Cycle 1
Health 2024-05-30 · Fire 2024-05-30
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Springfield, MO
Cox Medical Centers Meyer Orthopedic And Rehab
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
3535 S National Ave, Springfield, MO
(417) 269-6650
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
28
Certified beds
Average residents
5
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1985-08-14
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
7.50
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
1.70
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
9.20
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
9.20
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
9.46
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
8.05
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
7.97
CMS adjusted RN staffing hours
Adjusted total hours
9.78
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
253
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
75.54
Composite VBP score used to determine payment impact.
Payment multiplier
1.0246
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.11
Baseline 19.60% · Performance 19.06% · Measure score 5.11 · Achievement 5.11 · Improvement 1.59
Healthcare-associated infections
10
Baseline 6.27% · Performance 4.53% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.92% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 170 · Observed rate 8.82% · Lower 95% interval 7.1% |
| Discharge to community | 67.46% |
50.57%
16.9 pts better
|
Better than the National Rate · Eligible stays 155 · Observed rate 64.52% · Lower 95% interval 59.17% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 70 · Denominator 70 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 70 |
| Discharge self-care score | 54.55% |
53.69%
0.9 pts better
|
Numerator 30 · Denominator 55 |
| Discharge mobility score | 54.55% |
50.94%
3.6 pts better
|
Numerator 30 · Denominator 55 |
| Pressure ulcers or injuries, new or worsened | 2.86% |
2.29%
0.6 pts worse
|
Numerator 2 · Denominator 70 · Adjusted rate 3.54% |
| Healthcare-associated infections requiring hospitalization | 4.53% |
7.12%
2.6 pts better
|
No Different than the National Rate · Eligible stays 107 · Observed rate 0% · Lower 95% interval 2.53% |
| Staff COVID-19 vaccination coverage | 2.11% |
8.2%
6.1 pts worse
|
Numerator 3 · Denominator 142 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 10 · Denominator 10 |
| Discharge function score | 41.82% |
56.45%
14.6 pts worse
|
Numerator 23 · Denominator 55 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 61 · Denominator 61 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.4% |
66.4%
30 pts better
|
81.7%
14.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 97.7% · Q3 94.7% · Q4 94.9% · 4Q avg 96.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 27.6% |
13.4%
14.2 pts worse
|
12.0%
15.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.6% · Observed 27.3% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.7% |
2.2%
0.5 pts worse
|
1.6%
1.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.4% · Q3 9.1% · Q4 4.0% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.3% |
63.5%
31.8 pts better
|
79.7%
15.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.9% |
25.3%
8.4 pts better
|
23.9%
7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.9% · Observed 18.2% · Expected 25.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-06-30 · Fire 2022-06-30
3 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2019-10-09 · Fire 2019-10-09
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-05-30
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-07-14
E · Potential for more than minimal harm
2022-06-30
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-08-16
Inspection history
Recent health citations
D · Potential for more than minimal harm
2022-06-30
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-08-16
D · Potential for more than minimal harm
2022-06-30
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-08-16
D · Potential for more than minimal harm
2022-06-30
F888 · Infection Control Deficiencies
Health
Ensure staff are vaccinated for COVID-19
Corrected 2022-08-16
Penalties and ownership
What sits behind the stars
Ownership
Coxhealth
5% Or Greater Direct Ownership Interest · Organization
Abdalla, Ibrahim
Corporate Director · Individual
Baumgartner, Jan
Corporate Director · Individual
Buetow, Max
Operational/Managerial Control · Individual
Buetow, Max
Corporate Officer · Individual
Casad, Ashley
Operational/Managerial Control · Individual
Chalender, Charles
Corporate Director · Individual
Cox, Robert
Corporate Director · Individual
Coxhealth
Operational/Managerial Control · Organization
Douglas, Thomas
Corporate Director · Individual
Erwin, Brad
Corporate Director · Individual
Flax, Julia
Corporate Director · Individual
Fulp, Robert
Corporate Director · Individual
Gaisie, Nana
Corporate Director · Individual
Graves, Susan
Corporate Director · Individual
Hargis, Sara
Corporate Director · Individual
Hargis, Sara
Corporate Officer · Individual
Hedgpeth, Amanda
Operational/Managerial Control · Individual
Heim, Dennis
Corporate Director · Individual
Hellweg, Kurt
Corporate Director · Individual
Higdon, Hal
Corporate Director · Individual
Higdon, Hal
Corporate Officer · Individual
Hutcheson, James
Corporate Director · Individual
Jared, Brian
Corporate Director · Individual
Jarvis, Howard
Corporate Director · Individual
Lemon, Daphne
Corporate Director · Individual
Lester E Cox Medical Centers
Operational/Managerial Control · Organization
Lipscomb, Larry
Corporate Director · Individual
Lipscomb, Stuart
Corporate Director · Individual
Mcway, Jacob
Operational/Managerial Control · Individual
Mcway, Jacob
Corporate Officer · Individual
Nelson, Vickie
Corporate Officer · Individual
Reardon, Malissa
Operational/Managerial Control · Individual
Roberts, Donna
Operational/Managerial Control · Individual
Russell, Krystal
Corporate Director · Individual
Taylor, Carol
Corporate Director · Individual
The Bank Of New York Mellon Trust Company
5% Or Greater Mortgage Interest · Organization
Turner, Joseph
Corporate Director · Individual
Tynes, Jefferson
Corporate Director · Individual
Tynes, Jefferson
Corporate Officer · Individual
Yancey, Pamela
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Springfield Villa
Springfield, MO
1-star overall rating with 1-star inspections with 22 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Spring Valley Health & Rehabilitation Center
Springfield, MO
2-star overall rating with 2-star inspections with 22 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#3
Birch Pointe Health And Rehabilitation
Springfield, MO
3-star overall rating with 3-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Jump out