James River Nursing and Rehabilitation

James River Nursing and Rehabilitation is located in Springfield, Missouri, a city with a population of 219,752 people. Sporting an overall score of B, this is a fine facility. Even in a city with 18 nursing homes, this one looks like a perfectly acceptable choice. The best aspect of this facility's impressive profile is its inspection score. Inspection reports are discussed in the next section

This facility received a strong overall score as described above, but we especially wanted to point out its nearly flawless government inspections in recent years. We awarded it an A in this area. Perhaps the most important factor we look at in determining our inspection grades is deficiencies. These deficiencies can be found on a nursing home's recent inspection reports. Facilities with better grades in this area most likely dodged the more severe deficiencies involving things like patient abuse. Fortunately, although this place had a few minor dings on its report, it had no severe deficiencies. Severe deficiencies are those labeled as categories G, H, I, J, K and L. This tells you that the government inspectors didn't deem any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

We also gave this facility a score of A- for our long-term care grade. Nursing homes that excel in this category typically are well-staffed and provide extensive hands on care to residents. After considering the volume of care provided by aids and other staff, we next considered the facility's vaccination data. This nursing home vaccinated 99.72299 percent of its residents against pneumonia, which is much higher than the majority of nursing homes. This facility was also able to keep its residents out of the hospital. In fact, it had just 1.36 hospitalizations per one thousand long-term resident days.

The third most favorable category we awarded this facility in any area came in the area of short-term care, where we gave it a B-. Short-term care grades are crucial for residents seeking rehabilitation. Rehabilitation usually utilizes higher levels of skilled nursing. This includes a broad spectrum of nursing services, spanning from registered nurses to physical and speech therapists, as well as other forms of therapy. This nursing home employs both physical therapists and registered nurses. Not all facilities employ these skilled professionals. The final datapoint we assessed in this area is the number of patients who were able to leave the nursing home and return to the community. It fared well in this area with 60.8 percent of its residents returning home.

The last category we graded is nursing, was this facility's worst area. We awarded this nursing home a D in that category. This really was one of the couple of weak points on a strong profile. Nursing ratings are based in large part on nurse staffing levels. This facility provided 3.6 hours of nursing care per resident per day. This is below the national average. While this nursing home didn't excel in the area of nursing hours, it surprised us in a few of the quality-based assessments in the nursing category, such as avoiding major falls. This nursing home was above average in this statistic, which is one redeeming quality we found in this category.