Willard Care Center

Nursing Home, Hospice Care & Skilled Nursing · Willard, MO

CMS overall rating

400 West Walnut Ln, Willard, MO 65781-9432 View map

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Willard Care Center accepts Medicare and Medicaid.

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Willard Care Center accepts Medicare and Medicaid.

Overview of Willard Care Center

Willard Care Center is a nursing home located in Willard, Missouri. The 66-bed facility is operated by N & R Of Willard, LLC under the ownership of Joshua Groce, with Denna Henderson serving as administrator. Medicare and Medicaid are accepted, giving families multiple options to cover care costs. The home currently operates at 88% occupancy. Residents stay an average of 43 days, including those receiving short-term rehabilitation and who need ongoing skilled nursing care.

Residents receive an average of 4 hours and 48 minutes of nursing care each day. Registered nurses, licensed nurses, and nursing aides provide hands-on support across all shifts. There’s a doctor on staff, and 24-hour staffing ensures medical and nursing care are available all day and night. For residents recovering after surgery or a hospital stay, this level of clinical support can be an important part of the recovery process.

The home focuses on rehabilitation services, supported by amenities including professional medical care and on-site therapy facilities. The facility is the only nursing home in its immediate area to offer free CNA and CMT training classes. This can be valuable for residents and families interested in healthcare training.

Residents also have access to complete dining services with various nutritious meals and snacks tailored to their preferences. Beyond clinical care, the center offers resident transportation and bill-payment assistance, practical features that make it easier for families managing multiple touchpoints.

The facility’s location on West Walnut Lane is in a somewhat walkable area. A few nearby services are reachable on foot, but most trips will require a car. The neighborhood setting suits families who visit regularly and want easy driving access.

Over the past 8 years, inspections conducted by the Missouri Department of Health and Senior Services have centered on communication and documentation practices, including how facility staff handles notification of health changes and medication tracking. Families touring the home should ask how these processes are managed daily.

Facility Direct Line (417) 742-3593

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 48m per day

vs avg

4 of 6 metrics below state avg

Standout metric Nurse Aide is +4% above state avg

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.	26m per day	▼ 6% 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.	19m per day	▼ 53% 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.	2h 24m per day	▲ 4% 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 21m per day	▼ 23% 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.	0m per day	▼ 77% 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.	20m per day	■ Avg State avg: 20m per day · National avg: 28m per day

Capacity and availability

43 days

66-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

12 years in operation

A community with a solid operating history and experience delivering ongoing care.

Walk Score: 47 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

BBB Rating: A+ (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate

88%

Higher than the Missouri average: 66.6%

Occupied beds

58 / 66

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceMarch 2, 2026

ExpirationMarch 1, 2028

CountyGreene

License Number053426

CMS Certification Number265455

Certification TypeMedicare / Medicaid

Willard Care Center is legally operated by N & R Of Willard, LLC, and administered by Denna Henderson.

Corporate EntityN & R OF WILLARD, LLC

Owner NameN & R Of Willard, LLC

Skilled Nursing Facility

66 units

Total beds

66 units

Rehabilitation Services

Doctor on Staff

24-Hour Staffing

Dedicated Alzheimer's Unit

Skilled Nursing Care

Physical And Occupational Therapies

Dietitians

Behavioral And Alzheimer’s Care

Hospice

Pets not allowed

Professional Medical Care

Rehab Services

Complete Dining Services

Free Cna & Cmt Classes

Since 2018 · 8 years of data 55 deficiencies 16 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, 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.

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection November 14, 2025 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	55	35	This facility has 57% more total deficiencies than a typical Missouri assisted living residence (55 vs. MO avg 35).↑ 57% worse
Deficiencies per year Average deficiencies per year since 2018.	6.9	4.4	This facility has 57% more deficiencies per year than a typical Missouri assisted living residence (6.9 vs. MO avg 4.4).↑ 57% worse
Deficiencies per inspection Average deficiencies per inspection.	3.4	2.9	This facility has 17% more deficiencies per inspection than a typical Missouri assisted living residence (3.4 vs. MO avg 2.9).↑ 17% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	16	12	This facility has had 33% more total inspections than the Missouri average (16 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 33% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

November 14, 2025 complaint investigation found failure to notify families of health changes, falls, and new physician orders for four residents, with no documentation of notifications.
October 31, 2025 complaint investigation identified significant medication errors administering ferrous sulfate daily instead of weekly for 82 days due to incorrect eMAR entry.
May 21, 2024 annual inspection found no health deficiencies during the standard regulatory compliance survey.

Show Inspection Reports

Inspections since 2019

Total health inspections 7

State average N/A

Last Health inspection on Nov 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

9 of 21 citations resulted from standard inspections; and 12 of 21 resulted from complaint investigations.

