Inspection Reports for
Life Care Center of Waynesville
700 BIRCH LN, WAYNESVILLE, MO, 65583-2275
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
8 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
45% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
16
12
8
4
0
Occupancy
Latest occupancy rate
63% occupied
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 76
Deficiencies: 3
Date: Nov 24, 2025
Visit Reason
The inspection was conducted following complaints regarding failure to maintain professional standards of care, including missed wound care treatments, delayed urine specimen collection and medication administration, and medication errors involving residents.
Complaint Details
Complaints #2631457, #2640655, and #2675499 triggered the investigation. The complaints involved failure to provide wound care, delayed urine specimen collection and treatment, and medication errors. The complaints were substantiated based on record reviews and staff interviews.
Findings
The facility failed to document and provide wound care treatments as ordered by physicians for multiple residents, delayed urine specimen collection and medication administration for a resident with a urinary tract infection, and committed a medication error by administering the wrong medications to a resident. These failures were confirmed through record reviews and staff interviews.
Deficiencies (3)
F 0658: Facility staff failed to maintain professional standards of care by not documenting or providing wound care treatments as directed by physicians for multiple residents, including missed treatments and lack of progress notes explaining omissions.
F 0658: Facility delayed collection of a urine specimen and delayed medication administration for a resident diagnosed with a urinary tract infection, contrary to physician orders and facility policy.
F 0760: Facility staff failed to ensure residents were free from significant medication errors when a resident was given another resident's medications, resulting in sedation and increased fall risk.
Report Facts
Facility census: 76
Missed wound treatments: 15
Missed medication administrations: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN B | Licensed Practical Nurse | Interviewed regarding missed wound care treatments and documentation |
| LPN A | Licensed Practical Nurse | Interviewed regarding wound nurse responsibilities and documentation |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding wound care expectations, medication errors, and facility policies |
| CMT C | Certified Medication Technician | Involved in medication error administering wrong medications to Resident #5 |
| CMT B | Certified Medication Technician | Interviewed about medication error and staffing issues |
Inspection Report
Routine
Census: 82
Deficiencies: 11
Date: Mar 17, 2025
Visit Reason
Routine inspection of Life Care Center of Waynesville to assess compliance with regulatory requirements including environment, care planning, medication management, infection control, dietary services, and safety.
Findings
The facility was found deficient in maintaining a safe and homelike environment, updating and revising care plans, obtaining and following physician orders for oxygen and wound care, completing dialysis assessments, ensuring proper medication regimen reviews, serving food according to menus, safe food handling, infection prevention and control practices, and proper use of bed rails.
Deficiencies (11)
F 0584: Facility failed to maintain walls, floors, doors, door frames, and wheelchair armrest for one resident. Multiple areas of damage and wear were observed throughout resident rooms and common areas.
F 0657: Facility failed to review and revise care plans for Activities of Daily Living needs for four residents and oxygen use for three residents. Care plans did not reflect current resident needs.
F 0658: Facility failed to obtain physician orders for oxygen use for two residents, failed to follow oxygen orders for one resident, and failed to obtain physician orders for wound treatment for one resident.
F 0686: Facility failed to identify and prevent development of a new pressure injury for one resident and failed to implement interventions and monitor a pressure injury for another resident.
F 0689: Facility failed to store chemicals and medications securely, leaving hazardous chemicals and medications accessible to residents.
F 0698: Facility failed to complete pre- and post-dialysis assessments and maintain communication with dialysis clinic for two residents receiving dialysis.
F 0700: Facility failed to accurately complete bed rail and entrapment assessments and used inappropriate bed rails for one resident.
F 0756: Facility failed to communicate pharmacy recommendations to physicians for five residents and lacked documentation of pharmacist reports and physician responses.
F 0803: Facility failed to serve food according to nutritionally calculated menus and recipes for residents on pureed and mechanically altered diets, including incorrect portion sizes and missing menu items.
F 0812: Facility failed to thaw frozen meat safely and allowed sanitized dishes to be stacked wet, risking foodborne pathogen growth.
F 0880: Facility staff failed to perform proper hand hygiene during perineal care for three residents, failed to use enhanced barrier precautions for two residents, and failed to maintain proper hygiene for oxygen tubing for four residents.
