What is Magnolia Square Nursing and Rehab's Medicare star rating?

CMS rates Magnolia Square Nursing and Rehab 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Magnolia Square Nursing and Rehab get at its last inspection?

2 health deficiencies at the standard inspection on February 14, 2025. The Missouri average is 11.4.

Does Magnolia Square Nursing and Rehab accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Magnolia Square Nursing and Rehab?

CMS lists 27 owners and managers, and links the home to Anthony & Bryan Adams. Legal business name: MSNRC OPS INC.

Magnolia Square Nursing and Rehab: Inspections & Ratings

The record in brief

At its most recent standard inspection, on February 14, 2025, inspectors cited 2 health deficiencies (the Missouri average is 11.4, the national average 9.2).

Of 7 health citations since June 2021, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $26,215 in the last three years; the largest was $26,215, and the latest is dated February 14, 2025.

Nurses and nurse aides worked 3.46 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.35 of those hours.

53.8% 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.

Health inspections

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.

106/21

212/23

108/24

202/25

101/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

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 7 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

January 15, 2026Complaint inspection · 1 citation

D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 2, 2026

Inspectors wroteBased on record review and interview, the facility failed to protect the resident's right to be free from verbal and emotional abuse when one staff member (Certified Nurse Aide (CNA) B) spoke to one resident (Resident #1) in an aggressive manner, continued care when the resident said it hurt, and degraded the resident by telling the resident they would have to use a bed pan. The facility census was 89. Review of the facility's policy titled, Report Abuse, not dated, showed the following: -The facility will not condone resident abuse by anyone, including staff members, physicians, consultants, volunteers, staff of other agencies serving the residents, family members, other residents, etc.-Abuse is defined as the willful infliction of injury; unreasonable confinement, intimidation, or punishment with resulting in physical harm, pain or mental anguish; [...]

February 14, 2025Standard inspection · 2 citations

K

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, pattern · Corrected (the home has a date of correction) March 31, 2025

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an environment free from accident hazards, when hot water at the in room hand sinks of seven residents (Residents #24, #44, #46, #48, #54, #65, and #72), of 18 sampled residents on the Special Care Unit measured between 123.2 degrees Fahrenheit (F) and 129.9 degrees F. The residents were cognitively impaired and unable to regulate water temperatures. The facility census was 97. The Administrator was notified on 02/10/25, at 7:47 P.M., of an Immediate Jeopardy (IJ) which began on 01/14/25. The IJ was removed on 02/12/25 as confirmed by surveyor onsite verification. Review of the facility's policy and procedure titled, Water Temperatures, Safety of, showed the following: -Tap water in the facility shall be kept within a temperature range to prevent scalding of residents; [...]
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 31, 2025

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an effective infection prevention and control program when staff failed to perform proper hand hygiene during and after incontinent care and wound care for one resident (Resident #7) out of a total sample of 20. The facility census was 97. Review of the facility's policy titled, Handwashing/Hand Hygiene, revised on 08/2015, showed the following: -Hand hygiene is the primary means to prevent the spread of infections; -All personnel shall follow the handwashing/hand hygiene procedures to help prevent the spread of infections to other personnel, residents, and visitors before and after direct contact with residents; before performing any non-surgical invasive procedures; before handling clean or soiled dressings, gauze pads, etc; [...]

August 23, 2024Complaint inspection · 1 citation

D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 4, 2024

Inspectors wroteBased on interviews and record review, the facility failed to ensure all allegation of possible neglect were reported within two hours to the State Survey Agency (SSA - Department of Health and Senior Services (DHSS)) when staff did not report an allegation of possible neglect received from one resident's (Resident #1) family. The facility also failed to ensure all staff were properly trained on the reporting guidelines regarding allegations of neglect. The facility census was 102. Review of the facility's policy titled Preventing Resident Abuse, undated, showed the following information: -The facility will not condone any form of resident abuse and will continually monitor the facility's policies, procedures, training program, and systems to assist in preventing resident abuse; [...]

