Wellsville Health Care Center

Wellsville, Missouri

Skilled nursing facility in Wellsville, MO with 112 certified beds and a 1-star CMS overall rating.

Attendant Homes
Attendant Homes Published October 29, 2026

Wellsville Health Care Center is a skilled nursing facility in Wellsville, Missouri (Montgomery County), with 112 Medicare/Medicaid-certified beds.

Address: 250 E Locust, Wellsville, MO 63384. Phone: (573) 684-2002.

Ownership: For profit - Limited Liability company. Certified for Medicare and Medicaid. Automatic sprinkler systems in all required areas. Has a resident council. Part of the Reliant Care Management chain.

CMS Five-Star ratings (source: Medicare Care Compare): overall 1 of 5, health inspections 1, staffing 1, quality measures 2.

Address

250 E Locust
Wellsville, MO 63384
Get directions →

Levels of care

  • Skilled nursing

Facility details

Street address
250 E Locust
City
Wellsville
State
Missouri
ZIP code
63384
Phone
(573) 684-2002
Levels of care
Skilled nursing
Payment options accepted
Medicare, Medicaid
Cms Ccn
265398
County
Montgomery
Ownership Type
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Certified Beds
112
Avg Daily Residents
65.7
Continuing Care Community
No
Resident Family Council
Resident
Sprinklers All Areas
Yes
Medicare Medicaid Approved Date
1989-11-01
Chain Name
Reliant Care Management
Overall Rating
1
Health Inspection Rating
1
Staffing Rating
1
Quality Measure Rating
2
Total Nurse Hours Per Resident Day
2.11542
Rn Hours Per Resident Day
0.26224
Latitude
39.0721
Longitude
-91.564

Medicare & Medicaid quality data

Published by the Centers for Medicare & Medicaid Services (CMS) [1] , data as of October 1, 2026. CMS ID 265398. Ratings compare this home with other nursing homes; they are not a pass or fail.

How does it compare in Wellsville? · Lowest-rated in Missouri

CMS overall rating

1 / 5

Much below average
Certified beds
112
Residents per day
66
Ownership
For profit - Limited Liability company
Health citations (latest)
13
Fines
1 ($20,642)

Star ratings

CMS rates every certified nursing home from 1 to 5 stars in three areas and combines them into an overall rating. The ratings compare homes with each other: 5 is much above average, 3 is average, 1 is much below average.

Overall rating

Much below average

The headline score, from 1 to 5 stars.

1 of 5
1.0

✗ Worse than the state average. State 2.6 · National 3.0

How is this scored?

Three steps: start with the health inspection stars; add one star if staffing is 5 stars (subtract one if it is 1 star); then add one star if quality measures are 5 stars (subtract one if 1 star). It never goes above 5 or below 1, and a home with 1 health inspection star can gain at most one star from the other two. It compares homes with each other; it is not a pass/fail grade. [11]

Health inspections

Much below average

How the home did in recent state inspections and complaint investigations.

1 of 5
1.0

✗ Worse than the state average. State 2.8 · National 2.8

How is this scored?

Based on the two most recent annual inspections plus 36 months of complaint and infection-control inspections, and on how many revisits were needed to confirm fixes. Each citation is weighted by scope and severity. Homes are then ranked within their own state: the best 10% (lowest scores) earn 5 stars, the middle 70% earn 2, 3 or 4 stars in equal shares, and the worst 20% earn 1 star. [11]

Staffing

Much below average

How many nurses care for each resident, and how stable the nursing team is.

1 of 5
1.0

✗ Worse than the state average. State 2.2 · National 3.0

How is this scored?

Six measures: three of staffing level (total nurse, registered nurse and weekend nurse hours per resident per day, adjusted for how much care residents need) and three of turnover (nursing staff, RNs and administrators). The hours come from payroll records submitted to CMS each quarter; turnover uses six quarters of that data. [11]

Quality measures

Above average

How residents are actually doing.

