James River Nursing and Rehabilitation
Springfield, Missouri · CCN 265664
17 surveys since 2011, 2 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 64
- Surveys
- 17
- Harm or worse
- 2
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 120
- Ownership
- For profit - Individual
- Chain
- ANTHONY & BRYAN ADAMS
- County
- Greene
- Medicare-certified since
- 1997
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 2
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 118 for-profit facilities of 100–127 beds in Missouri.
Last survey on record
Jun 18, 2026
144 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.60 | 3.32 |
| Registered-nurse hours per resident day | 0.48 | — |
| Annual nurse turnover | 64.0% | 57.7% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1553.6% | E932.1% | F27.1% |
| No harm, potential for minimal | A— | B13.6% | C13.6% |
Most frequently cited here
In CMS’s current monthly file.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5612×
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- F7592×
Ensure medication error rates are not 5 percent or greater.
- F7612×
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.
- F8802×
Provide and implement an infection prevention and control program.
In the surveyor’s words
From the most serious findings on record at James River Nursing and Rehabilitation, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF812Jun 18, 2026
Based on observation, interview, and record review, the facility failed to ensure food was protected from potential contamination when staff failed to ensure the air gap for the ice machine had the required two-inch gap between the drain in the floor and the tubing from the ice machine. The facility census was 100.1. Review of the 2013 Missouri Food Code showed an air gap between the water supply inlet and the flood level rim of the plumbing fixture, equipment, or nonfood equipment shall be at least twice the diameter of the water supply inlet and may not be less than one inch.Review showed the facility did not provide a policy related to the air gap.Observations on 06/16/26, at 10:13 A.M., and 06/17/26, at 9:30 A.M., showed an ice machine located in a room just outside the kitchen. […]
- No harm, potential for more than minimal, widespreadF812Jul 30, 2024
Based on observation, interview, and record review, the facility failed to follow standards of practice and keep food safe from potential contamination or bacterial growth when staff failed to ensure cups and glasses were air dried before being stored. The facility census was 101. Review showed the facility did not provide a policy regarding drying of dishes. Record review of the 1999 Food Code, issued by the Food and Drug Administration, showed the following information: -After cleaning and sanitizing, equipment and utensils shall be air-dried or used after adequate draining before contact with food; -Items must be allowed to drain and to air-dry before being stacked or stored. […]
- No harm, potential for more than minimal, widespreadF812Sep 23, 2022
Based on observation, interview, and record review, the facility failed to ensure all food was protected from possible contamination when the ice machine reflector shield in the kitchen was not clean and when the facility staff failed to store opened food items in a manner to protect the food items from possible contamination. The facility census was 94. 1. Record review of the facility policy titled Ice Machines and Ice Storage Chests, revised January 2012, showed the following: -The facility has established procedures for cleaning and disinfecting ice machines and ice storage chests which adhere to the manufacturer's instructions. The Infection Preventionist (or designee) maintains a copy of these procedures. […]
- No harm, potential for more than minimal, patternF755Jun 18, 2026
Based on observation, interview, and record review, the facility failed to establish an ongoing system of medication storage and record keeping that ensured all controlled drugs were consistently accounted for when staff failed to store medications waiting destruction behind two locks at all times, when staff failed to routinely count medications awaiting destruction, and when staff failed to destroy medications in a timely manner. The facility's census was 100.Review of the facility policy, Storage of Medication, dated [DATE] showed the following:-The facility shall store all drugs and biologicals in a safe, secure, and orderly manner;-Drugs and biologicals shall be stored in the packaging, containers or other dispensing systems in which they are received. […]
- No harm, potential for more than minimal, patternF880Jun 18, 2026
Based on observation, interview and record review the facility failed to implement a complete infection control program when staff failed to follow Enhanced Barrier Precaution (EBP) for two residents (Resident #65 and #78) who had wounds and were care planned for EBP and when staff failed to complete proper hand hygiene while providing care for two residents (Resident #2 and #31). The facility census was 100. 1. Review of Centers for Disease Control and Prevention's (CDC) Implementation of Personal Protective Equipment (PPE) Use in Nursing Homes to Prevent Spread of MDROs (multi-drug resistant organisms - infections that are highly difficult to treat and can be dangerous), dated 04/02/24, showed the following: -MDRO transmission is common in skilled nursing facilities, contributing to… […]
Read 22 findings in full →The most serious and the most recent: 22 of 64 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 18, 2026Standard and complaint6 findings
- Nov 4, 2025Complaint1 finding
- Jul 30, 2024Standard16 findings
- Feb 9, 2024Complaint3 findings
- Jan 4, 2023Complaint1 finding
- Sep 23, 2022Standard2 findings
- Oct 9, 2019Standard5 findings
- Aug 10, 2018Standard5 findings
Show the 9 earlier surveys
- Mar 8, 2018Complaint1 finding
- Nov 7, 2017Standard2 findings
- Sep 14, 2015Standard7 findings
- Aug 15, 2014Standard3 findings
- Jul 26, 2013—3 findings
- Mar 27, 2013—1 finding · 1 harm
- Dec 7, 2012—2 findings · 1 harm
- Aug 10, 2012—1 finding
- Jul 8, 2011—5 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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