Nursing Care Index

Life Care Center Of Waynesville

Waynesville, Pulaski County, Missouri · CCN 265373 · For-profit (Corporation) · part of Life Care Centers Of America (194 facilities, chain average 3.4 stars)

CMS rates Life Care Center Of Waynesville 3 of 5 overall as of August 2026. 120 certified beds, 77 residents a day on average. 32 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $22,081.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★☆☆ 3 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay5 / 2 of 5

Staffing

Total nurse staffing3.48549 hours per resident per day
Registered nurses0.401 hours per resident per day
Weekend total3.20659 hours per resident per day
Nursing staff turnover59.1% (registered nurses 72.7%)
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-11-24
complaint survey
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-06
2025-11-24
complaint survey
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-06
2025-03-17 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-04-22
2025-03-17 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-04-22
2025-03-17 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-22
2025-03-17 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-22
2025-03-17 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-22
2025-03-17 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-22
2025-03-17 Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0698
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-22
2025-03-17 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-22
2025-03-17 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · tag F0803
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-22
2025-03-17 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-22
2025-03-17 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · tag F0688
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-22
2025-03-17 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · tag F0700
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-22
2024-12-05
complaint survey
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-14
2024-03-26
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-29
2024-03-26
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-29
2024-02-01 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-03-15
2024-02-01 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-03-15
2024-02-01 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-03-15
2024-02-01 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-03-15
2024-02-01 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-15
2024-02-01 Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0698
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-15
2024-02-01 Assure the security of all personal funds of residents deposited with the facility.
Resident Rights Deficiencies · tag F0570
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2024-03-15
2024-02-01 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.
Resident Rights Deficiencies · tag F0575
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2024-03-15
2024-02-01 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.
Resident Rights Deficiencies · tag F0625
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2024-03-15
2024-02-01 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · tag F0584
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2024-03-15
2024-02-01 Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · tag F0679
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2024-03-15
2024-02-01 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.
Pharmacy Service Deficiencies · tag F0761
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2024-03-15
2022-11-14 Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · tag F0679
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-12-28
2022-11-14 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · tag F0700
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-12-28
2022-11-14 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-12-28

Fines and payment denials

DatePenaltyAmount
2025-03-17Fine$22,081

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Life Care Centers Of America, Inc.
Organization
adp of the snf2025-03-03
Waynesville Medical Investors LLC
Organization
adp of the snf2005-10-01
Developers Investment Company II, Inc.
Organization
direct ownership interest1999-10-14
Developers Investment Company II, Inc.
Organization
operational/managerial control2006-06-14
Life Care Centers Of America, Inc.
Organization
operational/managerial control1999-11-30
Waynesville Medical Investors LLC
Organization
operational/managerial control1999-12-22
Castillo, Morgan
Individual
adp of the snf2025-03-03
Lebedowicz, Bohdan
Individual
adp of the snf2025-03-03
Preston, Forrest
Individual
adp of the snf2005-10-01
Cross, Cindy
Individual
corporate officer1999-11-30
Henry, Terry
Individual
corporate officer1999-08-16
Lay, Lisa
Individual
corporate officer2018-02-09
Swanker, Richard
Individual
corporate officer2011-04-01
Thurmond, Joan
Individual
corporate officer2000-09-22
Preston, Forrest
Individual
indirect ownership interest1999-10-14
Castillo, Morgan
Individual
managing control - governing body2020-07-07
Eklund, Amber
Individual
managing control - governing body2024-08-16
Hebeler, Charlene
Individual
managing control - governing body2024-12-03
Castillo, Morgan
Individual
operational/managerial control2020-07-07
Eklund, Amber
Individual
operational/managerial control2024-08-16
Fletcher, Todd
Individual
operational/managerial control2002-12-13
Hebeler, Charlene
Individual
operational/managerial control2024-12-03
Lebedowicz, Bohdan
Individual
operational/managerial control2023-10-01
Preston, Aubrey
Individual
operational/managerial control2024-12-13
Preston, Forrest
Individual
operational/managerial control1999-10-14
Ziegler, James
Individual
operational/managerial control2024-12-13

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Pulaski County.