James River Care And Rehabilitation Center, Inc

3550 East Battlefield
Springfield, MO 65809
Greene County
Phone: 417-889-9500
Provider Number: 265664
Last Inspection: 08/15/2014

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
120
Number of Residents
Number of
Residents
114
Number of Beds Available
Beds Available
6
Percent Occupancy
Percent Occupancy
95%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
For profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • MO
  • USA
  • 10
  • 10
  • 19
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2014
  • 2013
  • 2012
  • 10
  • 9
  • 4
Lower Numbers are Better

Details by Inspection Date

 

8/15/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 9/5/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 9/5/2014
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 9/5/2014
 

7/26/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 8/15/2013
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 8/15/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 8/15/2013
 

8/10/2012 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 9/6/2012


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

3/27/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Immediate 5 4/11/2013
 

12/7/2012 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 1/16/2013
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Actual 4 1/16/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MO State Avg
Number of Residents 114 91.33 74.86
Registered Nurses 0.50 0.53 0.59
Licensed Practical / Vocational Nurses 0.69 0.70 0.74
Certified Nursing Assistants 3.24 2.49 2.49
Total Staff Hours 4.43 3.72 3.83

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MO State Avg%
High Risk Long Stay Residents With Pressure Ulcers 4 3 5
Long Stay Residents Experiencing One or More Falls with Major Injury 2 3 3
Long Stay Residents Who Have Depressive Symptoms 4 3 4
Long Stay Residents Who Lose Too Much Weight 8 8 6
Long Stay Residents Who Received an Antipsychotic Medication 11 20 21
Long Stay Residents Who Self Report Moderate to Severe Pain 8 8 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 0 8 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 0 2 4
Long Stay Residents Who Were Physically Restrained 4 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 14 16 14
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3 2 2
Long Stay Residents With a Urinary Tract Infection 7 5 6
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 37 33 31
Short Stay Residents Who Newly Received an Antipsychotic Medication 2 2 2
Short Stay Residents Who Self Report Moderate to Severe Pain 17 19 18
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 1 22 21
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 1 11 16
Short Stay Residents With Pressure Ulcers That Are New or Worsened 3 1 1