3550 East Battlefield, Springfield, MO 65809 · Greene County · (417) 889-9500
120 certified beds, about 98 residents a day · For profit - Individual · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 265664 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 30, 2024, inspectors cited 16 health deficiencies (the Missouri average is 11.4, the national average 9.2).
None of its 28 health citations since October 2019 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 3.60 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.
64.0% of nursing staff left within the year CMS measured (Missouri average 56.0%).
CMS links it to Anthony & Bryan Adams, an affiliated group of 38 nursing homes.
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 28 health citations on file.
Inspectors wroteBased on observation, interview, and record review, staff failed to ensure an environment free of accident hazards when staff failed to consistently implement fall preventions interventions for one resident (Resident #23) with a recent fall. The facility census was 100. Review of facility policy titled, Falls-Clinical Protocol, dated March 2018, showed the following information:-After first fall the physician should review the resident's gait, balance, and current medications that may be associated with dizziness or falling;-Staff and physicians will identify pertinent interventions;-If underlying causes cannot be readily identified or corrected staff will try various interventions; -The staff and physicians will monitor and document the individual's response to interventions intended to reduce falling or the consequences of falling. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to promote and facilitate the right of self-determination for every resident when staff failed to honor reasonable shower preferences for three residents (Resident #1, #2, and #3). The facility census was 96.1. Review of Resident #1's face sheet (a general information sheet) showed the following:-admission date of 03/14/24;-Diagnoses included type 2 diabetes, morbid obesity, and chronic kidney disease. Review of the resident's quarterly Minimum Data Set (MDS - federally mandated assessment instrument completed by facility staff), dated 10/02/25, showed the following:-No cognitive impairment;- Partial/moderate assistance with shower/bathing;-Supervision/touching assistance with shower/bath transfer. Review of the resident's October 2025 shower sheets showed the resident received a shower on the following dates: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow standards of practice and keep food safe from potential contamination or bacterial growth when staff failed to ensure cups and glasses were air dried before being stored. The facility census was 101. Review showed the facility did not provide a policy regarding drying of dishes. Record review of the 1999 Food Code, issued by the Food and Drug Administration, showed the following information: -After cleaning and sanitizing, equipment and utensils shall be air-dried or used after adequate draining before contact with food; -Items must be allowed to drain and to air-dry before being stacked or stored. Stacking wet items such as pans prevents them from drying and may allow an environment where microorganisms can begin to grow. 1. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to treat all residents with dignity and respect when staff used an inappropriate tone of voice and a public location to discuss concerns with one resident (Residents #22) and when one staff member (Certified Nurse Aide (CNA) A) cursed and used a disrespectful name in the presence of a resident, transferred a resident in a rough manner, and tossed a draw sheet while assisting a resident for one resident (Resident #19). The facility census was 101. A sample of 27 residents was reviewed; the facility census was 101. Review of a facility's policy titled Dignity, revised 02/2021, showed the following: -Each resident shall be cared for in a manner that promotes and enhances his or her sense of well-being, level of satisfaction with life, and feelings of self-worth and self-esteem; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a clean, safe, and comfortable homelike environment for all residents when when staff failed to repair a stained ceiling, and failed to keep the floor free from debris for one resident (Resident #70); when staff failed to repair wall damage for one resident (Resident #30); and when staff failed to maintain wall outlets for one resident (Resident #49). The facility census was 101. Review of the facility policy titled Homelike Environment, dated February 2021, showed the following: -Residents are provided with a safe, clean, comfortable and homelike environment and encouraged to use their personal belongings to the extent possible; [...]
Inspectors wroteBased on observation and interview, the facility failed to properly store all drugs in locked compartments when three medication carts were observed unlocked while unattended by staff. The facility census was 101. Review showed the facility did not provide a policy pertaining to storage of medication. 1. Observation on 07/26/24, at 11:30 A.M., showed Licensed Practical Nurse (LPN) U positioned a medication cart in the hallway outside a resident's room. The cart was facing the resident's doorway and adjacent wall, approximately two feet away. The LPN dispensed the resident's medications, did not lock the cart, and entered the resident's room to administer the medications. The Assistant Director of Nursing (ADON) R approached the cart and depressed the lock. [...]
