James River Nursing And Rehabilitation is an average performer in CMS ratings, earning a C grade with a score of 59/100. Located in Springfield, Missouri, the facility meets baseline standards across most quality metrics.
Staffing levels are a potential concern at James River Nursing And Rehabilitation, with 3.41 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 27 deficiencies at James River Nursing And Rehabilitation. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.41 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.35 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.81 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.26 | 2.4 | Average |
| Weekend Total Nursing | 2.77 | 3.8 | Below Average |
| Weekend RN Hours | 0.20 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0561 Severity EHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Nov 3, 2025 · Resident Rights Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jul 29, 2024 · Nutrition and Dietary Deficiencies
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dJul 29, 2024 · Resident Rights Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiJul 29, 2024 · Pharmacy Service Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Jul 29, 2024 · Infection Control 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 | 7.1% | 4.5% | Worse |
| Falls with major injury | 3.3% | 3.0% | Worse |
| On antipsychotic medication | 7.3% | 14.5% | Better |
| Urinary tract infections | 0.9% | 2.5% | Better |
| ADL decline (daily activities) | 15.7% | 14.0% | Worse |
| Excessive weight loss | 1.0% | 7.5% | Better |
| New/worsened incontinence | 16.5% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of C is based on a score of 59 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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