16 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
24 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Wellsville, MO
1-star overall rating with 1-star inspections with abuse icon flag with $46,498 in total fines with 16 recent health deficiencies with 24 fire-safety deficiencies in the latest cycle
250 E Locust, Wellsville, MO
(573) 684-2002
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
112
Certified beds
Average residents
64
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Reliant Care Management
Operator or chain grouping
Approved since
1989-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
29 facilities
Chain averages 1 overall / 2 health / 1 staffing / 2 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.24
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.35
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
1.45
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
2.05
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
0.60
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
1.72
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.21
CMS adjusted RN staffing hours
Adjusted total hours
1.76
CMS adjusted total nurse staffing hours
Case-mix index
1.60
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | 92.31% |
95.27%
3 pts worse
|
Numerator 24 · Denominator 26 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 26 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 7.69% |
2.29%
5.4 pts worse
|
Numerator 2 · Denominator 26 · Adjusted rate 7.66% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 1.92% |
8.2%
6.3 pts worse
|
Numerator 1 · Denominator 52 |
| Staff flu vaccination coverage | 0% |
42%
42 pts worse
|
Numerator 0 · Denominator 108 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
2.1
0.5 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.7 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
2.3
0.2 pts better
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.1 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 30.6% |
84.8%
54.2 pts worse
|
93.4%
62.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.6% · Q2 35.4% · Q3 28.8% · Q4 22.6% · 4Q avg 30.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 65.3% |
90.9%
25.6 pts worse
|
95.5%
30.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 65.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.3% |
4.1%
1.2 pts worse
|
3.3%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 6.2% · Q3 3.8% · Q4 3.2% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 40.2% |
14.7%
25.5 pts worse
|
11.4%
28.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 17.1% · Q3 57.4% · Q4 64.8% · 4Q avg 40.2% |
| Percentage of long-stay residents who lose too much weight | 6.5% |
5.5%
1 pts worse
|
5.4%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 7.3% · Q3 2.4% · Q4 10.2% · 4Q avg 6.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 38.0% |
25.3%
12.7 pts worse
|
19.6%
18.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.5% · Q2 37.2% · Q3 39.1% · Q4 41.8% · 4Q avg 38.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 42.7% |
25.0%
17.7 pts worse
|
16.7%
26 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.0% · Q2 40.0% · Q3 47.8% · Q4 43.3% · 4Q avg 42.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.5% |
0.0%
0.5 pts worse
|
0.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents whose ability to walk independently worsened | 34.5% |
20.3%
14.2 pts worse
|
16.3%
18.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 53.6% · Q3 36.2% · Q4 19.4% · 4Q avg 34.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 39.7% |
19.8%
19.9 pts worse
|
14.9%
24.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 56.8% · Q3 51.2% · Q4 19.2% · 4Q avg 39.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.4%
1.4 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
2.6%
2.6 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.2% |
18.1%
2.1 pts worse
|
19.8%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.4% · Q2 16.1% · Q3 16.7% · Q4 20.9% · 4Q avg 20.2% |
| Percentage of long-stay residents with pressure ulcers | 4.3% |
5.0%
0.7 pts better
|
5.1%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 3.0% · Q3 2.7% · Q4 2.4% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 5.8% |
66.4%
60.6 pts worse
|
81.7%
75.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 9.5% · Q3 5.6% · Q4 3.3% · 4Q avg 5.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.0% |
13.4%
6.4 pts better
|
12.0%
5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.0% · Observed 8.3% · Expected 13.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.2%
2.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 21.7% |
63.5%
41.8 pts worse
|
79.7%
58 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 21.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.2% |
25.3%
0.9 pts worse
|
23.9%
2.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.2% · Observed 30.6% · Expected 27.8% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
24 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Top issue: Infection Control (4 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
19 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Fire safety
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2025-06-22
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2025-06-22
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-06-22
Fire Safety
Provide family notifications of emergency plan.
Corrected 2025-06-22
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-06-22
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-07-25
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-07-25
Fire Safety
Meet other general requirements.
Corrected 2025-06-22
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-06-22
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-07-25
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-06-22
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-07-25
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2025-06-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-25
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-22
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-06-22
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-07-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-07-25
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-06-22
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-06-22
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-06-22
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-22
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2025-06-22
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2025-06-22
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2024-05-20
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-05-20
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-20
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-05-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-20
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-05-20
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-05-20
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-05-20
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-05-20
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-05-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-20
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-05-20
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-05-20
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-05-20
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-05-10
Fire Safety
Provide emergency officials' contact information.
Corrected 2023-04-25
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-04-25
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2023-05-13
Fire Safety
Meet other general requirements.
Corrected 2023-05-10
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-05-10
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-05-10
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-13
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-05-13
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-05-10
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-05-13
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-05-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-13
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-04-20
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-05-13
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-05-13
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-05-10
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-05-13
Inspection history
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2025-11-24
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-08-04
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-06-22
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2025-06-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-22
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-25
Health
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.
Corrected 2025-06-22
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-06-22
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-06-22
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-06-22
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-06-22
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-06-22
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-06-22
Health
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.
Corrected 2025-06-22
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-13
Health
Respond appropriately to all alleged violations.
Corrected 2025-04-13
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-10-18
Health
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.
Corrected 2024-10-28
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2024-05-20
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-05-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-20
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-05-20
Health
Implement a program that monitors antibiotic use.
Corrected 2024-05-20
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-05-20
Health
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.
Corrected 2024-05-20
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-05-20
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-05-20
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-05-20
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-05-20
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2024-05-20
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-20
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-05-20
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2024-05-20
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-05-20
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-05-20
Health
Help the resident with transportation to and from laboratory services outside of the facility.
Corrected 2024-05-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-20
Health
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.
Corrected 2023-05-13
Health
Provide activities to meet all resident's needs.
Corrected 2023-04-22
Health
Ensure the activities program is directed by a qualified professional.
Corrected 2023-05-02
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2023-04-26
Health
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.
Corrected 2023-04-22
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2023-04-20
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-25
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-04-20
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-04-21
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2023-04-21
Penalties and ownership
Fine · fine $31,200
Fine
Payment Denial · denial start 2025-08-01 · 3 days
3 day denial
Fine · fine $15,298
Fine
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
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