Spring Valley Health & Rehabilitation Center
2915 South Fremont Ave · Springfield, MO · 65804 · 4178834022
194 certified beds For profit - Individual Chain: Mgm Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Total nurse staffing below 3.0 hours per resident-day
2.80 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.80 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.36 | 0.55–0.75 |
| Weekend hours / resident-day | 2.25 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (66 in the current record)
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Potential for harm · E February 4, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 6, 2026 · Quality of Life and Care
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Potential for harm · D November 21, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 22, 2025 · Quality of Life and Care
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Potential for harm · D November 21, 2025 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected November 22, 2025 · Quality of Life and Care
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Potential for harm · D August 25, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 29, 2025 · Resident Rights
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Potential for harm · E August 25, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 29, 2025 · Resident Rights
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Potential for harm · D August 25, 2025
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · D August 25, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · D August 25, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 25, 2025 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected September 29, 2025 · Resident Rights
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Potential for harm · E August 25, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected September 29, 2025 · Resident Rights
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Potential for harm · E August 25, 2025 · found via complaint
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.
Corrected September 29, 2025 · Resident Rights
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Potential for harm · E August 25, 2025 · found via complaint
Provide activities to meet all resident's needs.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · D August 25, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · D August 25, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · D August 25, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · E August 25, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 29, 2025 · Pharmacy Service
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Potential for harm · E August 25, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected September 29, 2025 · Pharmacy Service
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Potential for harm · E August 25, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected September 29, 2025 · Pharmacy Service
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Potential for harm · F August 25, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 29, 2025 · Nutrition and Dietary
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Potential for harm · E August 25, 2025 · found via complaint
Keep all essential equipment working safely.
Corrected September 29, 2025 · Environmental
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Potential for harm · E August 25, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 29, 2025 · Environmental
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Potential for harm · E August 25, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected September 29, 2025 · Environmental
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Potential for harm · D March 14, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 15, 2025 · Quality of Life and Care
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Potential for harm · D February 14, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 23, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 13, 2024 | Payment Denial | 2 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265188 · certified since March 24, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.