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Nursing HomeMedicaid Investigative

Spring Valley Health & Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2915 South Fremont Ave, Springfield, MO 65804194 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.6/5

based on 121 Google reviews

5
4
3
2
1
Spring Valley Health & Rehabilitation Center Nursing Home in Springfield, MO — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (22 vs median 10)
  • High staff turnover (55%)

Below average in MO · Critically understaffed (RN)

Source: Medicare data

What this means for your family

While the facility's physical and occupational therapy departments are frequently praised for their effectiveness, the facility has a long-standing pattern of severe understaffing and neglect in long-term care. If you choose this facility, it is critical that you or a family member visit frequently to ensure basic needs like hygiene, call-light response, and medication administration are met.

Google Reviews

Google Reviews

121 reviews on Google
Spring Valley Health & Rehabilitation Center receives highly polarized feedback, with many families reporting severe neglect, poor hygiene, and chronic understaffing. While some patients praise the physical and occupational therapy departments for their effectiveness, these positive experiences are frequently overshadowed by reports of unanswered call lights, cold or inedible food, and a lack of basic care for long-term residents.

Quality Themes

Tap a score for details
Food2.0Staff4.0Clean3.0Activities6.0Meds2.0Memory2.0Comms2.0ValueN/A

Strengths

  • Effective physical and occupational therapy
  • Clean, modern, and well-decorated facility
  • Friendly and helpful individual staff members

Concerns

  • Chronic understaffing leading to long wait times for call lights (mentioned by 18 reviewers)
  • Poor hygiene and lack of room cleanliness (mentioned by 12 reviewers)
  • Poor quality, cold, or inconsistent food service (mentioned by 9 reviewers)
  • Poor communication and lack of responsiveness from management (mentioned by 6 reviewers)
  • Inconsistent or negligent medication management (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

234'10(1)'16(2)'18(4)'20(12)'22(14)'24(15)'26(9)

Distribution · 106 analyzed

5
33
4
7
3
0
2
6
1
60

How They Respond to Reviews

77%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that the facility has a modern and well-decorated interior; how do you maintain that level of cleanliness and hygiene in the residents' private rooms on a daily basis?
  • 2Given that you have a large capacity of 194 residents, what is your specific process for ensuring that call lights are answered promptly and that residents receive timely assistance?
  • 3I see that you are active in responding to feedback online; how does that commitment to communication translate to keeping families updated on their loved one's care plan and health status?
  • 4Many families value high-quality nutrition; could you walk me through how you ensure meals are served at the proper temperature and meet the dietary preferences of your residents?
  • 5With the current staffing levels, what protocols do you have in place to ensure that medication management remains accurate and consistent for every resident?
  • 6What kind of daily social or therapeutic activities are currently being prioritized to keep residents engaged and active within the community?

Personalized based on this facility's data


Key Review Excerpts

The staff were the absolute best, Rehab included Physical therapy, occupational therapy and spee h therapy. I cannot stress enough how wonderful everyone was, I had the best treatment from all of the staff.

Rehab patient · 2024★★★★★

My dad was at Spring Valley for therapy that concluded with hospice services and they treated him wonderfully... I cannot say enough good things about the therapy that he received.

Long-term resident's family · 2026★★★★★

My sister is here now. We want her out. No call light answered after hour and a half. Took us over 20 minutes for someone to answer the phone line.

Resident's family · 2022☆☆☆☆
Source: 121 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.36hrs
48%
Registered nurses for medical care
Total Nursing
2.80hrs
68%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
30%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

5

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility74.7%
Worse than Avg
Here
74.7%
US
12.1%
MO
16.7%
Greene
11.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility72.6%
Worse than Avg
Here
72.6%
US
95.5%
MO
90.9%
Greene
96.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility74.4%
Worse than Avg
Here
74.4%
US
93.4%
MO
84.4%
Greene
88.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.0%
Better than Avg
Here
8.0%
US
15.5%
MO
23.6%
Greene
17.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.6%
Better than Avg
Here
3.6%
US
14.4%
MO
19.1%
Greene
14.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.4%
Better than Avg
Here
4.4%
US
15.3%
MO
18.9%
Greene
15.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility27.2%
Worse than Avg
Here
27.2%
US
79.8%
MO
63.5%
Greene
73.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility54.1%
Worse than Avg
Here
54.1%
US
81.8%
MO
65.9%
Greene
77.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
1.6%
MO
2.2%
Greene
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

22deficiencies
1penalties
Well above state avg (12.0)
31 complaint-triggered

Spring Valley Health & Rehabilitation Center has substantial ongoing concerns with families filing 30 complaints triggering federal investigations across 88 total deficiencies. The most persistent problems involve medication management (including significant medication errors), care quality issues (wound care, nutrition, feeding tubes), and abuse reporting failures. While the facility corrects violations when cited, the recurring nature of medication errors, care deficiencies, and safety violations across multiple recent surveys suggests systemic issues that families should carefully consider before placement.

Feb 4, 2026Complaint
1
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Nov 21, 2025Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

Aug 25, 2025Routine
14
0161Potential for harm · WidespreadCorrected

Construction Deficiencies

Use approved construction type or materials.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0628Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0500Potential for harm · PatternCorrected

Services Deficiencies

Meet other general requirements that are deficient.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0912Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0678Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Aug 25, 2025Complaint
14
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0554Potential for harm · PatternCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0561Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Mar 14, 2025Complaint
1
0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Feb 14, 2025Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Federal Penalties

Payment Denial

Dec 13, 2024

2-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Spring Valley Health & Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Mgm Healthcare

Chain Size

32 facilities nationwide

Chain avg rating: 2.2/5 · Rank 18 of 30

Ownership & Management

Owners

Florissant Springfield Holdings, LLC

Owner · Organization

100%

Springfield Florissant Resources, LLC

Owner (parent company) · Organization

20%

Springflo Investments, LLC

Owner (parent company) · Organization

35%

Key personnel

Anderson, HollyW-2 Managing EmployeeBienstock, JudahOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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