December 14, 2023Standard inspection · 2 citations

F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 28, 2024

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was stored, prepared, and distributed in a manner to prevent possibly contamination when staff failed to maintain failed to properly label and cover food in the walk-in cooler and failed to keep the stove hood, the cooler fans, and the vents above the dish area clean and free from debris. This had the potential to affect all residents who consumed food from the facility kitchen. The facility census was 100. 1. Review of the US Food and Drug Administration policy, under the section of Food Labeling and Handling, currently updated 03/04/23, showed the following: -Facility staff must ensure their proper storage, keeping track of when to discard perishable foods and covering, labeling, and dating all foods stored in the refrigerator or freezer as indicated; [...]
E

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 28, 2024

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a sanitary and comfortable environment for residents, staff and the public, when staff failed too keep light fixtures throughout the facility clean and free from dead bugs and debris. The facility census was 100. 1. Observations on 12/12/23, beginning at 1:35 P.M., showed the following: -Ceiling light fixtures throughout the common areas of the facility had dead bugs and debris in them; -On the 100 upper hall (rooms 100 to 112) large bugs, dust, and debris were observed in five of the ten hall ceiling light fixtures; -In the back area of the main dining room (MDR) there were four of the five light fixtures with debris in them; -In the MDR there were 16 of the 16 light fixtures that had dust and debris in them; [...]

June 25, 2021Standard inspection · 1 citation

D

Provide enough food/fluids to maintain a resident's health.

F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 10, 2021

Inspectors wroteBased on observation, interview, and record review, the facility staff failed to consistently provide cueing assistance at meal time for one resident (Resident #32) who had a history of weight loss. The sample size was 19 in a facility with a census of 79. Record review of the facility's policy, titled Weight Assessment and Intervention, dated September 2008, showed the following: -The multidisciplinary team will strive to prevent, monitor, and intervene for undesirable weight loss for residents; -Care planning for weight loss or impaired nutrition would be a multidisciplinary effort and will include the physician, nursing staff, dietician, consultant pharmacist, and the resident or resident's legal surrogate; [...]

Fire safety inspections

10 fire safety citations on file: 1 on February 14, 2025, 9 on December 14, 2023.

Every fire safety citation10 citations

E
Have power receptacles that are properly grounded.

K 912 · February 14, 2025 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · December 14, 2023 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · December 14, 2023 · Corrected (the home has a date of correction)
F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · December 14, 2023 · Corrected (the home has a date of correction)
E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · December 14, 2023 · Corrected (the home has a date of correction)
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · December 14, 2023 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · December 14, 2023 · Waiver
E
Install corridor and hallway doors that block smoke.

K 363 · December 14, 2023 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · December 14, 2023 · Corrected (the home has a date of correction)
E
Have proper medical gas storage and administration areas.

K 923 · December 14, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
February 14, 2025	Fine	$26,215

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

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)	3.46	3.43	3.86
Registered nurses	0.35	0.46	0.69
All nursing staff on weekends	2.66	3.01	3.42
Nurse aides	2.37
Licensed practical nurses	0.74
Nursing staff turnover (share who left in a year)	53.8%	56.0%	45.8%
Registered nurse turnover	44.4%	47.8%	42.9%
Administrators who left	0

CMS expects 3.47 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

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 3.78 on weekdays and 2.66 on weekends, 30% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.50 in April to June 2025 to 3.46 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	3.46	0.35	3.78	2.66	0.4%	0 of 90	97
Oct to Dec 2025	3.69	0.34	4.06	2.75	0.1%	0 of 92	93
Jul to Sep 2025	3.41	0.34	3.69	2.70	0.2%	0 of 92	95
Apr to Jun 2025	3.50	0.52	3.83	2.66	0.0%	0 of 91	94
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

Staff pay at this home

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.

Official wage estimates for Missouri

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.

How staff pay reports work · CNA pay by state

Quality measures

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	12.6	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	2.8	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	10.8	17.4	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.9	4.5	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	10.7	23.5	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	18.6	26.1	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	16.4	13.7	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.9	2.1	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.2	2.3	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Magnolia Square Nursing and Rehab's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

49.8% 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. 79 eligible stays.

