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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Experience exceptional care at The Manor at Elfindale, a dedicated community in Springfield, MO, offering memory care, rehabilitation, and skilled nursing. Those with cognitive conditions and complex healthcare needs are guaranteed the highest quality of care with a compassionate and highly trained team available around the clock. Specially designed and secured units are also provided in a nurturing and welcoming environment, so residents can feel at ease during their stay.
Stimulating activities and enriching programs are conducted to keep residents active and socially connected. Delicious and well-balanced meals are available, ensuring residents have the nutrients they need to remain healthy. The community has received several recognitions throughout the years, proving its top-notch quality.
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.
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.
This home is ranked 26th out of 276 homes in Missouri. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 38m per day | ▲ 36% State avg: 28m per day · National avg: 41m per day |
|
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.
| 56m per day | ▲ 37% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 2h 49m per day | ▲ 21% State avg: 2h 20m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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.
| 3h 49m per day | ▲ 25% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
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.
| 6m per day | ▲ 200% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
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.
| 26m per day | ▲ 30% State avg: 20m per day · National avg: 29m per day |
Higher than the Missouri average: 66.6%The Manor at Elfindale is legally operated by Vsl Springfield Manor, Llc, and administrated by Mr Matthew Gould.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, 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.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 5 | 35 | This facility has 86% fewer total deficiencies than a typical Missouri nursing home (5 vs. MO avg 35).↓ 86% better |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 0.6 | 4.4 | This facility has 86% fewer deficiencies per year than a typical Missouri nursing home (0.6 vs. MO avg 4.4).↓ 86% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.3 | 5 | This facility has 74% fewer deficiencies per inspection than a typical Missouri nursing home (1.3 vs. MO avg 5).↓ 74% better |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 4 | 7 | This facility has 43% fewer total inspections than a typical Missouri nursing home (4 vs. MO avg 7).↓ 43% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Missouri average 6.6
Last Health inspection on Dec 2021
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 3 citations resulted from standard inspections.
100% better than Missouri averageMissouri average: 0.7
100% better than Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
11% worse than Missouri average
6% worse than Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 10 RN Staff are full-time employees. No contractors work on this role.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursAssists with medical care and medications.
All 19 LPN Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursHelps with daily care and mobility.
All 63 CNA Staff are full-time employees. No contractors work on this role.
63
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,472 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 63 | 0 | 63 | 21,551 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 19 | 0 | 19 | 7,920 | 92 | 100% | 8.3 |
| Medication Aide/Technician | 7 | 0 | 7 | 3,354 | 92 | 100% | 8.4 |
| Registered Nurse | 10 | 0 | 10 | 2,863 | 92 | 100% | 9.5 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,544 | 70 | 76% | 8.1 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,477 | 77 | 84% | 8 |
| Dental Services Staff | 3 | 0 | 3 | 1,301 | 68 | 74% | 7.7 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 1,161 | 70 | 76% | 5.9 |
| Physical Therapy Assistant | 0 | 3 | 3 | 773 | 73 | 79% | 5.8 |
| Physical Therapy Aide | 0 | 5 | 5 | 541 | 68 | 74% | 6.9 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Qualified Social Worker | 0 | 4 | 4 | 503 | 68 | 74% | 4.8 |
| RN Director of Nursing | 1 | 0 | 1 | 488 | 62 | 67% | 7.9 |
| Speech Language Pathologist | 0 | 4 | 4 | 364 | 70 | 76% | 4.9 |
| Medical Director | 0 | 1 | 1 | 130 | 26 | 28% | 5 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.7
30% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.1
7% better than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
16.0%
19% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
18.0%
13% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.2%
12% worse than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
59% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
2.2%
56% better than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.0%
63% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
0.5%
92% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
3.0%
76% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
14.7%
33% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
17% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
9% better than Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.14
45% better than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.71
70% better than Missouri averageMissouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.8%
47% better than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
58% better than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.2%
40% better than Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.9%
13% better than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.7%
28% better than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
In line with Missouri averageMissouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
51.7%
In line with Missouri averageMissouri average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
49.9%
In line with Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
44% of new residents, usually for short-term rehab.
56% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
88Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for The Manor at Elfindale based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #22 / 286Payroll — State benchmarkedThis home is ranked 22nd out of 286 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Private Rooms
Building Type: Single-story
Dining Services
Beauty Services
Transportation Services
Social and Recreational Activities
On-site Medical Care and Health Services
Security Systems
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
2.7 miles from city center
Estimated distance in miles from Springfield's city center to The Manor at Elfindale's address, calculated via Google Maps.
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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| The Manor at Elfindale |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Springfield (Fassnight) | - | 100 | A+ | 51 | Private Rooms |
| Wilson’s Creek Nursing &Amp; Rehab |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Springfield (Downtown Springfield) | - | 172 | A+ | 94 | Private Rooms |
| James River Nursing and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Springfield (Downtown Springfield) | - | 120 | A+ | 94 | Private Rooms |
| Brookhaven Nursing &Amp; Rehab |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Springfield (Downtown Springfield) | - | 90 | A+ | 94 | Private Rooms |
| Springfield Villa |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Springfield (Downtown Springfield) | - | 146 | A+ | 94 | Private Rooms |
The Manor at Elfindale is in the Fassnight neighborhood of Springfield.
The legal owner and operator of The Manor at Elfindale is Vsl Springfield Manor, Llc.
The Manor at Elfindale has a walk score of 51. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
The Manor at Elfindale's occupancy is 90%.
Mr MATTHEW GOULD is the administrator of The Manor at Elfindale.
The Manor at Elfindale has 100 beds.
Yes — there are 7 photos of The Manor at Elfindale in the photo gallery on this page.
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