Inspectors wroteBased on observation, interview, and record review, the facility staff failed to maintain proper infection control when administering medication for two residents (Residents #254 and #8) and failed to properly disinfect glucometers (medical device for determining glucose in the blood) during tests performed for three residents (Residents #74, #22, and #14). The facility census was 101. 1. Review of the facility policy titled Administering Oral Medications, dated October 2010, showed staff should not touch medications with their hands. Review of Resident #254's face sheet (gives basic profile information), showed the following information: -admission date of 03/19/24; [...]
Inspectors wroteBased on interview, observation, and record review, the facility failed to facilitate and support each resident's right to self-determination when staff failed to provide baths/showers to two residents (Resident #46 and #49) as requested and care planned. A sample of 27 residents was reviewed in a facility census with a census of 101. Review showed the facility did not provide a policy related to showers/bathing of residents. 1. Review of Resident #46's face sheet (brief information sheet about the resident) showed the following: -admission date of 10/03/22; -Diagnoses include: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident's personal privacy was protected when staff failed to shut the door for one resident (Resident #6) while providing personal care exposing him/her to anyone passing the room. The facility census was 101. Review of the facility's policy titled Dignity, last revised in February 2021, showed the following information: -Each resident shall be cared for in a manner that promotes and enhances his or her sense of well-being, level of satisfaction with life, and feelings of self-worth and self-esteem; -Residents' private space and property are respected at all times; -Staff promote, maintain, and protect resident privacy, including bodily privacy during assistance with personal care and during treatment procedures. 1. Review of the Resident #6's face sheet showed the following information: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to complete the required Preadmission Screening and Resident Review (PASARR - a two level tool used to screen each resident in a nursing facility for mental disorder or intellectual disability prior to admission) prior to or upon admission to the facility for one resident (Resident #14). The facility census was 101. Review of the facility's policy titled admission Criteria, dated March 2019, showed the following information: -All new admissions and readmissions are screened for mental disorders, intellectual disabilities, or related disorders per the PASARR process; -The facility conducts a Level I PASARR screen for all potential admissions, regardless of payer source, to determine if the individual meets the criteria for a mental disorders, intellectual disabilities, or related disorders; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all residents who were unable to carry out activities of daily living (ADLs) received the necessary services to maintain good grooming and personal hygiene when staff failed to provide peri-care and change urine soaked items for one resident (Resident #42). The facility census was 101. Review of the facility's policy titled Urinary Incontinence- Clinical Protocol, last revised April 2018, showed staff will provide scheduled toileting, prompted voiding, or other interventions to try to improve the individual's continence status. Review showed the facility did not provide a policy regarding incontinent care and/or performing incontinent care. 1. Review of the Resident #42's face sheet (brief look at resident information) showed the following information: -admission date of 04/20/18; [...]
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure that one resident's (Resident #46) code status (type of emergent treatment a person would or would not receive if their heart or breathing were to stop) matched throughout the medical record out of a sample of 27 residents. The facility census was 101. Review of the facility policy titled Advance Directives, dated [DATE], showed the following information: -Advance directives will be respected in accordance with state law and facility policy; -Upon admission, the resident will be provided with written information concerning the right to refuse or accept medical or surgical treatment and to formulate an advance directive if he or she chooses to do so; [...]
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure catheter (a sterile tube inserted into the bladder to drain urine) use per standard of practice when one resident's medical record (Resident #47) failed to have a diagnosis to show why the resident had a catheter. The facility census was 101. Review of the facility policy Catheter Care, Urinary, revised, August 2022, showed the following information: -To prevent urinary catheter associated complications, including urinary tract infections (UTI's) staff will review the resident's care plan to assess for any special needs and review and document the clinical indications for catheter use prior to inserting. 1. Review of Resident #47's face sheet (a brief look at the residents personal, incoming information), showed the following information: -admission date of 05/22/24 -Diagnoses included kidney complications. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure respiratory care consistent with standards of practice when staff failed to obtain a physician's order for staff to administer continuous positive airway pressure machine (CPAP - machine used to deliver constant and steady air pressure while sleeping) for the treatment for obstructive sleep apnea (breathing repeatedly stops and starts during sleep) at bedtime as care planned for one resident (Resident #49) with a CPAP machine at bedside. The facility census was 101. Review of the facility policy titled CPAP Support, dated March 2015, showed the following information: -Purpose to provide the spontaneously breathing resident with continuous airway pressure machine with or without supplemental oxygen; [...]