4 of 5
4.0

✓ Better than the state average. State 2.9 · National 3.7

How is this scored?

Scores 15 quality measures drawn from resident assessments (the Minimum Data Set) and Medicare claims, such as falls with major injury, pressure ulcers, rehospitalizations and medication use. Long-stay and short-stay residents are rated separately and combined. [11]

This home State average National average

Long-stay quality
Residents who live in the home: outcomes such as falls, pressure ulcers and medication use.
Short-stay quality
Residents staying for rehab or recovery: outcomes such as rehospitalization and regaining function.
How to read the numbers on this page
Star ratings — 1 to 5 (no stars = not rated)
5 is much above average and 1 is much below average, compared with other nursing homes. A home with too little data may have no rating.
Health inspection score — 0 and up, lower is better
Points added up from citations (see the scope and severity grid) and revisits. 0 means a clean record; the state table shows which scores earn which stars.
Quality measure percentages — 0 to 100%
The share of residents with an outcome, such as a fall with major injury. For most measures a lower percentage is better; for vaccination measures a higher percentage is better.
Nurse hours per resident per day — Hours, higher is better
Paid nursing time divided by residents. For example 4.0 means each resident gets about four hours of nursing care a day, shared across all shifts.
Staff turnover — 0 to 100%, lower is better
The share of nursing staff who left during the year. High turnover can mean less continuity of care.
Case-mix index — Around 1.0 is typical
How much care the residents need. Above 1 means sicker or more dependent residents who need more staff time.
Fines — Dollars; payment denials in days
Penalties CMS imposed for serious or repeated problems. A payment denial stops Medicare/Medicaid payment for new admissions.

Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]

Staffing & turnover

More nursing time per resident and a steadier team are both signs of better care. Hours come from payroll records the home submits to CMS each quarter.

Nurse hours per resident per day, by role

A resident's day is 24 hours; this is how much paid nursing time each resident gets, shared across all shifts.

Reported1.75 hrs

RN 0.33 · LPN 0.25 · Nurse aide 1.16. What the home's payroll records show.

Expected for its residents4.29 hrs

RN 0.76 · LPN 0.95 · Nurse aide 2.58. What CMS predicts a home with these residents' needs would staff.

Adjusted to a typical resident mix1.58 hrs

RN 0.30 · LPN 0.23 · Nurse aide 1.05. The reported hours rescaled so homes with sicker or healthier residents can be compared fairly.

Compared with MO and the nation

This home State average National average

Total nurse hours (hrs/resident/day, higher is better)
1.75

✗ Worse than the state average. State 3.40 · National 3.90

Registered nurse (RN) hours (hrs/resident/day, higher is better)
0.33

✗ Worse than the state average. State 0.46 · National 0.69

Licensed nurse hours (RN + LPN) (hrs/resident/day, higher is better)
0.59

✗ Worse than the state average. State 1.14 · National 1.55

Nurse aide hours (hrs/resident/day, higher is better)
1.16

✗ Worse than the state average. State 2.26 · National 2.35

Weekend total nurse hours (hrs/resident/day, higher is better)
1.45

✗ Worse than the state average. State 2.96 · National 3.43

Weekend RN hours (hrs/resident/day, higher is better)
0.25

✗ Worse than the state average. State 0.32 · National 0.48

Physical therapist hours (hrs/resident/day, higher is better)
0.01

✗ Worse than the state average. State 0.04 · National 0.07

Nursing staff turnover (%, lower is better)
66.7%

✗ Worse than the state average. State 56.9% · National 45.3%

RN turnover (%, lower is better)
85.7%

✗ Worse than the state average. State 50.0% · National 42.5%

Administrators who left (people, lower is better)
4

✗ Worse than the state average. State 1 · National 1

Nursing case-mix index (index)
1.55

State 1.35 · National 1.41

Turnover is the share of nursing staff who left over the year. The case-mix index shows how much care residents need: about 1.0 is typical, higher means more dependent residents.

Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]

Inspections

State inspectors visit each home about once a year and investigate complaints. Every problem they cite is a deficiency, lettered A to L by how serious and how widespread it was.

Health inspection score

192.5 points — in MO that earns (Much below average).

Lower is better. The score adds up points for every citation (more for serious, widespread problems) and for revisits needed to confirm fixes, then weights recent inspections most. [11]

Score needed for each star in MO [10]

5 ★
0.000-20.000
4 ★
20.001-54.000
3 ★
54.001-93.750
2 ★
93.751-159.000
1 ★ (this home)
>159.000
Where the points come from
PeriodInspectionCitations (complaint)Citation pointsRevisitsRevisit pointsTotal
Most recent cycle May 8, 2025 13 (1) 124 2 62 186
Prior cycles (2 and 3) Apr 4, 2024 23 (5) 212 1 0 212

Health citations per inspection

Latest
May 8, 2025
Cycle 2
Apr 4, 2024
Cycle 3
Mar 29, 2023

State average for that cycle. Fewer is better.

Fire-safety citations per inspection

Latest
May 8, 2025
Cycle 2
Apr 4, 2024
Cycle 3
Mar 29, 2023

State average for that cycle. Fewer is better.

What the latest health inspection cited

  • Emergency Preparedness 7
  • Nursing and Physician Services 4
  • Resident Rights 3
  • Pharmacy Service 2
  • Freedom from Abuse and Neglect and Exploitation 1
  • Resident Assessment and Care Planning 1
  • Nutrition and Dietary 1
  • Infection Control 1

What the latest fire-safety inspection cited

  • Smoke 6
  • Miscellaneous 4
  • Gas and Vacuum and Electrical Systems 3
  • Egress 2
  • Construction 1
  • Services 1

How serious were the citations?

Each health citation gets a letter. The number in each cell is how many of this home's citations got that letter; the points show what each letter adds to the health inspection score. Citations where care was substandard score higher than shown. [11]

Isolated (a few residents)Pattern (some residents)Widespread (many residents)
Immediate jeopardy to resident health or safety J · 50 pts 0 K · 100 pts 0 L · 150 pts 0
Actual harm, not immediate jeopardy G · 20 pts 1 H · 35 pts 0 I · 45 pts 0
No actual harm, potential for more than minimal harm D · 4 pts 10 E · 8 pts 24 F · 16 pts 10
No actual harm, potential for minimal harm only A · 0 pts 0 B · 0 pts 0 C · 0 pts 2

Darker cells mean more citations. Counts cover every health citation CMS lists for this home.

All health citations (47) [2]
Inspection on Nov 18, 2025 · 1 citation
  • D

    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.

    F0727 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Nov 24, 2025) · From a complaint

Inspection on Jul 24, 2025 · 1 citation
  • G

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

    F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Aug 4, 2025) · From a complaint

Inspection on May 8, 2025 · 12 citations
  • F

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

    F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • E

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

    F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • E

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

    F0947 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • E

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

    F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • E

    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.

    F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • E

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

    F0628 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • D

    Reasonably accommodate the needs and preferences of each resident.

    F0558 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • F

    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.

    F0727 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • F

    Provide and implement an infection prevention and control program.

    F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jul 25, 2025)

  • E

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

    F0756 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • F

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

    F0725 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • D

    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.

    F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

Inspection on Mar 18, 2025 · 2 citations
  • D

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

    F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Apr 13, 2025) · From a complaint

  • D

    Respond appropriately to all alleged violations.

    F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Apr 13, 2025) · From a complaint

Inspection on Nov 6, 2024 · 1 citation
  • D

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

    F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance (Oct 18, 2024) · From a complaint

Inspection on Sep 25, 2024 · 1 citation
  • E

    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.

    F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Oct 28, 2024) · From a complaint

Inspection on Apr 4, 2024 · 18 citations
  • D

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    F0568 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • F

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

    F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • D

    Provide safe, appropriate pain management for a resident who requires such services.

