The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
JAMES RIVER NURSING AND REHABILITATION
SPRINGFIELD, MO · Medicare-certified · 120 beds
In good standing
For-profitChain member
2 of 5 overall
James River Nursing and Rehabilitation in Springfield, MO has a 2-star overall rating, with strong quality measures but weak staffing (1 star and 3.21 nursing hours per resident per day versus the 4.1 benchmark). Its health inspection rating is 3 stars, it had $0 in fines over the last 24 months, and recent citations included food safety, resident rights, and maintaining a safe, clean, comfortable environment.
Facility ratings
Health inspections
Staffing
3.211 hrs/resident/day
Quality measures
Last inspection: November 4, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.211.
Staffing detail
- Registered nurses
- 0.36
- Licensed practical nurses
- 0.73
- Nurse aides
- 2.11
- Weekend nursing
- 2.76
Hours per resident per day.
Total staff turnover: 65%
Registered nurse turnover: 69%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
6.1%Improving
Residents with a fall causing major injury
3.4%Improving
Residents with pressure ulcers (bedsores)
6.3%Improving
Residents with a urinary tract infection
0.3%Improving
Residents who lost too much weight
1%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.4%Improving
Residents whose ability to walk got worse
7.4%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
25.2%Improving
Short-stay residents newly given an antipsychotic
0.4%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
16.6%Improving
Residents with depressive symptoms
3%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
59.1%Steady
Short-stay residents given the pneumonia vaccine
86.7%Improving
What the inspectors found
The home failed to support and respect residents’ choices and self-determination. Cited November 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 561 — 42 CFR §483.10 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited July 2024 — limited pattern, potential for harm.
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F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited July 2024 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of ANTHONY & BRYAN ADAMS · 38 homes · 3.8 stars avg
- Occupancy
- 94.2 residents on an average day (78% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.