Senior CareScorecard

Nursing home · Wellsville, MO

Wellsville Health Care Center

250 E Locust, Wellsville, MO 63384 · 112 certified beds · for profit ownership · part of Reliant Care Management

Medicare & MedicaidFined $20,642 in 3 years
Medicare overall rating1 / 5Much below averageFulton area 2.2 · Missouri 2.51 · U.S. 2.99
1/5Health inspections Much below average
1/5Staffing Much below average
2/5Quality measures Below average
2/5Short-stay (rehab) quality Below average
2/5Long-stay quality Below average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Nov 18, 2025, when they cited 1 problem from a complaint investigation. The most common area was nursing and physician services (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (May 8, 2025) it had 13 citations, compared with an average of 12.6 for Fulton-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 2.12 hours per resident per day here, 38% less than the Missouri average (3.43) and 45% less than the U.S. average (3.86). Registered nurses account for 0.26 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 62% over the past year, 6 points higher than Missouri (56%) and 16 points higher than the U.S. (46%).

How Wellsville Health Care Center compares

This home's latest CMS figures next to the averages for Fulton-area homes (13), Missouri (487) and the U.S. (14,680).

This homeFulton areaMissouriU.S.
Total nurse hours per resident per day2.122.863.433.86
Registered nurse hours per resident per day0.260.370.460.68
Weekend nurse hours per resident per day1.852.503.013.42
Nursing staff turnover (past year)62%58%56%46%
Registered nurse turnover (past year)67%43%48%43%
Citations at the most recent standard inspection1312.611.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Nov 18, 20251complaint
Jul 24, 20251complaint · 1 harm-level citation
May 8, 202512standard
Mar 18, 20252complaint
Nov 6, 20241complaint
Sep 25, 20241complaint
Apr 4, 202418standard
Mar 29, 202311standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 40 of 47 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Nov 18, 2025Have 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.
Nursing and physician services · complaint
DDeficient, Provider has date of correction
Jul 24, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from abuse, neglect, and exploitation · complaint
G actual harmDeficient, Provider has date of correction
May 8, 2025Have 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.
Nursing and physician services
FDeficient, Provider has date of correction
May 8, 2025Provide and implement an infection prevention and control program.
Infection control
FDeficient, Provider has date of correction
May 8, 2025Honor 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
EDeficient, Provider has date of correction
May 8, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation
EDeficient, Provider has date of correction
May 8, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident rights
EDeficient, Provider has date of correction
May 8, 2025Develop 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
EDeficient, Provider has date of correction
May 8, 2025Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy service
EDeficient, Provider has date of correction
May 8, 2025Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and physician services
EDeficient, Provider has date of correction
May 8, 2025Reasonably accommodate the needs and preferences of each resident.
Resident rights
DDeficient, Provider has date of correction
May 8, 2025Ensure 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
DDeficient, Provider has date of correction
May 8, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and physician services
FDeficient, Provider has date of correction
May 8, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Mar 18, 2025Respond appropriately to all alleged violations.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Mar 18, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Nov 6, 2024Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from abuse, neglect, and exploitation · complaint
DPast Non-Compliance
Sep 25, 2024Honor 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 · complaint
EDeficient, Provider has date of correction
Apr 4, 2024Help the resident with transportation to and from laboratory services outside of the facility.
Administration
DDeficient, Provider has date of correction
Apr 4, 2024Provide safe, appropriate pain management for a resident who requires such services.
Quality of life and care
DDeficient, Provider has date of correction
Apr 4, 2024Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident rights
DDeficient, Provider has date of correction
Apr 4, 2024Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection control
EDeficient, Provider has date of correction
Apr 4, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection control
EDeficient, Provider has date of correction
Apr 4, 2024Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and physician services
EDeficient, Provider has date of correction
Apr 4, 2024Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Apr 4, 2024Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration
EDeficient, Provider has date of correction
Apr 4, 2024Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and dietary
EDeficient, Provider has date of correction
Apr 4, 2024Keep residents' personal and medical records private and confidential.
Resident rights
EDeficient, Provider has date of correction
Apr 4, 2024Try 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
EDeficient, Provider has date of correction
Apr 4, 2024Honor 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
EDeficient, Provider has date of correction
Apr 4, 2024Implement a program that monitors antibiotic use.
Infection control
FDeficient, Provider has date of correction
Apr 4, 2024Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration
FDeficient, Provider has date of correction
Apr 4, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Apr 4, 2024Ensure 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
FDeficient, Provider has date of correction
Apr 4, 2024Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and dietary
FDeficient, Provider has date of correction
Apr 4, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
EDeficient, Provider has date of correction
Mar 29, 2023Ensure 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
EDeficient, Provider has date of correction
Mar 29, 2023Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation
CDeficient, Provider has date of correction
Mar 29, 2023Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy service
DDeficient, Provider has date of correction
Mar 29, 2023Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction

Fines and penalties

DateTypeAmount
Jul 24, 2025Fine$20,642
May 8, 2025Payment Denial3 days

Location

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Questions about Wellsville Health Care Center

Answers computed from CMS data for this facility.

What is Wellsville Health Care Center's Medicare rating?

Medicare rates Wellsville Health Care Center 1 out of 5 stars overall (much below average). The average for Fulton-area nursing homes is 2.2, for Missouri 2.51 and for the U.S. 2.99.

How did Wellsville Health Care Center do on its last inspection?

Inspectors' most recent visit in the CMS data was on Nov 18, 2025, when they cited 1 problem from a complaint investigation. The most common area was nursing and physician services (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (May 8, 2025) it had 13 citations, compared with an average of 12.6 for Fulton-area homes, 11.4 in Missouri and 9.2 nationally.

Has Wellsville Health Care Center been fined?

Yes. CMS reports 1 fine totaling $20,642 in the past three years.

Does Wellsville Health Care Center accept Medicaid?

Wellsville Health Care Center is certified for both Medicare and Medicaid. Call (573) 684-2002 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.