Life Care Center of Waynesville

700 Birch Lane · Waynesville, MO · 65583 · 5737746456

120 certified beds For profit - Corporation Chain: Life Care Centers of America

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

63% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 41
Serious harm & abuse 20% 94
Staffing 20% 57
Federal penalties 15% 71
Trend 10% 35
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.663.48 min · 4.1 strong
RN hours / resident-day0.380.55–0.75
Weekend hours / resident-day3.09≈ weekday level
Nursing turnover / year63%median 45%
Fines (3-yr window)1 · $22,081

Inspection citations (32 in the current record)

  • Potential for harm · D November 24, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected January 6, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D November 24, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected January 6, 2026 · Pharmacy Service

  • Actual harm · G March 17, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected April 22, 2025 · Quality of Life and Care

  • Potential for harm · E March 17, 2025

    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.

    Corrected April 22, 2025 · Resident Rights

  • Potential for harm · E March 17, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E March 17, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected April 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 17, 2025

    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.

    Corrected April 22, 2025 · Quality of Life and Care

  • Potential for harm · E March 17, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 22, 2025 · Quality of Life and Care

  • Potential for harm · E March 17, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected April 22, 2025 · Quality of Life and Care

  • Potential for harm · D March 17, 2025

    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.

    Corrected April 22, 2025 · Quality of Life and Care

  • Potential for harm · E March 17, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected April 22, 2025 · Pharmacy Service

  • Potential for harm · E March 17, 2025

    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.

    Corrected April 22, 2025 · Nutrition and Dietary

  • Potential for harm · F March 17, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 22, 2025 · Nutrition and Dietary

  • Potential for harm · E March 17, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 22, 2025 · Infection Control

  • Potential for harm · D December 5, 2024 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected January 14, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 26, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected April 29, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 26, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected April 29, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E February 1, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected March 15, 2024 · Resident Rights

  • Potential for harm · D February 1, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E February 1, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 15, 2024 · Quality of Life and Care

  • Potential for harm · D February 1, 2024

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected March 15, 2024 · Quality of Life and Care

  • Potential for harm · F February 1, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 15, 2024 · Nutrition and Dietary

  • Potential for harm · E February 1, 2024

    Provide and implement an infection prevention and control program.

    Corrected March 15, 2024 · Infection Control

  • No harm found · C February 1, 2024

    Assure the security of all personal funds of residents deposited with the facility.

    Corrected March 15, 2024 · Resident Rights

  • No harm found · C February 1, 2024

    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.

    Corrected March 15, 2024 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
March 17, 2025Fine$22,081

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265373 · certified since June 26, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.