SNF

COX MEDICAL CENTERS MEYER ORTHOPEDIC AND REHAB

CCN: 265289 · SPRINGFIELD, MO 65807 · Greene County

ℹ Hospital-based

Overview

Address
3535 S NATIONAL AVE, SPRINGFIELD, MO 65807
Phone
4172696650
Certified beds
28
Avg daily residents
5 (18% of beds filled)
Ownership
Non-profit corporation
Provider type
Medicare
Medicare/Medicaid since
1985-08-14
Setting
Urban
5 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 5/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 5/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 3/5
Quality Measures breakdown
Long-Stay Quality Measures — Data not available.
Short-Stay Quality Measures ★★★★★ 3/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 9.20 3.63 9.78 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 7.50 0.64 7.97 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.70 0.81 1.81 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 0.00 2.19 0.00 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 9.20 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.00 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
9.46
hrs / resident / day
RN (weekend)
8.05
hrs / resident / day
Total nurse (adjusted, weekend)
10.06
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Resident acuity

Nursing Case-Mix Index
1.29
higher acuity than avg
Case-Mix Index Ratio
0.93
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-05-30 0 0 0 0 0 0
Cycle 2/3 (prior) 2022-06-30 3 3 0 12 1 12
Total weighted health score
3.0
lower is better

Deficiencies (3)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

3 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0759 Ensure medication error rates are not 5 percent or greater. D 2022-06-30 2022-08-16
0760 Ensure that residents are free from significant medication errors. D 2022-06-30 2022-08-16
0888 Ensure staff are vaccinated for COVID-19 D 2022-06-30 2022-08-16

Ownership & Corporate Structure

Owner / manager organizations (4)

Organization Role Association
COXHEALTH 5% OR GREATER DIRECT OWNERSHIP INTEREST since 12/30/2013
COXHEALTH OPERATIONAL/MANAGERIAL CONTROL since 06/12/2014
LESTER E COX MEDICAL CENTERS OPERATIONAL/MANAGERIAL CONTROL since 06/15/1985
THE BANK OF NEW YORK MELLON TRUST COMPANY 5% OR GREATER MORTGAGE INTEREST since 09/10/2008

Owner / manager individuals (37)

Name Role Association
BUETOW, MAX OPERATIONAL/MANAGERIAL CONTROL since 06/01/2022
CASAD, ASHLEY OPERATIONAL/MANAGERIAL CONTROL since 01/24/2024
HEDGPETH, AMANDA OPERATIONAL/MANAGERIAL CONTROL since 01/01/2023
MCWAY, JACOB OPERATIONAL/MANAGERIAL CONTROL since 08/06/2025
REARDON, MALISSA OPERATIONAL/MANAGERIAL CONTROL since 01/26/2025
ROBERTS, DONNA OPERATIONAL/MANAGERIAL CONTROL since 10/01/2023
ABDALLA, IBRAHIM CORPORATE DIRECTOR since 10/26/2017
BAUMGARTNER, JAN CORPORATE DIRECTOR since 10/20/2016
CHALENDER, CHARLES CORPORATE DIRECTOR since 10/16/2008
COX, ROBERT CORPORATE DIRECTOR since 10/28/2021
DOUGLAS, THOMAS CORPORATE DIRECTOR since 10/27/2023
ERWIN, BRAD CORPORATE DIRECTOR since 02/15/2018
FLAX, JULIA CORPORATE DIRECTOR since 02/19/2015
FULP, ROBERT CORPORATE DIRECTOR since 11/06/2007
GAISIE, NANA CORPORATE DIRECTOR since 10/28/2021
GRAVES, SUSAN CORPORATE DIRECTOR since 10/28/2021
HARGIS, SARA CORPORATE DIRECTOR since 10/20/2016
HEIM, DENNIS CORPORATE DIRECTOR since 11/06/2007
HELLWEG, KURT CORPORATE DIRECTOR since 10/15/2009
HIGDON, HAL CORPORATE DIRECTOR since 10/16/2008
HUTCHESON, JAMES CORPORATE DIRECTOR since 11/06/2007
JARED, BRIAN CORPORATE DIRECTOR since 10/20/2016
JARVIS, HOWARD CORPORATE DIRECTOR since 02/19/2015
LEMON, DAPHNE CORPORATE DIRECTOR since 10/28/2021
LIPSCOMB, LARRY CORPORATE DIRECTOR since 11/06/2007

Showing 25 of 37 individuals. Full list in CSV.

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
Yes
Resident / family council
None
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 99 rows
Source Metric Value Raw key
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.81216 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 0.00000 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 7.97252 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 9.78469 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 10.05643 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote 26 Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 5.1 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.80564 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.18954 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.63502 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.63020 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.19964 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating — Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating — Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating — Chain Average QM Rating
Provider Information Chain Average Staffing Rating — Chain Average Staffing Rating
Provider Information Chain ID — Chain ID
Provider Information Chain Name — Chain Name
Provider Information City/Town SPRINGFIELD City/Town
Provider Information CMS Certification Number (CCN) 265289 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Greene County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1985-08-14 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 5 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 37.1518 Latitude
Provider Information Legal Business Name LESTER E COX MEDICAL CENTERS Legal Business Name
Provider Information Location 3535 S NATIONAL AVE,SPRINGFIELD,MO,65807 Location
Provider Information Long-Stay QM Rating — Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote 2 Long-Stay QM Rating Footnote
Provider Information Longitude -93.278 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home — Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 28 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain — Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.28602 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.93349 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 5 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type Non profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 3535 S NATIONAL AVE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name COX MEDICAL CENTERS MEYER ORTHOPEDIC AND REHAB Provider Name
Provider Information Provider Resides in Hospital Y Provider Resides in Hospital
Provider Information Provider SSA County Code 380 Provider SSA County Code
Provider Information Provider Type Medicare Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 0 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 0 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 0 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-05-30 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 0 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 0 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 3 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2022-06-30 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 12 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 0 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 12 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 3 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 8.04762 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover — Registered Nurse turnover
Provider Information Registered Nurse turnover footnote 26 Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 9.19996 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.70387 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 0.00000 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.00000 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 7.49609 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 9.19996 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 3 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State MO State
Provider Information Telephone Number 4172696650 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 9.45546 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover — Total nursing staff turnover
Provider Information Total nursing staff turnover footnote 26 Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 3.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council None With a Resident and Family Council
Provider Information ZIP Code 65807 ZIP Code