Nursing homeActive
James River Nursing And Rehabilitation
3550 East Battlefield, Springfield, MO 658094178899500120 certified beds · 98 residentsFor profit - IndividualMedicare and Medicaid
Surveys on file
6
since 2019
Deficiencies
28
● 2● 26● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-06-18
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 2
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-18 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-11-04 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-07-30 | Standard | 1150 | CMS-2567 (Care Compare) | — |
| 2024-02-09 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2022-09-23 | Standard | 110 | CMS-2567 (Care Compare) | — |
| 2019-10-09 | Standard | 050 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 265664-20260618-F689
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-19Record 265664-20251104-F561
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 265664-20240730-F550
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 265664-20240730-F561
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 265664-20240730-F583
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 265664-20240730-F584
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 265664-20240730-F645
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 265664-20240730-F677
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 265664-20240730-F678
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 265664-20240730-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 265664-20240730-F695
F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 265664-20240730-F700
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 265664-20240730-F759
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 265664-20240730-F760
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 265664-20240730-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 265664-20240730-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 265664-20240730-F880
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2024-09-13Record 265664-20240730-F623
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-25Record 265664-20240209-F602
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-25Record 265664-20240209-F697
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-25Record 265664-20240209-F842
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-11-07Record 265664-20220923-F812
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2022-11-07Record 265664-20220923-F732
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-14Record 265664-20191009-F558
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-14Record 265664-20191009-F759
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-11-14Record 265664-20191009-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-11-14Record 265664-20191009-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-14Record 265664-20191009-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.48
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.60
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours2.95
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover64%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover77%
Facility
Missouri
National
Missouri 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Missouri | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.9% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.9% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 5.3% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 10.9% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.4% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 22.1% | 25.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Alumno, Martin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Long, Kelsey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| 3b Holdings, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Adams, Anthony Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Adams, Anthony Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Adams, Bryan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Adams, Bryan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Alumno, Martin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Centennial Bank Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dvorak, Nora Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dvorak, Nora Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Ellis, John Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Greeneco Re East, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Home Bancshares Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Incite Rehab, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Koehler, Tobey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Koehler, Tobey Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Long, Kelsey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Long, Kelsey Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Ltc Systems/Rx, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mainord, William Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mcginnis, Larry Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pedigo, Rita Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pharmacy Consults, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Reliance Health Care, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Scroggins, Jesse Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Scroggins, Jesse Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Anthony & Bryan Adams — 38 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.
No county cost figures on file for Greene.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Glendale Gardens Nursing & Rehab Springfield | 1.2 mi | 2026-04-24 | 0260 |
| Spring Valley Health & Rehabilitation Center Springfield | 2.7 mi | 2026-05-15 | 0550 |
| Cox Medical Centers Meyer Orthopedic And Surgical Springfield | 3.1 mi | 2026-04-23 | 060 |
| Springfield Villa Springfield | 3.2 mi | 2026-04-17 | 1322 |
| Sunterra Springs Springfield Springfield | 3.8 mi | 2025-06-02 | 0240 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |