210 Davis Drive, West Plains, MO 65775 · Howell County · (417) 256-2152
130 certified beds, about 117 residents a day · Non profit - Corporation · Medicare and Medicaid since 1982
CMS Care Compare ratings, data as of September 1, 2026 · CCN 265164 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 16, 2026, inspectors cited 10 health deficiencies (the Missouri average is 11.4, the national average 9.2).
None of its 21 health citations since November 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.00 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.71 of those hours.
41.6% of nursing staff left within the year CMS measured (Missouri average 56.0%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 21 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This had the potential to affect all residents. The facility census was 119. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure the accuracy of a resident's advance directive regarding cardiopulmonary resuscitation (CPR - an emergency life-saving technique used when a person's heart stops beating or they stop breathing) code status for one resident (Resident #81) out of 24 sampled residents. The facility census was 119. The facility did not provide a policy regarding a resident's code status. 1. Review of Resident #81's [DATE] physician order sheet (POS) showed:- An admission date of [DATE];- No code status order. Review of the resident's face sheet, dated [DATE], showed:- No code status. Review of the resident's Outside the Hospital Do Not Resuscitate (OHDNR) form showed:- Code status of do not resuscitate (DNR) with the resident's signature, dated [DATE], and the physician's signature dated [DATE]. [...]
Inspectors wroteBased on interview and record review, the facility failed to limit the use of as needed (PRN) psychotropic (medications that affect the mind, emotions, and behaviors) medication orders for 14 days for two residents (Residents #85 and #98) out of four sampled residents. The facility also failed to ensure an appropriate diagnosis for the use of an antipsychotic (medication that treats mental disorders characterized by a disconnection from reality) medication for one resident (Resident #108) and for the use of an antianxiety medication for one resident (Resident #10) out of four sampled residents. The facility census was 119. [...]
Inspectors wroteBased on interview and record review, the facility failed to include the bed-hold rate and complete the bed-hold policy upon transfer to the hospital and failed to identify the reason for the transfer/discharge and include the mailing and email address for the agency for protection and advocacy for residents with intellectual disabilities, and the mailing and email address and telephone number for the agency for protection and advocacy for residents with mental illness within the transfer and discharge notices for four residents (Residents #1, # 9, #11, and #124) out of four sampled residents. The facility census was 119. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement care plans with specific interventions to meet individual needs for two residents (Residents #4 and #7) out of 24 sampled residents. The facility census was 119. Review of the facility's policy titled, Care Plans-Comprehensive, undated, showed:- An individualized comprehensive care plan that includes measurable objectives and timetables to meet the resident's medical, nursing, mental, and psychological needs is developed for each resident;- Each resident's comprehensive care plan has been designed to: incorporate identified problem areas, incorporate risk factors associated with identified problems, reflect treatment goals and objectives in measurable outcomes;- Care plans are revised as changes in the resident's condition dictate. Care plans are reviewed at least quarterly. 1. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure placement of the urinary indwelling catheter (a sterile tube inserted into the bladder to drain urine) drainage bag was maintained for one resident (Resident #3) out of two sampled residents. The facility census was 119. Review of the facility's policy titled, Urinary Catheter Care, dated 02/03/15, showed:- The purpose of this procedure is to prevent infection of the resident's urinary tract;- Be sure the catheter tubing and drainage bag are kept off the floor. 1. Review of Resident #3's medical record showed:- admitted on [DATE];- Diagnoses of chronic kidney disease (impaired kidney function) and urinary retention (inability to completely or partially empty the bladder). Review of the resident's physician order sheet (POS), dated April 2026, showed:- An order to change the 16 French (Fr. [...]
