Above 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 Nhc Healthcare, West Plains during CMS and state inspections, most recent first.
The facility failed to secure a soiled linen laundry room, leaving it unlocked and accessible, with bleach water and an open cleaner solution inside. This posed a hazard to residents, especially those with dementia or Alzheimer's, as the room was unattended and accessible. Staff interviews confirmed the doors should be locked when not in use, but they were left open during certain tasks.
The facility failed to maintain proper infection control practices during care activities and laundry services. Staff did not consistently perform hand hygiene, change gloves, or wear gowns as required, leading to potential cross-contamination. Observations revealed deficiencies in incontinent care, catheter care, wound care, insulin administration, medication handling, and laundry services. These lapses were confirmed through staff interviews.
A facility failed to ensure proper catheter care for a resident with urine retention, as observations showed the catheter tubing dragging on the floor and the drainage bag placed on the floor during a transfer. Staff interviews confirmed that catheter bags and tubing should not touch the floor, highlighting a lapse in adherence to care protocols.
A facility failed to adequately document and monitor a resident's dialysis care. The resident, with end-stage renal disease, had specific orders for dialysis and site monitoring, but these were not consistently followed. Documentation was missing for several dialysis sessions, and staff did not check the dialysis site or bandage upon the resident's return. Interviews revealed a lack of consistent communication and follow-up, with staff unsure of the dialysis access site's location and failing to assess it as required.
The facility failed to lock medication carts and left medications unattended for a resident, who self-administered them without an order or assessment. Observations showed the medication cart was unlocked in various areas, and staff interviews confirmed the policy violations. The resident had multiple medications prescribed, but there was no care plan for self-administration.
Failure to Secure Laundry Room Creates Hazard
Penalty
Summary
The facility failed to maintain an environment free from accident hazards by not securing access to soiled laundry and chemicals in an unlocked soiled linen laundry room. Observations revealed that the room contained a sink basin filled with bleach water and an open container of multipurpose cleaner solution, both of which were accessible due to the door being unlocked and unlatched. This situation posed a potential hazard to all residents, particularly the 14 residents with dementia or Alzheimer's disease, who could freely move around the facility. The facility's policy on chemical storage mandates that chemicals be locked away from patients when not in use, which was not adhered to in this instance. Interviews with staff members, including Laundry/Housekeeping personnel and the Director of Nursing, confirmed that the soiled linen room doors should be kept latched and locked when unattended. However, it was noted that the door was left unlocked during times when staff were rounding the halls to pick up soiled barrels, and it was only locked once the task was complete. This oversight in securing the laundry room doors was observed on multiple occasions, with residents and staff passing by the unlocked room, highlighting a lapse in maintaining a safe environment for residents.
Infection Control Deficiencies in Care and Laundry Services
Penalty
Summary
The facility failed to maintain proper infection control practices during various care activities, including incontinent care, catheter care, wound care, insulin administration, medication handling, and laundry services. Observations revealed that staff did not consistently perform hand hygiene, change gloves, or wear gowns as required by the facility's infection control policies. For instance, during incontinent care for a resident, a registered nurse and a certified nurse assistant failed to perform hand hygiene and change gloves between tasks, leading to potential cross-contamination. Similarly, during catheter care, a certified nurse assistant did not follow proper cleaning procedures, such as cleaning from the insertion point down with a new side of the cloth for each wipe. Wound care practices were also found to be deficient, as a licensed practical nurse did not perform hand hygiene or change gloves between different wound sites, and failed to sanitize equipment like scissors between uses. This lack of adherence to infection control protocols was observed during the care of residents with chronic wounds, where enhanced barrier precautions were not properly implemented. Additionally, during insulin administration, a registered nurse did not wear gloves, and medications were handled with bare hands, contrary to the facility's policies. The facility's laundry services were also found to be lacking in infection control measures. Laundry staff did not consistently perform hand hygiene, change gloves, or wear gowns when handling soiled linens, leading to potential cross-contamination. Observations showed that staff leaned into barrels of soiled linens, allowing their clothing to come into contact with contaminated surfaces. These deficiencies in infection control practices were confirmed through interviews with staff, who acknowledged the lapses in following established protocols.
