3535 S National Ave, Springfield, MO 65807 · Greene County · (417) 269-6650
28 certified beds, about 5 residents a day · Non profit - Corporation · Medicare since 1985
CMS Care Compare ratings, data as of September 1, 2026 · CCN 265289 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 23, 2026, inspectors cited 6 health deficiencies (the Missouri average is 11.4, the national average 9.2).
None of its 9 health citations since June 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 10.00 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 8.27 of those hours.
54.5% of nursing staff left within the year CMS measured (Missouri average 56.0%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to develop and update the comprehensive facility assessment annually, in accordance with all applicable Federal requirements. Failure to develop and update the comprehensive facility assessment annually could delay the services needed to care for the residents in day-to-day operations and in emergencies. This failure could affect all facility occupants. The facility census was 7. Review showed the facility did not provide a policy regarding the facility assessment. 1. Review showed the facility did not provide a facility assessment document. During an interview on 04/22/26, at 4:36 P.M., the Administrator said she thought the facility assessment was completed in May 2025 prior to her taking over as administrator. The assessment has not been located. The assessment should be completed annually. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident environment remained as free from accident hazards as possible when the facility had water temperatures in excess of 120 degrees Fahrenheit ( F) in multiple resident rooms. The facility had a census of 7. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to assess risks of entrapment from bed rails prior to installation, failed to ensure that the beds dimensions were appropriate for each resident's size and weight, and failed to develop and implement interventions for the use of side rails on the residents' care plans for three residents (Resident #2, Resident #10, and Resident #11). The facility's census was 7. Review showed the facility did not provide a policy regarding the use of side rails. 1. Review of Resident #2's face sheet (admission data) showed the resident admitted to the facility on [DATE]. Review of the resident's consent to use half side rails showed the following:-The resident's responsible party gave verbal consent for the resident's use of the side rails;-Staff signed the document (after verbal consent) on 01/15/26. [...]
Inspectors wroteBased on observation and interview, the facility failed to provide dignity and respect to a resident during a wound care treatment when a staff member argued with one resident (Resident #4) who attempted to direct his/her own care. The facility census was 7. Review of the facility's policy titled Patient [NAME] of Rights, undated, showed the following:-The purpose of the Patient [NAME] of Rights is to inform patients and their family members of their rights and responsibilities;-The facility has defined patient rights and responsibilities to comply with the patient Self-Determination Act, (Health Insurance Portability and Accountability Act (Hippa) and Centers for Medicare and Medicaid Services (CMS) and other applicable regulations and organizational values;-Patients have the right to be treated with respect and dignity. [...]
Inspectors wroteBased on record review, observation and interview the facility failed to obtain specific flush orders and dressing change orders and failed to ensure the physician orders specified which tube staff should administer medications through and which tube staff should administer feedings though for one resident (Resident #5) who had a gastrostomy tube (G-tube - a surgically placed device providing direct access to the stomach for feeding, fluids, and medications when a person cannot eat enough by mouth) and a jejunostomy tube (J-tube - a long-term feeding tube surgically placed through the abdomen directly into the small intestine's middle section (jejunum) to deliver nutrients and medication). The facility's census was 7. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an effective and complete infection control program when staff failed to implement Enhanced Barrier Precautions (EBP - an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDRO - microorganisms, predominantly bacteria that are resistant to one or more classes of antimicrobial agents. [...]
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a medication error rate of less than 5% when the facility staff made two errors out of 25 opportunities resulting in an error rate of 7.14% when staff failed to prime the insulin pens for one resident (Resident #3) during two medication pass observations. The facility census was 14. Record review of the Novolog Flexpen (name brand for insulin aspart injection - fast acting insulin) manufacturer's website, dated June 2021, instruction for use included the following: -Pull off the pen cap and wipe the rubber stopper with an alcohol swab; -Attach a new needle, push and twist the needle on until it is tight; -Check the flow in the needle with an air shot of two units. Tap the pen a few time to make any air bubbles collect at the top. [...]
