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Nursing HomeMedicaid Investigative

Wellsville Health Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

250 E Locust, Wellsville, MO 63384112 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Wellsville Health Care Center Nursing Home in Wellsville, MO — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (16 vs median 10)

Bottom 25% in MO · Critically understaffed (RN) · Significantly below average staffing · Worst in RELIANT CARE MANAGEMENT chain · $46,498 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. Registered Nurse hours are only 44% of the national benchmark, which can affect medication management and response times. The facility has 14 deficiencies, which is above the state average. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.33hrs
44%
Registered nurses for medical care
Total Nursing
2.01hrs
49%
All nurses + aides combined

Both 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

Medicare Rating
2/ 5
Better Than Avg

5

measures

Worse Than Avg

10

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility27.9%
Worse than Avg
Here
27.9%
US
93.4%
MO
84.4%
Montgomery
92.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility54.9%
Worse than Avg
Here
54.9%
US
12.1%
MO
16.7%
Montgomery
23.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility65.3%
Worse than Avg
Here
65.3%
US
95.5%
MO
90.9%
Montgomery
95.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility43.3%
Worse than Avg
Here
43.3%
US
15.5%
MO
23.6%
Montgomery
16.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility40.6%
Worse than Avg
Here
40.6%
US
19.5%
MO
25.4%
Montgomery
16.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility31.0%
Worse than Avg
Here
31.0%
US
14.4%
MO
19.1%
Montgomery
16.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility7.1%
Worse than Avg
Here
7.1%
US
81.8%
MO
65.9%
Montgomery
81.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility21.7%
Worse than Avg
Here
21.7%
US
79.8%
MO
63.5%
Montgomery
82.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MO
2.2%
Montgomery
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
2penalties
Above state avg (12.0)
6 complaint-triggered
$46,498 in fines

This facility shows concerning patterns with families filing complaints that led to serious findings, including resident abuse/neglect and nursing staffing violations. The most recurring issues are fire safety problems, nursing staffing shortages, and food safety violations that persist across multiple surveys. While most deficiencies are reportedly corrected, the repeated nature of core problems like inadequate nursing coverage and the recent serious complaint about abuse protection raise significant care quality concerns for families to carefully consider.

Nov 18, 2025Complaint
1
0727Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

Jul 24, 2025Complaint
1
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

May 8, 2025Routine
36
0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0025Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

0026Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0030Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0035Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0100Potential for harm · WidespreadCorrected

Construction Deficiencies

Meet other general requirements.

0222Potential for harm · WidespreadCorrected

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.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0926Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

0584Potential for harm · PatternCorrected

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.

0607Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0628Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0947Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0753Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0761Potential for harm · IsolatedCorrected

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.

Mar 18, 2025Complaint
2
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Nov 6, 2024Complaint
1
0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Sep 25, 2024Complaint
1
0584Potential for harm · PatternCorrected

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.

Federal Penalties

Fine

Jul 24, 2025

$20,280

Payment Denial

May 8, 2025

3-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Wellsville Health Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Reliant Care Management

Chain Size

32 facilities nationwide

Chain avg rating: 1.1/5 · Rank 14 of 29 (Worst)

Ownership & Management

Key personnel

Richard J. Destefane Revocable Living TrustAdp of the SnfTlg II LlpAdp of the SnfWellsville Associates LLCAdp of the SnfArshad, AbdullahAdp of the SnfHarris, KimberlyAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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