Cycle 1
Health 2025-08-25 · Fire 2025-08-25
22 health deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Springfield, MO
Spring Valley Health & Rehabilitation Center
2-star overall rating with 2-star inspections with 22 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
2915 South Fremont Ave, Springfield, MO
(417) 883-4022
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
194
Certified beds
Average residents
152
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Mgm Healthcare
Operator or chain grouping
Approved since
1983-03-24
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
30 facilities
Chain averages 2 overall / 2 health / 2 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
0.33
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.58
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
1.87
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
2.78
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
0.91
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.25
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.29
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.27
CMS adjusted RN staffing hours
Adjusted total hours
2.25
CMS adjusted total nurse staffing hours
Case-mix index
1.69
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,366
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.14
Composite VBP score used to determine payment impact.
Payment multiplier
0.9875
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.28
Baseline 21.47% · Performance 18.52% · Measure score 6.28 · Achievement 6.28 · Improvement 6.14
Healthcare-associated infections
4.17
Baseline 8.66% · Performance 6.95% · Measure score 4.17 · Achievement 2.97 · Improvement 4.17
Total nurse turnover
2.81
Baseline 66.99% · Performance 53.06% · Measure score 2.81 · Achievement 2.60 · Improvement 2.81
Adjusted total nurse staffing
0
Baseline 2.90 hours · Performance 2.05 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.51% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 58 · Observed rate 12.07% · Lower 95% interval 7.47% |
| Discharge to community | 50.33% |
50.57%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 46 · Observed rate 36.96% · Lower 95% interval 36.57% |
| Medicare spending per beneficiary | 1.26 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 41.51% |
95.27%
53.8 pts worse
|
Numerator 22 · Denominator 53 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 53 |
| Discharge self-care score | 40.54% |
53.69%
13.1 pts worse
|
Numerator 15 · Denominator 37 |
| Discharge mobility score | 37.84% |
50.94%
13.1 pts worse
|
Numerator 14 · Denominator 37 |
| Pressure ulcers or injuries, new or worsened | 3.77% |
2.29%
1.5 pts worse
|
Numerator 2 · Denominator 53 · Adjusted rate 4.36% |
| Healthcare-associated infections requiring hospitalization | 6.95% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 29 · Observed rate 6.9% · Lower 95% interval 3.56% |
| Staff COVID-19 vaccination coverage | 22.22% |
8.2%
14 pts better
|
Numerator 32 · Denominator 144 |
| Staff flu vaccination coverage | 28.14% |
42%
13.9 pts worse
|
Numerator 56 · Denominator 199 |
| Discharge function score | 45.95% |
56.45%
10.5 pts worse
|
Numerator 17 · Denominator 37 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.7 |
2.1
1.4 pts better
|
1.9
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.4 |
2.3
1.9 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.4 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 77.1% |
84.8%
7.7 pts worse
|
93.4%
16.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 78.3% · Q2 82.9% · Q3 74.1% · Q4 73.1% · 4Q avg 77.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 72.6% |
90.9%
18.3 pts worse
|
95.5%
22.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 72.6% |
| 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 2.8% · Q2 2.7% · Q3 0.0% · Q4 2.1% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 76.6% |
14.7%
61.9 pts worse
|
11.4%
65.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 77.3% · Q2 77.4% · Q3 78.7% · Q4 72.7% · 4Q avg 76.6% |
| Percentage of long-stay residents who lose too much weight | 0.9% |
5.5%
4.6 pts better
|
5.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.7% · Q3 0.8% · Q4 1.5% · 4Q avg 0.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.3% |
25.3%
3 pts better
|
19.6%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 24.3% · Q3 22.2% · Q4 20.4% · 4Q avg 22.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.5% |
25.0%
16.5 pts better
|
16.7%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 9.0% · Q3 7.4% · Q4 10.6% · 4Q avg 8.5% · 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 | 4.3% |
20.3%
16 pts better
|
16.3%
12 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.6% · Q3 8.5% · Q4 5.9% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.0% |
19.8%
15.8 pts better
|
14.9%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.3% · Q3 6.9% · Q4 3.0% · 4Q avg 4.0% · 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 | 0.7% |
2.6%
1.9 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.7% · Q3 0.7% · Q4 0.7% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.3% |
18.1%
0.8 pts better
|
19.8%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 18.1% · Q3 20.6% · Q4 15.6% · 4Q avg 17.3% |
| Percentage of long-stay residents with pressure ulcers | 2.7% |
5.0%
2.3 pts better
|
5.1%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 1.6% · Q3 2.8% · Q4 1.7% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 55.2% |
66.4%
11.2 pts worse
|
81.7%
26.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 46.0% · Q2 63.3% · Q3 60.8% · Q4 53.5% · 4Q avg 55.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.0% |