Inspectors wroteBased on observation, record review, and interview, the staff failed to ensure correct installation and maintenance of all bed rails when the bed rails of one resident (Resident #49) could be moved by the resident back and forth several inches in each direction. The facility had a census of 101. Review showed the facility failed to provide a policy regarding side rail use, installation, and monitoring. 1. Review of Resident #49's face sheet showed the following: -admission date of 05/20/22; [...]
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure that the medication error rate was not 5 percent or greater when the facility failed to prime (removing the air from the needle and cartridge that may collect during normal use and ensures the pen is working correctly) an insulin pen for one resident (Resident #74) and when staff crushed and mixed three medications and administered via percutaneous endoscopic gastrostomy (PEG - a tube that is surgically placed into the stomach through a small incision in the abdomen) for one resident (Resident #254). This resulted in four errors out of 28 opportunities during the observed during medication pass resulting in a 14% error rate. The facility census was 101. 1. [...]
Inspectors wroteBased on observation, record review, and interview, the facility staff failed to ensure all resident's were free from significant medication errors when staff failed to prime (removing the air from the needle and cartridge that may collect during normal use and ensures the pen is working correctly, failure to do so may result in giving the resident too much or too little insulin) an insulin pen for one resident (Resident #74). The facility census was 101. Review of manufacturer's instructions regarding NovoLog (rapid acting insulin) FlexPens, last revised on March 2008, showed the pen should be primed before each injection. The pen should be primed by the following steps: -Turn the dose selector to select two units; -Hold the pen with the needle pointing up. Tap the cartridge gently with finger a few times to make any air bubbles collect at the top of the cartridge; [...]
Inspectors wroteBased on record review and interview, the facility failed to notify the resident and the resident's representative in writing, as soon as practicable, of a transfer or discharge to a hospital that included the reason for the transfer, date of transfer, and destination of transfer for three residents (Residents #30, #65, and #70) out of 10 sampled residents. The facility census was 101. Review showed the facility did not provide a policy regarding written transfer notices upon a resident's transfer to the hospital. 1. Review of Resident #30's face sheet (gives basic profile information) showed the following information: -admitted to the facility on [DATE] and re-admitted on [DATE]; [...]
Inspectors wroteMO00231261 Based on record review and interview, the facility failed to keep all residents free from misappropriation when the staff could not account of 17 doses of medication, affecting twelve residents (Resident #2, #4, #8, #9, #10, #1, #3, #5, #6, #11, #12 and #7), that were the possession of the facility. The facility census was 99. Review of the facility policy, Abuse, Neglect, Exploitation or Misappropriation Prevention Program, revised 04/2021, showed the residents have the right to be free from abuse, neglect, misappropriation of resident property, and exploitation. Review of the facility policy, Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating, revised 2022, showed the following information: [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure all residents' medical records were complete and accurate when faciltiy staff failed to document if treatments were completed for four residents (Resident #2, #4, #9, and #10) and failed to follow-up with the residents regarding potentally missed treatments. The census was 99. 1. Review of Resident #2's face sheet showed the following: -admission date of 01/19/24; -Diagnoses included cellulitis (a bacterial skin infection that causes redness, swelling, and pain in the infected area of the skin) of the left leg, multiple sclerosis (a long-lasting (chronic) disease of the central nervous system), muscle wasting and atrophy (waste away), hypotension (low blood pressure), weakness, severe sepsis with septic shock (when a person's body responds improperly to an infection and causes your organs to malfunction). [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure effective pain management was provided to all residents, consistent with professional standards of practice, when staff failed to administer one resident's (Resident #8) as needed pain medication when the resident requested the mediation due to pain and showed physical signs of pain. The census was 99. Review of the facility policy, Administering Oral Medications, revised 10/2010, showed the following: -For tablets or capsules from a bottle. pour the desired number into the bottle cap and transfer to the medication cup. Do not touch the medication with hands. Return extra capsules/tablets to the bottle. All medications to be given at the same time can be placed in the same cup except those that require assessment (e.g., vital signs) prior to administration; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all food was protected from possible contamination when the ice machine reflector shield in the kitchen was not clean and when the facility staff failed to store opened food items in a manner to protect the food items from possible contamination. The facility census was 94. 1. Record review of the facility policy titled Ice Machines and Ice Storage Chests, revised January 2012, showed the following: -The facility has established procedures for cleaning and disinfecting ice machines and ice storage chests which adhere to the manufacturer's instructions. The Infection Preventionist (or designee) maintains a copy of these procedures. Record review of the facility policy titled Sanitation, revised October 2008, showed the following: [...]