Improper Catheter Care Observed in Facility
Penalty
Summary
The facility failed to ensure proper catheter care for a resident, resulting in a deficiency. The resident, who was admitted with a diagnosis of urine retention, had an indwelling catheter. Observations revealed that the catheter tubing was dragging on the floor as the resident propelled themselves in a wheelchair. Additionally, during a transfer by two staff members, a CNA placed the catheter drainage bag on the floor before securing it under the wheelchair. The facility's policy on catheter care did not address the issue of catheter tubing or drainage bags touching the floor. Interviews with staff, including LPNs and the Director of Nursing, confirmed that catheter bags and tubing should not touch the floor. Despite this understanding, the facility's failure to prevent the catheter from coming into contact with the floor was observed. The Administrator also acknowledged that catheters should not touch the floor, indicating a lapse in adherence to proper catheter care protocols for the resident involved.
Inadequate Dialysis Care and Documentation
Penalty
Summary
The facility failed to provide adequate documentation and monitoring for a resident requiring dialysis services. The resident, diagnosed with end-stage renal disease and dependent on renal dialysis, had specific physician orders for dialysis on certain days and instructions for monitoring the dialysis shunt site. However, there was no order to assess or document the dialysis shunt location and status before and after treatments. The resident's care plan included interventions to observe the shunt site for signs of infection and ensure the dressing was intact, but these were not consistently followed. The facility's Dialysis Communication Worksheets and Dialysis Communication Reports from the dialysis center showed numerous instances of missing documentation. Several opportunities to complete the worksheets and reports were missed, and there was a lack of documentation for pre and post-dialysis weights and site assessments. The resident reported that staff did not check the dialysis site or bandage upon return from dialysis, and the resident had to remove the dressing themselves. Observations confirmed that the resident's bandage was not checked or changed by staff over consecutive days. Interviews with facility staff revealed a lack of consistent communication and follow-up regarding the dialysis communication forms. The RN responsible for the resident's care was unsure of the dialysis access site's location and did not assess it upon the resident's return from dialysis. The DON expected the communication sheet to be completed and the access site to be checked daily, but these expectations were not met. The facility's failure to adhere to its policy and physician orders resulted in inadequate monitoring and documentation of the resident's dialysis care.
Unattended Medication and Unlocked Carts in Facility
Penalty
Summary
The facility failed to ensure the medication cart was locked while unattended and did not maintain a safe medication system by leaving medications unattended and unsupervised for a resident during a medication pass. This was observed with Resident #16, who had multiple medications prescribed, including Benefiber, Celexa, cholecalciferol, cranberry supplement, Daily-Vite, lisinopril, Metformin, methenamine, metoprolol succinate, Vitamin C, and Wellbutrin XL. There was no order for the resident to keep medications at the bedside or to self-administer them, and no assessment was conducted to allow such practices. Observations revealed that on multiple occasions, medications were left on Resident #16's bedside table, and the resident self-administered them without supervision. The resident confirmed that staff left the medications on the bedside table every morning, trusting him to take them after breakfast. The facility's policies clearly stated that medications should not be left at the bedside unless specifically ordered by the prescriber, and there was no such order or care plan for Resident #16. Additionally, the medication cart was observed to be unlocked and unattended on several occasions in different areas of the facility, including the memory care unit and Hall A. Staff interviews confirmed that medication carts should be locked when not in use, and medications should not be left unattended in resident rooms. The Director of Nursing and the Administrator acknowledged that the facility's policies were not followed, leading to the potential risk of medication errors or misuse.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 27 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near West Plains
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| West Vue Nursing And Rehabilitation Center | 0 mi | ★★★★★ | 3 | 0 |
| Brooke Haven Healthcare | 0.9 mi | ★★★★★ | 9 | 0 |
| Willow Care Nursing Home | 18.7 mi | ★★★★★ | 8 | 0 |
| Mountain View Healthcare | 21.6 mi | ★★★★★ | 0 | 0 |
| Shady Oaks Healthcare Center | 23.3 mi | ★★★★★ | 4 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Nhc Healthcare, West Plains.
100% money-back within 48 hours.
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.