m (among Missouri facilities reporting a recent figure).
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
19m
↓ 3% · MO 20mThis facility: 19m per resident per day, 3% below the Missouri average of 20m (among Missouri facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
117
103 employees · 14 contractors · 42 on an average day
117 total staff / 101 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.16 : 1
↓ 30% · MO 1.66This facility: 1.16 staff per resident, 30% below the Missouri average of 1.66 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
117 staff ÷ 101 residents
See full Missouri ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.4 h
↑ 4% · MO 8.1 hThis facility: 8.4 h, 4% above the Missouri average of 8.1 h (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
32,446 staff hours this quarter
See full Missouri ranking →94.9% of staff hours were worked by the facility's own employees
Missouri average: 92.5% · Contractors this quarter: Respiratory Therapy Technician (5), Physical Therapy Aide (3), Qualified Social Worker (3), Speech Language Pathologist (2), Physical Therapy Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
120
Rank #73 / 288Bed count — State benchmarked This nursing home is ranked 73rd out of 288 nursing homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
120
Rank #73 / 288Bed count — State benchmarked This nursing home is ranked 73rd out of 288 nursing homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #24 / 167Years in operation — State benchmarked This nursing home is ranked 24th out of 167 nursing homes we track in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #24 / 167Years in operation — State benchmarked This nursing home is ranked 24th out of 167 nursing homes we track in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
26
years
Walk Score
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
Rank #4 / 296Walk Score — State benchmarked This nursing home is ranked 4th out of 296 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
Rank #4 / 296Walk Score — State benchmarked This nursing home is ranked 4th out of 296 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
94
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #77 / 272Occupancy rate — State benchmarked This nursing home is ranked 77th out of 272 nursing homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 272. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #77 / 272Occupancy rate — State benchmarked This nursing home is ranked 77th out of 272 nursing homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 272. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
84.2%
This home usually has availability
Based on 101 residents and 120 beds. Source: state inspection report (Jul 2024)
Higher than the Missouri average: 67.8%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
103
days
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+
Not Accredited
How BBB ratings workAbout This Community
Facility TypeSkilled Nursing Facility
StatusActive
IssuanceJanuary 17, 2026
ExpirationJanuary 16, 2028
CountyGreene
License Number053312
Certification TypeMedicare / Medicaid
VA Services Contract — U.S. Department of Veterans AffairsA specialty credential or certification held by the community or its staff, indicating training or standards beyond basic state licensure.
James River Nursing and Rehabilitation is legally operated by Jrnrc Ops Inc, and administered by Kelsey Long.
Corporate EntityJRNRC OPS, INC
Owner NameJrnrc Ops, Inc
Skilled Nursing Facility
120 units
Total beds
120 units
Resident Council
CNA Training Program
Short-Term Rehabilitation
APRN or Physician Coverage Five Days a Week
Nutritional Support and Personalized Meal Plans
Specialty Nursing for Complex Medical Needs
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
VA Services Contract
Special Diet Accommodation
Pets not allowed
Courtyard
Beauty Salon
Activities
Social Gatherings
Courtyard Strolls
Room Types
Private Room
In-Room Features
Private Rehab Suites With Private Bathroom And Shower
CMS Health Inspection History
ALM Inspection Grade
87 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
4 points above the Missouri average for CMS-certified facilities (83/100)
Category breakdown
Citations
Typical
91 severity-weighted points (28 deficiencies) · 3% higher than the typical CMS-certified MO facility (median: 89)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Typical
43 days to fix issues · slower than the typical CMS-certified MO facility (median: 42)
Total health inspections
6
↓ 9% · MO 6.6This facility: 6, 9% below the Missouri average of 6.6 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
28
Rank #125 / 274Health citations — State benchmarked This nursing home is ranked 125th out of 274 nursing homes we track in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 274 MO facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 22% · MO 36.1This facility: 28, 22% below the Missouri average of 36.1 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
4.67
Rank #109 / 274Citations per inspection — State benchmarked This nursing home is ranked 109th out of 274 nursing homes we track in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 274 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 17% · MO 5.6This facility: 4.67, 17% below the Missouri average of 5.6 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
96% corrected
