James River Nursing and Rehabilitation: Staffing, Turnover, and Inspection Record
James River Nursing and Rehabilitation is a 120-bed for-profit nursing home in Springfield, Missouri, part of Anthony & Bryan Adams. In the CMS August 2026 release it reported 2.44 nurse aide hours per resident per day, 6% above the Missouri average of 2.29, and 64.0% nursing staff turnover (Missouri average 56.0%).
James River Nursing and Rehabilitation
3550 East BattlefieldSpringfield, MO 65809
Greene County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At James River Nursing and Rehabilitation, nurse aides logged 2.44 hours per resident per day, 6% above the Missouri average. With about 98 residents a day, that works out to roughly 238 aide hours a day, or about 30 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 18% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.44 | 2.29 | 2.32 |
| Licensed practical nurses | 0.69 | 0.68 | 0.86 |
| Registered nurses | 0.48 | 0.46 | 0.69 |
| All nursing staff | 3.60 | 3.43 | 3.86 |
| All nursing staff, weekends | 2.95 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
64.0% of nursing staff at James River Nursing and Rehabilitation left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 76.9%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 30, 2024. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 18 health deficiencies (Missouri average 11.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. James River Nursing and Rehabilitation holds 3 of 5 overall; the Missouri average is 2.5.
About James River Nursing and Rehabilitation
- Ownership: For profit - Individual
- Chain: Anthony & Bryan Adams, 38 homes
- Legal name: Jrnrc Ops Inc
- Medicare and Medicaid certified since: Jan 17, 1997
- Councils: resident council
- Area: urban
Nursing homes near James River Nursing and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Glendale Gardens Nursing & Rehab Springfield | 1.2 | 120 | 2.19 | 3.15 | 57.3% | 3 | None |
| Spring Valley Health & Rehabilitation Center Springfield | 2.7 | 194 | 1.76 | 2.77 | 56.1% | 2 | None |
| Cox Medical Centers Meyer Orthopedic and Surgical Springfield | 3.1 | 28 | 0.00 | 10.00 | 54.5% | 4 | None |
| Springfield Villa Springfield | 3.2 | 146 | 2.14 | 2.96 | 64.0% | 1 | $69,595 |
| Birch Pointe Health and Rehabilitation Springfield | 3.8 | 120 | 2.10 | 3.24 | 63.3% | 3 | None |
| Sunterra Springs Springfield Springfield | 3.8 | 38 | 2.02 | 3.99 | 66.0% | 4 | $36,696 |
| The Maples Health and Rehabilitation Springfield | 4.3 | 120 | 2.57 | 3.85 | 49.5% | 4 | None |
| Springfield Rehabilitation & Health Care Center Springfield | 4.8 | 146 | 2.02 | 3.03 | 43.6% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.