Spring Valley Health and Rehabilitation Center
Nursing Home, Assisted Living & Independent Living · Springfield, MO
CMS overall rating Info 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.

Spring Valley Health and Rehabilitation Center

Nursing Home, Assisted Living & Independent Living · Springfield, MO
CMS overall rating Info 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.
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Spring Valley Health and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Overview of Spring Valley Health and Rehabilitation Center

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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 19.5% Below MO avg. ▼ 19.5% Below MO avg.MO average: 2.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 27.9% Below MO avg. ▼ 27.9% Below MO avg.MO average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 54.3% Below MO avg. ▼ 54.3% Below MO avg.MO average: 2.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 88.1% Above MO avg. ▲ 88.1% Above MO avg.MO average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Missouri state averages

Total nursing care / resident Info This home is ranked 273rd out of 282 homes 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.
2h 4m per day
Rank #273 / 282Nurse hours — State benchmarkedThis home is ranked 273rd out of 282 homes in Missouri. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 282 Missouri facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Missouri avg (3h 44m per day)
vs Missouri avg
-45%

5 of 6 metrics below state avg

Standout metric Physical Therapist is +16% above state avg
Staff type Hours / Day / Resident vs state avg
Registered Nurse (RN) Info 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. 22m per day ▼ 23% State avg: 28m per day · National avg: 41m per day
LPN / LVN Info 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. 38m per day ▼ 7% State avg: 41m per day · National avg: 52m per day
Nurse Aide Info 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. 1h 48m per day ▼ 23% State avg: 2h 20m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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. 2h 15m per day ▼ 26% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Info 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 per day ▲ 16% State avg: 2m per day · National avg: 4m per day
Weekend RN Info 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. 17m per day ▼ 16% State avg: 20m per day · National avg: 29m per day

Capacity and availability

Avg. Length of Stay
138 days
Bed community size
194-bed community Rank #16 / 454Bed count — State benchmarkedThis home is ranked 16th out of 454 homes in Missouri. 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.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score
Walk Score: 65 / 100 Rank #124 / 563Walk Score — State benchmarkedThis home is ranked 124th out of 563 homes in Missouri. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
80%
Rank #112 / 434Occupancy rate — State benchmarkedThis home is ranked 112th out of 434 homes in Missouri. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 434. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Missouri average: 66.6%
Occupied beds
156 / 194
Average occupied beds in Missouri homes 72 beds

License Details

Facility TypeSkilled Nursing Facility
CountyGreene
CMS Certification Number265188

Ownership & Operating Entity

Spring Valley Health and Rehabilitation Center is legally operated by Mc Fremont Healthcare, Llc, and administered by Holly Anderson.

Corporate EntityMC FREMONT HEALTHCARE, LLC

Contact Spring Valley Health and Rehabilitation Center

Inspection History

In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.

Since 2018 · 8 years of data 191 deficiencies 37 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average
Overall vs. MO average 4 Worse Metrics worse than Missouri average:
• Total deficiencies (446% above)
• Deficiencies per year (443% above)
• Deficiencies per inspection (4% above)
• Total inspections (429% above)
0 Better No metrics in this bucket.
Latest Inspection November 21, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This Facility MO Average vs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 191 35 This facility has 446% more total deficiencies than a typical Missouri nursing home (191 vs. MO avg 35).↑ 446% worse
Deficiencies per year Info Average deficiencies per year since 2018. 23.9 4.4 This facility has 443% more deficiencies per year than a typical Missouri nursing home (23.9 vs. MO avg 4.4).↑ 443% worse
Deficiencies per inspection Info Average deficiencies per inspection. 5.2 5 This facility has 4% more deficiencies per inspection than a typical Missouri nursing home (5.2 vs. MO avg 5).↑ 4% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This Facility MO Average vs. MO Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 37 7 This facility has 429% more total inspections than a typical Missouri nursing home (37 vs. MO avg 7).↑ 429% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • November 21, 2025 complaint investigation found failures in medication administration documentation and tube feeding care for two residents, including lack of physician notification for missed doses and feeding variations.
  • August 25, 2025 complaint investigation identified 13 deficiencies including medication self-administration failures, bathing delays, environmental cleanliness issues, temperature control problems, pest infestations, wound care lapses, nutrition deficits, and food safety violations.
  • December 13, 2024 routine survey cited four deficiencies for medication errors, wound care failures, infection control lapses during blood sugar monitoring, and unsecured medications accessible to unauthorized persons.

