Occupancy rate
64%
In line with Missouri averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home in Missouri
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Life Care Center of Waynesville
Nursing Home in Missouri
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Life Care Center of Waynesville
Life Care Center of Waynesville offers skilled nursing and rehabilitation services in a warm, secure environment. The facility provides individualized care plans and a secured Alzheimer's and dementia care unit. Located near Fort Leonard Wood, it is ideal for short-term rehabilitation and long-term care.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
62.6%
Residents per day (avg)
55
Occupancy rate
62.6%
Residents per day (avg)
55
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
30% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
39% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
32% of new residents, often for long-term daily care.
Typical stay
9 months
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$6.0M
Operating loss
-$758.3K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$6.0M
Operating loss
-$758.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.7M
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
26 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Occupancy
In line with Missouri averageOccupied beds
76 / 120
Average residents
72 per day
Facility TypeSnf
CountyPULASKI
CMS Certification Number265294
Certification TypeMedicare/Medicaid
Life Care Center of Waynesville is administrated by Morgan Castillo.
Owner NameWAYNESVILLE MEDICAL INVESTORS, LLC
Safety Features24-hour security and fire safety systems
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Rehabilitation
24-Hour Security And Fire Safety Systems
Beauty Salon
Bedside And Bathroom Call Lights
Certified Dietitian
Community Re-Entry Program
Complimentary Wireless Internet
Daily Activity Schedule
Family/Resident Councils
Fine Dining Program
Flat-Screen Tvs
Flexible Visiting Hours
Full-Time Certified Activity Director
Homelike Setting
Housekeeping And Laundry Services
Landscaped Grounds And Courtyards
Library
Non-Smoking Facility
Pet Visitors Allowed
Private And Semi-Private Rooms
Private Bathrooms
Religious Services
Patient/Family Education Program
Telephone And Cable Television Hookups
Transportation Services
Specific ProgramsSkilled Nursing, Rehabilitation, Memory Care
Religious ServicesYes
Food DescriptionDelicious, home-cooked meals are prepared in accordance with physician's orders and are supervised by a registered dietician.
Health Inspection History
Inspections
Total health inspections
5
Missouri average 6.6
Last Health inspection on Apr 2025
Total health citations
30
Missouri average 36.5
Citations per inspection
6
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
23 of 30 citations resulted from standard inspections; 2 of 30 resulted from complaint investigations; and 5 of 30 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
0 critical citations
0 serious citations
30 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 25, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 25, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 25, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 25, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Apr 25, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Apr 25, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Apr 25, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Apr 25, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Missouri The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
Aberdeen Heights
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Kirkwood
38
92.6%
+39%
5.18
+39%
0
9
2.3
0
34
-
-
Ashfield Active Living And Wellness Communities, Inc.
$27.3M
$7.2M
26.3%
265841
Bertrand Nursing And Rehab Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Bertrand
60
78.8%
+18%
3.65
-2%
0
10
3.3
0
54
-
5
Chance, Don
$5.1M
$2.3M
44.1%
265678
Life Care Center of Waynesville
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Waynesville
94
63.7%
-4%
4.37
+17%
0
30
6.0
0
86
A+
-
Hayes, Mary
$6.0M
$3.2M
54.2%
265294
Good Shepherd Care Community
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Concordia
-
-
-
-
-
0
0
0.0
0
-
-
38
-
-
-
-
-
Abbey Senior Health
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
O'fallon
55
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
88
Employees
86
Contractors
2
Staff to resident ratio
1.52:1
11% worse than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
27
Average shift
8.4 hours
0% compared with Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
20,528
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
30
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.3%
53 contractor hours this quarter
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 30 | 0 | 30 | 8,424 | 91 | 100% | 9 |
| Licensed Practical Nurse | 14 | 0 | 14 | 5,777 | 91 | 100% | 9.4 |
| RN Director of Nursing | 4 | 0 | 4 | 1,369 | 70 | 77% | 8 |
| Medication Aide/Technician | 5 | 0 | 5 | 882 | 76 | 84% | 8.9 |
| Administrator | 2 | 0 | 2 | 552 | 65 | 71% | 8 |
| Speech Language Pathologist | 3 | 0 | 3 | 534 | 62 | 68% | 6.4 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 56 | 62% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 432 | 55 | 60% | 7.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 354 | 44 | 48% | 8 |
| Dietitian | 1 | 0 | 1 | 347 | 50 | 55% | 6.9 |
| Physical Therapy Aide | 3 | 0 | 3 | 345 | 61 | 67% | 5.5 |
| Registered Nurse | 4 | 0 | 4 | 338 | 41 | 45% | 7.8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 275 | 41 | 45% | 5.7 |
| Nurse Aide in Training | 4 | 0 | 4 | 158 | 12 | 13% | 10.5 |
| Physical Therapy Assistant | 7 | 0 | 7 | 79 | 26 | 29% | 3 |
| Occupational Therapy Aide | 1 | 0 | 1 | 72 | 9 | 10% | 8 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 46 | 19 | 21% | 2.4 |
| Qualified Social Worker | 1 | 0 | 1 | 44 | 31 | 34% | 1.4 |
| Medical Director | 0 | 1 | 1 | 29 | 3 | 3% | 9.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 25 | 3 | 3% | 8.3 |
30 Certified Nursing Assistant
% of Days
100%
14 Licensed Practical Nurse
% of Days
100%
4 RN Director of Nursing
% of Days
77%
5 Medication Aide/Technician
% of Days
84%
2 Administrator
% of Days
71%
3 Speech Language Pathologist
% of Days
68%
1 Nurse Practitioner
% of Days
62%
1 Mental Health Service Worker
% of Days
60%
1 Clinical Nurse Specialist
% of Days
48%
1 Dietitian
% of Days
55%
3 Physical Therapy Aide
% of Days
67%
4 Registered Nurse
% of Days
45%
3 Other Dietary Services Staff
% of Days
45%
4 Nurse Aide in Training
% of Days
13%
7 Physical Therapy Assistant
% of Days
29%
1 Occupational Therapy Aide
% of Days
10%
1 Respiratory Therapy Technician
% of Days
21%
1 Qualified Social Worker
% of Days
34%
1 Medical Director
% of Days
3%
1 Occupational Therapy Assistant
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
58 residents
Residents by payment source
Medicare
3 residents (5.2%)
Medicaid
42 residents (72.4%)
Private pay or other
13 residents (22.4%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
2.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
2.9
74% better than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.8
50% better than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
5.7%
Percent of long-stay residents whose need for help with daily activities has increased
5.7%
71% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
4.9%
Percent of long-stay residents whose ability to move independently worsened
4.9%
76% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.7%
In line with Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.6%
Percent of long-stay high risk residents with pressure ulcers
2.6%
49% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.1%
Percent of long-stay residents who lose too much weight
1.1%
80% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.5%
Percent of long-stay residents who have depressive symptoms
1.5%
88% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
13.7%
Percent of long-stay residents who received an antipsychotic medication
13.7%
38% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.2%
14% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.2%
8% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
74.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
74.4%
12% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.6%
27% better than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Life Care Center of Waynesville based on CMS SNF Cost Reports.
Occupancy Rate
62.6%
↑ 3.4pp vs 2023
Net Income
-$758.3K
↑ ~$275.6K vs 2023
Total Payroll
$3.9M
↑ ~$205.6K vs 2023
Profit Margin
-12.7%
↑ 6.9pp vs 2023
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