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    JAMES RIVER NURSING AND REHABILITATION

    3550 EAST BATTLEFIELD, SPRINGFIELD, MO 65809

    120 beds · For profit - Individual

    CMS Provider #265664

    Data updated: March 1, 2026

    Gathering latest data...

    Overall Rating

    ★★★★★

    Health Rating

    ★★★★★

    Staffing Rating

    ★★★★★

    Quality Rating

    ★★★★

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    Facility vs. Missouri Averages

    Overall Rating

    Facility★★★★★
    State Avg★★★★★
    Exceeds State Avg

    Health Inspection

    Facility★★★★★
    State Avg★★★★★
    At State Avg

    Staffing Rating

    Facility★★★★★
    State Avg★★★★★
    At State Avg

    Quality Rating

    Facility★★★★
    State Avg★★★★★
    Exceeds State Avg
    State staffing benchmarks:Nursing hours/resident/day 3.5RN hours/resident/day 0.5

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    Performance Trends (24 months)

    This shows how the facility's federal ratings have changed over the past 24 months. Consistent high ratings suggest stable quality, while declining trends may warrant further investigation.

    CategoryApr 24Jun 24Aug 24Oct 24Dec 24Mar 25May 25Jul 25Nov 25Jan 26Mar 26Trend
    Overall5★5★4★3★3★3★3★3★3★3★3★
    Staffing2★2★2★2★2★2★2★2★3★3★2★
    Health4★4★4★3★3★3★3★3★3★3★3★
    4-5 Stars 3 Stars 1-2 Stars

    Staffing Deep Dive

    Staffing depth is the strongest predictor of care quality. Facilities routinely cut staff on evenings and weekends — the shifts when falls happen and call lights go unanswered.

    Weekend vs. Weekday Staffing

    Weekday3.4 hrs/resident/day
    Weekend2.8 hrs/resident/day
    Drop19% — Moderate drop

    RN Hours Specifically

    Weekday RN0.35
    Weekend RN0.20
    RN Drop41%

    State avg total staffing: 3.5 hrs/resident/day

    Administrator Turnover

    0

    administrators departed in past year

    Stable

    Nursing Staff Turnover

    Total NursingVery high

    58.3%

    State avg: 57.0%

    RN TurnoverElevated

    40.0%

    State avg: 49.9%

    Agency/Contract Staff

    0.0%

    of nursing hours from contract/agency staff

    Low — good continuity
    RN contract %0.0%
    CNA contract %0.0%

    Source: PBJ data, 2025Q3

    Location & Neighborhood

    A facility's location matters — nearby hospitals, pharmacies, and public transit can make visits easier and ensure quick access to emergency care.

    Walk Score

    50

    Somewhat Walkable

    Neighborhood Demographics (65809)

    Median Income

    $102,103

    Median Home Value

    $328,400

    Poverty Rate

    4.2%

    Age 65+

    26.3%

    Median Age

    48

    Pop. Density

    11,341/mi²

    Median Rent

    $945

    Google Reviews

    Google reviews provide firsthand accounts from residents' families and visitors.

    Inspection & Deficiency History

    Federal and state inspectors conduct regular surveys of every nursing home. Deficiencies listed here are problems found during those inspections.

    DateTagCategoryDescriptionSeverityCorrectedTypeIC
    11/4/20250561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    Actual harm
    12/19/2025Complaint
    7/30/20240561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    Minimal harm
    9/13/2024Standard
    7/30/20240583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.
    Minimal harm
    9/13/2024Standard
    7/30/20240584Resident Rights DeficienciesHonor 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.
    Actual harm
    9/13/2024Standard
    7/30/20240623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    No harm
    9/13/2024Standard
    7/30/20240645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual Disabilities
    Minimal harm
    9/13/2024Standard
    7/30/20240677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.
    Minimal harm
    9/13/2024Standard
    7/30/20240678Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    Minimal harm
    9/13/2024Standard
    7/30/20240690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    Minimal harm
    9/13/2024Standard
    7/30/20240695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.
    Minimal harm
    9/13/2024Standard
    Page 1 of 3

    Penalties & Fines

    When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.

    No penalties or fines recorded for this facility.

    Ownership Records

    Ownership structure and changes can affect facility quality.

    Facilities in Chain

    38

    Chain Avg Rating

    3.8

    Years Operating

    29

    Owner NameTypeRoleOwnership %Association Date
    RHC OPERATIONS INCOrganization100%10/1/2016
    ADAMS, ANTHONYIndividual50%10/1/2016
    ADAMS, BRYANIndividual50%10/1/2016
    ALUMNO, MARTINIndividual8/28/2024
    LONG, KELSEYIndividual8/8/2023
    ADAMS, ANTHONYIndividual10/1/2016
    ADAMS, BRYANIndividual10/1/2016
    KOEHLER, TOBEYIndividual10/1/2016
    RHC OPERATIONS INCOrganization100%10/1/2016
    ADAMS, ANTHONYIndividual50%10/1/2016
    ADAMS, BRYANIndividual50%10/1/2016
    ALUMNO, MARTINIndividual8/28/2024
    LONG, KELSEYIndividual8/8/2023
    ADAMS, ANTHONYIndividual10/1/2016
    ADAMS, BRYANIndividual10/1/2016
    KOEHLER, TOBEYIndividual10/1/2016

    News & Media

    Recent news articles, lawsuits, and media coverage mentioning this facility.

    No recent news coverage found for this facility.

    Data updated: March 1, 2026 · CMS, OSCAR, state inspection records

    NursingHomeIQ provides informational synthesis to help families make informed decisions. This does not constitute legal, financial, or medical advice.

    NursingHomeIQ

    Data sourced from CMS, OSCAR, and state inspection records. Not affiliated with the U.S. government.

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