Missouri · SPRINGFIELD

GARDENS, THE.

Care Facility148 bedsDementia-trained staff(417) 889-7600
Peer rank
Top 53% of Missouri memory care
See full peer rank →
Facility · SPRINGFIELD
A 148-bed Care Facility with 8 citations on file.
Licensed beds
148
Last inspection
Oct 2024
Last citation
Mar 2025
Operated by
BSLC II
Snapshot

A large home, reviewed on public record.

Peer Comparison

Compared to 28 Missouri facilities with a similar number of beds.

Care · 36-month window. Higher percentile = better performance on inspection record. Source: Missouri Dept. of Health and Senior Services · Section for Long-Term Care Regulation.

Severity rank
78th%
Weighted citations per bed.
peer median
0
100
Repeat rank
0th%
Repeat deficiencies as share of total.
peer median
0
100
Frequency rank
63rd%
Deficiencies per inspection.
peer median
0
100

Rankings based on 36-month DHSS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.

FACILITY WATCH · FREE

GARDENS, THE has 8 citations on record. Know the moment anything changes.

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The Record

Citation history, plotted month by month.

8 deficiencies on record. Each bar is a month with a citation.

Peer median 15 · dashed
Last citation: MAR 2025. Compared against peer median (dashed).
peer median
MAR 2025
Aug 2024as of Jul 2026

Finding distribution

8 total · 36 months

Scope × Severity (CMS A–L)

Isolated
Pattern
Widespread
Sev 4 · IJ
J
K
L
Sev 3
G
H
I
Sev 2
D8
E
F
Sev 1
A
B
C
Tour Prep

Questions to ask before you visit.

A short pre-tour checklist tailored to GARDENS, THE's record and state requirements.

01 /

The facility has 15 serious citations on file across all inspections — can you provide your corrective-action plan for each cited item, and show families any documentation of remediation steps taken?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

02 /

17 complaints are on file with CDSS — were any substantiated, and what remediation did the facility take in response to substantiated findings?

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03 /

The October 24, 2024 inspection is the most recent on record — can you provide the deficiency notice from that visit and walk families through the specific corrective actions implemented?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

Full Inspection Record

Every inspection visit, verbatim.

10 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.

10
reports on file
8
total deficiencies
2025-09-03
Complaint Investigation
No findings
2025-03-28
Complaint Investigation
4798 · 2 findings
479819 CSR §4798
Regulation cited · 19 CSR §4798

Medication Orders. (A) No medication, treatment or diet shall be administered without an order from an individual lawfully authorized to prescribe such and the order shall be followed. II/III

This is the rule that was cited, not the inspector’s specific finding. The detailed Statement of Deficiencies is in the official report below.

479719 CSR §4797
Regulation cited · 19 CSR §4797

The administrator shall develop and implement a safe and effective system of medication control and use, which assures that all residents ' medications are administered by personnel at least eighteen (18) years of age, in accordance with physicians ' instructions using acceptable nursing techniques. The facility shall employ a licensed nurse eight (8) hours per week for every thirty (30) residents to monitor each resident ' s condition and medication. Administration of medication shall mean delivering to a resident his or her prescription medication either in the original pharmacy container, or for internal medication, removing an individual dose from the pharmacy container and placing it in a small cup container or liquid medium for the resident to remove from the container and self-administer. External prescription medication may be applied by facility personnel if the resident is unable to do so and the resident ' s physician so authorizes. All individuals who administer medication shall be trained in medication administration and, if not a physician or a licensed nurse, shall be a certified medication technician or level I medication aide. I/II

This is the rule that was cited, not the inspector’s specific finding. The detailed Statement of Deficiencies is in the official report below.