Inspectors wroteBased on observation and interview, the facility failed to post the daily nurse staffing information in a clear and readable format and in a prominent place readily accessible to residents and visitors. The facility census was 94. 1. Observations showed the following: -On 09/19/22, at 11:49 A.M., a daily nurse positing was not located; -On 09/20/22, at 8:45 A.M., a daily nurse positing was not located; -On 09/20/22, at 2:48 P.M., a daily nurse positing was not located; -On 09/21/22, at 8:59 A.M., a daily nurse positing was not located; -On 09/22/22, at 8:55 A.M., a daily nurse positing was not located; -On 09/23/22, at 10:30 A.M., a daily nurse positing was not located. During an interview on 9/23/22, at 10:20 A.M., Licensed Practical Nurse (LPN) M said he/she did not know of a daily staffing (nurse) posting or who would be responsible for one. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to store medications according to professional standards and manufacturer's guidelines when staff failed to note when a vial of insulin was opened; failed to ensure the disposal of outdated tuberculin testing solutions and stock medication; and failed to ensure medications were stored behind at least one lock when not directly supervised by facility staff to ensure medications were inaccessible to unauthorized staff and residents. The facility census was 106. 1. Record review of the facility's policy titled Storage of Medications and Security of the Medication Cart, dated April 2017, showed the following: -Staff must secure the medication cart during the medication pass to prevent unauthorized entry; [...]
Inspectors wroteBased on observation, interviews, and record review, the facility failed keep food safe from potential contamination when the stove and the tilt fryer had a build-up of grease and lint that could potentially contaminate food prepared for residents. The facility census was 106. 1. Record review of the facility's policy titled Cleaning Schedules, undated, showed the following: -The Dietary Manager (DM) will develop and enforce the cleaning schedules, and monitor the completions of assigned cleaning tasks in order to promote a sanitary environment; -A weekly cleaning schedule should be posted in the dietary department, listing all cleaning tasks, frequency of those tasks, and the employee position responsible for completion of the tasks. The cleaning schedules should be filed for three months, or in accordance with state regulations. [...]
Inspectors wroteBased on observation, interview, and record review, the facility staff failed to provide reasonable accommodations of individual needs and preferences by failing to ensure acceptable lighting to encourage independent activities for one resident (Resident #29). The facility census was 106. Record review of the facility's policy titled Quality of Life-Accommodation of Needs, dated August 2009, showed the following: -The resident's individual needs and preferences shall be accommodated to the extent possible, except when health and safety of the individual or other residents would be endangered; -The resident's individual needs and preferences, including need for adaptive devices and modifications to the physical environment, shall be evaluated upon admission and reviewed on an ongoing basis. 1. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff administered medications with an error rate of less than five percent when staff made two errors out of 27 opportunities, resulting in an error rate of 7.4%, affecting two residents (Resident #54 and #60). The facility census was 106. According to Medscape website (medical reference website for healthcare professionals) showed the following: -Rapid-acting insulin can cause hypoglycemia (low blood glucose). This may occur when enough calories are not consumed after taking the insulin within the time frame; -Older adults may be more sensitive to the side effects of low blood glucose from rapid acting insulin's. Record review of the Novolog (rapid-acting insulin) undated manufacturer's insert showed the following: -Novolog starts acting fast; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to use appropriate infection control procedures to prevent the potential spread of bacteria, or other infections causing contaminants, when performing blood glucose testing on two residents (Resident #54 and Resident #60) out of a sample of 22 residents. The facility census was 106. Record review of the facility's policy titled Blood Sampling-Capillary Finger Sticks, dated September 2014, showed the following: -Wash hands and don gloves; -Place blood glucose monitoring devise on a clean field; -Remove gloves, and discard after obtaining the blood sample. 1. Record review of Resident #54's face sheet (a document that gives a resident's information at a quick glance) showed the following: -admit date [DATE]; [...]