Inspectors wroteBased on interview and record review, the facility failed to identify, assess, and provide supportive interventions for one resident (Resident #8) out of one sampled resident and one resident (Resident #88) outside the sample, whom the facility indicated on the facility's matrix (a form that is used to identify pertinent care categories for newly admitted residents in the last 30 days who are still residing in the facility and for all other residents) with a diagnosis of post-traumatic stress disorder (PTSD - a mental health condition triggered by a terrifying event - either experiencing it or witnessing it; symptoms may include flashbacks, nightmares, and severe anxiety, as well as uncontrollable thoughts about the event) or trauma (the lasting emotional response that often results from living through a distressing event) within the facility. The facility census was 119. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide ongoing monitoring, supervision, and routine maintenance of the beds with the side rails in use and failed to ensure a bed rail was not used as a restraint for two residents (Residents #6 and #12) out of two sampled residents. The facility's census was 119. Review of the facility's policy titled, Bed/Side Rails, undated, showed:- Bed/Side rails may pose unwarranted hazards to patient safety and will only be used after careful evaluation for requested use by resident/family, for aid in mobility or to provide a sense of comfort and security. Safety is paramount and an evaluation is needed to assess the relative risk of using the bed/side rail compared to not using it for an individual resident. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure staff reconciled narcotics (a process that allows one staff to reconcile the exact narcotic inventory on hand with another staff) at each shift change for two out of two sampled medication carts. This practice had the potential to affect all residents. The facility census was 113. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow enhanced barrier precautions (EBP - precautions for use during high-contact resident care activities for residents infected with a multidrug-resistant organisms (MDRO - microorganisms that are resistant to one or more classes of antimicrobial agents) or any resident who has a chronic wound and/or indwelling medical device) for three residents (Residents #7, #14, and #29) out of six sampled residents. The facility also failed to provide proper infection control techniques for hand hygiene and glove changes for six residents (Residents #1, # 5, #7, #13, #24, and #29) out of seven sampled residents. The facility census was 119. [...]
Inspectors wroteBased on interview and record review, the facility failed to notify a resident's family in a timely manner after a transfer where the resident fell from a mechanical ceiling lift resulting in pain and subsequent injury for one resident (Resident #1) out of one sampled resident. The facility census was 115. The facility did not provide a policy regarding notification of a resident's change in condition to the resident's family/representative. Review of the facility's policy titled Falls - Clinical Protocol, dated 01/14/15, showed: - Families are to be notified of all falls; - The policy did not address the timeframe for notification of a fall to the family/representative; - The policy did not address post-fall assessments, monitoring or documentation. 1. Review of Resident #1's medical record showed: - An admission date of 11/16/22; [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure staff followed professional standards of practice when staff did not immediately assess one resident (Resident #1) out of two sampled residents after a witnessed fall. The facility census was 115. The facility did not provide a policy regarding assessments of a resident after a change in condition. Review of the facility's policy titled, Falls - Clinical Protocol, dated 01/14/15, showed: - According to the Centers for Medicare and Medicaid Services (CMS), Minimum Data Set (MDS - a federally mandated assessment to be completed by the facility) 3.0 Guidelines, a fall is defined as the unintentional change in position coming to rest on the ground, floor, or onto the next lower surface (e.g., onto a bed, chair or bedside mat). [...]
Inspectors wroteBased on interview and record review of the facility policy, the facility failed to implement and maintain a training program for mechanical ceiling lift equipment training for one Certified Nursing Aide (CNA A). This failure to train CNA A had the potential to affect the care and services provided to any resident that might require lift transfers by CNA A. The facility census was 115. The facility did not provide a policy on employee training and competencies. Review of the facility policy titled, Orientation Program for Newly Hired Employees, Transfers, Volunteers, Revised May 2019, showed:- Did not address training on facility equipment. Review of CNA A's Training Record showed:- A hire date of 10/08/25;- No documentation of education and competencies provided on the safe use of mechanical lifts. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This had the potential to affect all residents. The facility census was 115. Review of the facility's policy titled, Sanitation, revised April 2014, showed: - The food service area shall be maintained in a clean and sanitary manner; - All kitchens, kitchen areas, and dining areas shall be kept clean, free from litter and rubbish and protected from rodents, roaches, flies and other insects; - All utensils, counters, shelves and equipment shall be kept clean, maintained in good repair and shall be free from breaks, corrosions, open seams, and cracks, and chipped areas that may affect their use or proper cleaning. Seals, hinges, and fasteners will be kept in good repair; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician's orders by not obtaining the segmental pressures (the measurement of blood pressures at different points along the leg to assess for potential blockages in the arteries) as ordered and for not obtaining the arterial duplex (a non-invasive imaging procedure that uses ultrasound technology to examine the blood flow in the main arteries of both legs) in a timely manner for one resident (Resident #28) out of one sampled resident. The census was 115. The facility did not provide a policy on following physician orders. 1. Review of Resident #28's Physician's Order Sheet (POS), dated 11/14/24, showed: - Diagnosis of hypertension (HTN - high blood pressure); - An order for segmental pressures bilateral (both) lower extremities, dated 11/14/24. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure an appropriate diagnosis for the use of an antipsychotic (a medication used to treat symptoms of psychosis, such as hallucinations and delusions) medication for one resident (Resident #16) and to limit the use of an as needed (PRN) order for psychotropic (medications that affect how the brain works and causes changes in mood, awareness, thoughts, feelings, or behaviors) medication to 14 days for two residents (Residents #71 and #267) out of six sampled residents. The facility census was 115. The facility did not provide a policy for an appropriate diagnosis for antipsychotic medication and PRN psychotropic medication use. 1. Review of Resident #16's January 2025 Physicians Order Sheet (POS) showed: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a safe, clean, comfortable, homelike environment. The deficient practice had the potential to affect all residents and staff in the facility. The facility census was 115. The facility did not provide a policy for a homelike environment. 1. Observation on 01/24/25 at 8:05 A.M., of room [ROOM NUMBER] showed: -13 figurines from 1 inch (in.) to 3 in. tall on the light fixture beside the chair. 2. Observation on 01/24/25 at 8:10 A.M., of room [ROOM NUMBER] showed: - Eight figurines from 1 in. to 4 in. tall on the light fixture above the right side of the bed. 3. Observation on 01/24/25 at 8:15 A.M., of room [ROOM NUMBER] showed: - One 8 in. by 10 in. picture frame, one 8 in. by 5 in. picture frame, six stuff animals 4 in. tall, and one 12 in. gnome on the light fixture beside the chair. 4. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This had the potential to affect all residents. The facility census was 105. Review of the facility's policy titled, Cleaning Instructions, dated 2000, showed: - Can opener will be cleaned after each use, wash in sink filled with soapy water, pay special attention to blade and moving parts; - Kitchen and dining room floors, tables, and chairs will be kept clean and sanitary, kitchen floors will be swept and cleaned after each meal; - Freezers will be defrosted monthly or as needed when frost is one quarter inch (in.) thick, freezer should be defrosted; [...]
Inspectors wroteBased on interview and record review, the facility failed to implement a baseline care plan (the minimum healthcare information necessary to properly care for a resident) upon admission with specific interventions for one resident (Resident #153) out of one sampled resident. The facility census was 105. Review of the facility's policy titled, Care Plan - Preliminary, dated May 2014, showed: - A preliminary plan of care to meet the resident's immediate needs shall be developed for each resident within 24 hours of admission; - The Interdisciplinary (members from different disciplines working together for a common purpose) Team will review the physicians orders and implement a nursing care plan to meet the resident's immediate care needs; - The preliminary care plan will be used until the staff can conduct the comprehensive assessment and develop an interdisciplinary care plan. 1. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure one resident (Resident #70) out of a sample of two residents had a physician's order to keep nasal spray, prescription cream, and a prescription shampoo at the bedside and to store medications in a safe and effective manner when staff left the medication cart unlocked and unattended, leaving the narcotics behind only one lock. This had the potential to affect all residents. The facility census was 105. Review of the facility's policy titled, Self-Administration of Drugs, dated [DATE], showed: - As part of their overall evaluation, the staff and practitioner will assess each resident's mental and physical abilities, to determine whether a resident is capable of self-administering medications; [...]
Inspectors wroteBased on observation and interview, the facility failed to ensure the garbage dumpster and trash receptacles were covered for two of three days of observation. The facility census was 105. Review of the facility's policy titled, Sanitation and Infection Control policy, dated 2000, showed: - All garbage will be disposed of daily; - Prior to disposal, all waste shall be kept in leak-proof, non-absorbent, fireproof containers that are kept covered, - Trash will be deposited into the sealed container outside the premises. Observation of the kitchen on 11/01/23 at 10:20 A.M., showed one 32 gallon uncovered trash receptacle partially full of refuse near the dishwashing sink. Observation of the dumpster area on 11/01/23 at 10:24 A.M., showed one 10 yard (yd.) dumpster partially filled with two plastic lids completely opened. Observation of the dumpster area on 11/03/23 at 9:02 A.M., showed: [...]