2024-10-24
Annual Compliance Visit
No findings
2024-09-12
Annual Compliance Visit
No findings
2024-09-10
Annual Compliance Visit
No findings
2024-07-10
Complaint Investigation
4776 · 1 finding
477619 CSR §4776
Regulation cited · 19 CSR §4776

Protective oversight shall be provided twenty-four (24) hours a day. For residents departing the premises on voluntary leave, the facility shall have, at a minimum, a procedure to inquire of the resident or resident ' s guardian of the resident ' s departure, of the resident ' s estimated length of absence from the facility, and of the resident ' s whereabouts while on voluntary leave. I/II

This is the rule that was cited, not the inspector’s specific finding. The detailed Statement of Deficiencies is in the official report below.

2024-06-20
Complaint Investigation
4777 · 2 findings
477719 CSR §4777
Regulation cited · 19 CSR §4777

Residents shall receive proper care as defined in the individualized service plan. I/II

This is the rule that was cited, not the inspector’s specific finding. The detailed Statement of Deficiencies is in the official report below.

479719 CSR §4797
Regulation cited · 19 CSR §4797

The administrator shall develop and implement a safe and effective system of medication control and use, which assures that all residents ' medications are administered by personnel at least eighteen (18) years of age, in accordance with physicians ' instructions using acceptable nursing techniques. The facility shall employ a licensed nurse eight (8) hours per week for every thirty (30) residents to monitor each resident ' s condition and medication. Administration of medication shall mean delivering to a resident his or her prescription medication either in the original pharmacy container, or for internal medication, removing an individual dose from the pharmacy container and placing it in a small cup container or liquid medium for the resident to remove from the container and self-administer. External prescription medication may be applied by facility personnel if the resident is unable to do so and the resident ' s physician so authorizes. All individuals who administer medication shall be trained in medication administration and, if not a physician or a licensed nurse, shall be a certified medication technician or level I medication aide. I/II

This is the rule that was cited, not the inspector’s specific finding. The detailed Statement of Deficiencies is in the official report below.

2024-01-31
Complaint Investigation
4797 · 1 finding
479719 CSR §4797
Regulation cited · 19 CSR §4797

The administrator shall develop and implement a safe and effective system of medication control and use, which assures that all residents ' medications are administered by personnel at least eighteen (18) years of age, in accordance with physicians ' instructions using acceptable nursing techniques. The facility shall employ a licensed nurse eight (8) hours per week for every thirty (30) residents to monitor each resident ' s condition and medication. Administration of medication shall mean delivering to a resident his or her prescription medication either in the original pharmacy container, or for internal medication, removing an individual dose from the pharmacy container and placing it in a small cup container or liquid medium for the resident to remove from the container and self-administer. External prescription medication may be applied by facility personnel if the resident is unable to do so and the resident ' s physician so authorizes. All individuals who administer medication shall be trained in medication administration and, if not a physician or a licensed nurse, shall be a certified medication technician or level I medication aide. I/II

This is the rule that was cited, not the inspector’s specific finding. The detailed Statement of Deficiencies is in the official report below.

2023-11-14
Complaint Investigation
No findings
2023-08-24
Complaint Investigation
8030 · 2 findings
803019 CSR §8030
Regulation cited · 19 CSR §8030

Each resident shall be treated with consideration, respect, and full recognition of his or her dignity and individuality, including privacy in treatment and care of his or her personal needs. All persons, other than the attending physician, the facility personnel necessary for any treatment or personal care, or the department or Department of Mental Health staff, as appropriate, shall be excluded from observing the resident during any time of examination, treatment, or care unless consent has been given by the resident. II/III

This is the rule that was cited, not the inspector’s specific finding. The detailed Statement of Deficiencies is in the official report below.

475119 CSR §4751
Regulation cited · 19 CSR §4751

The facility may admit or retain an individual for residency in an assisted living facility only if the individual does not require hospitalization or skilled nursing placement as defined in this rule, and only if the facility: (F) Completes a community based assessment conducted by an appropriately trained and qualified individual as defined in section (4) of this rule: 1. Time frame requirements for assessment shall be: C. Whenever a significant change has occurred in the resident ' s condition, which may require a change in services. II

This is the rule that was cited, not the inspector’s specific finding. The detailed Statement of Deficiencies is in the official report below.

15 older inspections from 2018 are not shown above.

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