Springfield, Missouri · CMS Care Compare

James River Nursing and Rehabilitation

3 of 5 · CMS overall rating Average

3550 EAST BATTLEFIELD, Springfield, MO 65809

For profit - Individual 120 certified beds All Missouri homes →

Springfield, Missouri · CMS verdict

CMS rates James River Nursing and Rehabilitation at 3 of 5 stars overall - average on the federal scale, and in line with the Missouri average of 2.5.

3/5 CMS overall
3/5 Health inspection
2/5 Staffing
120 Certified beds

The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.

James River Nursing and Rehabilitation in Springfield, Missouri holds a CMS overall rating of 3 of 5 stars and a PlainElderCare Quality & Compliance Index of 49 of 100 (grade F). The 120-bed facility operates where a semi-private nursing-home room in Missouri runs a median of $6,741 per month. Figures are from CMS Nursing Home Compare.

49 of 100 · F

PlainElderCare Quality & Compliance Index

A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 3 of 5 stars. How this is calculated.

How the 49 is built

Each segment is a dimension's weighted points toward the score, summing to 49.

Health inspections 3/5 stars · 50
Staffing 2/5 stars · 25
Quality measures 4/5 stars · 75
Inspection record 27 deficiencies · 43.333333333333336

Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.

Data insights

Quality ratings

On Care Compare (data as of April 2026), James River Nursing and Rehabilitation carries an overall CMS quality rating of 3 out of 5 stars. That figure rolls up three sub-ratings tracked separately: health inspection (3/5), staffing (2/5), and quality measures (4/5).

What each sub-rating measures

The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.

Size and setting

Located in Springfield, Missouri, this facility operates 120 certified beds with an average daily census of roughly 91 residents - an occupancy rate of about 76%. The facility is classified under for profit - individual ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 76% occupancy, this facility has meaningful open capacity relative to its certified bed count.

Same-ownership peers

Within Missouri, James River Nursing and Rehabilitation is one of 39 for profit - individual nursing homes CMS rates. Its 3-star overall rating sits above the for profit - individual-segment average of 2.8 stars, ahead of roughly 36% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.

Inspection record

On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (27 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.

Where these figures come from

The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.

How James River Nursing and Rehabilitation compares to Missouri

CMS five-star sub-ratings (0–5) for this facility against the Missouri facility-weighted average. Source: CMS Care Compare.

Overall 3/5 · state avg 2.5
Health inspection 3/5 · state avg 2.8
Staffing 2/5 · state avg 2.1
Quality measures 4/5 · state avg 2.7

Bar = this facility's rating · vertical marker = Missouri state average. Higher is better on all four CMS measures.

Where James River Nursing and Rehabilitation ranks in Missouri

Among the 479 CMS-rated nursing homes in Missouri, James River Nursing and Rehabilitation’s 3-star overall rating is higher than 54% of them. The bars show how all Missouri homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.

1 star 157 · 33%
2 stars 101 · 21%
3 stars · this facility 88 · 18%
4 stars 81 · 17%
5 stars 52 · 11%

88 Missouri homes share this 3-star rating. Source: CMS Nursing Home Compare.

Facility details

Beds, residents, ownership, location, penalty and deficiency counts from CMS Care Compare.
Attribute Value
Beds 120
Residents 91
Ownership For profit - Individual
County Greene
Penalties 0
Deficiencies 27

Source: CMS Care Compare Nursing Homes (data as of April 2026)

What do families ask most?

What is the quality rating for James River Nursing and Rehabilitation?

CMS rates James River Nursing and Rehabilitation at 3 out of 5 stars overall. The three sub-ratings behind that number: health inspection 3/5, staffing 2/5, quality measures 4/5.

How much does a nursing home cost per month in Missouri?

CareScout's 2025 survey puts Missouri's median semi-private nursing home rate at $6,741 per month ($80,893 per year), with private rooms averaging $7,604 per month.

What services does James River Nursing and Rehabilitation offer?

With 120 beds with approximately 91 current residents, James River Nursing and Rehabilitation is a skilled nursing facility. It operates under for profit - individual ownership, and CMS's inspection record shows 27 deficiencies and 0 penalties.

Does James River Nursing and Rehabilitation have any deficiencies or penalties?

James River Nursing and Rehabilitation has multiple deficiencies (27 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.

What are the alternatives to a nursing home in Missouri?

In Missouri, alternatives include assisted living ($5,400/mo), home health aides ($6,292/mo), and adult day care ($2,058/mo).

Elder Care Guides

Explore PlainElderCare

Related Resources

Compare cost and CMS quality across the state on the Missouri elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.

Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.

Source: CMS Nursing Home Compare. Provider ID: 265664.

Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainElderCare Editorial