Springfield Skilled Care Center

    2401 W Grand St, Springfield, MO 65802
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Tour Type

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    2.62·(63)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.4
    • Staff

      2.5
    • Meals

      1.0
    • Amenities

      1.8
    • Value

      1.7

    Pros

    • Compassionate and caring direct-care staff
    • Engaging, regular activities program
    • Active physical/occupational therapy and rehabilitation support
    • Consistent assistance with bathing and personal care in some units
    • Meals provided with dining assistance available
    • Visible facility improvements under new leadership
    • Responsive housekeeping in certain areas
    • Positive outcomes for some post-stroke admissions

    Cons

    • Chronic understaffing and high staff turnover
    • Inadequate staff training and inconsistent clinical skill mix
    • Weak medication-management processes
    • Poor family and interdepartmental communication
    • Sanitation and odor concerns in some areas
    • Pest-control concerns in certain units
    • Frequent maintenance delays and equipment failures
    • Inadequate supply management for linens and essentials
    • Unreliable food quality and unmet dietary needs
    • Security and visitor-control gaps
    • Allegations of theft and financial misconduct
    • Deficient complaint-resolution and administrative responsiveness
    • Phone-system and reception failures
    • Budgetary constraints impacting resources and staffing
    • Regulatory compliance issues and history of state violations

    Summary of reviews

    The review corpus presents a highly polarized picture of Springfield Skilled Care Center. Positive comments center on direct-care staff who are described as compassionate and engaged, a robust activities program, and effective therapy services that have supported rehabilitation for some residents. Several reviews indicate that new leadership has initiated visible improvements to the building and operations, and certain housekeeping and activities staff receive consistent praise.

    However, a larger set of concerns describes systemic operational weaknesses. Staffing instability — including high turnover, frequent call-ins, and understaffing — is a recurring theme and is linked to delays in attending to residents, inconsistent personal-care routines, and pressure on remaining staff. Reviewers also describe gaps in staff training and an inconsistent clinical skill mix that contribute to missed or delayed care tasks and create variability in care quality across shifts.

    Medication management and clinical oversight emerge as significant areas of concern. Complaints include delayed or incorrect medication administration, limited medication availability at times, and changes to medication regimens without clear family communication. These issues, combined with reports of delayed medical evaluations and slow responses to urgent clinical needs, suggest weaknesses in protocols for medication control, monitoring, and escalation.

    Facility operations and environment are also flagged. Multiple reviews describe sanitation concerns and odor issues in some areas, insufficient linen and supply availability, maintenance backlogs (including leaks and equipment failures), and pest-control concerns. Food service is characterized by inconsistent quality and difficulties meeting dietary requirements for some residents. Security and administrative controls are described as uneven — examples include unsecured access points, problems with visitor/ID checks, and phone-system failures that make it difficult for families to reach staff.

    Administrative and governance problems are prominent in the feedback. Reviewers cite poor complaint handling, limited visibility of administration, slow or absent responses to family inquiries, and an impression that budget constraints and low staff pay limit the facility’s ability to address core problems. There are also serious individual allegations, including theft and financial misconduct; these deserve verification through formal investigation and regulatory review.

    Notable patterns are the coexistence of genuinely positive experiences (particularly where stable staff and new management are present) alongside reports of serious operational failures. This produces highly variable resident outcomes: some families describe compassionate, effective care and improvements under new leadership, while others describe clinical and administrative lapses that resulted in hospital transfers or unresolved safety concerns. Prospective residents and families should ask facility leadership for up-to-date information on staffing ratios, recent state inspection reports, medication-safety protocols, pest-control and maintenance records, and the facility’s current management plan. An in-person visit, including an unannounced observation of mealtimes, staff responsiveness, and entry/security procedures, will help assess whether recent improvements have been sustained and whether outstanding operational risks have been addressed.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Springfield Skilled Care Center is located at 2401 W Grand St, Springfield, MO, 65802.

    About Springfield Skilled Care Center

    Springfield Skilled Care Center sits at 2401 West Grand St. in Springfield, Missouri, and has more than 200 beds, offering both skilled nursing and residential living, so there's a lot of space for folks who need short-term help or longer care. The place is owned by a team of healthcare professionals who're really focused on senior living, and you can find services that cover assisted living, long-term care, hospice, respite stays, and support for people with Alzheimer's disease and other memory problems through Andrew's Retreat, which is a separate part of the building set up for dementia care. There's skilled nursing help available, with supervision ranging from 12 to 16 hours a day, plus a 24-hour call system so someone can get help when they need it, and the staff helps with daily activities like bathing, getting dressed, taking medicine, eating, and getting around. They set up personal care plans to match the needs of each resident, and there's regular medication management and oversight, along with access to dental, vision, and foot care right on-site, which is handy. Folks here can take part in physical, occupational, speech, and language therapies if they're working on recovery.

    Springfield Skilled Care Center also provides transportation for outside appointments or group outings, and there's a calendar of social and recreational activities such as exercise classes, games, arts and crafts, and group events, all happening in rooms like the activity room, game room, library, and dining room, which can also be used for family visits and celebrations like birthdays. The nutrition team works out meal plans, taking individual needs into account, and staff handle weekly housekeeping and case management. There's a beauty salon and a barbershop for hair care. The community has both private rooms, which come furnished and include private bathrooms, and shared suites, which still give a private bathroom. Walking paths, a fitness room, and areas to spend time with neighbors help keep people active and social. The center brings emotional and behavioral support to residents who need a little extra help coping or adjusting, and the environment aims to promote independence, but staff are never far away when needed. Bryan Mattox and Kelly Shipley are listed as administrators, each overseeing parts of the operation, and the site as a whole keeps a focus on skilled care. The Better Business Bureau gave Springfield Skilled Care Center an A+ rating, and the community is also tied to The Lodges.