27 of 28 citations corrected · 1 still open
Critical
J–L
0
↓ 100% · MO 0.6This facility: 0, 100% below the Missouri average of 0.6 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · MO 1.1This facility: 0, 100% below the Missouri average of 1.1 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
26
↓ 22% · MO 33.3This facility: 26, 22% below the Missouri average of 33.3 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
96% corrected · 1 open
No harm, more than minimal risk
Minor
A–C
2
↑ 82% · MO 1.1This facility: 2, 82% above the Missouri average of 1.1 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
100% corrected
No harm, minimal riskLatest inspection: Jun 18, 2026 · 1 citation (Quality of Care, moderate), not yet corrected
Most cited category: Resident Rights, 7 of 28 citations · 8 categories in total
Citations history
Most recent first
Jun 18, 2026
1 citation
Quality of Care moderate citation
Nov 04, 2025
1 citation
Resident Rights moderate citation
Corrected
Corrected
Jul 30, 2024
16 citations
Infection Control moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights minor citation
Corrected
Corrected
Feb 09, 2024
3 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Sep 23, 2022
2 citations
Nursing Services minor citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Oct 09, 2019
5 citations
Infection Control moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Top deficiency categories
Share of 28 citations
Resident Rights
7 deficiencies (25%)
Quality of Life & Care
7 deficiencies (25%)
Pharmacy Services
5 deficiencies (18%)
Nutrition & Dietary
3 deficiencies (11%)
Infection Control
2 deficiencies (7%)
Resident Assessment & Care Planning
2 deficiencies (7%)
Abuse, Neglect & Exploitation
1 deficiency (4%)
Nursing & Physician Services
1 deficiency (4%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 28 citations resulted from standard inspections; 5 of 28 resulted from complaint investigations; and 1 of 28 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Total fines
$0
MO avg $81KMissouri average: $81,235. Average among the 220 Missouri facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0
MO avg 1.93Missouri average: 1.93. Average among the 220 Missouri facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
MO avg 0.7Missouri average: 0.7. Average among the 220 Missouri facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Missouri average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
3
/ 5
Average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
5.8
Score · lower is better
↓ 41% · MO 9.8This facility: 5.8, 41% below the MO average of 9.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
10.9
Score · lower is better
↓ 39% · MO 17.8This facility: 10.9, 39% below the MO average of 17.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 11 better, 2 worse
8 short-stay measures: 3 better, 2 worse, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
10.9%
↓ 40% · MO 18.1This facility: 10.9, 40% below the MO average of 18.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
10.9%
↓ 40% · MO 18.1This facility: 10.9, 40% below the MO average of 18.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
7.8%
↓ 55% · MO 17.4This facility: 7.8, 55% below the MO average of 17.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
7.8%
↓ 55% · MO 17.4This facility: 7.8, 55% below the MO average of 17.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.0%
↓ 21% · MO 17.8This facility: 14.0, 21% below the MO average of 17.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.0%
↓ 21% · MO 17.8This facility: 14.0, 21% below the MO average of 17.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · MO 2.3This facility: 0.0, 100% below the MO average of 2.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · MO 2.3This facility: 0.0, 100% below the MO average of 2.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
↓ 29% · MO 4.1This facility: 2.9, 29% below the MO average of 4.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
↓ 29% · MO 4.1This facility: 2.9, 29% below the MO average of 4.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
4.9%
↑ 8% · MO 4.5This facility: 4.9, 8% above the MO average of 4.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
4.9%
↑ 8% · MO 4.5This facility: 4.9, 8% above the MO average of 4.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
2.4%
↓ 55% · MO 5.3This facility: 2.4, 55% below the MO average of 5.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
2.4%
↓ 55% · MO 5.3This facility: 2.4, 55% below the MO average of 5.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
1.9%
↓ 90% · MO 18.5This facility: 1.9, 90% below the MO average of 18.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
1.9%
↓ 90% · MO 18.5This facility: 1.9, 90% below the MO average of 18.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
5.3%
↓ 78% · MO 23.5This facility: 5.3, 78% below the MO average of 23.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
5.3%
↓ 78% · MO 23.5This facility: 5.3, 78% below the MO average of 23.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 19% · MO 84.1This facility: 100.0, 19% above the MO average of 84.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 19% · MO 84.1This facility: 100.0, 19% above the MO average of 84.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 10% · MO 90.9This facility: 100.0, 10% above the MO average of 90.9 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 10% · MO 90.9This facility: 100.0, 10% above the MO average of 90.9 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
