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Spring Valley Health & Rehab: Kitchen Sanitation Failures - MO

Healthcare Facility
Spring Valley Health & Rehabilitation Center
Springfield, MO  ·  2/5 stars

What inspectors could say was this: the fans inside the walk-in freezer and refrigerator were coated in black fuzzy growth, and lint hung from four separate vents in the kitchen, including one directly above the food preparation area and another near clean dishes waiting to be used for meals.

Inspectors first documented the conditions on August 17, 2025, then returned on August 19 and found them unchanged. Two vents to the right of the steam table had fuzzy lint hanging from the ceiling. A vent on the wall over the food prep area had it too. A fourth vent near the clean dish storage, just inside the kitchen entrance, was the same.

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The fans in the walk-in cooler and freezer were worse. Inspectors described the buildup as black and fuzzy, the kind of accumulation that doesn't happen overnight.

When staff were interviewed five days later, the answers were remarkably consistent — not in a way that suggested coordination, but in a way that suggested nobody had ever been asked before.

Dietary aide DA L said he or she believed maintenance cleaned the vents but didn't know how often, or when it had last happened. Fuzzy lint, DA L acknowledged, could fall into the food. Dietary aide DA M wasn't sure who cleaned the wall and ceiling vents. Dietary aide DA N didn't know who cleaned the freezer and refrigerator fans, but agreed they shouldn't have black stuff on them.

The dietary manager said maintenance handled both the vents and the fans. She hadn't realized the vents had fuzzy lint on them. She didn't know how long it had been since the fans were cleaned.

The maintenance director said he or she was responsible for the kitchen vents and cleaned them as needed. He or she was not sure how long it had been.

The administrator said all kitchen vents were cleaned by maintenance and that he or she looked at them weekly. The vents, the administrator explained, get dirty quickly because of grease. They should not, the administrator said, have fuzzy lint on them.

That last part is worth sitting with. The person responsible for the facility looked at these vents every week and either didn't see the lint or didn't act on it. The dietary manager monitored kitchen cleaning and didn't notice. The maintenance director cleaned as needed and couldn't say when that last was.

The inspection report rated the violation as minimal harm or potential for actual harm, affecting many residents. The concern the report identified was direct: lint from the ceiling vents could fall onto food items or food service items. Black fuzzy buildup on refrigeration fans is in proximity to everything stored inside those units.

Spring Valley Health & Rehabilitation Center sits on South Fremont Avenue in Springfield and is a Medicare and Medicaid certified facility. The complaint inspection was completed August 25, 2025.

What the inspection captured, across five days of observation and a morning of interviews, was a kitchen where nobody owned the problem. Responsibility passed from dietary staff to the dietary manager to maintenance, and at each handoff, the knowledge of when anything was last done disappeared. The administrator looked weekly and saw nothing worth addressing. The maintenance director cleaned as needed and needed, apparently, to clean less often than lint accumulates above a food prep table.

The residents eating meals prepared in that kitchen had no way to know any of this.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Spring Valley Health & Rehabilitation Center from 2025-08-25 including all violations, facility responses, and corrective action plans.

Additional Resources


Editorial Standards

Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).

Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.

Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.

Last verified: July 2, 2026  ·  Our methodology

Quick Answer

SPRING VALLEY HEALTH & REHABILITATION CENTER in SPRINGFIELD, MO was cited for violations during a health inspection on August 25, 2025.

Inspectors first documented the conditions on August 17, 2025, then returned on August 19 and found them unchanged.

Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.

Frequently Asked Questions

What happened at SPRING VALLEY HEALTH & REHABILITATION CENTER?
Inspectors first documented the conditions on August 17, 2025, then returned on August 19 and found them unchanged.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in SPRINGFIELD, MO, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from SPRING VALLEY HEALTH & REHABILITATION CENTER or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 265188.
Has this facility had violations before?
To check SPRING VALLEY HEALTH & REHABILITATION CENTER's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.


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