    F0697 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • E

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    F0805 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • E

    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.

    F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • D

    Help the resident with transportation to and from laboratory services outside of the facility.

    F0774 · Administration Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • F

    Implement a program that monitors antibiotic use.

    F0881 · Infection Control Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • E

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    F0726 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • E

    Conduct 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.

    F0838 · Administration Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • F

    Ensure 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.

    F0803 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • F

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    F0835 · Administration Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • E

    Provide and implement an infection prevention and control program.

    F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • E

    Try 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.

    F0700 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • E

    Keep residents' personal and medical records private and confidential.

    F0583 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • F

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    F0801 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • E

    Ensure services provided by the nursing facility meet professional standards of quality.

    F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • E

    Educate 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.

    F0887 · Infection Control Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • E

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    F0883 · Infection Control Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

Inspection on Mar 29, 2023 · 11 citations
  • E

    Ensure the activities program is directed by a qualified professional.

    F0680 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 2, 2023)

  • E

    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.

    F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Apr 22, 2023)

  • C

    Conduct 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.

    F0838 · Administration Deficiencies · Deficient, Provider has date of correction (Apr 21, 2023)

  • E

    Provide and implement an infection prevention and control program.

    F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Apr 25, 2023)

  • E

    Try 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.

    F0700 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 26, 2023)

  • E

    Provide activities to meet all resident's needs.

    F0679 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 22, 2023)

  • C

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

    F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Apr 21, 2023)

  • E

    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.

    F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 13, 2023)

  • D

    Implement 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.

    F0758 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Apr 20, 2023)

  • F

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

    F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Apr 20, 2023)

  • E

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    F0809 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Apr 20, 2023)

All fire-safety citations (57) [3]
Inspection on May 8, 2025 · 24 citations
  • F

    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.

    K0222 · Egress Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • F

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

    E0030 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • F

    Conduct testing and exercise requirements.

    E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jul 25, 2025)

  • F

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

    K0914 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • E

    Have restrictions on the use of highly flammable decorations.

    K0753 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • F

    Have properly installed electrical wiring and gas equipment.

    K0511 · Services Deficiencies · Deficient, Provider has date of correction (Jul 25, 2025)

  • F

    Implement emergency and standby power systems.

    E0041 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jul 25, 2025)

  • F

    Provide properly protected cooking facilities.

    K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Jul 25, 2025)

  • F

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

    K0926 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • F

    Establish staff and initial training requirements.

    E0037 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • F

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

    K0741 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • F

    Meet other general requirements.

    K0100 · Construction Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • F

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

    K0761 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • F

    Create arrangements with other facilities to receive patients.

    E0025 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • F

    Inspect, test, and maintain automatic sprinkler systems.

    K0353 · Smoke Deficiencies · Deficient, Provider has no plan of correction (Jul 25, 2025)

  • F

    Properly provide smoke detection systems in areas open to corridors.

    K0347 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • F

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

    K0291 · Egress Deficiencies · Deficient, Provider has date of correction (Jul 25, 2025)

  • F

    Install corridor and hallway doors that block smoke.

    K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • F

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

    K0374 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • F

    Provide family notifications of emergency plan.

    E0035 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • F

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

    K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • F

    Establish roles under a Waiver declared by secretary.

    E0026 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

  • F

    Have simulated fire drills held at unexpected times.

    K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jul 25, 2025)

  • F

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

    K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jun 22, 2025)

Inspection on Apr 4, 2024 · 14 citations
  • E

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

    K0374 · Smoke Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • F

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    K0346 · Smoke Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • F

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

    K0291 · Egress Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • E

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

    K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • F

    Have simulated fire drills held at unexpected times.

    K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • F

    Properly select, install, inspect, or maintain portable fire extinguishes.

    K0355 · Smoke Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • F

    Inspect, test, and maintain automatic sprinkler systems.

    K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • F

    Establish an Emergency Preparedness Program (EP).

