The Manor at Elfindale
The Manor at Elfindale – Medicare Certified Since 2006
The Manor at Elfindale is a Medicare and Medicaid certified skilled nursing facility located in Springfield, Missouri. This facility has been serving the community for 20 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.
This facility has 100 certified beds with a current occupancy rate of 93% (averaging 93 residents per day), which is high. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.
Staffing Levels: Based on CMS payroll data, this facility provides approximately 4.44 hours of total nursing care per resident per day (2.79 hours from CNAs, 0.87 hours from LPNs, 0.78 hours from RNs). Physical therapy staffing is 0.08 hours per resident per day. This staffing level meets research-recommended quality thresholds.
Medicare Quality Ratings: According to CMS, The Manor at Elfindale has an overall quality rating of 5 out of 5 stars, which is much above average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 5 stars, staffing: 5 stars, quality measures: 5 stars.
Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.
Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.
Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.
Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.
Local Comparison Snapshot
How The Manor at Elfindale compares to 36 facilities in Springfield, MO
Click a measure name to jump to details • Hover over ⓘ for definitions
Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 36 facilities in Springfield, MO.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.
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Medicare Star Ratings
Official CMS ratings based on health inspections, staffing, and quality measures
Data as of December 2025
Star Ratings History
Quarterly performance from 2013-2026
How Does This Facility Compare?
Compared to 36 other nursing homes in Springfield, MO
Based on CMS Medicare star ratings. Higher ratings indicate better performance.
Staffing Hours per Resident Day
Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.
Staff Turnover Rate
Lower turnover rates generally indicate a more stable workforce and better continuity of care.
Agency/Contract Staff Usage
Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.
Agency Staff Trends
Historical agency/contract staff usage by role
Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.
Direct Care Staffing
Average minutes of direct nursing care per resident per day
Data as of December 2025
Staffing Trends
Direct care minutes per resident per day
Occupancy Rate History
Average daily residents as a percentage of certified beds
Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.
Staff Turnover History
Annual percentage of nursing staff who left the facility
Data as of December 2025
Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.
Average Daily Rate
Average daily charge for care at this facility
Based on CMS Cost Report data (inpatient revenue ÷ total patient days)
Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.
Financial Health
Comprehensive financial indicators from CMS Cost Reports
Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.
Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.
Who Stays Here
Breakdown of residents by payment type
Based on fiscal year 2023 cost report data
Average Length of Stay
How long residents typically stay at this facility
Based on fiscal year 2023 cost report data
Services
Comprehensive skilled nursing services, rehabilitation programs, and medical care in SPRINGFIELD
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Reviews
The staff itself took good care of my mom; however, the therapy portion of her stay was a joke. They didn't even get serious with working with her until she'd been there well over a week, and that was only after my dad got upset and had a conversation with them. And upon her discharge, the doctor that oversees the patients did not sign the orders for my non-mobile mother with severe dementia to have home healthcare, so my elderly, disabled father was left to care for her by himself. That is neglectful at best. I would not recommend this facility.
The Manor at Elfindale provided the best possible care for my mother. I knew before she moved in that it was an exceptional care facility, but I found out just how good it really is—and how kind and caring the staff and administrators really are—once she moved in and I was there multiple times daily. In addition to excellent care, the outdoor settings are fabulous and provide a wonderful place to take your loved one outside to enjoy the view. I am happy to give The Manor at Elfindale the highest possible rating.
After reading all of the positive reviews we were very comfortable that this was going to be a good stay for our mom. It is clean and nice inside. My issues were with horrible communication by everyone assisting our mother. We asked for and did not receive any communication and had to chase down every update. Not one time was I able to speak to the Doctor Who was supposedly treating our mother. Apparently they visit once a week. If you need rehab services I would look elsewhere as it doesn’t seem to be the priority. One positive was the nurses. They did seem to take good care of her and actually care about her health. I don’t typically leave poor reviews but I think it’s important in this case.
I own some skilled nursing facilities in AZ and WA, and my career has involved visiting a couple thousand facilities. My mother has been a resident at Elfindale for almost 2 years. I can assure you that Elfindale is a very well run skilled nursing facility! I would put it in the top 1%. Well done to Matt and the team at Elfindale! Lots to be proud of, especially during such challenging times!
If I could do a negative -5 rating I would do so. My mother was at Elfindale Manor for senior rehab after a 5 day hospital stay. I was told by Elfindale that her insurance would cover 20 days of rehab. She is 92, and it was a serious situation. However, Elfindale would not cover this time, and made very ambiguous excuses. Then they demanded payment within 10 days, where by law you have up to 30 days to pay a bill in the state of Missouri. I made the payment by 30 days, then after it was paid I received a threatening letter in the mail from Elfindale. There has been administration changes at Elfindale since 2016 when my mother also had a 3 month stay for rehab, which her social security and Tricare insurance totally covered. In 2016 she receive very good care, and she was even able to return to her own home. Now the administration in my opinion is not advocating for patients at Elfindale, but they have become very greedy forcing seniors to pay out of pocket when their insurance should cover the rehab stay. No longer can I recommend Elfindale for any situation for a loved one. They also have add-on costs so you really never know what the bill will be until you receive it. The staff frankly is also not that great any longer either. My mother is now in a very good assisted living location without “hidden costs”. The staff is light years better than Elfindale. Although over the decades Elfindale had a very good reputation. From first hand experience this is no longer the case!
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