Hearth Record

Wellsville Health Care Center

A nursing home in Wellsville, Missouri 63384

250 E Locust, Wellsville, Missouri 63384. (573) 684-2002.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 36 citations in 7 months of the last 36. Last cited Nov 2025. Most serious: actual harm (G). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

13 health citations at the latest inspection cycle

The Missouri average is 11.4.

Last standard inspection May 8, 2025.

Most serious in three years: actual harm (G), at a complaint inspection on Jul 24, 2025

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

36 citations in 7 months of the last 36. Last cited Nov 2025. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.

36 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 36 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 6 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Nov 18, 2025: complaint inspection1 citation
  • 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.

    Rule F0727. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 24, 2025.

Jul 24, 2025: complaint inspection1 citation
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. G: actual harm. From a complaint. Correction date, as CMS recorded it: Aug 4, 2025.

May 8, 2025: standard inspection12 citations
  • Reasonably accommodate the needs and preferences of each resident.

    Rule F0558. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 22, 2025.

  • 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.

    Rule F0584. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 22, 2025.

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

    Rule F0607. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 22, 2025.

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

    Rule F0628. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 22, 2025.

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

    Rule F0657. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 22, 2025.

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

    Rule F0725. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 22, 2025.

  • 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.

    Rule F0727. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 22, 2025.

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

    Rule F0756. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 22, 2025.

  • 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 22, 2025.

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

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 22, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 25, 2025.

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

    Rule F0947. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 22, 2025.

Mar 18, 2025: complaint inspection2 citations
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 13, 2025.

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 13, 2025.

Nov 6, 2024: complaint inspection1 citation
  • Protect each resident from the wrongful use of the resident’s belongings or money.

    Rule F0602. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 18, 2024.

Sep 25, 2024: complaint inspection1 citation
  • 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.

    Rule F0584. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 28, 2024.

Apr 4, 2024: standard inspection18 citations
  • Properly hold, secure, and manage each resident’s personal money which is deposited with the nursing home.

    Rule F0568. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2024.

  • Keep residents’ personal and medical records private and confidential.

    Rule F0583. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2024.

  • 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.

    Rule F0584. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2024.

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

    Rule F0658. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2024.

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

    Rule F0697. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2024.

  • 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.

    Rule F0700. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2024.

  • 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.

    Rule F0726. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2024.

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

    Rule F0774. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2024.

  • 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.

    Rule F0801. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2024.

  • 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.

    Rule F0803. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2024.

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

    Rule F0805. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2024.

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

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2024.

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

    Rule F0835. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2024.

  • 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.

    Rule F0838. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2024.

  • Implement a program that monitors antibiotic use.

    Rule F0881. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2024.

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

    Rule F0883. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2024.

  • 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.

    Rule F0887. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Nov 1, 1989.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, limited liability company.
  • 112 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 1 fine in the last three years, $20,642 in all.
  • 1 Medicare payment denial in the last three years.
  • 6 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Jul 24, 2025Fine$20,642
May 8, 2025Medicare payment denialNot given

Who does the caring?

1.75 nurse hours per resident per day

The Missouri average is 3.40.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeMissouri average
Nurse hours per resident per day1.753.40
Of which registered nurses0.330.46
At weekends1.452.96
Nursing staff turnover66.7%56.9%
Registered nurse turnover85.7%50%
Administrators who left4Not given

Who owns it?

  • Reliant Care Management Company LLC runs it.
  • 5 owners or officers are people: Richard J Destefane (corporate officer); Abdullah Arshad (runs it (operational or managerial control)); Abdullah Arshad (additional disclosable party (controls, leases property to, or provides services to the home)); Kimberly Harris (runs it (operational or managerial control)); Kimberly Harris (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Reliant Care Management (35 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Richard J. Destefane Revocable Living TrustOwns 5% or more through other companies100%Aug 15, 2024
Reliant CARE Group LLCOwns 5% or more through other companies100%Aug 15, 2024
Rcg Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Dec 31, 2024
Richard J. Destefane Revocable Living TrustTrusteeAug 15, 2024
Richard J. Destefane Revocable Living TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Jan 20, 2025
Reliant CARE Group LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 31, 2024
Tlg II LLPAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 31, 2024
Reliant Care Management Company LLCRuns it (operational or managerial control)Aug 16, 2024
Reliant Care Management Company LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 16, 2024
Wellsville Associates LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 31, 2024
Reliant CARE Group of Webster Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Dec 31, 2024

How do residents fare?

  • CMS rates its quality measures 4 of 5 (Missouri average 2.9).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections1 of 5
Staffing1 of 5
Quality measures4 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 30.1 miles, this one had the 8th most health citations at the latest inspection cycle (13; the middle value was 15.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Wellsville Health Care Center This nursing home13
Aspire Senior Living New Florence12.310
Baptist Homes, Tri-County16.718
Pin Oaks Living Center19.628
Aspire Senior Living Jonesburg20.715
Fulton Manor Care Center24.621
Fulton Nursing & Rehab25.116
Kingdom Care Senior Living25.512
Country View Nursing26.422
Stonebridge Hermann26.91
Warrenton Manor29.119
Westview Nursing Home30.112

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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