James River Nursing And Rehabilitation
3550 East Battlefield, Springfield, MO, 65809
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual · Chain: Anthony & Bryan Adams
- Certified beds
- 120 · avg 94 residents/day
- Total nursing staff turnover
- 65.1% — higher than most Missouri nursing homesMissouri avg: 56.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 69.2% — higher than most Missouri nursing homesMissouri avg: 50.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Missouri averageMissouri avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 265664
- Certified beds
- 120 beds · avg 94 residents/day
- Ownership type
- For profit - Individual
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Jrnrc Ops Inc
- Chain affiliation
- Anthony & Bryan Adams
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Anthony & Bryan Adams chain — 38 facilities across 2 states. Chain-wide average overall rating 3.8 / 5.
Parent entity
Rhc Operations Inc
Disclosed owners (20 on record)
- Martin r a Alumno
Operational/managerial Control · since 2024
- Jesse a Scroggins
Managing Control - Governing Body · since 2024
- Kelsey Long
Managing Control - Governing Body · since 2023
- Centennial Bank
Adp of The Snf · since 2022
- Home Bancshares
Adp of The Snf · since 2022
- Nora Dvorak
Managing Control - Governing Body · since 2017
+ 14 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 27)
- E0561·Nov 4, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E0550·Jul 30, 2024Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E0880·Jul 30, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Jul 30, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0761·Jul 30, 2024
Pharmacy Service Deficiencies
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.
- D0760·Jul 30, 2024
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0759·Jul 30, 2024
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0700·Jul 30, 2024
Quality of Life and Care Deficiencies
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…
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Jul 30, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about James River Nursing And Rehabilitationinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.