Smithville Western Care Center
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 45 Google reviews

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What this means for your family
While some families report positive experiences with the nursing staff and rehab therapy, there is a recurring pattern of serious concerns regarding administrative responsiveness and neglect of basic patient needs. We strongly recommend visiting in person to observe staff-to-patient ratios and asking specific questions about how they handle medical emergencies and medication management.
Google Reviews
Google Reviews
45 reviews on Google“Smithville Western Care Center receives highly polarized feedback, with many praising the nursing staff's kindness while others report severe neglect and administrative failures. Families frequently cite concerns regarding outdated facilities, poor communication from management, and inconsistent care for residents with complex medical needs. While some visitors find the staff attentive and helpful, others describe a facility that is understaffed and unresponsive to basic patient needs.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and friendly nursing staff
- Effective physical therapy services
- Helpful admissions and administrative support (in select cases)
- On-site dialysis availability
Concerns
- Poor administrative communication and lack of follow-through (mentioned by 3 reviewers)
- Outdated facility, poor room conditions, and maintenance issues (mentioned by 4 reviewers)
- Inconsistent care, neglect, and slow response to patient needs (mentioned by 5 reviewers)
- Poor quality and variety of food (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 44 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1Given the facility's age, what is your current plan or schedule for room renovations and addressing ongoing maintenance needs?
- 2I noticed that communication is a high priority for our family; what specific protocols do you have in place to ensure consistent updates and follow-through regarding a resident's daily care?
- 3With on-site dialysis available, how do you coordinate that specialized care with the rest of the daily nursing and medication management schedule?
- 4How are you working to improve the variety and nutritional quality of the meal options to ensure residents are satisfied with their dining experience?
- 5Could you walk me through your process for monitoring response times to call lights, especially during shift changes or overnight hours?
- 6What specific activities or engagement programs are currently offered to help residents feel connected and active within the community?
Personalized based on this facility's data
Key Review Excerpts
“My father came here for rehab after major neck surgery — not to be ignored and left to rot in a wheelchair for hours on his first day. Four to six hours, no pain meds, no bathroom help, and no call light in reach.”
“When she became bedridden and to weak to feed herself, (as well as placed on hospice)they argued with me that the staff didn’t have time to help her eat in her room , she needed to be taken to the dining room.”
“The staff is great and genuinely seems to care for the patients Out of all the options and my mom has been in several I have to say the Permanent Nursing staff here is amazing”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
1
measures
3
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents whose walking got worse
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed complaints triggering inspections, with recent issues in resident care quality and medication management persisting across surveys. The facility shows recurring problems in food safety, fire safety systems, and resident rights protection, though most deficiencies have been corrected when identified. Consider visiting to assess current conditions, as complaint patterns suggest ongoing concerns despite the facility's responsiveness to citations.
Apr 28, 2025Complaint2
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights Deficiencies
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.
Jan 15, 2025Complaint3
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Oct 31, 2024Complaint3
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Jul 2, 2024Routine23
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Pharmacy Service Deficiencies
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.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies
Establish procedures for tracking staff and patients during an emergency.
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Emergency Preparedness Deficiencies
Establish policies and procedures for medical documentation.
Apr 11, 2024Complaint1
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Feb 8, 2024Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Federal Penalties
Fine
Oct 31, 2024
$42,777
Ownership & Operations
Who Operates This Facility
Smithville Western Care Center
for profit
Chain Affiliation
Sprenger Health Care Systems
12 facilities nationwide
Chain avg rating: 4.0/5 · Rank 11 of 12
Ownership & Management
Owners
Wayne Manor, INC.
Owner · Organization
Bluesky Healthcare INC
Owner (parent company) · Organization
Sprenger Enterprises, INC
Owner (parent company) · Organization
Hutsenpiller, Wendie
Owner (parent company)
Malanowski, Kenneth
Owner (parent company)
Sprenger, Nicole
Owner (parent company)
Sprenger, Tracey
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
45 reviews from families & visitors
Official Website
Visit sprengerhealthcare.com
Medicare data downloads
Original nursing home datasets
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