Health Inspection History

Inspections since 2021
Total health inspections 13

Missouri average 6.6


Last Health inspection on Aug 2025

Total health citations
84 Rank #275 / 287Health citations — State benchmarkedThis home is ranked 275th out of 287 homes in Missouri. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 287 MO facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Missouri average 36.5

Citations per inspection
6.46 Rank #202 / 287Citations per inspection — State benchmarkedThis home is ranked 202nd out of 287 homes in Missouri. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 287 facilities with citation data. Lower is better.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Missouri average 5.67


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

53 of 84 citations resulted from standard inspections; and 31 of 84 resulted from complaint investigations.

Breakdown of citation severity (last 5 years)
Critical health citations
3
329% worse than Missouri average

Missouri average: 0.7


Serious health citations
0
100% better than Missouri average

Missouri average: 1

3 critical citations Missouri average: 0.7

0 serious citations Missouri average: 1

81 moderate citations Missouri average: 33.6

0 minor citations Missouri average: 1.2
Citations history (last 5 years)
Environmental moderate citation Aug 25, 2025
Corrected

Environmental moderate citation Aug 25, 2025
Corrected

Environmental moderate citation Aug 25, 2025
Corrected

Nutrition moderate citation Aug 25, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 138
Employees 112
Contractors 26
Staff to resident ratio 0.86 : 1
49% fewer staff per resident than Missouri average
Missouri average ratio: 1.69 : 1 Missouri average ratio: 1.69 : 1See full Missouri ranking
Avg staff/day 57
Average shift 8.9 hours
10% better than Missouri average
Missouri average: 8.1 hours Missouri average shift: 8.1 hoursSee full Missouri ranking
Total staff hours (quarter) 46,627

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 9 RN Staff are full-time employees. No contractors work on this role. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 23 LPN Staff are full-time employees. No contractors work on this role. 23
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 54 CNA Staff are full-time employees. No contractors work on this role. 54
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

11.5%

5,370 contractor hours this quarter

Speech Language Pathologist: 7 Qualified Social Worker: 7 Physical Therapy Aide: 6 Respiratory Therapy Technician: 3 Physical Therapy Assistant: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant 54 0 54 19,231 92 100% 9.3
Licensed Practical Nurse 23 0 23 7,807 92 100% 9.3
Medication Aide/Technician 13 0 13 5,921 92 100% 9.9
Registered Nurse 9 0 9 3,418 92 100% 9.8
Speech Language Pathologist 0 7 7 1,577 75 82% 7.3
Physical Therapy Aide 0 6 6 1,453 72 78% 7.2
Qualified Social Worker 0 7 7 1,432 75 82% 7
Clinical Nurse Specialist 4 0 4 1,168 64 70% 8
RN Director of Nursing 2 0 2 1,070 79 86% 8.2
Dental Services Staff 2 0 2 917 66 72% 7.6
Respiratory Therapy Technician 0 3 3 541 74 80% 6.4
Administrator 1 0 1 512 64 70% 8
Nurse Practitioner 2 0 2 448 53 58% 8.5
Other Dietary Services Staff 1 0 1 442 60 65% 7.4
Dietitian 1 0 1 323 51 55% 6.3
Physical Therapy Assistant 0 1 1 305 69 75% 4.4
Medical Director 0 1 1 39 13 14% 3
Occupational Therapy Assistant 0 1 1 24 3 3% 8
54 Certified Nursing Assistant
% of Days 100%
23 Licensed Practical Nurse
% of Days 100%
13 Medication Aide/Technician
% of Days 100%
9 Registered Nurse
% of Days 100%
7 Speech Language Pathologist
% of Days 82%
6 Physical Therapy Aide
% of Days 78%
7 Qualified Social Worker
% of Days 82%
4 Clinical Nurse Specialist
% of Days 70%
2 RN Director of Nursing
% of Days 86%
2 Dental Services Staff
% of Days 72%
3 Respiratory Therapy Technician
% of Days 80%
1 Administrator
% of Days 70%
2 Nurse Practitioner
% of Days 58%
1 Other Dietary Services Staff
% of Days 65%
1 Dietitian
% of Days 55%
1 Physical Therapy Assistant
% of Days 75%
1 Medical Director
% of Days 14%
1 Occupational Therapy Assistant
% of Days 3%

