Wellsville Health Care Center
250 E Locust · Wellsville, MO · 63384 · 5736842002
112 certified beds For profit - Limited Liability company Chain: Reliant Care Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Total nurse staffing below 3.0 hours per resident-day
2.01 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.01 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.33 | 0.55–0.75 |
| Weekend hours / resident-day | 1.78 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $20,280 |
Inspection citations (47 in the current record)
-
Potential for harm · D November 18, 2025 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected November 24, 2025 · Nursing and Physician Services
-
Actual harm · G July 24, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D May 8, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected June 22, 2025 · Resident Rights
-
Potential for harm · E May 8, 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 June 22, 2025 · Resident Rights
-
Potential for harm · E May 8, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E May 8, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected June 22, 2025 · Resident Rights
-
Potential for harm · E May 8, 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 June 22, 2025 · Resident Assessment and Care Planning
-
Potential for harm · F May 8, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected June 22, 2025 · Nursing and Physician Services
-
Potential for harm · F May 8, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected June 22, 2025 · Nursing and Physician Services
-
Potential for harm · E May 8, 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 June 22, 2025 · Pharmacy Service
-
Potential for harm · D May 8, 2025
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.
Corrected June 22, 2025 · Pharmacy Service
-
Potential for harm · F May 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 22, 2025 · Nutrition and Dietary
-
Potential for harm · F May 8, 2025
Provide and implement an infection prevention and control program.
Corrected July 25, 2025 · Infection Control
-
Potential for harm · E May 8, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected June 22, 2025 · Nursing and Physician Services
-
Potential for harm · D March 18, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 18, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D November 6, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected October 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E September 25, 2024 · found via complaint
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 October 28, 2024 · Resident Rights
-
Potential for harm · D April 4, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected May 20, 2024 · Resident Rights
-
Potential for harm · E April 4, 2024
Keep residents' personal and medical records private and confidential.
Corrected May 20, 2024 · Resident Rights
-
Potential for harm · E April 4, 2024
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 May 20, 2024 · Resident Rights
-
Potential for harm · E April 4, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 20, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D April 4, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 20, 2024 · Quality of Life and Care
-
Potential for harm · E April 4, 2024
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 May 20, 2024 · Quality of Life and Care
-
Potential for harm · E April 4, 2024
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected May 20, 2024 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 24, 2025 | Fine | $20,280 |
| May 8, 2025 | Payment Denial | 3 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265398 · certified since November 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.