01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-11-17 | 7 | 2025-11-17 | 3 |
| Cycle 2 | 2024-02-02 | 0 | 2024-02-02 | 4 |
| Cycle 3 | 2021-12-03 | 3 | 2021-12-03 | 2 |
CMS CCN 2658042026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Manor At Elfindale, The
1707 West Elfindale Street · Springfield, MO 65807 · Greene County
Certified beds100CMS provider file
Recent citation rows19current 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
19 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-11-17 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2025-12-292025-11-17 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-12-292025-11-17 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-12-292025-11-17 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-12-292025-11-17 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-12-292025-11-17 · 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 · 2025-12-292025-11-17 · HEALTHF0921Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2025-12-292025-11-17 · FIREK0222Severity E · pattern; 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 · 2025-12-292025-11-17 · FIREK0321Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-12-292025-11-17 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-12-292024-02-02 · FIREK0341Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2024-03-152024-02-02 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-03-152024-02-02 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2024-03-152024-02-02 · 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 · 2024-03-152021-12-03 · HEALTHF0609Severity D · isolated; 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 · 2022-01-112021-12-03 · HEALTHF0700Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Correction field: Deficient, Provider has date of correction · 2022-01-112021-12-03 · 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 · 2022-01-112021-12-03 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2022-01-112021-12-03 · FIREK0500Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Meet other general requirements that are deficient.
Correction field: Deficient, Provider has date of correction · 2022-01-1103 / 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
- VETTER SENIOR LIVINGOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 12/23/2016
- DAHLBERG, THOMASIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2022
- GOULD, MATTHEWIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 07/01/2017
- STUHR, BRIANIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 07/01/2017
- VANEKEREN, GLENNIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 07/01/2017
- VETTER, ELDORAIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 07/01/2017
- VETTER, JACKIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 07/01/2017
- STUHR, BRIANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/15/2017
- VANEKEREN, GLENNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/15/2017
- VETTER, ELDORAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/15/2017
- VETTER, JACKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/15/2017
- VETTER SENIOR LIVINGOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/23/2016
- VSL VETTER HEALTH SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2017
- DAHLBERG, THOMASIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2022
- GOULD, MATTHEWIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2017
- STUHR, BRIANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2017
- VANEKEREN, GLENNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2017
- VETTER, ELDORAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2017
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 hours4.43per resident day
RN hours0.61per resident day
Weekend nurse hours3.74per resident day
Staff turnover34.9%CMS reported field
06 / LOCAL RECORDS
Open the Springfield ledger →Other published facilities nearby
Birch Pointe Health And Rehabilitation120 beds · CMS overall 3/537 citation rowsBrookhaven 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 rowsMaples Health And Rehabilitation, The120 beds · CMS overall 4/532 citation rowsMaranatha Village, Inc120 beds · CMS overall 4/536 citation rows