13.4%
8.4 pts better
|
12.0%
7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.0% · Observed 6.2% · Expected 13.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.2%
2.2 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 27.2% |
63.5%
36.3 pts worse
|
79.7%
52.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 27.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 11.9% |
25.3%
13.4 pts better
|
23.9%
12 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.9% · Observed 12.5% · Expected 25.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-21 · Fire 2023-12-21
26 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Cycle 3
Health 2021-05-17 · Fire 2021-05-17
17 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (6 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-08-25
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2025-10-30
F · Potential for more than minimal harm
2025-08-25
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-09-29
F · Potential for more than minimal harm
2025-08-25
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-30
F · Potential for more than minimal harm
2025-08-25
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-09-29
E · Potential for more than minimal harm
2025-08-25
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-10-30
E · Potential for more than minimal harm
2025-08-25
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-09-29
E · Potential for more than minimal harm
2025-08-25
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-09-29
E · Potential for more than minimal harm
2025-08-25
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-09-29
E · Potential for more than minimal harm
2025-08-25
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-09-29
F · Potential for more than minimal harm
2023-12-21
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-01-31
F · Potential for more than minimal harm
2023-12-21
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2024-01-31
F · Potential for more than minimal harm
2023-12-21
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-01-31
F · Potential for more than minimal harm
2023-12-21
K926 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2024-01-31
E · Potential for more than minimal harm
2023-12-21
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-01-31
E · Potential for more than minimal harm
2023-12-21
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-01-31
E · Potential for more than minimal harm
2023-12-21
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-01-31
F · Potential for more than minimal harm
2021-05-17
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2021-05-17
F · Potential for more than minimal harm
2021-05-17
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-10-28
F · Potential for more than minimal harm
2021-05-17
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-05-18
F · Potential for more than minimal harm
2021-05-17
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-06-16
F · Potential for more than minimal harm
2021-05-17
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2021-06-16
E · Potential for more than minimal harm
2021-05-17
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2021-05-17
E · Potential for more than minimal harm
2021-05-17
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2021-06-14
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-21
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-11-22
D · Potential for more than minimal harm
2025-11-21
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-11-22
F · Potential for more than minimal harm
2025-08-25
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 2025-09-29
E · Potential for more than minimal harm
2025-08-25
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-09-29
E · Potential for more than minimal harm
2025-08-25
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-09-29
E · Potential for more than minimal harm
2025-08-25
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-09-29
E · Potential for more than minimal harm
2025-08-25
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-09-29
E · Potential for more than minimal harm
2025-08-25
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2025-09-29
E · Potential for more than minimal harm
2025-08-25
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-29
E · Potential for more than minimal harm
2025-08-25
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-09-29
E · Potential for more than minimal harm
2025-08-25
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-09-29
E · Potential for more than minimal harm
2025-08-25
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2025-09-29
E · Potential for more than minimal harm
2025-08-25
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-09-29
E · Potential for more than minimal harm
2025-08-25
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-09-29
D · Potential for more than minimal harm
2025-08-25
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-09-29
D · Potential for more than minimal harm
2025-08-25
F678 · Quality of Life and Care Deficiencies
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-09-29
D · Potential for more than minimal harm
2025-08-25
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-09-29
D · Potential for more than minimal harm
2025-08-25
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-09-29
D · Potential for more than minimal harm
2025-08-25
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-09-29
D · Potential for more than minimal harm
2025-08-25
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-09-29
D · Potential for more than minimal harm
