Nursing homeActive
Manor At Elfindale, The
1707 West Elfindale Street, Springfield, MO 658074178312273100 certified beds · 93 residentsNon profit - CorporationMedicare
Surveys on file
3
since 2021
Deficiencies
10
● 0● 10● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-11-17
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 4
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 |
|---|---|---|---|---|
| 2025-11-17 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2024-02-02 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2021-12-03 | Standard | 030 | 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.
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-29Record 265804-20251117-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-29Record 265804-20251117-F656
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 2025-12-29Record 265804-20251117-F695
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 2025-12-29Record 265804-20251117-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 2025-12-29Record 265804-20251117-F760
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 2025-12-29Record 265804-20251117-F812
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-12-29Record 265804-20251117-F921
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-01-11Record 265804-20211203-F609
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 EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-01-11Record 265804-20211203-F700
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 2022-01-11Record 265804-20211203-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.61
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day4.43
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours3.74
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover35%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover41%
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 | 3.6% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.4% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 14.5% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.6% | 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 | 20.4% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.4% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.6% | 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 |
|---|---|---|---|---|
| Vetter Senior Living Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Dahlberg, Thomas Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gould, Matthew Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stuhr, Brian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Vanekeren, Glenn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Vetter Senior Living Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Vetter, Eldora Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Vetter, Jack Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Vsl Vetter Health Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dahlberg, Thomas Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Gould, Matthew Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Stuhr, Brian Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Stuhr, Brian Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Vanekeren, Glenn Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Vanekeren, Glenn Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Vetter, Eldora Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Vetter, Eldora Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Vetter, Jack Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Vetter, Jack Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
Part of a chain
Vetter Senior Living — 22 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 |
|---|---|---|---|
| Magnolia Square Nursing And Rehab Springfield | 1.2 mi | 2026-01-15 | 051 |
| Springfield Rehabilitation & Health Care Center Springfield | 1.5 mi | 2026-04-10 | 0270 |
| Maples Health And Rehabilitation, The Springfield | 1.5 mi | 2025-03-07 | 0110 |
| Wilson's Creek Nursing & Rehab Springfield | 2.2 mi | 2025-08-14 | 080 |
| Brookhaven Nursing & Rehab Springfield | 2.3 mi | 2026-04-24 | 0180 |
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 |