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents were free of significant medication errors when staff failed to prime insulin pens for one resident (Resident #3) during two medication pass observations. The facility had a census of 14. Record review of the Novolog Flexpen (name brand for insulin aspart injection - fast acting insulin) manufacturer's website, dated June 2021, instruction for use included the following: -Pull off the pen cap and wipe the rubber stopper with an alcohol swab; -Attach a new needle, push and twist the needle on until it is tight; -Check the flow in the needle with an air shot of two units. Tap the pen a few time to make any air bubbles collect at the top. Press the push button all the way in and make sure that a drop appears, if not change the needle and complete the process again; [...]
Inspectors wroteBased on interview and record review, the facility staff failed to ensure 100% of staff had been fully vaccinated for COVID-19 (a highly contagious virus that causes serious illness or death), or granted a qualifying exemption when one staff (Employee C) had not received the full primary vaccination series as of the start of the survey on 6/28/2022. The facility census was 14. Record review of the facility policy entitled Universal COVID-19 Vaccination (undated) showed the following information: -Vaccination is known to reduce the instance and severity of COVID-19 illness in the workplace. The facility has adopted this policy on mandatory vaccination to safeguard employees, providers, and patients from the hazards of COVID-19; -The facility requires all staff to be fully vaccinated for COVID-19 unless an exemption from this policy has been granted as an accommodation. [...]
2 fire safety citations on file: 1 on May 30, 2024, 1 on June 30, 2022.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Missouri | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 10.00 | 3.43 | 3.86 |
| Registered nurses | 8.27 | 0.46 | 0.69 |
| All nursing staff on weekends | 10.43 | 3.01 | 3.42 |
| Nurse aides | 0.00 | ||
| Licensed practical nurses | 1.73 | ||
| Nursing staff turnover (share who left in a year) | 54.5% | 56.0% | 45.8% |
| Registered nurse turnover | 55.6% | 47.8% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.93 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 9.83 on weekdays and 10.43 on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 9.76 in April to June 2025 to 10.00 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 10.00 | 8.27 | 9.83 | 10.43 | 0.3% | 0 of 90 | 5 |
| Oct to Dec 2025 | 9.91 | 8.19 | 10.09 | 9.44 | 0.0% | 0 of 92 | 5 |
| Jul to Sep 2025 | 9.20 | 7.50 | 9.10 | 9.46 | 0.0% | 0 of 92 | 5 |
| Apr to Jun 2025 | 9.76 | 8.10 | 9.60 | 10.17 | 0.0% | 0 of 91 | 5 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Missouri, Jan to Mar 2026 | 3.34 | 0.40 | 3.50 | 2.93 | 3.9% | 1.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Missouri, all employers | |||
| CNAs (nursing assistants) | $18.11 | $17.02 to $20.00 | 34,050 |
| LPNs and LVNs | $29.58 | $27.06 to $33.77 | 14,700 |
| Registered nurses | $39.32 | $36.56 to $47.39 | 76,310 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Missouri | US |
|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.6 | 2.2 | 1.6 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Cox Medical Centers Meyer Orthopedic and Surgical's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (67.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
67.5% this home
Better than the national rate
US median of homes 51.5% · Missouri: 41 better, 31 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 155 eligible stays.
9.9% this home
No different from the national rate
US median of homes 10.7% · Missouri: 0 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 170 eligible stays.
