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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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 is a 120-bed skilled nursing facility at 700 Birch Lane in Waynesville, Missouri. It’s operated by Waynesville Medical Investors, LLC, in Pulaski County. Medicare, Medicaid, and private pay are welcome, with a mix of short-term rehabilitation and long-term care stays. A secured Alzheimer’s and dementia unit exists.
CMS scores the facility 1 star, 62 percent below Missouri average, driven by below-average health inspection and staffing sub-ratings. Quality measures run modestly above state average, the one positive in an otherwise poor sub-rating picture. Across 6 health inspections since 2022, the facility recorded 31 total citations, including 1 serious finding, with a $22,000 federal fine issued in March 2025. No immediate jeopardy findings or payment denials are on record. Nurse hours reach 3h 45m per resident per day, roughly aligned with Missouri average. At 64 percent occupancy near Missouri’s 66.6 percent average, the facility generally has availability.
Amenities include a community re-entry program, a certified dietitian, landscaped grounds and courtyards, and a fine dining program. In place are full-time certified activity director and active resident council.
The secured dementia unit and rehabilitation capacity makes the facility best for memory care residents and post-acute stays in Pulaski County.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 141st out of 276 homes in Missouri. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 22m per day | ▼ 21% State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 2m per day | ▲ 51% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 55m per day | ▼ 17% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 44m per day | ▼ 10% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▲ 50% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 13m per day | ▼ 35% State avg: 20m per day · National avg: 28m per day |
Similar to the Missouri average: 66.6%Life Care Center of Waynesville is legally operated by Waynesville Medical Investors, Llc, and administrated by Melissa Schuettler.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 0 | 7 | This facility has 100% fewer total inspections than a typical Missouri nursing home (0 vs. MO avg 7).↓ 100% better |
Missouri average 6.6
Last Health inspection on Mar 2025
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
27 of 31 citations resulted from standard inspections; and 4 of 31 resulted from complaint investigations.
100% better than Missouri averageMissouri average: 0.7
In line with Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Missouri average
0% compared with Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
12 total: 6 full-time employees and 6 contractors.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursAssists with medical care and medications.
47 total: 16 full-time employees and 31 contractors.
47
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
All 34 CNA Staff are full-time employees. No contractors work on this role.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,360 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 34 | 0 | 34 | 10,994 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 16 | 31 | 47 | 6,494 | 92 | 100% | 8.8 |
| Medication Aide/Technician | 9 | 0 | 9 | 2,816 | 92 | 100% | 9 |
| Nurse Aide in Training | 9 | 0 | 9 | 1,655 | 76 | 83% | 7.8 |
| Registered Nurse | 6 | 6 | 12 | 1,449 | 92 | 100% | 8.8 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,224 | 68 | 74% | 6.8 |
| RN Director of Nursing | 2 | 0 | 2 | 1,040 | 64 | 70% | 9 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 762 | 53 | 58% | 8 |
| Administrator | 2 | 0 | 2 | 552 | 66 | 72% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 549 | 68 | 74% | 8.1 |
| Dietitian | 1 | 0 | 1 | 527 | 71 | 77% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 56 | 61% | 8.1 |
| Physical Therapy Aide | 2 | 0 | 2 | 452 | 65 | 71% | 6.6 |
| Physical Therapy Assistant | 1 | 0 | 1 | 450 | 63 | 68% | 7.1 |
| Other Dietary Services Staff | 2 | 0 | 2 | 370 | 52 | 57% | 6.8 |
| Respiratory Therapy Technician | 2 | 1 | 3 | 222 | 49 | 53% | 4.5 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 220 | 55 | 60% | 4 |
| Qualified Social Worker | 1 | 0 | 1 | 48 | 35 | 38% | 1.4 |
| Medical Director | 0 | 1 | 1 | 35 | 3 | 3% | 11.5 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 34 | 4 | 4% | 8.6 |
Includes penalties issued in 2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
70% lower than Missouri averageMissouri average: $73K
59% fewer fines than Missouri averageMissouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Mar 17, 2025 · $22K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 17, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.5
59% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.9
39% better than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
6.4%
68% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
3.1%
85% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.2%
45% worse than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.8%
5% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
7.7%
54% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.8%
72% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
1.4%
76% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
11.6%
10% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
10.5%
52% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
70.6%
17% worse than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
In line with Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.20
42% better than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.09
11% better than Missouri averageMissouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
23.1%
65% worse than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
14% better than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
26.5%
58% worse than Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.6%
21% worse than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.0%
19% worse than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
69.6%
30% better than Missouri averageMissouri average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
45.9%
9% worse than Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
23% of new residents, usually for short-term rehab.
49% of new residents, often for short stays.
27% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
82Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Life Care Center of Waynesville based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #99 / 286Payroll — State benchmarkedThis home is ranked 99th out of 286 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Waynesville's city center to Life Care Center of Waynesville's address, calculated via Google Maps.
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Life Care Center of Waynesville is located in WAYNESVILLE, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
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The legal owner and operator of Life Care Center of Waynesville is Waynesville Medical Investors, Llc.
Life Care Center of Waynesville has a walk score of 51. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MO state health department records, Life Care Center of Waynesville's license number is 053021.
According to MO state health department records, Life Care Center of Waynesville's license expires on September 30, 2027.
Life Care Center of Waynesville's occupancy is 64%.
Melissa Schuettler is the administrator of Life Care Center of Waynesville.
Life Care Center of Waynesville has 120 beds.
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