James River Nursing and Rehabilitation
3550 East Battlefield, Springfield MO 65809 · (417) 889-9500 · 92.25% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
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
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 120 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
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.
Long-term Care Quality
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.
Short-term Care Quality
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.
Nurse Quality
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.
Overall Rating Over Time
Compared to national and state averages across all facilities.
James River Nursing and Rehabilitation Quality Metrics
Minimizes Pressure Ulcers
This tells you the percent of residents who have had a pressure ulcer. Pressure ulcers, also known as bed sores, are routinely the result of patients not being moved frequently enough. Better nursing protocols minimizes the number of pressure ulcers sustained by residents in a nursing home.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This statistic gauges the percent of long-term patients who had falls resulting in major injury. Falls can arise for a variety of reasons, but excessive numbers of falls could be an indication of lower quality nursing care.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percent of patients who suffered from a urinary tract infection. These infections may be associated with inadequate hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This statistic measures the percentage of long-term care patients receiving antipsychotic medications. While antipsychotic medications serve an important medical purpose, it is important to confirm these medications are being used appropriately. In some situations, increased usage of these drugs may mean a nursing home is using these drugs to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percent of residents who were given antianxiety medications. These medications are generally prescribed to patients suffering from anxiety or depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This metric is a measure of the percentage of long-term care patients who are demonstrating depressive symptoms.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This metric measures the percentage of long-term care patients that received the flu and pneumonia vaccines.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is a measure of the percentage of long-term care patients that required increased assistance with activities of daily living over time. ADL's include activities such as taking medications and taking a bath. Some argue that this is a reasonable measure of a patient's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This indicates the percentage of patients that remained mobile levels over time. Retaining mobility is usually a great sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This is the number of times residents are hospitalized per thousand days of care. There is typically a correlation between keeping patients out of the hospital and the quality of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is the number of times residents are rehospitalized per 1,000 days of short-term patient care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric measures the number of times residents are sent to the emergency room per thousand days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This tells you the percentage of short-term care residents that saw functional improvements, such as enhanced ability to perform activities of daily living.
Percentage of Resident
Higher is Better