Federal inspection record · CMS data as of October 1, 2026

Willow Care Nursing Home

2646 State Route 76, Willow Springs, MO · (417) 469-3152

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
105
Residents per day
67
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 21, 1988

1

How this home got 3 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.

  1. Health inspections

    starting point

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

  2. 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.

  3. Quality measures

    −1 star

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

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Missouri homes

Willow Care Nursing Home carries 35 inspection points. That is fewer than 80% of Missouri's 479 rated homes.

5★4★3★2★1★+15 homes above 391.2505102550100200inspection points → fewer is better on the leftThis home · 35 pts · 4★

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

16 health citations on record since 2023. 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 9 4 pts
E 5 8 pts
F 2 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 Care5E
  1. 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.

    January 8, 2026 · Standard · F690 · Corrected March 30, 2026

  2. 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.

    September 26, 2024 · Standard · F690 · Corrected November 8, 2024

  3. D

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

    September 26, 2024 · Standard · F697 · Corrected November 8, 2024

  4. D

    Provide care or services that was trauma informed and/or culturally competent.

    September 26, 2024 · Standard · F699 · Corrected November 8, 2024

  5. E

    Provide activities to meet all resident's needs.

    February 10, 2023 · Standard · F679 · Corrected March 22, 2023

Resident Rights4E
  1. E

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    January 8, 2026 · Standard · F569 · Corrected March 30, 2026

  2. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    September 26, 2024 · Standard · F582 · Corrected November 8, 2024

  3. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    September 26, 2024 · Standard · F623 · Corrected November 8, 2024

  4. E

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    February 10, 2023 · Standard · F625 · Corrected March 22, 2023

Infection Control2F
  1. E

    Implement a program that monitors antibiotic use.

    January 8, 2026 · Standard · F881 · Corrected March 30, 2026

  2. F

    Provide and implement an infection prevention and control program.

    February 10, 2023 · Standard · F880 · Corrected March 22, 2023

Resident Assessment and Care Planning2D
  1. D

    Ensure each resident receives an accurate assessment.

    September 26, 2024 · Standard · F641 · Corrected November 8, 2024

  2. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    September 26, 2024 · Standard · F658 · Corrected November 8, 2024

Nutrition and Dietary1F
  1. F

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

    January 8, 2026 · Standard · F812 · Corrected March 30, 2026

Nursing and Physician Services1D
  1. D

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    September 26, 2024 · Standard · F947 · Corrected November 8, 2024

Environmental1E
  1. E

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    February 10, 2023 · Standard · F919 · Corrected March 22, 2023

Inspection history

  1. 2026-01-08

    4 health deficiencies · 4 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2024-09-26

    8 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2023-02-10

    4 health deficiencies · 7 fire-safety deficiencies

    Top issue: Environmental (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 48 min of nursing staff time a day, 25 min of it from a registered nurse.

This home

3 h 48 min

Missouri average

3 h 24 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 74% of nursing staff and 57% of registered nurses left in the past year.

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.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.9 pts better1.12.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse2.32.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.4 pts better94.4%84.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.7 pts better98.5%90.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury4.7 pts worse8.7%4.0%3.2%
Percentage of long-stay residents who have depressive symptoms17.8 pts better2.2%20.0%13.5%
Percentage of long-stay residents who lose too much weight0.4 pts worse5.5%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.6 pts worse27.2%25.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication9.3 pts worse32.8%23.5%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened4 pts worse19.8%15.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.4 pts better17.0%17.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better0.0%0.9%0.7%
Percentage of long-stay residents with a urinary tract infection0.2 pts better2.0%2.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.7 pts worse27.8%17.1%18.3%
Percentage of long-stay residents with pressure ulcers1.2 pts worse5.6%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.1 pts better72.8%65.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit10.7 pts worse24.1%13.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication6.1 pts worse8.2%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.2 pts better79.6%61.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.7 pts worse28.4%25.7%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Willow Health Care Inc5% Or Greater Direct Ownership Interest · Organization100%4 facilities
Alter, ShirleyW-2 Managing Employee · Individual0%3 facilities
Clark, SheilaW-2 Managing Employee · Individual0%2 facilities
Head, BarbaraW-2 Managing Employee · Individual0%1 facilities
Miller, SherryW-2 Managing Employee · Individual0%3 facilities
Miller, SherryCorporate Director · Individual0%3 facilities
Ogden, JamesCorporate Director · Individual0%2 facilities
Williamson, JackieW-2 Managing Employee · Individual0%4 facilities

·

Fire safety

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

Smoke7F
  1. E

    Inspect, test, and maintain automatic sprinkler systems.

    January 8, 2026 · K353 · Corrected February 20, 2026

  2. F

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    September 26, 2024 · K321 · Corrected November 8, 2024

  3. F

    Install an approved automatic sprinkler system.

    September 26, 2024 · K351 · Corrected November 8, 2024

  4. F

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    September 26, 2024 · K374 · Corrected November 8, 2024

  5. F

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

    February 10, 2023 · K355 · Corrected March 22, 2023

  6. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    February 10, 2023 · K321 · Corrected March 22, 2023

  7. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    February 10, 2023 · K372 · Corrected March 22, 2023

Miscellaneous4F
  1. F

    Have restrictions on the use of portable space heaters.

    January 8, 2026 · K781 · Corrected February 20, 2026

  2. E

    Have restrictions on the use of highly flammable decorations.

    January 8, 2026 · K753 · Corrected February 20, 2026

  3. F

    Have restrictions on the use of highly flammable decorations.

    September 26, 2024 · K753 · Corrected November 8, 2024

  4. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    February 10, 2023 · K741 · Corrected March 22, 2023

Gas, Vacuum, and Electrical Systems2E
  1. E

    Ensure proper usage of power strips and extension cords.

    January 8, 2026 · K920 · Corrected February 20, 2026

  2. E

    Have proper medical gas storage and administration areas.

    February 10, 2023 · K923 · Corrected March 22, 2023

Construction1F
  1. F

    Use approved construction type or materials.

    February 10, 2023 · K161 · Corrected March 22, 2023

Egress1E
  1. E

    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.

    February 10, 2023 · K222 · Corrected March 22, 2023

·

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    3 h 40 min
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  3. Brooke Haven Healthcare

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