The Manor at Elfendale in Springfield, MO has a 4-star overall rating, with 4-star health inspection, staffing, and quality ratings. It reported 4.45 nursing hours per resident per day, above the federal benchmark of 4.1, and had no fines in the last 24 months.
Last inspection: November 17, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4496.
Staffing detail
Registered nurses
0.57
Licensed practical nurses
0.98
Nurse aides
2.90
Weekend nursing
3.75
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 33%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
13%Worsening
Residents with a fall causing major injury
2.8%Worsening
Residents with pressure ulcers (bedsores)
3.1%Worsening
Residents with a urinary tract infection
0.6%Steady
Residents who lost too much weight
0.4%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
18.9%Worsening
Residents whose ability to walk got worse
20.8%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
13.3%Steady
Short-stay residents newly given an antipsychotic
1.9%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
18.4%Steady
Residents with depressive symptoms
2.1%Improving
Long-stay residents given the seasonal flu vaccine
98.8%Steady
Long-stay residents given the pneumonia vaccine
99.7%Worsening
Short-stay residents given the seasonal flu vaccine
89.2%Steady
Short-stay residents given the pneumonia vaccine
99%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited November 2025 — widespread issue, potential for harm.
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F-Tag 921 — 42 CFR §483.90 — S/S: F
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited December 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 700 — 42 CFR §483.25(n) — S/S: E
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: D
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of VETTER SENIOR LIVING · 22 homes · 4.3 stars avg
Occupancy
93.4 residents on an average day (93% of 100 beds)
Resident voice
Resident council
Medicare history
Certified for 19 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.