Breakdown of citation severity (last 7 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

21 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 7 years)

Resident Rights moderate citation Nov 14, 2025

Corrected

Pharmacy moderate citation Oct 31, 2025

Corrected

Abuse/Neglect moderate citation Mar 26, 2025

Corrected

Abuse/Neglect moderate citation Mar 26, 2025

Corrected

Total staff 83

Employees 70

Contractors 13

Staff to resident ratio 20.75 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 27

Average shift 7.2 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 17,795

Nursing staff breakdown

8.6 hours

9.1 hours

8 hours

Contractor staffing

710 contractor hours this quarter

Respiratory Therapy Technician: 3 Speech Language Pathologist: 2 Qualified Social Worker: 2 Physical Therapy Assistant: 2 Physical Therapy Aide: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Clinical Nurse Specialist: 1

Staff by category


Certified Nursing Assistant	27	0	27	7,772	92	100%	8
Nurse Aide in Training	22	0	22	2,587	91	99%	6.7
Medication Aide/Technician	5	0	5	1,862	91	99%	8.3
Registered Nurse	6	0	6	1,724	92	100%	8.6
Licensed Practical Nurse	6	0	6	1,196	82	89%	9.1
Administrator	1	0	1	571	65	71%	8.8
Nurse Practitioner	1	0	1	477	62	67%	7.7
RN Director of Nursing	1	0	1	449	60	65%	7.5
Dietitian	1	0	1	446	65	71%	6.9
Qualified Social Worker	0	2	2	161	63	68%	2.5
Physical Therapy Aide	0	1	1	160	59	64%	2.7
Speech Language Pathologist	0	2	2	132	57	62%	2.3
Physical Therapy Assistant	0	2	2	127	60	65%	2.1
Occupational Therapy Aide	0	1	1	43	6	7%	7.2
Respiratory Therapy Technician	0	3	3	38	25	27%	1.5
Clinical Nurse Specialist	0	1	1	31	4	4%	7.8
Occupational Therapy Assistant	0	1	1	18	4	4%	4.5

27 Certified Nursing Assistant

% of Days 100%

22 Nurse Aide in Training

% of Days 99%

5 Medication Aide/Technician

% of Days 99%

6 Registered Nurse

% of Days 100%

6 Licensed Practical Nurse

% of Days 89%

1 Administrator

% of Days 71%

1 Nurse Practitioner

% of Days 67%

1 RN Director of Nursing

% of Days 65%

1 Dietitian

% of Days 71%

2 Qualified Social Worker

% of Days 68%

1 Physical Therapy Aide

% of Days 64%

2 Speech Language Pathologist

% of Days 62%

2 Physical Therapy Assistant

% of Days 65%

1 Occupational Therapy Aide

% of Days 7%

3 Respiratory Therapy Technician

% of Days 27%

1 Clinical Nurse Specialist

% of Days 4%

1 Occupational Therapy Assistant

% of Days 4%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 14.3

31% worse than State average

State average: 10.9

Functional decline score 26.7

37% worse than State average

State average: 19.5

Long-stay resident measures

Significantly below average State avg: 2.7

Need for Help with Daily Activities Increased 20.3%

In line with State average

State average: 19.8%

Walking Ability Worsened 33.6%

63% worse than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 26.1%

44% worse than State average

State average: 18.1%

Falls with Major Injury 1.3%

69% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 6.5%

30% worse than State average

State average: 5.0%

Urinary Tract Infection 8.9%

225% worse than State average

State average: 2.7%

Lost Too Much Weight 9.8%

77% worse than State average

State average: 5.6%

Depressive Symptoms 1.4%

89% better than State average

State average: 12.8%

Antipsychotic Use 23.3%

6% worse than State average

State average: 22.0%

Pneumococcal Vaccine 97.5%

14% better than State average

State average: 85.2%

Influenza Vaccine 100.0%

10% better than State average

State average: 90.9%

Short-stay resident measures

Pneumococcal Vaccine 91.2%

37% better than State average

State average: 66.6%

Antipsychotic medication increase 10.8%

388% worse than State average

State average: 2.2%

Influenza Vaccine 87.5%

38% better than State average

State average: 63.5%

Breakdown by payment type

Medicare

17% of new residents, usually for short-term rehab.

Typical stay 3 years

Medicaid

83% of new residents, often for long-term daily care.

Typical stay 8 days

Total residents 4

Medicaid

50% of residents

Private pay or other

50% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Willard Care Center from 2011–2022, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2022 — the home's most recent complete cost report, an older period than most facilities report.