3.61
↑ 74% · MO 2.08This facility: 3.61, 74% above the MO average of 2.08 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
3.61
↑ 74% · MO 2.08This facility: 3.61, 74% above the MO average of 2.08 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.92
↓ 18% · MO 2.35This facility: 1.92, 18% below the MO average of 2.35 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.92
↓ 18% · MO 2.35This facility: 1.92, 18% below the MO average of 2.35 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
60.8%
↑ 13% · US 53.7This facility: 60.8, 13% above the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
60.8%
↑ 13% · US 53.7This facility: 60.8, 13% above the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
51.6%
↑ 2% · US 50.6This facility: 51.6, 2% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
51.6%
↑ 2% · US 50.6This facility: 51.6, 2% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
↑ 8% · US 0.8This facility: 0.8, 8% above the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
↑ 8% · US 0.8This facility: 0.8, 8% above the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
↓ 68% · MO 2.2This facility: 0.7, 68% below the MO average of 2.2 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
↓ 68% · MO 2.2This facility: 0.7, 68% below the MO average of 2.2 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.8%
↑ 30% · MO 65.7This facility: 85.8, 30% above the MO average of 65.7 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.8%
↑ 30% · MO 65.7This facility: 85.8, 30% above the MO average of 65.7 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
59.1%
↓ 7% · MO 63.5This facility: 59.1, 7% below the MO average of 63.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
59.1%
↓ 7% · MO 63.5This facility: 59.1, 7% below the MO average of 63.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.2%
↑ 8% · MO 25.3This facility: 27.2, 8% above the MO average of 25.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.2%
↑ 8% · MO 25.3This facility: 27.2, 8% above the MO average of 25.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
11.9%
↓ 11% · MO 13.4This facility: 11.9, 11% below the MO average of 13.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
11.9%
↓ 11% · MO 13.4This facility: 11.9, 11% below the MO average of 13.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
James River Nursing and Rehabilitation’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 267 Missouri nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Breaking even on care
5.0% operating margin
−0.4 pts vs prior year
Positive margin in 3 of the last 8 reported years. Net income $0.6M after other income.
Does it invest in staff?
Spends less on payroll than most Missouri homes
50.4% payroll share of revenue
MO average 54.9%Rank #157 / 267Payroll % of net patient revenue — State benchmarked This nursing home is ranked 157th out of 267 nursing homes we track in Missouri for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.7M while revenue rose $1.4M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Missouri homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | MO median | Compared with MO homesRank in MO | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $11.1M | +$1.4M | Trend 20172024 | MO median $6.2M | Rank in MO Rank #57 / 267Net patient revenue — State benchmarked This nursing home is ranked 57th out of 267 nursing homes we track in Missouri for net patient revenue. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 79% of homes | Above MO median Higher net patient revenue than 79% of MO homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $10.6M | +$1.3M | Trend 20172024 | MO median — | Rank in MO Not ranked | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.6M | +$0.0M | Trend 20172024 | MO median — | Rank in MO Not ranked | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 5.0% | −0.4 pts | Trend 20172024 | MO median — | Rank in MO Not ranked | Thin margin A margin from 0% to 5% of revenue leaves little room for unexpected costs. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | MO median — | Rank in MO Not ranked | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $0.6M | +$0.0M | Trend — | MO median — | Rank in MO Not ranked | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Missouri homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | MO median | Compared with MO homesRank in MO | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $5.6M | +$0.7M | Trend 20172024 | MO median $3.5M | Rank in MO Rank #48 / 267Payroll costs — State benchmarked This nursing home is ranked 48th out of 267 nursing homes we track in Missouri for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 82% of homes | Above MO median Higher payroll than 82% of MO homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 50.4% | −0.4 pts | Trend 20172024 | MO median 52.9% | Rank in MO Rank #157 / 267Payroll % of net patient revenue — State benchmarked This nursing home is ranked 157th out of 267 nursing homes we track in Missouri for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 41% of homes | 4.5 pts under MO average The MO average is 54.9% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · MO benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Missouri payroll average.