Report Facts
Facility census: 82
Deficiency count: 11
Pureed diet scoop size difference: 1.34
Wet stacked trays: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN Q | Registered Nurse | Interviewed regarding dialysis communication forms, hand hygiene, enhanced barrier precautions, and pharmacy recommendations |
| DM | Dietary Manager | Interviewed regarding food service, menu adherence, thawing procedures, and dishwashing practices |
| LPN O | Licensed Practical Nurse | Interviewed regarding bed rail assessments and contracture care |
| CNA P | Certified Nurse Aide | Interviewed regarding hand hygiene and enhanced barrier precautions |
| Interim DON | Interim Director of Nursing | Interviewed regarding bed rail use, pharmacy recommendations, and infection control practices |
| Administrator | Interviewed regarding thawing procedures, menu adherence, pharmacy recommendations, and infection control | |
| LPN W | Licensed Practical Nurse | Interviewed regarding dialysis communication form responsibilities |
| CNA Y | Certified Nurse Aide | Observed and interviewed regarding hand hygiene and perineal care |
| CMT V | Certified Medication Technician | Observed and interviewed regarding hand hygiene and perineal care |
| DA DD | Dietary Aide | Observed and interviewed regarding dishwashing and food service |
Inspection Report
Routine
Census: 78
Deficiencies: 1
Date: Dec 5, 2024
Visit Reason
The inspection was conducted to assess compliance with professional standards of care, specifically regarding wound care treatments for residents.
Findings
The facility failed to maintain professional standards by not completing and documenting wound care treatments for three sampled residents. Missing documentation on Treatment Administration Records indicated treatments were not provided as ordered.
Deficiencies (1)
F 0658: The facility failed to complete and document wound care treatments for three residents as ordered, including cleaning and applying creams to pressure ulcers and other skin conditions. Treatment Administration Records lacked documentation for multiple dates in November 2024.
Report Facts
Residents affected: 3
Facility census: 78
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) A | Interviewed regarding wound care documentation and treatment procedures | |
| Director of Nursing (DON) | Interviewed about expectations for wound care and missing treatment investigations | |
| Administrator | Interviewed about staff responsibilities and concerns regarding missing treatments |
Inspection Report
Complaint Investigation
Census: 81
Deficiencies: 2
Date: Mar 26, 2024
Visit Reason
The inspection was conducted due to allegations of misappropriation of resident property involving two residents. The investigation focused on the facility's failure to timely report and properly investigate these allegations.
Complaint Details
The complaint involved allegations of misappropriation of money from two residents. The allegations were substantiated as the facility failed to report and investigate in a timely and thorough manner.
Findings
The facility failed to report allegations of misappropriation to the Department of Health and Senior Services within the required 24-hour timeframe for two residents. Additionally, the facility did not start investigations promptly and failed to conduct thorough investigations, including interviewing all relevant witnesses.
Deficiencies (2)
F 0609: Facility staff failed to timely report allegations of misappropriation of resident property to the state within the required 24-hour timeframe for two residents.
F 0610: Facility staff failed to start investigations promptly and did not conduct thorough investigations for allegations of missing resident money, including failing to interview all relevant witnesses.
Report Facts
Resident census: 81
Missing money amount: 10
Missing money amount: 260
Days late reporting: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Notified late of missing money and failed to report allegations to state survey agency | |
| Director of Nursing (DON) | Not made aware of allegations in a timely manner and did not start investigations promptly | |
| Business Office Manager | Received initial report of missing money from Resident #1 but was not instructed to report to state or start investigation | |
| Social Services Director (SSD) | Did not interview other residents or witnesses during investigation as expected | |
| Registered Nurse (RN) A | Registered Nurse | Turned Resident #2's wallet into SSD without checking contents |
Inspection Report
Routine
Census: 69
Deficiencies: 12
Date: Feb 1, 2024
Visit Reason
Routine inspection of Life Care Center of Waynesville to assess compliance with regulatory standards including resident care, safety, infection control, and facility operations.
Findings
The facility was found deficient in multiple areas including failure to accommodate resident needs, inadequate security of resident funds, missing required postings, environmental and equipment maintenance issues, failure to notify residents of bed hold policies, medication administration errors, insufficient activity programming, unsafe mechanical lift transfers, inadequate dialysis care communication, improper medication storage, unsanitary kitchen conditions, and lapses in infection control practices.