Occupancy Rate 7.9% ↓ 43.0pp vs 2021

Net Patient Income -$496.9K ↑ ~$24.4K vs 2021

Payroll Costs $238.5K ↓ ~$1.2M vs 2021

Operating Margin -103.6% ↓ 82.9pp vs 2021

Metric	2011	2012	2014	2015	2016	2017	2018	2019	2020	2021	2022
Occupancy %	84.6%	81.3%	86.2%	81.4%	81.6%	70.8%	71.8%	76.4%	71.9%	50.9%	7.9%
Beds	66	66	66	66	66	66	66	66	66	66	66
Net Income	$26,480	$9,626	$60,955	$4,284	$140,510	-$313,855	-$122,510	-$7,944	$324,773	-$267,322	-$437,109
Gross Revenue	$3,573,186	$3,705,780	$4,567,344	$4,246,138	$4,324,471	$3,978,586	$3,966,857	$4,009,447	$3,891,097	$2,839,266	$398,359
Operating Expenses	$3,425,824	$3,443,072	$3,702,942	$3,701,880	$3,591,994	$3,691,378	$3,530,974	$3,671,499	$3,833,090	$3,049,255	$976,732
Net Patient Income	$10,867	-$275	$51,029	-$7,715	$128,493	-$323,544	-$131,921	-$22,175	-$320,957	-$521,268	-$496,880
Net Patient Revenue	$3,436,691	$3,442,797	$3,753,971	$3,694,165	$3,720,487	$3,367,834	$3,399,053	$3,649,324	$3,512,133	$2,527,987	$479,852
Payroll Costs	$1,668,718	$1,646,314	$1,632,988	$1,560,711	$1,553,605	$1,650,714	$1,536,267	$1,706,585	$1,841,866	$1,420,425	$238,495
Operating Margin %	0.3%	0.0%	1.4%	-0.2%	3.5%	-9.6%	-3.9%	-0.6%	-9.1%	-20.6%	-103.6%
Medicare %	7.1%	7.3%	7.8%	4.8%	3.4%	6.6%	3.5%	2.9%	2.1%	5.5%	2.2%
Medicaid %	53.9%	56.1%	61.0%	67.7%	63.1%	55.7%	59.9%	54.1%	60.6%	54.7%	57.6%
Private %	39.0%	36.6%	31.2%	27.5%	33.5%	37.7%	36.6%	43.0%	37.4%	39.9%	40.2%
Net Patient Revenue/Day	$169	$175	$181	$188	$189	$198	$197	$198	$202	$206	$253
Cost/Day	$168	$175	$178	$189	$182	$217	$204	$199	$221	$249	$516
Avg Length of Stay	188.6 days	127.5 days	115.9 days	125.8 days	165.6 days	117.6 days	266.1 days	107.6 days	94.4 days	84.6 days	43.1 days

Finances and operations

Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2022. This is an older period than most facilities report, so compare with that in mind.

Net patient revenue

$479.9K

Net patient income

-$496.9K

For-profit Corporation

Net patient revenue

$479.9K

Net patient income

-$496.9K

Other income

$59.8K

Payroll costs

$238.5K 49.7% of net patient revenue

Other operating costs

$738.2K

Total costs

$976.7K

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (83% of admissions), and a typical Medicaid stay runs around 8 days.

Coverage residents most often arrive under.

Medicare 17%

Medicaid 83%

Coverage residents most often leave under.

Medicare 5%

Private pay 36%

Medicaid 59%

0.0 miles from city center Estimated distance in miles from Willard's city center to Willard Care Center's address, calculated via Google Maps.

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


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Willard Care Center	NH HOS SNF	Willard	-	66	A+	47	-

Nursing Home Explorer

Who is the owner of Willard Care Center?

Willard Care Center is legally operated by N & R Of Willard, LLC, and administered by Denna Henderson.

Is Willard Care Center in a walkable area?

Willard Care Center has a walk score of 47. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Willard Care Center?

According to MO state health department records, Willard Care Center's license number is 053426.

When does Willard Care Center's license expire?

According to MO state health department records, Willard Care Center's license expires on March 1, 2028.

What is the occupancy rate at Willard Care Center?

Willard Care Center's occupancy is 88%.

Are pets allowed at Willard Care Center?

No, Willard Care Center has a no-pet policy.

Does Willard Care Center operate as a for-profit or non-profit?

Willard Care Center is registered as a for-profit in MO.

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Willard Care Center

Overview of Willard Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Therapy & Rehabilitation

Staffing & Medical

Memory & Specialized Care

Additional Services

Additional Policies & Features

Amenities & Lifestyle

Contact Willard Care Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, 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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

27 Certified Nursing Assistant

22 Nurse Aide in Training

5 Medication Aide/Technician

6 Registered Nurse

6 Licensed Practical Nurse

1 Administrator

1 Nurse Practitioner

1 RN Director of Nursing

1 Dietitian

2 Qualified Social Worker

1 Physical Therapy Aide

2 Speech Language Pathologist

2 Physical Therapy Assistant

1 Occupational Therapy Aide

3 Respiratory Therapy Technician

1 Clinical Nurse Specialist

1 Occupational Therapy Assistant

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Places of interest near Willard Care Center

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