% of net patient revenue
Payroll share Operating margin MO payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $8.8M | $8.7M | $9.2M | $7.9M | $7.8M | $7.5M | $9.7M | $11.1M |
| Operating expenses | $8.9M | $8.9M | $9.1M | $8.8M | $8.4M | $8.3M | $9.2M | $10.6M |
| Net patient income | −$0.2M | −$0.2M | $0.1M | −$0.9M | −$0.5M | −$0.8M | $0.5M | $0.6M |
| Operating margin | −1.9% | −2.6% | 1.0% | −11.6% | −6.9% | −10.9% | 5.4% | 5.0% |
| Net income | −$0.2M | −$0.2M | $0.1M | −$0.9M | −$0.5M | −$0.8M | $0.5M | $0.6M |
| Payroll costs | $4.1M | $4.1M | $4.4M | $4.4M | $4.0M | $4.1M | $4.9M | $5.6M |
| Payroll share of revenue | 47.1% | 47.0% | 47.4% | 55.4% | 51.1% | 55.2% | 50.8% | 50.4% |
| Beds | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 |
| Gross revenue | $12.5M | $11.9M | $12.5M | $10.0M | $9.8M | $9.4M | $12.2M | $14.5M |
| Salaries | $3.6M | $3.6M | $3.8M | $3.7M | $3.5M | $3.6M | $4.3M | $4.8M |
| Wage-related costs | $0.5M | $0.5M | $0.6M | $0.6M | $0.5M | $0.6M | $0.7M | $0.8M |
| Contract labor | $0.8M | $0.7M | $0.7M | $0.5M | $0.5M | $0.3M | $0.4M | $0.5M |
| Other operating costs | $4.8M | $4.8M | $4.8M | $4.4M | $4.4M | $4.2M | $4.3M | $5.0M |
| Net patient revenue per day | $219 | $216 | $225 | $222 | $235 | $232 | $268 | $294 |
| Cost per day | $223 | $221 | $223 | $247 | $252 | $257 | $254 | $280 |
| Average length of stay | 112.2 days | 107.9 days | 101.1 days | 117.1 days | 107.5 days | 141.8 days | 123.6 days | 103.4 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
374 admissions · FY2024
Residents admitted during the year.
Medicare
115 · 31%
Medicaid
20 · 5%
Private pay & other
239 · 64%
Resident snapshot
101 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
16 · 16%
Medicaid
65 · 64%
Private pay & other
20 · 20%
Leaving
365 discharges · FY2024
Residents discharged during the year.
Medicare
106 · 29%
Medicaid
14 · 4%
Private pay & other
245 · 67%
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Places of interest near James River Nursing and Rehabilitation
0.0 miles from city center
Estimated distance in miles from Springfield's city center to James River Nursing and Rehabilitation's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Springfield Rehabilitation & Health Care Center | NH SNF | Springfield (Mark Twain) | 146
Facility
146
MO AVG
110
Rank
#51 / 288 | A |
82.2%
Facility
82.2%
MO AVG
67.8%
Rank
#61 / 272 | +21% | 3.66
Facility
3.66
MO AVG
3.63
Rank
#139 / 267 | +112% | +1% | $0
Facility
$0
MO AVG
$86.2k
Rank
#1 / 275 | 28
Facility
28
MO AVG
36.1
Rank
#125 / 274 | 4.7
Facility
4.7
MO AVG
5.6
Rank
#109 / 274 | - | 120 | - |
29
Facility
29
MO AVG
50
Rank
#239 / 296 | Nhc Healthcare-Springfield Missouri LLC | $12.0MFiscal year ending 12/2024
Facility
$12.0MFiscal year ending 12/2024
MO AVG
$8.0M
Rank
#42 / 267 | $7.3MFiscal year ending 12/2024
Facility
$7.3MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#23 / 267 | 60.6%Fiscal year ending 12/2024
Facility
60.6%Fiscal year ending 12/2024
MO AVG
54.9%
Rank
#71 / 267 | 265157 | ||||
| Wilson’s Creek Nursing &Amp; Rehab | NH HOS MC SNF | Vernon Springfield | 172
Facility
172
MO AVG
110
Rank
#29 / 288 | A |
74.4%
Facility
74.4%
MO AVG
67.8%
Rank
#104 / 272 | +10% | 4.19
Facility
4.19
MO AVG
3.63
Rank
#59 / 267 | +46% | +15% | $0
Facility
$0
MO AVG
$86.2k
Rank
#1 / 275 | 18
Facility
18
MO AVG
36.1
Rank
#62 / 274 | 6.0
Facility
6.0
MO AVG
5.6
Rank
#182 / 274 | 1 | 128 | - |
94
Facility
94
MO AVG
50
Rank
#4 / 296 | N & R Of Springfield West, LLC | $9.1MFiscal year ending 12/2024
Facility
$9.1MFiscal year ending 12/2024
MO AVG
$8.0M
Rank
#77 / 267 | $4.3MFiscal year ending 12/2024
Facility
$4.3MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#94 / 267 | 47.2%Fiscal year ending 12/2024
Facility
47.2%Fiscal year ending 12/2024
MO AVG
54.9%
Rank
#188 / 267 | 265161 | ||||
| The Maples Health & Rehabilitation | NH MC RC SNF | Springfield | 120
