James River Nursing and Rehabilitation
Nursing Home · Springfield, MO
Contact & location
3550 East BattlefieldSpringfield, MO 65809
Greene County
- Phone
- (417) 889-9500
- ZIP code
- 65809 – all care providers
Facility details
- Certified beds
- 120
- Residents per day
- 97.6 (81% occupied)
- Ownership
- For profit - Individual
- Legal name
- Jrnrc Ops INC
- Chain
- Anthony & Bryan Adams (38 facilities, avg 3.8★)
- Medicare certified since
- January 17, 1997
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.60 (state 3.43 · U.S. 3.86)
- Registered nurses (RN)
- 0.48 (state 0.46 · U.S. 0.69)
- Licensed practical nurses
- 0.69 (state 0.68 · U.S. 0.86)
- Nurse aides
- 2.44 (state 2.29 · U.S. 2.32)
- Weekend total
- 2.95 (state 3.02 · U.S. 3.42)
- Nursing staff turnover
- 64.0 (state 56.0 · U.S. 45.8)%
- RN turnover
- 76.9 (state 47.8 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- July 30, 2024
- Health deficiencies (last cycle)
- 18.0 (state 11.5 · U.S. 9.3)
- From complaints
- 3
- Citations on record (3 years)
- 28 health · 4 fire safety
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Deficient, Provider has no plan of correction |
| 2025-11-04 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-19 |
| 2024-07-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-09-13 |
| 2024-07-30 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-13 |
| 2024-07-30 | Honor 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-13 |
| 2024-07-30 | Ensure 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-13 |
| 2024-07-30 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-13 |
| 2024-07-30 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-13 |
| 2024-07-30 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-13 |
| 2024-07-30 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-13 |
| 2024-07-30 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-13 |
| 2024-07-30 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-13 |
| 2024-07-30 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-13 |
| 2024-07-30 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-13 |
| 2024-07-30 | Try 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. F0700 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-13 |
| 2024-07-30 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-13 |
| 2024-07-30 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-13 |
| 2024-07-30 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2024-09-13 |
| 2024-02-09 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-25 |
| 2024-02-09 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-25 |
| 2024-02-09 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-25 |
| 2022-09-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2022-11-07 |
| 2022-09-23 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2022-11-07 |
| 2019-10-09 | Ensure 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2019-11-14 |
| 2019-10-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2019-11-14 |
| 2019-10-09 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2019-11-14 |
| 2019-10-09 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2019-11-14 |
| 2019-10-09 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2019-11-14 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| 3B Holdings, LLC (organization) | Administrator · NOT APPLICABLE | |
| Adams, Anthony (individual) | Administrator · NOT APPLICABLE | |
| Adams, Bryan (individual) | Administrator · NOT APPLICABLE | |
| Alumno, Martin (individual) | Administrator · NOT APPLICABLE | |
| Centennial Bank (organization) | Administrator · NOT APPLICABLE | |
| Dvorak, Nora (individual) | Administrator · NOT APPLICABLE | |
| Ellis, John (individual) | Administrator · NOT APPLICABLE | |
| Greeneco Re East, LLC (organization) | Administrator · NOT APPLICABLE | |
| Home Bancshares (organization) | Administrator · NOT APPLICABLE | |
| Incite Rehab, LLC (organization) | Administrator · NOT APPLICABLE | |
| Koehler, Tobey (individual) | Administrator · NOT APPLICABLE | |
| Long, Kelsey (individual) | Administrator · NOT APPLICABLE | |
| LTC Systems/Rx, LLC (organization) | Administrator · NOT APPLICABLE | |
| Mainord, William (individual) | Administrator · NOT APPLICABLE | |
| McGinnis, Larry (individual) | Administrator · NOT APPLICABLE | |
| Pedigo, Rita (individual) | Administrator · NOT APPLICABLE | |
| Pharmacy Consults, LLC (organization) | Administrator · NOT APPLICABLE | |
| Reliance Health Care, INC. (organization) | Administrator · NOT APPLICABLE | |
| Scroggins, Jesse (individual) | Administrator · NOT APPLICABLE | |
| Adams, Anthony (individual) | Corporate Officer · NOT APPLICABLE | |
| Adams, Bryan (individual) | Corporate Officer · NOT APPLICABLE | |
| Koehler, Tobey (individual) | Corporate Officer · NOT APPLICABLE | |
| Dvorak, Nora (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Long, Kelsey (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Scroggins, Jesse (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Alumno, Martin (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Long, Kelsey (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of James River Nursing and Rehabilitation?
James River Nursing and Rehabilitation has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.
How many beds does James River Nursing and Rehabilitation have?
It has 120 certified beds and cares for about 98 residents per day.
Has James River Nursing and Rehabilitation been fined?
CMS lists no federal fines or payment denials in the last three years.
Who owns James River Nursing and Rehabilitation?
It is part of Anthony & Bryan Adams and is classified as for profit - individual. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of James River Nursing and Rehabilitation?
(417) 889-9500. The facility is located at 3550 East Battlefield, Springfield, MO 65809.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.