James River Nursing and Rehabilitation

Nursing home in Springfield, MO

Medicare & Medicaid certified3★ overall (CMS)

Call (417) 889-9500 Send a message Map ↗

Public-record details

Address: 3550 East Battlefield, Springfield, MO 65809
Phone: (417) 889-9500
Listed under: For-profit, No fines in 3 years
Medicare CCN: 265664
Overall star rating: 3 of 5 ★★★☆☆
Health inspection rating: 3 of 5
Staffing rating: 2 of 5
Quality measures rating: 3 of 5
Certified beds: 120
Average residents per day: 98
Ownership: For-profit, individual
Legal business name: Jrnrc Ops INC
Chain: Anthony & Bryan Adams (38 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Jan 17, 1997
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 265664. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 30, 2024. CMS lists 28 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 9, 2019 to Jun 18, 2026): 6 from complaint inspections, 0 at the “actual harm” level or higher.

Inspection	Citation	Severity
Jun 18, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Nov 4, 2025	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights · complaint inspection	E Potential for more than minimal harm, pattern
Jul 30, 2024	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights	B Potential for minimal harm, pattern
Jul 30, 2024	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights	D Potential for more than minimal harm, isolated
Jul 30, 2024	Keep residents' personal and medical records private and confidential. Resident Rights	D Potential for more than minimal harm, isolated
Jul 30, 2024	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Jul 30, 2024	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care	D Potential for more than minimal harm, isolated
Jul 30, 2024	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care	D Potential for more than minimal harm, isolated
Jul 30, 2024	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care	D Potential for more than minimal harm, isolated
Jul 30, 2024	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care	D Potential for more than minimal harm, isolated
Jul 30, 2024	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… Quality of Life and Care	D Potential for more than minimal harm, isolated
Jul 30, 2024	Ensure medication error rates are not 5 percent or greater. Pharmacy Service	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 28. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.60 hours
Registered nurse (RN) time per resident per day: 0.48 hours
Nurse aide time per resident per day: 2.44 hours
Total nurse staffing on weekends: 2.95 hours
Nursing staff turnover (yearly): 64%
RN turnover (yearly): 77%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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