Facility
120
MO AVG
110
Rank
#73 / 288 | B+ |
80.0%
Facility
80.0%
MO AVG
67.8%
Rank
#107 / 272 | +18% | 3.65
Facility
3.65
MO AVG
3.63
Rank
#128 / 267 | -4% | 0% | $0
Facility
$0
MO AVG
$86.2k
Rank
#1 / 275 | 22
Facility
22
MO AVG
36.1
Rank
#81 / 274 | 3.7
Facility
3.7
MO AVG
5.6
Rank
#47 / 274 | 1 | 96 | - |
55
Facility
55
MO AVG
50
Rank
#113 / 296 | Greeneco Nc Ops Inc | $11.2MFiscal year ending 12/2024
Facility
$11.2MFiscal year ending 12/2024
MO AVG
$8.0M
Rank
#55 / 267 | $5.0MFiscal year ending 12/2024
Facility
$5.0MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#71 / 267 | 44.3%Fiscal year ending 12/2024
Facility
44.3%Fiscal year ending 12/2024
MO AVG
54.9%
Rank
#225 / 267 | 265559 | ||||
| Sunterra Springs Springfield | NH SNF | Springfield | 38
Facility
38
MO AVG
110
Rank
#281 / 288 | B- |
97.4%
Facility
97.4%
MO AVG
67.8%
Rank
#8 / 272 | +44% | 3.86
Facility
3.86
MO AVG
3.63
Rank
#99 / 267 | +186% | +6% | $36.7k
Facility
$36.7k
MO AVG
$86.2k
Rank
#215 / 275 | 27
Facility
27
MO AVG
36.1
Rank
#121 / 274 | 4.5
Facility
4.5
MO AVG
5.6
Rank
#97 / 274 | - | 37 | - |
29
Facility
29
MO AVG
50
Rank
#239 / 296 | Sunterra Springfield Oc, LLC | $6.9MFiscal year ending 12/2024
Facility
$6.9MFiscal year ending 12/2024
MO AVG
$8.0M
Rank
#113 / 267 | $2.8MFiscal year ending 12/2024
Facility
$2.8MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#175 / 267 | 40.6%Fiscal year ending 12/2024
Facility
40.6%Fiscal year ending 12/2024
MO AVG
54.9%
Rank
#242 / 267 | 265871 | ||||
| James River Nursing and Rehabilitation | NH MC RC SNF | Battlefield Springfield | 120
Facility
120
MO AVG
110
Rank
#73 / 288 | B+ |
84.2%
Facility
84.2%
MO AVG
67.8%
Rank
#77 / 272 | +24% | 3.62
Facility
3.62
MO AVG
3.63
Rank
#88 / 267 | -56% | 0% | $0
Facility
$0
MO AVG
$86.2k
Rank
#1 / 275 | 28
Facility
28
MO AVG
36.1
Rank
#125 / 274 | 4.7
Facility
4.7
MO AVG
5.6
Rank
#109 / 274 | - | 101 | A+ |
94
Facility
94
MO AVG
50
Rank
#4 / 296 | Jrnrc Ops, Inc | $11.1MFiscal year ending 12/2024
Facility
$11.1MFiscal year ending 12/2024
MO AVG
$8.0M
Rank
#57 / 267 | $5.6MFiscal year ending 12/2024
Facility
$5.6MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#48 / 267 | 50.4%Fiscal year ending 12/2024
Facility
50.4%Fiscal year ending 12/2024
MO AVG
54.9%
Rank
#157 / 267 | 265664 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other MO nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in Missouri
James River Nursing and Rehabilitation is located in BATTLEFIELD SPRINGFIELD, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Frequently Asked Questions about James River Nursing and Rehabilitation
Who is the owner of James River Nursing and Rehabilitation?
James River Nursing and Rehabilitation is legally operated by Jrnrc Ops Inc, and administered by Kelsey Long.
Is James River Nursing and Rehabilitation in a walkable area?
James River Nursing and Rehabilitation has a walk score of 94. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
What is the license number of James River Nursing and Rehabilitation?
According to MO state health department records, James River Nursing and Rehabilitation's license number is 053312.
When does James River Nursing and Rehabilitation's license expire?
According to MO state health department records, James River Nursing and Rehabilitation's license expires on January 16, 2028.
What is the occupancy rate at James River Nursing and Rehabilitation?
James River Nursing and Rehabilitation's occupancy is 84.2%.
How long has James River Nursing and Rehabilitation been in business?
James River Nursing and Rehabilitation has been operating for approximately 26 years, based on available licensing and registration records.
Are pets allowed at James River Nursing and Rehabilitation?
No, James River Nursing and Rehabilitation has a no-pet policy.
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