Federal inspection record · CMS data as of October 1, 2026
Manor At Elfindale, The
1707 West Elfindale Street, Springfield, MO · (417) 831-2273
- Certified beds
- 100
- Residents per day
- 93
- Ownership
- Non-Profit
- Chain
- Vetter Senior Living
- Medicare / Medicaid
- Medicare
- Certified since
- August 11, 2006
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Manor At Elfindale, The carries 39 inspection points. That is fewer than 76% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
10 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning2D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care2E
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
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.
Pharmacy Service2D
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
Environmental1F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2025-11-17
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-02-02
0 health deficiencies · 4 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2021-12-03
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 25 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
4 h 25 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 30% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts better | 1.7 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.7 pts better | 0.5 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine15.4 pts better | 99.4% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.2 pts better | 100.0% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better | 3.1% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms17.9 pts better | 2.1% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.1 pts better | 0.0% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.5 pts better | 16.1% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.4 pts better | 15.1% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5 pts worse | 20.8% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.9 pts worse | 23.3% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.6 pts better | 0.6% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.7 pts worse | 21.8% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts better | 4.1% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine33.3 pts better | 99.0% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.9 pts better | 7.5% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse | 2.5% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine31.9 pts better | 93.3% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.4 pts better | 23.3% | 25.7% | 23.4% |
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Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Vetter Senior Living | 5% Or Greater Direct Ownership Interest · Organization | 100% | 22 facilities |
| Dahlberg, Thomas | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Dahlberg, Thomas | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gould, Matthew | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Gould, Matthew | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stuhr, Brian | Contracted Managing Employee · Individual | 0% | 23 facilities |
| Stuhr, Brian | Corporate Officer · Individual | 0% | 23 facilities |
| Stuhr, Brian | Operational/Managerial Control · Individual | 0% | 23 facilities |
| Vanekeren, Glenn | Contracted Managing Employee · Individual | 0% | 22 facilities |
| Vanekeren, Glenn | Corporate Officer · Individual | 0% | 22 facilities |
| Vanekeren, Glenn | Operational/Managerial Control · Individual | 0% | 22 facilities |
| Vetter Senior Living | Operational/Managerial Control · Organization | 0% | 22 facilities |
| Vetter, Eldora | Contracted Managing Employee · Individual | 0% | 23 facilities |
| Vetter, Eldora | Corporate Officer · Individual | 0% | 23 facilities |
| Vetter, Eldora | Operational/Managerial Control · Individual | 0% | 23 facilities |
| Vetter, Jack | Contracted Managing Employee · Individual | 0% | 23 facilities |
| Vetter, Jack | Corporate Officer · Individual | 0% | 23 facilities |
| Vetter, Jack | Operational/Managerial Control · Individual | 0% | 23 facilities |
| Vsl Vetter Health Services LLC | Operational/Managerial Control · Organization | 0% | 22 facilities |
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Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Inspect, test, and maintain automatic sprinkler systems.
Egress1E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
Services1E
- E
Meet other general requirements that are deficient.
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Other homes nearby
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★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
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-
Springfield Rehabilitation & Health Care Center
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-
Maples Health And Rehabilitation, The
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
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