4.5% this home
No different from the national rate
US median of homes 7.1% · Missouri: 1 better, 5 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 107 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Missouri51.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 9 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Missouri0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 11 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Missouri2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 11 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Missouri100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 2 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: LESTER E COX MEDICAL CENTERS.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Coxhealth | 5% or greater direct ownership interest | Organization | 100% | 12/30/2013 |
| The Bank of New York Mellon Trust Company | 5% or greater mortgage interest | Organization | 09/10/2008 | |
| Abdalla, Ibrahim | Corporate director | Individual | 10/26/2017 | |
| Aguirre, Logan | Corporate director | Individual | 10/28/2025 | |
| Baldner, Joselyn | Corporate director | Individual | 01/27/2026 | |
| Baumgartner, Jan | Corporate director | Individual | 10/20/2016 | |
| Chalender, Charles | Corporate director | Individual | 10/16/2008 | |
| Cox, Robert | Corporate director | Individual | 10/28/2021 | |
| Douglas, Thomas | Corporate director | Individual | 10/27/2023 | |
| Erwin, Brad | Corporate director | Individual | 02/15/2018 | |
| Flax, Julia | Corporate director | Individual | 02/19/2015 | |
| Fulp, Robert | Corporate director | Individual | 11/06/2007 | |
| Gaisie, Nana | Corporate director | Individual | 10/28/2021 | |
| Graves, Susan | Corporate director | Individual | 10/28/2021 | |
| Hargis, Sara | Corporate director | Individual | 10/20/2016 | |
| Heim, Dennis | Corporate director | Individual | 11/06/2007 | |
| Hellweg, Kurt | Corporate director | Individual | 10/15/2009 | |
| Higdon, Hal | Corporate director | Individual | 10/16/2008 | |
| Hutcheson, James | Corporate director | Individual | 11/06/2007 | |
| Jared, Brian | Corporate director | Individual | 10/20/2016 | |
| Jarvis, Howard | Corporate director | Individual | 02/19/2015 | |
| Lemon, Daphne | Corporate director | Individual | 10/28/2021 | |
| Lipscomb, Larry | Corporate director | Individual | 11/06/2007 | |
| Lipscomb, Stuart | Corporate director | Individual | 05/19/2023 | |
| Russell, Krystal | Corporate director | Individual | 10/24/2019 | |
| Taylor, Carol | Corporate director | Individual | 04/17/2014 | |
| Turner, Joseph | Corporate director | Individual | 11/06/2007 | |
| Tynes, Jefferson | Corporate director | Individual | 10/20/2011 | |
| Yancey, Pamela | Corporate director | Individual | 10/27/2023 | |
| Buetow, Max | Corporate officer | Individual | 06/01/2022 | |
| Erwin, Brad | Corporate officer | Individual | 10/28/2025 | |
| Hargis, Sara | Corporate officer | Individual | 10/28/2025 | |
| McWay, Jacob | Corporate officer | Individual | 09/06/2004 | |
| Nelson, Vickie | Corporate officer | Individual | 07/21/2017 | |
| Tynes, Jefferson | Corporate officer | Individual | 10/28/2025 | |
| Coxhealth | Operational/managerial control | Organization | 06/12/2014 | |
| Lester E Cox Medical Centers | Operational/managerial control | Organization | 06/15/1985 | |
| Buetow, Max | Operational/managerial control | Individual | 06/01/2022 | |
| Casad, Ashley | Operational/managerial control | Individual | 01/24/2024 | |
| Gurley, Jackson | Operational/managerial control | Individual | 03/15/2026 | |
| Hedgpeth, Amanda | Operational/managerial control | Individual | 01/01/2023 | |
| Johnson, Michelle | Operational/managerial control | Individual | 03/15/2026 | |
| McWay, Jacob | Operational/managerial control | Individual | 08/06/2025 | |
| Reardon, Malissa | Operational/managerial control | Individual | 01/26/2025 | |
| Roberts, Donna | Operational/managerial control | Individual | 10/01/2023 | |
| Coxhealth | Adp of the SNF | Organization | 06/12/2014 | |
| Lester E Cox Medical Centers | Adp of the SNF | Organization | 04/02/2025 | |
| Buetow, Max | Adp of the SNF | Individual | 06/01/2022 | |
| Casad, Ashley | Adp of the SNF | Individual | 01/24/2024 | |
| Hedgpeth, Amanda | Adp of the SNF | Individual | 01/01/2023 | |
| McWay, Jacob | Adp of the SNF | Individual | 08/06/2025 | |
| Reardon, Malissa | Adp of the SNF | Individual | 01/26/2025 | |
| Roberts, Donna | Adp of the SNF | Individual | 10/01/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Missouri. NursingHomeClear cannot take or act on complaints.