Penalties and fines

Includes penalties issued in 2024

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 Jan 2026)

Total fines amount $47K Rank #1 / 289Federal fines — State benchmarkedThis home is ranked 1st out of 289 homes in Missouri. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 289 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
35% lower than Missouri average

Missouri average: $73K

Number of fines 1
59% fewer fines than Missouri average

Missouri average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
45% more payment denials than Missouri average

Missouri average: 0.7

Fines amount comparison
Fines amount comparison
This facility $47K
Missouri average $73K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Dec 13, 2024 · 2 days

Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Dec 13, 2024
2 days

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 3.3
70% better than Missouri average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 8.9
54% better than Missouri average

Missouri average: 19.5

Long-stay resident measures
Significantly above average Missouri avg: 2.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 5.7%
71% better than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 4.6%
78% better than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 16.5%
9% better than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.8%
57% better than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.9%
43% better than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.9%
68% better than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.5%
73% better than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 78.2%
509% worse than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 3.1%
86% better than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 78.9%
7% worse than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 72.6%
20% worse than Missouri average

Missouri average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.65
69% better than Missouri average

Missouri average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.39
83% better than Missouri average

Missouri average: 2.35

Short-stay resident measures
Significantly above average Missouri avg: 2.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 44.8%
33% worse than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 27.2%
57% worse than Missouri average

Missouri average: 63.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 11.9%
53% better than Missouri average

Missouri average: 25.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 5.0%
63% better than Missouri average

Missouri average: 13.4%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Missouri average

Missouri average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 40.5%
24% worse than Missouri average

Missouri average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 50.3%
In line with Missouri average

Missouri average: 50.6%

Breakdown by payment type

Medicare

9% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

53% of new residents, often for short stays.

Typical stay 26 days

Medicaid

38% of new residents, often for long-term daily care.

Typical stay 5 - 6 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 160
Medicare
4
2.5% of residents
Medicaid
110
68.8% of residents
Private pay or other
46
28.8% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
LLC
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$12.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.4M
For-profit LLC
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$12.7M Rank #23 / 292Revenue — State benchmarkedThis home is ranked 23rd out of 292 homes in Missouri. Shows this facility's annual revenue compared to the Missouri average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.4M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$44.2K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #38 / 292Payroll — State benchmarkedThis home is ranked 38th out of 292 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$6.0M 47.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #270 / 292Payroll % — State benchmarkedThis home is ranked 270th out of 292 homes in Missouri. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–71% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$5.2M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$11.2M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (53% of admissions), and a typical private pay stay runs around 26 days.

Admissions
664 total

Coverage residents most often arrive under.

Medicare 9%
Private pay 53%
Medicaid 38%
Discharges
394 total

Coverage residents most often leave under.

Medicare 8%
Private pay 46%
Medicaid 46%

Places of interest near Spring Valley Health and Rehabilitation Center

Address 4.4 miles from city center Info Estimated distance in miles from Springfield's city center to Spring Valley Health and Rehabilitation Center's address, calculated via Google Maps.

Calculate Travel Distance to Spring Valley Health and Rehabilitation Center

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Address

Compare Nursing Homes around Springfield

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.