    People often ask...

    Springfield Skilled Care Center offers assisted living, memory care, and skilled nursing.

    There are 10 photos of Springfield Skilled Care Center on Mirador.

    The full address for this community is 2401 W Grand St, Springfield, MO 65802.

    No, Springfield Skilled Care Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Missouri, the Department of Health & Senior Services licenses assisted living and long-term care facilities through state licensure surveys, complaint investigations, and fire-safety reviews.

    License numbergreene-springfield-lodges-the
    Facility typeResidential Care Facility Ii
    Capacity99 residents
    LicenseeSPRINGFIELD HEALTHCARE MANAGEMENT, LLC

    Inspection Reports

    32

    Reports

    63

    Citations

    26

    Complaints

    7

    Years

    23 Mar 2026Complaint
    Found staffing levels did not meet the required ratios for day, evening, and night shifts.
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    14 Jan 2026Complaint
    Found a deficiency in the medication administration system, including staffing age and training requirements for administering medications.
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    25 Mar 2025Licensure
    Identified deficiencies related to fire-safety systems and electrical wiring, including range hood extinguishing, exits, smoke partitions, and required inspections.
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    04 Oct 2024Complaint
    Identified multiple deficiencies related to hot water temperature control, administrative oversight, adherence to physician orders, and resident record-keeping.
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    16 Apr 2024Complaint
    Found failures to provide 24-hour protective oversight and to have a procedure for voluntary leaves.
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    01 Apr 2024Licensure
    Identified deficiencies in fire safety and electrical systems. Violations included extinguisher ratings, complete fire alarm requirements, smoke-section protections, sprinkler maintenance, and electrical wiring standards.
    • 19 CSR 30-83.010
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    21 Mar 2024Complaint
    Identified a privacy violation during treatment and observation without consent.
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    29 Jan 2024Complaint
    Found deficiencies in pest control and premises maintenance that allowed pests to be harbored or fed on the premises.
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    18 Oct 2023Complaint
    Found no deficiencies.
    05 Sept 2023Complaint
    Found failure to meet meal service requirements, including minimum daily meals and hot meal provisions.
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    23 Aug 2023Complaint
    Found deficiencies in temperature control, hot water temperature, and pest management.
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    10 Jan 2023Complaint
    Investigated the complaint; found no state licensure deficiencies.
    16 May 2022Complaint
    Found a fire-safety deficiency requiring 24-hour monitoring after a fire, with hourly visual checks documented.
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    26 Apr 2022Complaint
    Identified a privacy violation involving observation of a resident during examination or care without consent.
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    17 Mar 2022Licensure
    Found deficiencies in fire drills and emergency preparedness, fire alarm system testing and certification, and electrical wiring inspections.
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    15 Feb 2022Complaint
    Found that 24-hour protective oversight was not met and there was no procedure to inquire about voluntary leaves, including departure, planned absence length, and whereabouts.
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    18 Jan 2022Complaint
    Found deficiencies in furnishings and medication administration requirements. The findings described issues with maintaining safe living spaces and ensuring staff administering medications meet age and training requirements.
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    01 Dec 2021Complaint
    Identified that policies prohibiting mistreatment, neglect, abuse, and misappropriation were not in place and that reporting requirements to the department and the Department of Mental Health for suspected abuse or neglect were missing.
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    03 Sept 2021Complaint
    Found violations related to required policies prohibiting mistreatment, neglect, abuse, and misappropriation, and to the reporting of suspected abuse or neglect to the appropriate authorities.
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    15 Jul 2021Complaint
    Found deficiencies in maintaining adequate room temperature control and in implementing a safe medication administration system.
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    06 Apr 2021Complaint
    Found furniture and equipment were not maintained in good condition and were not replaced when broken or heavily soiled, and rooms were not always designed and furnished to ensure residents' comfort and safety.
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    23 Oct 2020Complaint
    Cited for failure to handle controlled substances according to state laws and regulations.
    • 19 CSR 30-1
    05 Jun 2020Complaint
    Found a failure to notify within seven days of a communicable disease diagnosis and failure to follow infection control procedures when a resident remained or was accepted.
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    04 Mar 2020Complaint
    Found deficiencies in 24-hour protective oversight and in procedures for voluntary leave.
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    04 Feb 2020Licensure
    Identified deficiencies related to infection control notification, medication storage, and resident recordkeeping. Violations indicate non-compliance with key care standards.
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    03 Feb 2020Licensure
    Found deficiencies in fire safety practices, including drills, fire alarm readiness, and sprinkler system maintenance.
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    06 Dec 2019Complaint
    Found deficiencies in providing proper resident care and in following physician orders.
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    19 Nov 2019Complaint
    Identified deficiencies related to call systems, medication storage, and medication administration.
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    18 Oct 2019Complaint
    Found noncompliance with 24-hour protective oversight and with required voluntary leave inquiry procedures.
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    24 Sept 2019Complaint
    Found no deficiencies after the second inspection and complaint investigation.
    05 Feb 2019Licensure
    Found multiple deficiencies in fire safety, alarm systems, hazardous-area protections, and electrical/heating compliance.
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    03 Jan 2019Complaint
    Identified deficiencies in medication management and resident recordkeeping during the assessment.
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    Mirador Living is not affiliated with the owner or operator(s) of Springfield Skilled Care Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Springfield Skilled Care Center directly. There is no cost for this service. We are compensated by the community you select.

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