    E0001 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • F

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

    K0761 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • F

    Have approved installation, maintenance and testing program for fire alarm systems.

    K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • F

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    K0354 · Smoke Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • F

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

    K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • E

    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.

    K0222 · Egress Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

  • F

    Meet requirements for the installation and maintenance of electrical systems.

    K0911 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (May 20, 2024)

Inspection on Mar 29, 2023 · 19 citations
  • E

    Meet requirements for the installation and maintenance of electrical systems.

    K0911 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (May 10, 2023)

  • F

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

    K0741 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (May 13, 2023)

  • E

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

    K0761 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (May 13, 2023)

  • F

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    K0211 · Egress Deficiencies · Deficient, Provider has date of correction (May 10, 2023)

  • D

    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.

    K0222 · Egress Deficiencies · Deficient, Provider has date of correction (May 13, 2023)

  • F

    Meet other general requirements.

    K0100 · Construction Deficiencies · Deficient, Provider has date of correction (May 10, 2023)

  • F

    Inspect, test, and maintain automatic sprinkler systems.

    K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (May 13, 2023)

  • F

    Address subsistence needs for staff and patients.

    E0015 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (May 10, 2023)

  • F

    Establish staff and initial training requirements.

    E0037 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Apr 25, 2023)

  • F

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

    K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (May 13, 2023)

  • F

    Provide emergency officials' contact information.

    E0031 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Apr 25, 2023)

  • E

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

    K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (May 13, 2023)

  • F

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

    K0291 · Egress Deficiencies · Deficient, Provider has date of correction (May 10, 2023)

  • F

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

    K0914 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (May 10, 2023)

  • F

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

    K0926 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Apr 20, 2023)

  • F

    Have simulated fire drills held at unexpected times.

    K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (May 10, 2023)

  • F

    Address patient/client population and determine types of services needed.

    E0007 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (May 13, 2023)

  • F

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

    K0374 · Smoke Deficiencies · Deficient, Provider has date of correction (May 13, 2023)

  • F

    Have approved installation, maintenance and testing program for fire alarm systems.

    K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (May 13, 2023)

Sources: Nursing Home Provider Information [1] ; Nursing Home Survey Summary [4] ; Nursing Home Health Deficiencies [2] ; Nursing Home Fire Safety Deficiencies [3] ; Nursing Home Health Inspection Cut Points [10] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]

Fines & penalties

CMS can fine a home or stop Medicare and Medicaid payments for new admissions when problems are serious or keep recurring. Most homes have none.

Fines
1
State avg 0.8 · National 0.9
Total fined
$20,642
State avg 36,774 · National 30,351
Payment denials
1
Periods with no Medicare/Medicaid payment for new admissions

Fines by year

2025
Every fine and payment denial, newest first
DateTypeAmountPayment denial
Jul 24, 2025 Fine $20,642 —
May 8, 2025 Payment Denial — 3 days from Aug 1, 2025

Sources: Nursing Home Provider Information [1] ; Nursing Home Penalties [5] ; Nursing Home State & National Averages [9]

Resident quality measures

These measure what actually happens to residents, as a percentage from 0 to 100 (or events per 1,000 resident days). For almost all of them a lower number is better; the vaccination measures are the exception and are marked. A star means the measure counts toward the quality star rating.

This home State average National average

Long-stay residents (14) [7]

Residents who live in the home. From their regular health assessments (the Minimum Data Set), averaged over four quarters. Period: 2025Q3-2026Q2.

Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
45.2

✗ Worse than the state average. State 84.0 · National 93.7

Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Higher is better
84.7

✗ Worse than the state average. State 90.8 · National 95.3

Percentage of long-stay residents experiencing one or more falls with major injury ★ Lower is better
0.8

✓ Better than the state average. State 4.0 · National 3.2

Percentage of long-stay residents who have depressive symptoms Lower is better
70.8

✗ Worse than the state average. State 20.0 · National 13.5

Percentage of long-stay residents who lose too much weight Lower is better
9.9

✗ Worse than the state average. State 5.1 · National 5.1

Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower is better
44.3

✗ Worse than the state average. State 25.6 · National 19.5

Percentage of long-stay residents who received an antipsychotic medication ★ Lower is better
40.5

✗ Worse than the state average. State 23.5 · National 15.4

Percentage of long-stay residents who were physically restrained Lower is better
0.0

✓ Better than the state average. State 0.0 · National 0.1

Percentage of long-stay residents whose ability to walk independently worsened ★ Lower is better
5.4

✓ Better than the state average. State 15.8 · National 12.7

Percentage of long-stay residents whose need for help with daily activities has increased ★ Lower is better
7.6

✓ Better than the state average. State 17.4 · National 13.5

Percentage of long-stay residents with a catheter inserted and left in their bladder ★ Lower is better
0.0

✓ Better than the state average. State 0.9 · National 0.7

Percentage of long-stay residents with a urinary tract infection ★ Lower is better
0.0

✓ Better than the state average. State 2.2 · National 1.5

Percentage of long-stay residents with new or worsened bowel or bladder incontinence Lower is better
12.0

✓ Better than the state average. State 17.1 · National 18.3

Percentage of long-stay residents with pressure ulcers ★ Lower is better
8.0

✗ Worse than the state average. State 4.4 · National 4.5

Short-stay residents (3) [7]

Residents staying for rehab or recovery. From their health assessments, averaged over four quarters. Period: 2025Q3-2026Q2.

Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
10.9

✗ Worse than the state average. State 65.7 · National 82.3

Percentage of short-stay residents who newly received an antipsychotic medication ★ Lower is better
0.0

✓ Better than the state average. State 2.1 · National 1.5

Long-stay residents: hospital use (2) [8]

Hospital stays and emergency visits found in Medicare claims, adjusted for how sick residents were. Period: 20250401-20260331.

Number of hospitalizations per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 2.8
1.7

✓ Better than the state average. State 2.0 · National 1.8

Number of outpatient emergency department visits per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 2.0
1.0

✓ Better than the state average. State 2.2 · National 1.7

Short-stay residents: hospital use (2) [8]

Rehospitalizations and emergency visits after admission, found in Medicare claims and adjusted for how sick residents were. Period: 20250401-20260331.

Percentage of short-stay residents who had an outpatient emergency department visit ★ Lower is better · Expected for these residents: 13.2
10.0

✓ Better than the state average. State 13.4 · National 11.8

Percentage of short-stay residents who were rehospitalized after a nursing home admission ★ Lower is better · Expected for these residents: 27.8
13.6

✓ Better than the state average. State 25.7 · National 23.4

Sources: Nursing Home MDS Quality Measures [7] ; Nursing Home Medicare Claims Quality Measures [8] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]

Ownership & operator

Who owns and runs a home can matter: for-profit, non-profit and chain-owned homes tend to differ on staffing and inspection results.

Ownership type
For profit - Limited Liability company
Legal business name
WELLSVILLE HEALTH CARE CENTER, L.L.C.
Certified for
Medicare and Medicaid
Certified beds
112
Residents per day (average)
65.7
In Medicare/Medicaid since
Nov 1, 1989
Resident and family council
Resident
Sprinklers in all required areas
Yes
County
Montgomery
Located in a hospital
No

Company profiles: Reliant Care Management (35 homes, average 1.3 stars), Reliant Care Management Company LLC (34 homes, average 1.3 stars)

Part of RELIANT CARE MANAGEMENT

One of 35 homes in this chain. Average star ratings across the chain (1 to 5):

