C

COMMUNITY SPRINGS HEALTHCARE FACILITY

400 EAST HOSPITAL ROAD, EL DORADO SPRINGS, MO 64744
Score: 55 / 100

Community Springs Healthcare Facility is an average performer in CMS ratings, earning a C grade with a score of 55/100. Located in El Dorado Springs, Missouri, the facility meets baseline standards across most quality metrics.

Staffing levels are a potential concern at Community Springs Healthcare Facility, with 3.42 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent inspections identified 12 deficiencies at Community Springs Healthcare Facility. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 3 / 15 pts
1 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.42 3.8 Below Average
Registered Nurses (RN) 0.40 0.7 Below Average
Licensed Practical Nurses (LPN) 0.59 0.7 Below Average
Certified Nursing Assistants (CNA) 2.42 2.4 Average
Weekend Total Nursing 3.03 3.8 Below Average
Weekend RN Hours 0.31 0.7 Below Average

🔍 Inspection & Deficiency History

12
Total Deficiencies
Jan 2, 2025
Most Recent Inspection
🟠 12 Moderate
View recent deficiencies (5 shown)
  • Tag 0561 Severity E
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    Jan 2, 2025 · Resident Rights Deficiencies
  • Tag 0657 Severity E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Jan 2, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Jan 2, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0610 Severity D
    Respond appropriately to all alleged violations.
    Jan 2, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0641 Severity D
    Ensure each resident receives an accurate assessment.
    Jan 2, 2025 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 1.7% 4.5% Better
Falls with major injury 2.2% 3.0% Better
On antipsychotic medication 22.7% 14.5% Worse
Urinary tract infections 2.3% 2.5% Average
ADL decline (daily activities) 20.7% 14.0% Worse
Excessive weight loss 3.8% 7.5% Better
New/worsened incontinence 14.7% 45.0% Better

How This Grade Was Calculated

This facility's grade of C is based on a score of 55 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 1★ → 3 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 2, 2025
Deficiencies (Cycle 1)
7