14 fire safety citations on file: 3 on April 16, 2026, 3 on January 24, 2025, 8 on November 3, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Missouri | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.00 | 3.43 | 3.86 |
| Registered nurses | 0.71 | 0.46 | 0.69 |
| All nursing staff on weekends | 4.19 | 3.01 | 3.42 |
| Nurse aides | 3.49 | ||
| Licensed practical nurses | 0.79 | ||
| Nursing staff turnover (share who left in a year) | 41.6% | 56.0% | 45.8% |
| Registered nurse turnover | 53.3% | 47.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.19 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.32 on weekdays and 4.19 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.80 in April to June 2025 to 5.00 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.00 | 0.71 | 5.32 | 4.19 | 0.0% | 0 of 90 | 117 |
| Oct to Dec 2025 | 4.17 | 0.63 | 4.38 | 3.64 | 0.0% | 0 of 92 | 119 |
| Jul to Sep 2025 | 3.89 | 0.58 | 4.05 | 3.46 | 0.0% | 0 of 92 | 117 |
| Apr to Jun 2025 | 3.80 | 0.57 | 3.96 | 3.40 | 0.0% | 0 of 91 | 117 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Missouri, Jan to Mar 2026 | 3.34 | 0.40 | 3.50 | 2.93 | 3.9% | 1.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Missouri, all employers | |||
| CNAs (nursing assistants) | $18.11 | $17.02 to $20.00 | 34,050 |
| LPNs and LVNs | $29.58 | $27.06 to $33.77 | 14,700 |
| Registered nurses | $39.32 | $36.56 to $47.39 | 76,310 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Missouri | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 26.2 | 18.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.0 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.5 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.7 | 4.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.7 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 19.3 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.5 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.7 | 23.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.2 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.8 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 2.3 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for West Vue Nursing and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (51.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
51.7% this home
No different from the national rate
US median of homes 51.5% · Missouri: 41 better, 31 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 103 eligible stays.
10.7% this home
No different from the national rate
US median of homes 10.7% · Missouri: 0 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 117 eligible stays.
6.1% this home
No different from the national rate
US median of homes 7.1% · Missouri: 1 better, 5 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 80 eligible stays.
59.3% this home
Median of homes: Missouri51.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 59 residents counted.
2.5% this home
Median of homes: Missouri0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 81 residents counted.
5.0% this home
Median of homes: Missouri2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 81 residents counted.
100.0% this home
Median of homes: Missouri100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 39 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: WEST VUE INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| West Vue Inc | 5% or greater direct ownership interest | Organization | 100% | 01/01/1966 |
| Beard, Lyndell | Corporate director | Individual | 11/27/2023 | |
| Doss, Jack | Corporate director | Individual | 10/01/2013 | |
| Hogan, Vicki | Corporate director | Individual | 09/27/1993 | |
| Miller, Glenn | Corporate director | Individual | 03/28/2011 | |
| Pace, Randy | Corporate director | Individual | 02/02/2009 | |
| Rothgeb, Joe | Corporate director | Individual | 10/07/2023 | |
| Spencer, Jack | Corporate director | Individual | 11/27/2017 | |
| Wernsing, Becky | Corporate director | Individual | 10/01/2019 | |
| Williams, Dixie | Corporate director | Individual | 04/24/2015 | |
| Doss, Jack | Corporate officer | Individual | 10/28/2019 | |
| Hogan, Vicki | Corporate officer | Individual | 10/27/2014 | |
| Moushon, Jalynn | Corporate officer | Individual | 07/01/2011 | |
| Pace, Randy | Corporate officer | Individual | 02/02/2009 | |
| Williams, Dixie | Corporate officer | Individual | 10/31/2016 | |
| Kincheloe, Leigh | Operational/managerial control | Individual | 06/16/2023 | |
| Moushon, Jalynn | Operational/managerial control | Individual | 07/01/2011 | |
| Robson, Marcia | Operational/managerial control | Individual | 03/07/2016 | |
| West Vue Inc | Adp of the SNF | Organization | 01/01/1966 | |
| Kincheloe, Leigh | Adp of the SNF | Individual | 06/16/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Missouri. NursingHomeClear cannot take or act on complaints.