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
Data as of July 1, 2026
3 of 5 overall
JAMES RIVER NURSING AND REHABILITATION in Springfield, MO has a 3 out of 5 overall rating. Its staffing is rated 2 out of 5, with reported nurse staffing at 3.60 hours per resident per day, below the federal benchmark of 4.1; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.6013 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 3.6013.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 0.69
- Nurse aides
- 2.44
- Weekend nursing
- 2.95
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 77%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
6.5%4.7%Improving
Residents with a fall causing major injury
4.3%1.2%Improving
Residents with pressure ulcers (bedsores)
10.7%2.5%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.4%5.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.4%6.6%Improving
Residents whose ability to walk got worse
5.9%4.5%Improving
Long-stay residents on antianxiety or sleep medication
26.6%18.6%Improving
Short-stay residents newly given an antipsychotic
0%1%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
17.6%12.8%Improving
Residents with depressive symptoms
1.2%2.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—59.1%—
Short-stay residents given the pneumonia vaccine
79.8%84.6%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 were treated with dignity and could make their own choices and communicate freely. Cited July 2024 — limited pattern, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — 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.
View the original federal record
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.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — 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 · 3.9 stars avg
- Occupancy
- 97.6 residents on an average day (81% 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.