Close To Paradise Assisted Living
State licensed3824 East Farm Road 156, Springfield, MO 65809
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JAMES RIVER NURSING AND REHABILITATION is a for profit - individual nursing home in SPRINGFIELD, MO with 120 certified beds.
Capacity
120 residents
Location
Springfield, MO
Status
Listed in a public registry
3550 EAST BATTLEFIELD, Springfield, Missouri 65809
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on July 30, 2024, state inspectors cited 18 health deficiencies (the Missouri average is 11.4).
Nurses and nurse aides spend 3 hours 36 minutes with each resident a day, about the same as the Missouri average.
Medicare has not fined James River Nursing and Rehabilitation in the last three years.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 36 minutes |
| Registered nurse time per resident, per day | 29 minutes |
| Nursing staff who left in the past year | 64%Above the Missouri average |
21 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 18, 2026 · Complaint investigation · 1 citation
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 4, 2025 · Complaint investigation · 1 citation
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Provide and implement an infection prevention and control program.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Ensure that residents are free from significant medication errors.
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Keep residents' personal and medical records private and confidential.
Ensure medication error rates are not 5 percent or greater.
PASARR screening for Mental disorders or Intellectual Disabilities
Provide safe and appropriate respiratory care for a resident when needed.
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Protect each resident from the wrongful use of the resident's belongings or money.
Provide safe, appropriate pain management for a resident who requires such services.
3550 EAST BATTLEFIELDSpringfield, MO 65809
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3824 East Farm Road 156, Springfield, MO 65809
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3535 EAST CHEROKEE, Springfield, MO 65809
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State inspectors visited on July 30, 2024 and cited 18 health deficiencies, 3 of them from complaint investigations. The Missouri average is 11.4.
Nurses and aides spend 3 hours 36 minutes with each resident per day, including 29 minutes from registered nurses. 64% of nursing staff left over the past year.
Medicare's records show no fines against James River Nursing and Rehabilitation in the last three years.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.