Deficiencies (12)
F 0558 Reasonably accommodate the needs and preferences of each resident. Facility failed to accommodate a visually impaired resident with activities, assist a dependent resident with meal setup, and provide meal options for a resident with dental needs.
F 0570 Assure the security of all personal funds of residents deposited with the facility. Facility failed to purchase a surety bond in an amount sufficient to cover resident funds held.
F 0575 Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Facility failed to post required hotline numbers and resident rights on the secured memory care unit.
F 0584 Honor the resident's right to a safe, clean, comfortable and homelike environment. Facility failed to maintain resident rooms and medical equipment in good repair and clean condition, including wheelchair armrests and room surfaces.
F 0625 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. Facility failed to provide written bed hold policy information to residents or representatives at transfer.
F 0658 Ensure services provided by the nursing facility meet professional standards of quality. Staff failed to maintain professional medication administration standards by leaving medications unattended at bedside without verifying ingestion.
F 0679 Provide activities to meet all resident's needs. Facility failed to provide ongoing, staff-led activities on the memory care unit, especially on weekends, limiting resident engagement.
F 0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Staff failed to provide safe mechanical lift transfers by not guiding residents during transfers, risking injury.
F 0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. Facility failed to provide dialysis orders, ongoing assessments, and communication with dialysis center for a resident receiving hemodialysis.
F 0761 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. Facility medication carts contained loose pills and were not properly maintained.
F 0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Facility kitchen was unsanitary with dirty floors, equipment, improper hand hygiene, inadequate sanitizing of kitchen wares, wet stacked dishware, and uncovered trash cans.
F 0880 Provide and implement an infection prevention and control program. Staff failed to perform hand hygiene between glove changes during perineal care, failed to sanitize glucometer between residents, and failed to ensure staff TB screening compliance.
Report Facts
Facility census: 69
Average monthly resident trust fund balance: 48168.23
Required surety bond amount: 72000
Approved escrow account amount: 69000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CMT J | Certified Medication Technician | Named in medication administration deficiency for leaving medications unattended |
| CNA F | Certified Nurse Aide | Named in environmental and activity deficiencies |
| LPN C | Licensed Practical Nurse | Named in medication administration and glucometer cleaning deficiencies |
| CNA M | Certified Nurse Aide | Named in infection control deficiency for glove and hand hygiene lapses |
| CNA N | Certified Nurse Aide | Named in infection control deficiency for glove and hand hygiene lapses |
| Food Services Director | Named in kitchen sanitation deficiencies | |
| Infection Preventionist | Named in infection control deficiencies and TB testing oversight | |
| Director of Nursing | Named in multiple deficiencies including medication administration, dialysis communication, infection control | |
| Administrator | Named in multiple deficiencies including medication administration, dialysis communication, infection control |
Inspection Report
Deficiencies: 0
Date: Jul 12, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction for Life Care Center of Waynesville, related to a regulatory inspection completed on 07/12/2023.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Routine
Census: 62
Deficiencies: 3
Date: Nov 14, 2022
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident activities, bed rail safety, infection prevention and control, and other care standards at the nursing home.
Findings
The facility failed to provide an adequate ongoing program of activities meeting residents' interests and needs, failed to complete required bed rail entrapment assessments and obtain consents, and failed to perform proper hand hygiene and catheter care to prevent infection spread.
Deficiencies (3)
F 0679: Facility staff failed to provide an ongoing activities program meeting residents' interests for seven residents and failed to provide more than one structured activity Monday through Friday or any structured activities on weekends.
F 0700: Facility staff failed to complete siderail/bedrail risk of entrapment assessments, complete initial and/or annual entrapment assessments, and/or obtain consent for the use of side rails for three residents.
F 0880: Facility staff failed to perform appropriate hand hygiene during blood glucose checks for three residents, during perineal care for three residents, and failed to provide catheter care in a manner to prevent infection spread for one resident.
Report Facts
Facility census: 62
Activity participation days: 0
Activity participation days: 4
Activity participation days: 4
Activity participation days: 0
Activity participation days: 4
Activity participation days: 4
Activity participation days: 0
Activity participation days: 4
Activity participation days: 4
Activity participation days: 0
Activity participation days: 4
Activity participation days: 4
Activity participation days: 0
Activity participation days: 4
Activity participation days: 4
Activity participation days: 0
Activity participation days: 4
Activity participation days: 4
Viewing
Loading inspection reports...