4 fire safety citations on file: 3 on July 30, 2024, 1 on September 23, 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) | 3.60 | 3.43 | 3.86 |
| Registered nurses | 0.48 | 0.46 | 0.69 |
| All nursing staff on weekends | 2.95 | 3.01 | 3.42 |
| Nurse aides | 2.44 | ||
| Licensed practical nurses | 0.69 | ||
| Nursing staff turnover (share who left in a year) | 64.0% | 56.0% | 45.8% |
| Registered nurse turnover | 76.9% | 47.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.46 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 3.87 on weekdays and 2.95 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.37 in April to June 2025 to 3.60 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 | 3.60 | 0.48 | 3.87 | 2.95 | 0.0% | 0 of 90 | 98 |
| Oct to Dec 2025 | 3.21 | 0.37 | 3.38 | 2.76 | 0.0% | 0 of 92 | 94 |
| Jul to Sep 2025 | 3.41 | 0.35 | 3.66 | 2.77 | 0.0% | 0 of 92 | 91 |
| Apr to Jun 2025 | 3.37 | 0.54 | 3.69 | 2.58 | 0.0% | 0 of 91 | 96 |
| 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 long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.9 | 18.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.9 | 4.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.8 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.9 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.3 | 23.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.1 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.6 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.3 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.2 | 2.3 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for James River Nursing and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (51.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
51.6% this home
No different from 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. 145 eligible stays.
10.1% 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. 175 eligible stays.
7.3% 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. 112 eligible stays.
72.2% this home
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. 54 residents counted.
1.3% this home
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. 79 residents counted.
7.0% this home
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. 79 residents counted.
92.6% this home
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. 27 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: JRNRC OPS INC. CMS links this home to Anthony & Bryan Adams, a group of 38 nursing homes averaging 3.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Dvorak, Nora | Managing control - governing body | Individual | 01/01/2017 | |
| Long, Kelsey | Managing control - governing body | Individual | 08/08/2023 | |
| Scroggins, Jesse | Managing control - governing body | Individual | 01/22/2024 | |
| Adams, Anthony | Corporate officer | Individual | 10/01/2016 | |
| Adams, Bryan | Corporate officer | Individual | 10/01/2016 | |
| Koehler, Tobey | Corporate officer | Individual | 10/01/2016 | |
| Alumno, Martin | Operational/managerial control | Individual | 08/28/2024 | |
| Long, Kelsey | Operational/managerial control | Individual | 08/08/2023 | |
| 3b Holdings, LLC | Adp of the SNF | Organization | 10/01/2016 | |
| Centennial Bank | Adp of the SNF | Organization | 04/14/2022 | |
| Greeneco Re East, LLC | Adp of the SNF | Organization | 10/01/2016 | |
| Home Bancshares | Adp of the SNF | Organization | 04/14/2022 | |
| Incite Rehab, LLC | Adp of the SNF | Organization | 10/01/2016 | |
| LTC Systems/Rx, LLC | Adp of the SNF | Organization | 10/01/2016 | |
| Pharmacy Consults, LLC | Adp of the SNF | Organization | 10/01/2016 | |
| Reliance Health Care, Inc. | Adp of the SNF | Organization | 10/01/2016 | |
| Adams, Anthony | Adp of the SNF | Individual | 10/01/2016 | |
| Adams, Bryan | Adp of the SNF | Individual | 10/01/2016 | |
| Alumno, Martin | Adp of the SNF | Individual | 08/28/2024 | |
| Dvorak, Nora | Adp of the SNF | Individual | 01/01/2017 | |
| Ellis, John | Adp of the SNF | Individual | 10/01/2016 | |
| Koehler, Tobey | Adp of the SNF | Individual | 10/01/2016 | |
| Long, Kelsey | Adp of the SNF | Individual | 08/08/2023 | |
| Mainord, William | Adp of the SNF | Individual | 10/01/2016 | |
| McGinnis, Larry | Adp of the SNF | Individual | 10/01/2016 | |
| Pedigo, Rita | Adp of the SNF | Individual | 10/01/2016 | |
| Scroggins, Jesse | Adp of the SNF | Individual | 01/22/2024 |
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.