Cycle 1
Health 2024-02-02 · Fire 2024-02-02
0 health deficiencies
No concentrated health issue counts in this cycle.
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Springfield, MO
Manor At Elfindale, The
5-star overall rating with 5-star inspections with 4 fire-safety deficiencies in the latest cycle
1707 West Elfindale Street, Springfield, MO
(417) 831-2273
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
100
Certified beds
Average residents
93
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Vetter Senior Living
Operator or chain grouping
Approved since
2006-08-11
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
22 facilities
Chain averages 4 overall / 4 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.64
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.93
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.82
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.38
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.56
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.78
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.43
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.75
CMS adjusted RN staffing hours
Adjusted total hours
5.18
CMS adjusted total nurse staffing hours
Case-mix index
1.16
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,022
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
52.25
Composite VBP score used to determine payment impact.
Payment multiplier
1.0068
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.24
Baseline 18.44% · Performance 20.86% · Measure score 1.24 · Achievement 1.24 · Improvement 0
Healthcare-associated infections
4.68
Baseline 5.48% · Performance 6.44% · Measure score 4.68 · Achievement 4.68 · Improvement 0
Total nurse turnover
8.37
Baseline 34.65% · Performance 29.47% · Measure score 8.37 · Achievement 8.37 · Improvement 4.78
Adjusted total nurse staffing
6.61
Baseline 4.67 hours · Performance 4.96 hours · Measure score 6.61 · Achievement 6.61 · Improvement 2.14
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.89% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 197 · Observed rate 7.11% · Lower 95% interval 6.82% |
| Discharge to community | 49.92% |
50.57%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 177 · Observed rate 48.02% · Lower 95% interval 42.6% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 134 · Denominator 134 |
| Falls with major injury | 0.75% |
0.77%
About the same
|
Numerator 1 · Denominator 134 |
| Discharge self-care score | 51.72% |
53.69%
2 pts worse
|
Numerator 60 · Denominator 116 |
| Discharge mobility score | 51.72% |
50.94%
0.8 pts better
|
Numerator 60 · Denominator 116 |
| Pressure ulcers or injuries, new or worsened | 0.75% |
2.29%
1.5 pts better
|
Numerator 1 · Denominator 134 · Adjusted rate 1.09% |
| Healthcare-associated infections requiring hospitalization | 6.43% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 115 · Observed rate 4.35% · Lower 95% interval 3.96% |
| Staff COVID-19 vaccination coverage | 2.55% |
8.2%
5.6 pts worse
|
Numerator 4 · Denominator 157 |
| Staff flu vaccination coverage | 28.5% |
42%
13.5 pts worse
|
Numerator 57 · Denominator 200 |
| Discharge function score | 62.93% |
56.45%
6.5 pts better
|
Numerator 73 · Denominator 116 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 78 · Denominator 78 |
| Resident COVID-19 vaccinations up to date | 30.56% |
25.2%
5.4 pts better
|
Numerator 22 · Denominator 72 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
2.1
1 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.8 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
2.3
1.6 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.5 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
84.8%
15.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.8% |
90.9%
7.9 pts better
|
95.5%
3.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.9% |
4.1%
2.2 pts better
|
3.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.3% · Q3 2.5% · Q4 2.4% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.2% |
14.7%
12.5 pts better
|
11.4%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.1% · Q3 2.7% · Q4 0.0% · 4Q avg 2.2% |
| Percentage of long-stay residents who lose too much weight | 0.5% |
5.5%
5 pts better
|
5.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.3% |
25.3%
11 pts better
|
19.6%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 12.3% · Q3 16.7% · Q4 11.7% · 4Q avg 14.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.4% |
25.0%
13.6 pts better
|
16.7%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 7.9% · Q3 14.3% · Q4 11.1% · 4Q avg 11.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 20.5% |
20.3%
0.2 pts worse
|
16.3%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 23.8% · Q3 16.1% · Q4 24.6% · 4Q avg 20.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.2% |
19.8%
1.6 pts better
|
14.9%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 24.1% · Q3 10.0% · Q4 16.9% · 4Q avg 18.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.4%
1.4 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
2.6%
1.3 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 1.3% · Q4 1.3% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.3% |
18.1%
1.2 pts worse
|
19.8%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 28.4% · Q2 23.6% · Q3 9.5% · Q4 17.4% · 4Q avg 19.3% |
| Percentage of long-stay residents with pressure ulcers | 2.2% |
5.0%
2.8 pts better
|
5.1%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 3.1% · Q3 2.5% · Q4 1.2% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
66.4%
32.2 pts better
|
81.7%
16.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 99.1% · Q3 99.0% · Q4 98.0% · 4Q avg 98.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.7% |
13.4%
3.7 pts better
|
12.0%
2.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.7% · Observed 8.3% · Expected 9.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
2.2%
0.9 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 1.2% · Q4 2.5% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.2% |
63.5%
25.7 pts better
|
79.7%
9.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.9% |
25.3%
3.4 pts better
|
23.9%
2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.9% · Observed 17.6% · Expected 19.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-12-03 · Fire 2021-12-03
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Cycle 3
Health 2019-05-23 · Fire 2019-05-23
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
F · Potential for more than minimal harm
2024-02-02
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-03-15
F · Potential for more than minimal harm
2024-02-02
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-15
F · Potential for more than minimal harm
2024-02-02
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-15
E · Potential for more than minimal harm
2024-02-02
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-03-15
E · Potential for more than minimal harm
2021-12-03
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-01-11
E · Potential for more than minimal harm
2021-12-03
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-01-11
Inspection history
Recent health citations
F · Potential for more than minimal harm
2021-12-03
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-01-11
E · Potential for more than minimal harm
2021-12-03
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2022-01-11
D · Potential for more than minimal harm
2021-12-03
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-01-11
Penalties and ownership
What sits behind the stars
Ownership
Vetter Senior Living
5% Or Greater Direct Ownership Interest · Organization
Dahlberg, Thomas
Operational/Managerial Control · Individual
Dahlberg, Thomas
Contracted Managing Employee · Individual
Gould, Matthew
Operational/Managerial Control · Individual
Gould, Matthew
Contracted Managing Employee · Individual
Stuhr, Brian
Operational/Managerial Control · Individual
Stuhr, Brian
Corporate Officer · Individual
Stuhr, Brian
Contracted Managing Employee · Individual
Vanekeren, Glenn
Operational/Managerial Control · Individual
Vanekeren, Glenn
Corporate Officer · Individual
Vanekeren, Glenn
Contracted Managing Employee · Individual
Vetter Senior Living
Operational/Managerial Control · Organization
Vetter, Eldora
Operational/Managerial Control · Individual
Vetter, Eldora
Corporate Officer · Individual
Vetter, Eldora
Contracted Managing Employee · Individual
Vetter, Jack
Operational/Managerial Control · Individual
Vetter, Jack
Corporate Officer · Individual
Vetter, Jack
Contracted Managing Employee · Individual
Vsl Vetter Health Services LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Magnolia Square Nursing And Rehab
Springfield, MO
2-star overall rating with 2-star inspections with $26,215 in total fines with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Springfield Rehabilitation & Health Care Center
Springfield, MO
4-star overall rating with 3-star inspections with 19 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Maples Health And Rehabilitation, The
Springfield, MO
4-star overall rating with 3-star inspections with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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