Nursing homeActive
Life Care Center Of Waynesville
700 Birch Lane, Waynesville, MO 655835737746456120 certified beds · 77 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2022
Deficiencies
32
● 6● 25● 1
Penalties · 3 yrs
$22,081
1 fine
Last survey
2025-11-24
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-11-24 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-03-17 | Standard | 0111 | CMS-2567 (Care Compare) | — |
| 2024-12-05 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-26 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-02-01 | Standard | 660 | CMS-2567 (Care Compare) | — |
| 2022-11-14 | Standard | 030 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-06Record 265373-20251124-F658
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-06Record 265373-20251124-F760
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-04-22Record 265373-20250317-F686
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 265373-20250317-F584
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 265373-20250317-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 265373-20250317-F658
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 265373-20250317-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 265373-20250317-F689
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 265373-20250317-F698
F700Try 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 265373-20250317-F700
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 265373-20250317-F756
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 265373-20250317-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 265373-20250317-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 265373-20250317-F880
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-14Record 265373-20241205-F658
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-29Record 265373-20240326-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-29Record 265373-20240326-F610
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 265373-20240201-F558
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 265373-20240201-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 265373-20240201-F689
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 265373-20240201-F698
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 265373-20240201-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 265373-20240201-F880
F570Assure the security of all personal funds of residents deposited with the facility.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2024-03-15Record 265373-20240201-F570
F575Post 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.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2024-03-15Record 265373-20240201-F575
F584Honor 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.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2024-03-15Record 265373-20240201-F584
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2024-03-15Record 265373-20240201-F625
F679Provide activities to meet all resident's needs.Scope/severity BPaperwork
Care planning
Pattern; potential for minimal harm.Corrected 2024-03-15Record 265373-20240201-F679
F761Ensure 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.Scope/severity BPaperwork
Medication
Pattern; potential for minimal harm.Corrected 2024-03-15Record 265373-20240201-F761
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-28Record 265373-20221114-F679
F700Try 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-28Record 265373-20221114-F700
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-28Record 265373-20221114-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-03-17 | Civil money penalty | $22,081 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.40
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.49
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours3.21
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover59%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover73%
Facility
Missouri
National
Missouri 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Missouri | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 8.1% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.7% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 10.4% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 4.8% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.7% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 16.7% | 25.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Castillo, Morgan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Developers Investment Company II, Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Eklund, Amber Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fletcher, Todd Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hebeler, Charlene Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lebedowicz, Bohdan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Life Care Centers Of America, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Preston, Aubrey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Preston, Forrest Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Waynesville Medical Investors LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ziegler, James Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Castillo, Morgan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Castillo, Morgan Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Cross, Cindy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Developers Investment Company II, Inc Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Eklund, Amber Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hebeler, Charlene Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Henry, Terry Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Lay, Lisa Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Lebedowicz, Bohdan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Life Care Centers Of America, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Preston, Forrest Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Preston, Forrest Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Swanker, Richard Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Thurmond, Joan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Waynesville Medical Investors LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Life Care Centers Of America — 194 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.
No county cost figures on file for Pulaski.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Richland Care Center Inc Richland | 9.8 mi | 2026-03-05 | 160 |
| St Elizabeth Care Center Saint Elizabeth | 29.5 mi | 2026-02-27 | 1300 |
| Miller County Care And Rehabilitation Center Tuscumbia | 29.6 mi | 2025-04-24 | 080 |
| Lebanon North Nursing & Rehab Lebanon | 25.7 mi | 2026-06-05 | 03911 |
| Phelps Health Rolla | 25.7 mi | 2025-11-25 | 010 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |