All states › Missouri › Springfield › James River Nursing and Rehabilitation
3550 East Battlefield Springfield, MO 65809 · Greene County
All 17 nursing homes in Springfield, MO (14 take Medicaid)
CMS certification number 265664 · See this home on Medicare Care Compare
Is James River Nursing and Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for James River Nursing and Rehabilitation as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.39 hours per resident per day at James River Nursing and Rehabilitation, about the same as the Missouri median of 3.37 (US median: 3.72). About 0.51 of those hours are from registered nurses. On weekends it falls to 2.74 hours, 19% below its all-week average. Ask how weekends are staffed. 64.9% of nursing staff left within a year (Missouri median 56.8%).
About this nursing home
Paying for care at James River Nursing and Rehabilitation: Medicare and Medicaid
James River Nursing and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on June 18, 2026 and found 5 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 28 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 28 citations at James River Nursing and Rehabilitation across 5 inspection dates, 6 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 26 were "potential for more than minimal harm" (D–F) and 2 were minimal (A–C). The most common areas cited were quality of life and care (9) and resident rights (6). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, June 18, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.
June 18, 2026 · 6 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EProvide and implement an infection prevention and control program.
DProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide care or services that was trauma informed and/or culturally competent.
November 4, 2025 · 1 citation · includes complaint inspection
EHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
July 30, 2024 · 16 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EHonor 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.
EEnsure 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.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DKeep residents' personal and medical records private and confidential.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe and appropriate respiratory care for a resident when needed.
DTry 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.
DEnsure medication error rates are not 5 percent or greater.
DEnsure that residents are free from significant medication errors.
BProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
February 9, 2024 · 3 citations · includes complaint inspection
EProtect each resident from the wrongful use of the resident's belongings or money.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide safe, appropriate pain management for a resident who requires such services.
September 23, 2022 · 2 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CPost nurse staffing information every day.
Questions to ask on a tour of James River Nursing and Rehabilitation
- CMS cited the home under its abuse and neglect rules on February 9, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 19% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 2/5 | 4/5 |
| August 2026 | 3/5 | 3/5 | 2/5 | 3/5 |
Add this rating badge to your websiteFree. Shows James River Nursing and Rehabilitation's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near James River Nursing and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
3.0 mi
Mercy Hospital Springfield SpringfieldEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 4h 59m for patients treated and sent home
-
3.3 mi
Cox Medical Center SpringfieldEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 39m for patients treated and sent home
- 5.2 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near James River Nursing and Rehabilitation › All nursing homes in Springfield ›
Compare James River Nursing and Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Cox Medical Centers Meyer Orthopedic and Surgical · Springfield · 5 stars · 3.1 mi
- Springfield Rehabilitation & Health Care Center · Springfield · 5 stars · 4.8 mi
- The Manor at Elfindale · Springfield · 5 stars · 5.4 mi
- Wilson's Creek Nursing & Rehab · Springfield · 5 stars · 7.6 mi
Other Anthony & Bryan Adams nursing homes in Missouri
- The Maples Health and Rehabilitation · Springfield · 4 stars
- Magnolia Square Nursing and Rehab · Springfield · 3 stars
- Birch Pointe Health and Rehabilitation · Springfield · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 38 Anthony & Bryan Adams nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.