01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-02-13 | 8 | 2025-02-13 | 2 |
| Cycle 2 | 2023-12-01 | 8 | 2023-12-01 | 1 |
| Cycle 3 | 2021-06-02 | 14 | 2021-06-02 | 4 |
CMS CCN 2658652026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Birch Pointe Health And Rehabilitation
3705 S Jefferson Ave · Springfield, MO 65807 · Greene County
Certified beds120CMS provider file
Recent citation rows37current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
37 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-02-13 · HEALTHF0561Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2025-03-302025-02-13 · HEALTHF0585Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2025-03-302025-02-13 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-03-302025-02-13 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-03-302025-02-13 · HEALTHF0758Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Correction field: Deficient, Provider has date of correction · 2025-03-302025-02-13 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-03-302025-02-13 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-03-302025-02-13 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-03-302025-02-13 · FIREK0222Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2025-03-302025-02-13 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-03-302024-08-22 · HEALTHF0684Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-10-02 · complaint2024-07-12 · HEALTHF0610Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2024-08-26 · complaint2023-12-01 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2024-01-152023-12-01 · HEALTHF0609Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-01-15 · complaint2023-12-01 · HEALTHF0610Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2024-01-15 · complaint2023-12-01 · HEALTHF0625Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Correction field: Deficient, Provider has date of correction · 2024-01-152023-12-01 · HEALTHF0678Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2024-01-152023-12-01 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2024-01-152023-12-01 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-01-152023-12-01 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2024-01-152023-08-01 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2023-09-14 · complaint2023-08-01 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2023-09-14 · complaint2023-08-01 · HEALTHF0776Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Correction field: Deficient, Provider has date of correction · 2023-09-14 · complaint2021-06-02 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2021-07-1703 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- DVORAK, NORAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/28/2017
- LOWE, CLINTONIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/15/2024
- SCROGGINS, JESSEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/28/2024
- DVORAK, NORAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- ADAMS, ANTHONYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/13/2015
- ADAMS, BRYANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/13/2015
- ALUMNO, MARTINIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/28/2024
- LOWE, CLINTONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/15/2024
- 3B HOLDINGS, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/13/2015
- 50 EGGS, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2020
- FIRST SECURITY BANCORPOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/13/2015
- FIRST SECURITY BANKOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/13/2015
- INCITE REHAB, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/28/2017
- LTC SYSTEMS/RX, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/28/2017
- MILLER COMMERCE ASSETS, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/13/2015
- PHARMACY CONSULTS, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/28/2017
- PRIMROSE SENIOR LIVING, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/13/2015
- RELIANCE HEALTH CARE, INC.Organization · ADP OF THE SNFNOT APPLICABLE · since 12/28/2017
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.24per resident day
RN hours0.60per resident day
Weekend nurse hours2.82per resident day
Staff turnover63.3%CMS reported field
06 / LOCAL RECORDS
Open the Springfield ledger →Other published facilities nearby
Brookhaven Nursing & Rehab90 beds · CMS overall 2/548 citation rowsCox Medical Centers Meyer Orthopedic And Surgical28 beds · CMS overall 4/511 citation rowsGlendale Gardens Nursing & Rehab120 beds · CMS overall 3/548 citation rowsJames River Nursing And Rehabilitation120 beds · CMS overall 3/532 citation rowsMagnolia Square Nursing And Rehab120 beds · CMS overall 2/517 citation rowsManor At Elfindale, The100 beds · CMS overall 4/519 citation rowsMaples Health And Rehabilitation, The120 beds · CMS overall 4/532 citation rowsMaranatha Village, Inc120 beds · CMS overall 4/536 citation rows