Our Coverage of Spring Valley Health & Rehabilitation Center

Spring Valley Rehab: Feeding Tube Care Failures - MO Mar 10, 2026

Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

November 21, 2025 Complaint Investigation

August 25, 2025 Complaint Investigation

Fines and Penalties by Year

2023 1 penalties totaling $72,810

$72,810
Jan 10, 2023

Fine

2022 2 penalties totaling $24,750

$15,000
Jun 28, 2022

Fine

$9,750
Jun 28, 2022

Fine

2021 2 penalties totaling $38,058

$38,058
May 17, 2021

Fine

$0
May 17, 2021

Payment Denial

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Health Violations by Year

2025 3 violations

Tag 0658 D Feb 14, 2025

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

✓ Corrected: Feb 25, 2025
Tag 0609 D Jan 23, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Feb 7, 2025
Tag 0610 D Jan 23, 2025

Respond appropriately to all alleged violations.

✓ Corrected: Feb 7, 2025

2024 3 violations

Tag 0584 E Apr 9, 2024

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: Apr 23, 2024
Tag 0609 D Jan 24, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jan 31, 2024
Tag 0610 D Jan 24, 2024

Respond appropriately to all alleged violations.

✓ Corrected: Jan 31, 2024

2023 22 violations

Tag 0558 D Dec 21, 2023

Reasonably accommodate the needs and preferences of each resident.

Tag 0580 D Dec 21, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Tag 0583 E Dec 21, 2023

Keep residents' personal and medical records private and confidential.

Tag 0584 E Dec 21, 2023

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.

Tag 0644 D Dec 21, 2023

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Tag 0656 D Dec 21, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Tag 0677 D Dec 21, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

Tag 0689 E Dec 21, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Tag 0692 D Dec 21, 2023

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

Tag 0698 D Dec 21, 2023

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

Tag 0699 D Dec 21, 2023

Provide care or services that was trauma informed and/or culturally competent.

Tag 0759 D Dec 21, 2023

Ensure medication error rates are not 5 percent or greater.

Tag 0761 E Dec 21, 2023

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.

Tag 0806 E Dec 21, 2023

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Tag 0812 F Dec 21, 2023

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

Tag 0842 E Dec 21, 2023

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

Tag 0880 E Dec 21, 2023

Provide and implement an infection prevention and control program.

Tag 0693 D Dec 5, 2023

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: Jan 17, 2024
Tag 0842 D Dec 5, 2023

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

✓ Corrected: Jan 17, 2024
Tag 0677 D Feb 15, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Mar 16, 2023

2022 6 violations

Tag 0550 D Aug 31, 2022

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

✓ Corrected: Sep 28, 2022
Tag 0584 E Aug 31, 2022

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: Sep 28, 2022
Tag 0677 E Aug 31, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Sep 28, 2022
Tag 0809 E Aug 31, 2022

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

✓ Corrected: Sep 28, 2022
Tag 0880 E Jun 28, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 27, 2022
Tag 0609 D Feb 10, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Feb 15, 2022

2021 23 violations

Tag 0684 D Dec 21, 2021

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

✓ Corrected: Jan 16, 2022
Tag 0697 E Dec 21, 2021

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Jan 16, 2022
Tag 0609 D Nov 17, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Feb 15, 2022
Tag 0678 D Nov 17, 2021

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: Dec 29, 2021
Tag 0602 D Sep 15, 2021

Protect each resident from the wrongful use of the resident's belongings or money.

✓ Corrected: Oct 26, 2021
Tag 0609 D Sep 15, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Oct 26, 2021
Tag 0610 D Sep 15, 2021

Respond appropriately to all alleged violations.

✓ Corrected: Oct 26, 2021
Tag 0604 J Jul 22, 2021

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Jul 29, 2021
Tag 0610 J Jul 22, 2021

Respond appropriately to all alleged violations.

✓ Corrected: Oct 26, 2021
Tag 0568 E May 17, 2021

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Tag 0602 D May 17, 2021

Protect each resident from the wrongful use of the resident's belongings or money.

Tag 0604 J May 17, 2021

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Tag 0609 D May 17, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Tag 0610 J May 17, 2021

Respond appropriately to all alleged violations.

Tag 0657 E May 17, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Tag 0658 D May 17, 2021

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

Tag 0684 D May 17, 2021

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

✓ Corrected: Jun 11, 2021
Tag 0686 E May 17, 2021

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

Tag 0761 E May 17, 2021

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.

Tag 0809 E May 17, 2021

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

✓ Corrected: Jun 14, 2021

2020 7 violations

Tag 0684 D Dec 1, 2020

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

✓ Corrected: Jan 12, 2021
Tag 0842 D Nov 6, 2020

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

✓ Corrected: Dec 17, 2020
Tag 0755 E Sep 21, 2020

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

✓ Corrected: Oct 23, 2020
Tag 0609 D Jul 8, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Sep 15, 2020
Tag 0610 E Jul 8, 2020

Respond appropriately to all alleged violations.

