Nhc Healthcare, West Plains ratings, inspections, staffing, and fines

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

Health inspections

starting point

Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
Staffing

no change

Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
Quality measures

no change (already 5)

Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
Overall

5 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Missouri homes

Nhc Healthcare, West Plains carries 19 inspection points. That is fewer than 90% of Missouri's 479 rated homes.

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

5★ 0–20 pts
4★ 20–54 pts
3★ 54–93.75 pts
2★ 93.75–159 pts
1★ over 159 pts

Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

9 health citations on record since 2025. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts

K 0 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 7 4 pts

E 2 8 pts

F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 0 0 pts

C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care4E

D
Provide care or services that was trauma informed and/or culturally competent.
June 11, 2026 · Standard · F699 · Corrected June 24, 2026
E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
February 7, 2025 · Standard · F689 · Corrected March 21, 2025
D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
February 7, 2025 · Standard · F690 · Corrected March 21, 2025
D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
February 7, 2025 · Standard · F698 · Corrected March 21, 2025

Resident Rights2D

D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
June 11, 2026 · Standard · F582 · Corrected June 23, 2026
D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
June 11, 2026 · Standard · F584 · Corrected July 7, 2026

Infection Control2E

D
Provide and implement an infection prevention and control program.
June 11, 2026 · Standard · F880 · Corrected June 25, 2026
E
Provide and implement an infection prevention and control program.
February 7, 2025 · Standard · F880 · Corrected March 21, 2025

Pharmacy Service1D

D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
February 7, 2025 · Standard · F761 · Corrected March 21, 2025

Inspection history

2026-06-11
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2025-02-07
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-12-07
0 health deficiencies · 2 fire-safety deficiencies
No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 3 h 33 min of nursing staff time a day, 37 min of it from a registered nurse.

This home

3 h 33 min

Missouri average

3 h 24 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 50% of nursing staff and 42% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

Measure	This home	State	U.S.
Number of hospitalizations per 1000 long-stay resident days1 pts better	1.0	2.0	1.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse	2.4	2.2	1.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better	100.0%	84.0%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.2 pts better	100.0%	90.8%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3.5 pts worse	7.5%	4.0%	3.2%
Percentage of long-stay residents who have depressive symptoms16.6 pts better	3.4%	20.0%	13.5%
Percentage of long-stay residents who lose too much weight3.7 pts worse	8.8%	5.1%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication13.5 pts better	12.1%	25.6%	19.5%
Percentage of long-stay residents who received an antipsychotic medication14.5 pts better	9.0%	23.5%	15.4%
Percentage of long-stay residents who were physically restrainedAbout the same	0.0%	0.0%	0.1%
Percentage of long-stay residents whose ability to walk independently worsened6 pts better	9.8%	15.8%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1 pts better	16.4%	17.4%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better	0.0%	0.9%	0.7%
Percentage of long-stay residents with a urinary tract infection0.1 pts better	2.1%	2.2%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.1 pts better	15.0%	17.1%	18.3%
Percentage of long-stay residents with pressure ulcers0.8 pts worse	5.2%	4.4%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine31.5 pts better	97.2%	65.7%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit13.3 pts worse	26.7%	13.4%	11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts better	0.6%	2.1%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine29.5 pts better	90.9%	61.4%	80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission11.8 pts better	13.9%	25.7%	23.4%

·

Who owns and runs it

24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list

Name	Role	Share	Homes
Bidwell, Charles	Operational/Managerial Control · Individual	0%	13 facilities
Blackrock Inc	Adp Of The SNF · Organization	0%	85 facilities
Dimensional Fund Advisors LP	Adp Of The SNF · Organization	0%	35 facilities
Dodson, Vicki	Operational/Managerial Control · Individual	0%	65 facilities
Dodson, Vicki	Adp Of The SNF · Individual	0%	65 facilities
Kidd, Brian	Operational/Managerial Control · Individual	0%	66 facilities
Kidd, Brian	Adp Of The SNF · Individual	0%	66 facilities
Lawing, Jennipher	Operational/Managerial Control · Individual	0%	1 facilities
Morgan Stanley	Adp Of The SNF · Organization	0%	39 facilities
Morgan Stanley Institutional Advisors LLC	Indirect Ownership Interest · Organization	0%	41 facilities
National Health Corporation	Adp Of The SNF · Organization	0%	59 facilities
National Healthcare Corporation	Operational/Managerial Control · Organization	0%	61 facilities
National Healthcare Corporation	Adp Of The SNF · Organization	0%	61 facilities
Nhc-Op LP	Operational/Managerial Control · Organization	0%	62 facilities
Nhc-Op LP	Adp Of The SNF · Organization	0%	62 facilities
Nhc/Delaware Inc	Direct Ownership Interest · Organization	0%	46 facilities
Rector, Melvin	Managing Control - Governing Body · Individual	0%	9 facilities
Rector, Melvin	Corporate Officer · Individual	0%	9 facilities
Rector, Melvin	Operational/Managerial Control · Individual	0%	9 facilities
Rogers, Heather	Operational/Managerial Control · Individual	0%	2 facilities
Rogers, Heather	Adp Of The SNF · Individual	0%	2 facilities
Swift, Charles	Operational/Managerial Control · Individual	0%	1 facilities
Swift, Charles	Adp Of The SNF · Individual	0%	1 facilities
Vanguard Group Inc	Adp Of The SNF · Organization	0%	84 facilities

·

Fire safety

8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3F

D
Inspect, test, and maintain automatic sprinkler systems.
June 11, 2026 · K353 · Corrected June 25, 2026
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
June 11, 2026 · K372 · Corrected June 24, 2026
F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
February 7, 2025 · K321 · Corrected March 21, 2025

Egress3F

F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
February 7, 2025 · K211 · Corrected March 21, 2025
F
Install proper backup exit lighting.
December 7, 2023 · K281 · Corrected January 2, 2024
F
Have properly located and lighted "Exit" signs.
December 7, 2023 · K293 · Corrected January 2, 2024

Miscellaneous2F

E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
June 11, 2026 · K741 · Corrected June 25, 2026
F
Have restrictions on the use of highly flammable decorations.
February 7, 2025 · K753 · Corrected March 21, 2025

·

Other homes nearby

West Vue Nursing And Rehabilitation Center
West Plains, MO

Worst citation, 3 yrs
F

Nursing / resident / day
—

Fines
$0
Brooke Haven Healthcare
West Plains, MO

Worst citation, 3 yrs
G

Nursing / resident / day
3 h 51 min

Fines
$10,033
Willow Care Nursing Home
Willow Springs, MO

Worst citation, 3 yrs
F

Nursing / resident / day
3 h 48 min

Fines
$0

All homes in West Plains → All of Missouri →