2025-08-25
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-09-29
D · Potential for more than minimal harm
2025-03-14
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-03-15
D · Potential for more than minimal harm
2025-02-14
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-02-25
D · Potential for more than minimal harm
2025-01-23
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 2025-02-07
D · Potential for more than minimal harm
2025-01-23
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-02-07
E · Potential for more than minimal harm
2024-12-13
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-04
E · Potential for more than minimal harm
2024-12-13
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-02-04
E · Potential for more than minimal harm
2024-12-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-04
D · Potential for more than minimal harm
2024-12-13
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-04
D · Potential for more than minimal harm
2024-12-13
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-02-04
E · Potential for more than minimal harm
2024-04-09
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-04-23
D · Potential for more than minimal harm
2024-01-24
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 2024-01-31
D · Potential for more than minimal harm
2024-01-24
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-01-31
F · Potential for more than minimal harm
2023-12-21
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 2024-01-31
E · Potential for more than minimal harm
2023-12-21
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-01-31
E · Potential for more than minimal harm
2023-12-21
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-01-31
E · Potential for more than minimal harm
2023-12-21
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-31
E · Potential for more than minimal harm
2023-12-21
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-01-31
E · Potential for more than minimal harm
2023-12-21
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-01-31
E · Potential for more than minimal harm
2023-12-21
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-01-31
E · Potential for more than minimal harm
2023-12-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-31
D · Potential for more than minimal harm
2023-12-21
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-01-31
D · Potential for more than minimal harm
2023-12-21
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-01-31
D · Potential for more than minimal harm
2023-12-21
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-01-31
D · Potential for more than minimal harm
2023-12-21
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-01-31
D · Potential for more than minimal harm
2023-12-21
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-01-31
D · Potential for more than minimal harm
2023-12-21
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-01-31
D · Potential for more than minimal harm
2023-12-21
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-01-31
D · Potential for more than minimal harm
2023-12-21
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-01-31
D · Potential for more than minimal harm
2023-12-21
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-01-31
D · Potential for more than minimal harm
2023-12-05
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-01-17
D · Potential for more than minimal harm
2023-12-05
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-01-17
J · Immediate jeopardy
2021-05-17
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2021-07-29
J · Immediate jeopardy
2021-05-17
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2021-10-26
F · Potential for more than minimal harm
2021-05-17
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 2021-06-14
F · Potential for more than minimal harm
2021-05-17
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2021-06-16
E · Potential for more than minimal harm
2021-05-17
F568 · Resident Rights Deficiencies
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2021-06-11
E · Potential for more than minimal harm
2021-05-17
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2021-06-14
E · Potential for more than minimal harm
2021-05-17
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-06-11
E · Potential for more than minimal harm
2021-05-17
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2021-09-15
E · Potential for more than minimal harm
2021-05-17
F809 · Nutrition and Dietary Deficiencies
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2021-06-14
D · Potential for more than minimal harm
2021-05-17
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2021-10-26
D · Potential for more than minimal harm
2021-05-17
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 2021-10-26
D · Potential for more than minimal harm
2021-05-17
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-06-11
D · Potential for more than minimal harm
2021-05-17
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-06-11
Penalties and ownership
What sits behind the stars
$0
2024-12-13
Payment Denial
Payment Denial · denial start 2025-03-13 · 2 days
2 day denial
Ownership
Florissant Springfield Holdings, LLC
5% Or Greater Direct Ownership Interest · Organization
10-26 Nationwide Tr
5% Or Greater Indirect Ownership Interest · Organization
Springflo Investments, LLC
5% Or Greater Indirect Ownership Interest · Organization
Springfield Florissant Resources, LLC
5% Or Greater Indirect Ownership Interest · Organization
Anderson, Holly
W-2 Managing Employee · Individual
Bienstock, Judah
Corporate Officer · Individual
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