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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D3 | E10 | F30 |
| Minimal | A· | B· | C2 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Mar 5, 2026 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Mar 5, 2026 | Health | Health Standard | 0 | No citations | — | Open → |
| Sep 20, 2024 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Sep 20, 2024 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Dec 7, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 24, 2023 | Fire safety | Fire Safety Standard | 14 | Potential harm | — | Open → |
| May 24, 2023 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D3 | E10 | F30 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 5, 2026 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 16, 2026 | |
| Mar 5, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 13, 2026 | |
| Mar 5, 2026 | K-0363 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Richland Care Center, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 1966 |
| Julie Avila | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 25, 2024 |
| Jeanne Alexander | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2009 |
| Timothy Belshe | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2021 |
| Lynn Frederick | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| David Howlett | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 1, 2021 |
| Douglas Jacobson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2016 |
| Shirley Mitschele | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2011 |
| Wilma Oursbourn | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2021 |
| Johnny Prewett | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2004 |
| Kenneth Struckhoff | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 1, 1988 |
| David Warren | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 1978 |
| Glenda Winfrey | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2019 |
| Timothy Belshe | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 1, 2021 |
| Julie Avila | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 26, 2024 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Life Care Center of Waynesville 700 Birch Lane, Waynesville, MO 65583 CCN 265373 | 15.7 km | 120 | Nov 24, 2025 | 491 harm | $22k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 265755 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 265755 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Missouri DHSS Long-Term Care Directory MO | 08100 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Nov 4, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Apr 13, 2026 |
| Mar 5, 2026 | K-0364 | Install properly constructed windows in hallway walls or doors. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 16, 2026 |
| Mar 5, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 16, 2026 |
| Mar 5, 2026 | K-0500 | Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 20, 2026 |
| Mar 5, 2026 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 10, 2026 |
| Mar 5, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 16, 2026 |
| Mar 5, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 16, 2026 |
| Mar 5, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 20, 2026 |
| Mar 5, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 10, 2026 |
| Sep 20, 2024 | E-0018 | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Oct 14, 2024 |
| Sep 20, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 27, 2024 |
| Sep 20, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 14, 2024 |
| Sep 20, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 7, 2024 |
| Sep 20, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 4, 2024 |
| Sep 20, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 9, 2024 |
| Sep 20, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 9, 2024 |
| Sep 20, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 25, 2024 |
| Sep 20, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 9, 2024 |
| Sep 20, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 10, 2024 |
| Sep 20, 2024 | F-0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 11, 2024 |
| Sep 20, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 10, 2024 |
| Sep 20, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 7, 2024 |
| Sep 20, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Oct 11, 2024 |
| Sep 20, 2024 | F-0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Oct 11, 2024 |
| Dec 7, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 5, 2024 | Complaint |
| Dec 7, 2023 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 5, 2024 | Complaint |
| May 24, 2023 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 8, 2023 |
| May 24, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 8, 2023 |
| May 24, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 8, 2023 |
| May 24, 2023 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 8, 2023 |
| May 24, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 8, 2023 |
| May 24, 2023 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 8, 2023 |
| May 24, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 8, 2023 |
| May 24, 2023 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 8, 2023 |
| May 24, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 8, 2023 |
| May 24, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 8, 2023 |
| May 24, 2023 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 8, 2023 |
| May 24, 2023 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 8, 2023 |
| May 24, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 8, 2023 |
| May 24, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 8, 2023 |
| May 24, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jul 8, 2023 |
| May 24, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 8, 2023 |
| May 24, 2023 | F-0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Jul 8, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.70 (case-mix index 1.11).