Potentially preventable readmissions

8.5% 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. 105 eligible stays.

Infections that led to a hospital stay

8.5% 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. 72 eligible stays.

Self-care and mobility at discharge

80.3% 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. 76 residents counted.

Falls with major injury

1.1% 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. 94 residents counted.

New or worsened pressure ulcers

2.2% 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. 94 residents counted.

Medication list given at discharge

97.8% 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. 45 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.

Owners and operators

Legal business name: MSNRC OPS INC. CMS links this home to Anthony & Bryan Adams, a group of 38 nursing homes averaging 3.7 stars overall.

Name	Role	Type	Since
Rhc Operations Inc	Direct ownership interest	Organization	08/07/2016
Dvorak, Nora	Managing control - governing body	Individual	01/01/2017
Parker, Shana	Managing control - governing body	Individual	11/26/2018
Scroggins, Jesse	Managing control - governing body	Individual	08/28/2024
Adams, Anthony	Corporate officer	Individual	10/01/2016
Adams, Bryan	Corporate officer	Individual	10/01/2016
Alumno, Martin	Operational/managerial control	Individual	08/28/2024
Parker, Shana	Operational/managerial control	Individual	11/26/2018
3b Holdings, LLC	Adp of the SNF	Organization	10/01/2016
Centennial Bank	Adp of the SNF	Organization	10/01/2016
Greeneco Re West, LLC	Adp of the SNF	Organization	10/01/2016
Home Bancshares	Adp of the SNF	Organization	10/01/2016
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
Mainord, William	Adp of the SNF	Individual	10/01/2016
McGinnis, Larry	Adp of the SNF	Individual	10/01/2016
Parker, Shana	Adp of the SNF	Individual	11/26/2018
Pedigo, Rita	Adp of the SNF	Individual	10/01/2016
Scroggins, Jesse	Adp of the SNF	Individual	08/28/2024

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on January 15, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on February 14, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on February 14, 2025: "Provide and implement an infection prevention and control program."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on December 14, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.66 hours per resident per day, below the Missouri average of 3.01.

Other nursing homes nearby

Springfield Rehabilitation & Health Care Center
Springfield, 0.3 mi · 5 of 5 stars · 28 citations
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Springfield, 0.7 mi · 4 of 5 stars · 22 citations
Manor at Elfindale, the
Springfield, 1.2 mi · 4 of 5 stars · 10 citations
Birch Pointe Health and Rehabilitation
Springfield, 1.8 mi · 3 of 5 stars · 27 citations
Springfield Villa
Springfield, 1.8 mi · 1 of 5 stars · 39 citations
Neighborhoods at Quail Creek, the
Springfield, 2.1 mi · 3 of 5 stars · 24 citations
Cox Medical Centers Meyer Orthopedic and Surgical
Springfield, 2.2 mi · 4 of 5 stars · 9 citations
Spring Valley Health & Rehabilitation Center
Springfield, 2.2 mi · 2 of 5 stars · 68 citations

Missouri contacts for a concern about a nursing home

These are the official offices in Missouri. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Missouri Long-Term Care Ombudsman Program, 800-309-3282. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Show Me Long Term Care in Missouri, where Missouri publishes its own records on licensed homes.

Common questions

What is Magnolia Square Nursing and Rehab's Medicare star rating?: CMS rates Magnolia Square Nursing and Rehab 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Magnolia Square Nursing and Rehab get at its last inspection?: 2 health deficiencies at the standard inspection on February 14, 2025. The Missouri average is 11.4.
Has Magnolia Square Nursing and Rehab been fined?: Yes. CMS lists 1 fine totaling $26,215 in the last three years.
Does Magnolia Square Nursing and Rehab accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Magnolia Square Nursing and Rehab?: CMS lists 27 owners and managers, and links the home to Anthony & Bryan Adams. Legal business name: MSNRC OPS INC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.