✓ Corrected: Sep 15, 2020
Tag 0690 D Jul 8, 2020

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: Sep 15, 2020
Tag 0880 F May 30, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 15, 2020

2019 27 violations

Tag 0602 D Nov 18, 2019

Protect each resident from the wrongful use of the resident's belongings or money.

✓ Corrected: Dec 2, 2019
Tag 0804 E Oct 8, 2019

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Dec 2, 2019
Tag 0805 E Oct 8, 2019

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

✓ Corrected: Dec 2, 2019
Tag 0806 E Oct 8, 2019

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Dec 2, 2019
Tag 0550 D May 7, 2019

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

✓ Corrected: Jun 20, 2019
Tag 0558 D May 7, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jun 20, 2019
Tag 0561 E May 7, 2019

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

✓ Corrected: Jun 20, 2019
Tag 0584 E May 7, 2019

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: Jun 20, 2019
Tag 0600 D May 7, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jun 20, 2019
Tag 0609 D May 7, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jun 20, 2019
Tag 0656 D May 7, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 20, 2019
Tag 0676 D May 7, 2019

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Jun 20, 2019
Tag 0684 E May 7, 2019

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

✓ Corrected: Jun 20, 2019
Tag 0686 D May 7, 2019

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

✓ Corrected: Jun 20, 2019
Tag 0690 D May 7, 2019

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: Jun 20, 2019
Tag 0692 E May 7, 2019

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

✓ Corrected: Jun 20, 2019
Tag 0693 D May 7, 2019

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: Jun 20, 2019
Tag 0695 E May 7, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jun 20, 2019
Tag 0697 D May 7, 2019

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Jun 20, 2019
Tag 0759 E May 7, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jun 20, 2019

2018 7 violations

Tag 0550 D May 2, 2018

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

✓ Corrected: Jun 19, 2018
Tag 0582 D May 2, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Jun 19, 2018
Tag 0584 E May 2, 2018

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: Jun 19, 2018
Tag 0755 E May 2, 2018

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

✓ Corrected: Jun 19, 2018
Tag 0812 E May 2, 2018

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

✓ Corrected: Jun 19, 2018
Tag 0880 D May 2, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 19, 2018
Tag 0921 E May 2, 2018

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

✓ Corrected: Jun 19, 2018

2017 8 violations

Tag 0281 E Sep 25, 2017

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

✓ Corrected: Oct 31, 2017
Tag 0309 D Sep 25, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Oct 31, 2017
Tag 0314 D Sep 25, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

✓ Corrected: Oct 31, 2017
Tag 0314 D Jun 9, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

✓ Corrected: Jul 17, 2017
Tag 0371 F Jun 9, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Jul 17, 2017
Tag 0431 E Jun 9, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Jul 17, 2017
Tag 0441 E Jun 9, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Jul 17, 2017
Tag 0465 F Jun 9, 2017

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

✓ Corrected: Jul 17, 2017
🏥 Facility Summary

SPRING VALLEY HEALTH & REHABILITATION CENTER is a 2-star nursing home in SPRINGFIELD, MO with 194 beds.

Most recent inspection: Data not available. No current violations on record.

📞 4178834022
📍 2915 SOUTH FREMONT AVE, SPRINGFIELD, MO
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About SPRING VALLEY HEALTH & REHABILITATION CENTER

What violations has SPRING VALLEY HEALTH & REHABILITATION CENTER received?
SPRING VALLEY HEALTH & REHABILITATION CENTER has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of SPRING VALLEY HEALTH & REHABILITATION CENTER?
SPRING VALLEY HEALTH & REHABILITATION CENTER has a 2-star rating out of 5 from CMS. This rating indicates the facility may have quality concerns that should be investigated further. The rating is based on health inspections, staffing levels, and quality measures.
When was SPRING VALLEY HEALTH & REHABILITATION CENTER last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is SPRING VALLEY HEALTH & REHABILITATION CENTER safe?
Safety at SPRING VALLEY HEALTH & REHABILITATION CENTER should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact SPRING VALLEY HEALTH & REHABILITATION CENTER?
Phone: 4178834022. Address: 2915 SOUTH FREMONT AVE, SPRINGFIELD, MO. For visiting hours and admission information, call the facility directly.
What services does SPRING VALLEY HEALTH & REHABILITATION CENTER offer?
SPRING VALLEY HEALTH & REHABILITATION CENTER is a skilled nursing facility with 194 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near SPRINGFIELD, MO?
Compare SPRING VALLEY HEALTH & REHABILITATION CENTER with other nursing homes in SPRINGFIELD, MO on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.