Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Life Care Center Of Waynesville during CMS and state inspections, most recent first.
Staff failed to document and administer physician-ordered wound care for two residents and delayed the collection and processing of a urine specimen for another resident, resulting in delayed treatment for a UTI. Nursing staff interviews confirmed that required documentation was missing and that treatments were not always completed or recorded as expected.
A resident with severe cognitive impairment and Parkinson's disease was given a medication cup containing drugs not prescribed to them after a CMT, unfamiliar with the residents, administered medications prepared by a nurse and handed to them in error. The resident became sedated following the administration, and the incident was attributed to miscommunication and failure to follow the facility's medication administration policy requiring two identifiers.
Facility staff failed to document and complete wound care treatments for three residents, as required by professional standards. A resident with pressure ulcers and two others with various skin conditions had missing documentation for their treatments in November 2024. Interviews with an LPN, the DON, and the administrator revealed a lack of awareness about the missing treatments, with interim nursing leadership potentially contributing to the oversight.
Facility staff failed to report allegations of misappropriation of resident property to DHSS within the required 24-hour timeframe for two residents. One resident reported missing money, but the investigation and reporting were delayed due to administrative oversight. Another resident's wallet was found in the laundry, and money was reported missing after it was returned to the family without verifying contents. The administrator and interim DON acknowledged the failure to follow reporting procedures.
Facility staff failed to promptly investigate reports of missing money from two residents' wallets. In one case, a resident reported missing money, but no formal investigation was initiated for several days due to miscommunication among staff. In another case, a resident's family reported missing money after the wallet was found in the laundry, but the investigation lacked interviews with potential witnesses. Both incidents reflect a failure to follow the facility's policy on timely and thorough investigations.
Failure to Document and Administer Physician-Ordered Treatments and Delays in Specimen Collection
Penalty
Summary
Facility staff failed to maintain professional standards of care by not documenting wound care and treatments as directed by physicians for two residents. For one resident with mild cognitive impairment and at risk for pressure ulcers, staff did not document wound treatments on multiple occasions, including care for the tailbone, sacrum, heels, feet, and right great toe, as ordered by the physician. There was no documentation in the treatment administration records (TAR) or progress notes to indicate that treatments were provided, missed, or refused by the resident. Interviews with nursing staff confirmed that treatments were sometimes not completed due to resident refusal, absence for appointments, or disagreements between medical providers, but these reasons were not documented as required. Another resident, assessed as cognitively intact with diabetes, had physician orders for wound care to the right great toe. Staff failed to document the administration of wound treatments on several specified days, and there was no record in the TAR or progress notes explaining the missed treatments. Nursing staff acknowledged that documentation should be present if treatments were refused or not completed, but could not explain the lack of documentation. Additionally, staff failed to ensure timely collection and processing of a urine specimen for a resident with chronic kidney disease, peripheral vascular disease, diabetes, and other conditions. Although a physician ordered a urinalysis due to symptoms, the urine specimen was not collected until two days later and was not received by the lab until the following day. Furthermore, there was a delay in administering prescribed antibiotics for a diagnosed urinary tract infection, despite the medication being available in the facility's emergency kit. The DON confirmed that the expectation was for prompt collection of specimens and immediate initiation of treatment, but could not account for the delays.
Significant Medication Error Due to Miscommunication and Failure to Follow Protocol
Penalty
Summary
Facility staff failed to ensure that residents remained free from significant medication errors when a certified medication technician (CMT) administered a medication cup containing ezetimibe, simvastatin, Vistaril, or trazodone to a resident who did not have physician orders for these medications. The error occurred when the CMT, unfamiliar with the residents on the hall, was handed a pre-prepared medication cup by a nurse and subsequently gave it to the wrong resident in a shared room. The resident who received the incorrect medications was assessed as severely cognitively impaired with a diagnosis of Parkinson's disease. Progress notes documented that the resident became quite sedated after receiving the medications and required education on fall risk due to the sedative effects. The facility's medication administration policy required staff to use two identifiers and ensure medications were administered per physician orders, but this protocol was not followed. The CMT admitted to giving a medication cup to the wrong resident after a miscommunication with the nurse, who had prepared the medications. The resident's physician was notified after the error, and the resident was monitored throughout the night. The incident was documented in the facility's investigation, and staff interviews confirmed the sequence of events leading to the medication error.