Overall
1.3
Health inspections
1.7
Staffing
1.0
Quality
3.3
Owners, officers and managers (14) [6]
Operational/Managerial Control
  • ARSHAD, ABDULLAH (individual, NOT APPLICABLE, since 01/02/2025)
  • HARRIS, KIMBERLY (individual, NOT APPLICABLE, since 10/09/2024)
  • RELIANT CARE MANAGEMENT COMPANY LLC (organization, NOT APPLICABLE, since 08/16/2024)
Adp Of The Snf
  • ARSHAD, ABDULLAH (individual, NOT APPLICABLE, since 01/02/2025)
  • HARRIS, KIMBERLY (individual, NOT APPLICABLE, since 10/09/2024)
  • RCG INC (organization, NOT APPLICABLE, since 12/31/2024)
  • RELIANT CARE GROUP LLC (organization, NOT APPLICABLE, since 12/31/2024)
  • RELIANT CARE GROUP OF WEBSTER INC (organization, NOT APPLICABLE, since 12/31/2024)
  • RELIANT CARE MANAGEMENT COMPANY LLC (organization, NOT APPLICABLE, since 08/16/2024)
  • RICHARD J. DESTEFANE REVOCABLE LIVING TRUST (organization, NOT APPLICABLE, since 01/20/2025)
  • TLG II LLP (organization, NOT APPLICABLE, since 12/31/2024)
  • WELLSVILLE ASSOCIATES LLC (organization, NOT APPLICABLE, since 12/31/2024)
Corporate Officer
  • DESTEFANE, RICHARD (individual, NOT APPLICABLE, since 08/15/2024)
Trustee Of The Snf
  • RICHARD J. DESTEFANE REVOCABLE LIVING TRUST (organization, NOT APPLICABLE, since 08/15/2024)

Sources: Nursing Home Provider Information [1] ; Nursing Home Ownership [6]

Sources

All figures on this page come from the U.S. government's published nursing home data, as of October 1, 2026. We reproduce them without change except for rounding and layout; ratings, scores and flags are CMS's, not ours. Averages and comparisons use the state and national figures CMS publishes in the same release.

  1. 1. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Provider Information. Star ratings, staffing, turnover, inspection scores, fines, chain and flag data. https://data.cms.gov/provider-data/dataset/4pq5-n9py
  2. 2. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Deficiencies. Each health deficiency cited, with scope and severity. https://data.cms.gov/provider-data/dataset/r5ix-sfxw
  3. 3. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Fire Safety Deficiencies. Each fire-safety deficiency cited. https://data.cms.gov/provider-data/dataset/ifjz-ge4w
  4. 4. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Survey Summary. Deficiency totals by inspection cycle and category. https://data.cms.gov/provider-data/dataset/tbry-pc2d
  5. 5. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Penalties. Fines and payment denials. https://data.cms.gov/provider-data/dataset/g6vv-u9sr
  6. 6. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Ownership. Owners, officers, directors and managers. https://data.cms.gov/provider-data/dataset/y2hd-n93e
  7. 7. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home MDS Quality Measures. Quarterly quality measure scores from resident assessments. https://data.cms.gov/provider-data/dataset/djen-97ju
  8. 8. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Medicare Claims Quality Measures. Risk-adjusted quality measures from Medicare claims. https://data.cms.gov/provider-data/dataset/ijh5-nb2v
  9. 9. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home State & National Averages. State and national averages used for comparison. https://data.cms.gov/provider-data/dataset/xcdc-v8bm
  10. 10. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Inspection Cut Points. Score ranges that earn each health inspection star in a state. https://data.cms.gov/provider-data/dataset/hicp-9999
  11. 11. Centers for Medicare & Medicaid Services. Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide. How the star ratings, scope and severity points, and abuse and Special Focus flags are defined. https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/downloads/usersguide.pdf
  12. 12. Centers for Medicare & Medicaid Services. Medicare Care Compare. CMS's own consumer site, with the latest figures. https://www.medicare.gov/care-compare/

Attendant Homes is not affiliated with or endorsed by CMS. The data describes past inspections and reported figures and can be out of date or contain errors; it is not a recommendation. Confirm current information with the facility and on Medicare Care Compare [12] .

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