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265161
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-1% +36%
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3
Facility 3
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$11.3M
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67.7%
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265804
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HC
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90
Facility 90
MO AVG 97
Rank #227 / 454
77.8%
Facility 77.8%
MO AVG 66.6%
Rank #136 / 434
+17%
4.79
Facility 4.79
MO AVG 3.74
Rank #37 / 282
-44% +28%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 289
36
Facility 36
MO AVG 36.5
Rank #176 / 287
6.0
Facility 6.0
MO AVG 5.7
Rank #182 / 287
- 70 A+
94
Facility 94
MO AVG 45
Rank #5 / 563
Adam Knapp
$4.8M
Facility $4.8M
MO AVG $8.4M
Rank #184 / 292
$2.8M
Facility $2.8M
MO AVG $3.3M
Rank #179 / 292
57.4%
Facility 57.4%
MO AVG 45.6%
Rank #136 / 292
265835
James River Nursing and Rehabilitation
NH
MC
RC
Springfield (Downtown Springfield)
120
Facility 120
MO AVG 97
Rank #89 / 454
80.0%
Facility 80.0%
MO AVG 66.6%
Rank #115 / 434
+20%
3.74
Facility 3.74
MO AVG 3.74
Rank #144 / 282
-56% 0%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 289
28
Facility 28
MO AVG 36.5
Rank #125 / 287
4.7
Facility 4.7
MO AVG 5.7
Rank #114 / 287
- 94 A+
94
Facility 94
MO AVG 45
Rank #5 / 563
Jrnrc Ops Inc
$9.7M
Facility $9.7M
MO AVG $8.4M
Rank #61 / 292
$4.9M
Facility $4.9M
MO AVG $3.3M
Rank #73 / 292
50.8%
Facility 50.8%
MO AVG 45.6%
Rank #235 / 292
265664
Spring Valley Health and Rehabilitation Center
NH
AL
IL
Springfield (Meador Park)
194
Facility 194
MO AVG 97
Rank #16 / 454
80.4%
Facility 80.4%
MO AVG 66.6%
Rank #112 / 434
+21%
2.07
Facility 2.07
MO AVG 3.74
Rank #273 / 282
-16% -45%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 289
84
Facility 84
MO AVG 36.5
Rank #275 / 287
6.5
Facility 6.5
MO AVG 5.7
Rank #202 / 287
3 152 -
65
Facility 65
MO AVG 45
Rank #124 / 563
Holly Anderson
$12.7M
Facility $12.7M
MO AVG $8.4M
Rank #23 / 292
$6.0M
Facility $6.0M
MO AVG $3.3M
Rank #38 / 292
47.4%
Facility 47.4%
MO AVG 45.6%
Rank #270 / 292
265188

Financial Assistance for
Nursing Home in Missouri

Spring Valley Health and Rehabilitation Center is located in Springfield, Missouri.
Here are the financial assistance programs available to residents in Missouri.

Get Financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled
General Missouri resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MO

Rural access prioritized.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home health services

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+
General Missouri resident, in approved facility.
Income Limits ~$1,215/month individual
Asset Limits $2,000 individual
MO

Supplements SSI; facility-based only.

Benefits
Monthly cash payment (~$156-$292/month) for care costs

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+
General Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
Income Limits (2025) ~$2,901/month (300% FBR, individual); QIT required.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Caregiver must be family; small program size.

Benefits
Cash stipend ($1,000-$1,500/month) to family caregiver Respite Training Supplies ($500/year)

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled
General Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
Income Limits (2025) ~$1,690/month (individual, projected); spenddown allowed.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Less intensive than waivers; statewide access.

Benefits
Personal care (2-4 hours/day) Homemaker services Limited respite Medical equipment

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled
General Missouri resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MO

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Age
General Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based.
MO

Administered via AAAs and Alzheimer’s Association; rural focus.

Benefits
Respite (4-6 hours/week) Training Assistive tech ($500/year) Supplies

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Missouri resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MO

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about Spring Valley Health and Rehabilitation Center

What neighborhood is Spring Valley Health and Rehabilitation Center in?

Spring Valley Health and Rehabilitation Center is in the Meador Park neighborhood of Springfield.

Who is the owner of Spring Valley Health and Rehabilitation Center?

Spring Valley Health and Rehabilitation Center is legally operated by Mc Fremont Healthcare, Llc, and administered by Holly Anderson.

Is Spring Valley Health and Rehabilitation Center in a walkable area?

Spring Valley Health and Rehabilitation Center has a walk score of 65. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Spring Valley Health and Rehabilitation Center?

Spring Valley Health and Rehabilitation Center's occupancy is 80%.

Does Spring Valley Health and Rehabilitation Center operate as a for-profit or non-profit?

Spring Valley Health and Rehabilitation Center is registered as a for-profit in MO.

Who is the administrator of Spring Valley Health and Rehabilitation Center?

Holly Anderson is the administrator of Spring Valley Health and Rehabilitation Center.

How many beds does Spring Valley Health and Rehabilitation Center have?

Spring Valley Health and Rehabilitation Center has 194 beds.

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