Failure to Document and Complete Wound Care Treatments
Penalty
Summary
The facility staff failed to maintain professional standards of practice by not completing and documenting wound care treatments for three residents. The facility's Treatment Orders Policy emphasizes the importance of quality care and adherence to professional standards, yet it lacks specific guidance on documenting treatments in the resident's medical records. This oversight led to multiple instances where treatments were not documented, indicating they may not have been performed as ordered. Resident #1, who was cognitively intact, had several physician-ordered treatments for pressure ulcers that were not documented in the Treatment Administration Record (TAR) throughout November 2024. These treatments included the application of Triad Hydrophillic Cream and zinc oxide, which were missed on multiple occasions. Similarly, Resident #2, who had severe cognitive impairment, had missing documentation for barrier paste, skin prep, and Clobestasol Propionate Cream applications. Resident #3, also cognitively intact, had missing documentation for zinc paste and skin prep applications. Interviews with facility staff, including an LPN, the Director of Nursing (DON), and the administrator, revealed a lack of awareness regarding the missing treatments. The LPN acknowledged the expectation to document completed wound care and notify the physician if treatments were not documented. The DON and administrator both expressed that staff should follow physician orders and document treatments, but they were unaware of the missing documentation. The facility had interim nursing leaders during the period of the missing treatments, which may have contributed to the oversight.
Failure to Timely Report Misappropriation Allegations
Penalty
Summary
The facility staff failed to report allegations of misappropriation of resident property to the Department of Health and Senior Services (DHSS) within the required 24-hour timeframe for two residents. The facility's policy mandates that all alleged violations involving abuse, neglect, exploitation, or mistreatment, including misappropriation of resident property, must be reported immediately, or within 24 hours if the events do not involve abuse or result in serious bodily injury. However, in the case of Resident #1, the resident reported ten dollars missing on March 23, 2024, but the allegation was not formally investigated until March 25, 2024, and was not reported to the state survey agency. The administrator was aware of the missing money but did not ensure the allegation was reported, citing a misunderstanding about the reporting timeframe. For Resident #2, the resident's wallet, which was kept in a pillowcase, was found in the dirty laundry after the resident was discharged to the hospital. The wallet was returned to the resident's family member without verifying its contents, and $260 was reported missing the following day. The administrator notified DHSS of the misappropriation three days after the allegation was made. The interim Director of Nursing (DON) and the administrator both acknowledged the failure to follow the facility's policy and procedure for timely reporting, with the administrator admitting to being unaware of the short reporting timeframe.
Failure to Investigate Missing Money in a Timely Manner
Penalty
Summary
The facility staff failed to initiate a timely investigation when a resident reported missing money from their wallet. The resident, who was assessed as cognitively intact, reported ten dollars missing to the Business Office Manager. Despite the report being made, no formal investigation was started until several days later. The administrator was informed of the missing money but did not instruct the Director of Nursing (DON) to begin an investigation, leading to a delay in addressing the issue. The DON was unaware of the missing money until much later, and the Social Services Director (SSD) only learned of it the day before the investigation began. In another incident, a resident's family member reported missing money from the resident's wallet after it was found in the laundry. The wallet was turned in by a Registered Nurse (RN) without checking its contents, and it was stored in an unsecured location. The family member later reported $260 missing from the wallet. The investigation into this incident was incomplete, as it lacked documentation of interviews with potential witnesses, such as the resident's roommate or visitors. The administrator and DON were unaware of whether other residents or witnesses were interviewed, and the SSD did not conduct any interviews due to a lack of guidance from the DON. Both incidents highlight a failure to adhere to the facility's policy on conducting thorough and prompt investigations into allegations of misappropriation of property. The administrator and DON expressed expectations that the policy should be followed, but there was a lack of communication and understanding of the procedures required to address such allegations effectively. This resulted in delayed and incomplete investigations, leaving the incidents unresolved.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Waynesville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Richland Care Center Inc | 9.8 mi | ★★★★★ | 0 | 0 |
| Dixon Nursing & Rehab | 14.7 mi | — | 0 | 0 |
| Phelps Health | 25.7 mi | ★★★★★ | 0 | 0 |
| Lebanon North Nursing & Rehab | 25.7 mi | ★★★★★ | 22 | 0 |
| Cedar Pointe | 26.1 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.