Poplar Bluff, MO

Westwood Hills Health & Rehabilitation Center

4-star overall rating with 4-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

3100 Warrior Lane, Poplar Bluff, MO

(573) 785-0851

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

132

Certified beds

Average residents

71

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Helia Healthcare

Operator or chain grouping

Approved since

1983-02-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

13 facilities

Chain averages 3 overall / 3 health / 1 staffing / 3 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

Hours and turnover

RN hours / resident day

0.51

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.30

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

1.92

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

2.73

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

0.81

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

2.51

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.29

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.47

CMS adjusted RN staffing hours

Adjusted total hours

2.51

CMS adjusted total nurse staffing hours

Case-mix index

1.49

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

41%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,481

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

36.03

Composite VBP score used to determine payment impact.

Payment multiplier

0.9895

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.74

Baseline 18.84% · Performance 19.70% · Measure score 3.74 · Achievement 3.74 · Improvement 0

Healthcare-associated infections

5.28

Baseline 7.58% · Performance 6.26% · Measure score 5.28 · Achievement 5.28 · Improvement 4.62

Total nurse turnover

5.39

Baseline 36.59% · Performance 41.67% · Measure score 5.39 · Achievement 5.39 · Improvement 0

Adjusted total nurse staffing

0

Baseline 2.98 hours · Performance 3.01 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.11%	10.72% 0.4 pts worse	No Different than the National Rate · Eligible stays 150 · Observed rate 10.67% · Lower 95% interval 8.05%
Discharge to community	54.1%	50.57% 3.5 pts better	No Different than the National Rate · Eligible stays 132 · Observed rate 48.48% · Lower 95% interval 47.21%
Medicare spending per beneficiary	0.89	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 110 · Denominator 110
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 110
Discharge self-care score	58.97%	53.69% 5.3 pts better	Numerator 46 · Denominator 78
Discharge mobility score	69.23%	50.94% 18.3 pts better	Numerator 54 · Denominator 78
Pressure ulcers or injuries, new or worsened	4.55%	2.29% 2.3 pts worse	Numerator 5 · Denominator 110 · Adjusted rate 3.17%
Healthcare-associated infections requiring hospitalization	6.26%	7.12% 0.9 pts better	No Different than the National Rate · Eligible stays 100 · Observed rate 5% · Lower 95% interval 3.85%
Staff COVID-19 vaccination coverage	20%	8.2% 11.8 pts better	Numerator 17 · Denominator 85
Staff flu vaccination coverage	29.73%	42% 12.3 pts worse	Numerator 22 · Denominator 74
Discharge function score	70.51%	56.45% 14.1 pts better	Numerator 55 · Denominator 78
Transfer of health information to provider	96.88%	95.95% 0.9 pts better	Numerator 62 · Denominator 64
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	2.08%	25.2% 23.1 pts worse	Numerator 1 · Denominator 48

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	2.1 0.3 pts better	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.3 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.2	2.3 0.1 pts better	1.8 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.0 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	84.8% 15.2 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	90.9% 9.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.3%	4.1% 1.8 pts better	3.3% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.8% · Q3 3.9% · Q4 1.8% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	10.4%	14.7% 4.3 pts better	11.4% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.0% · Q4 36.8% · 4Q avg 10.4%
Percentage of long-stay residents who lose too much weight	8.0%	5.5% 2.5 pts worse	5.4% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 8.0% · Q3 8.7% · Q4 4.2% · 4Q avg 8.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	24.4%	25.3% 0.9 pts better	19.6% 4.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 20.4% · Q3 28.6% · Q4 30.2% · 4Q avg 24.4%
Percentage of long-stay residents who received an antipsychotic medication	9.0%	25.0% 16 pts better	16.7% 7.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.7% · Q3 12.5% · Q4 12.8% · 4Q avg 9.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	12.8%	20.3% 7.5 pts better	16.3% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.6% · 4Q avg 12.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.7%	19.8% 5.1 pts better	14.9% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 18.0% · Q3 9.8% · Q4 18.8% · 4Q avg 14.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	1.4% 1 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.5%	2.6% 2.1 pts better	1.7% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	13.8%	18.1% 4.3 pts better	19.8% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 10.7% · Q3 18.0% · Q4 20.2% · 4Q avg 13.8%
Percentage of long-stay residents with pressure ulcers	5.8%	5.0% 0.8 pts worse	5.1% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 4.4% · Q3 6.1% · Q4 5.1% · 4Q avg 5.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	66.4% 33.6 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	15.2%	13.4% 1.8 pts worse	12.0% 3.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.2% · Observed 16.5% · Expected 12.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.8%	2.2% 1.4 pts better	1.6% 0.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 1.8% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	63.5% 36.5 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.9%	25.3% 4.4 pts better	23.9% 3 pts better	Short Stay · 20240701-20250630 · Adjusted 20.9% · Observed 23.5% · Expected 26.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-05 · Fire 2025-12-05

4 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-08-22 · Fire 2024-08-22

10 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-03-10 · Fire 2023-03-10

5 health deficiencies

Top issue: Resident Rights (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-05

K222 · Egress Deficiencies

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 2025-12-08

F · Potential for more than minimal harm 2025-12-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-08

F · Potential for more than minimal harm 2024-08-22

K222 · Egress Deficiencies

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 2024-09-23

F · Potential for more than minimal harm 2024-08-22

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-09-23

F · Potential for more than minimal harm 2024-08-22

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-09-23

F · Potential for more than minimal harm 2023-03-10

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2023-04-21

F · Potential for more than minimal harm 2023-03-10

K321 · Smoke Deficiencies

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 2023-04-11

F · Potential for more than minimal harm 2023-03-10

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-04-21

F · Potential for more than minimal harm 2023-03-10

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2023-04-21

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-05

F657 · Resident Assessment and Care Planning Deficiencies

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 2026-01-09

D · Potential for more than minimal harm 2025-12-05

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2026-01-09

D · Potential for more than minimal harm 2025-12-05

F761 · Pharmacy Service Deficiencies

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 2026-01-09

D · Potential for more than minimal harm 2025-12-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-09

F · Potential for more than minimal harm 2024-08-22

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-09-23