Westview Nursing Home: Diet Preference Violations - MO
It was about the budget.
Federal inspectors cited Westview Nursing Home, located at 301 West Dunlop Street in Center, Missouri, following a May 21 survey that found the facility had failed to consistently honor a resident's dietary requests and allergy-related food needs. The deficiency was tagged at a level of minimal harm or potential for actual harm, affecting a small number of residents.
The specific items at issue were simple: special milk and gluten-free bread. At some point, the resident the items were ordered for stopped consuming them regularly. Rather than investigate why the resident wasn't eating or drinking the requested foods, or work with the resident to find alternatives that would meet the same dietary needs, staff concluded the items weren't worth stocking. When the resident didn't eat or drink what had been requested, a staff member explained to inspectors, it affected the facility's budget.
A family member told inspectors she expected the facility to follow the resident's allergies and preferences regardless.
That expectation, straightforward as it sounds, is the standard nursing homes are required to meet. Dietary accommodations tied to allergies are not optional line items to be weighed against food costs. A resident who needs gluten-free bread because of an allergy or intolerance doesn't stop needing it because they skipped a meal.
What the inspection record doesn't explain is how long the resident went without the requested items, whether the lapse created any measurable health consequence, or whether anyone at the facility flagged the gap before the family raised it with inspectors. Those details weren't documented in the findings, or weren't available.
What is documented is the reasoning staff offered: cost. When food sat uneaten, the facility absorbed a loss it apparently decided wasn't worth absorbing. The resident's dietary needs became a budget line rather than a care obligation.
Westview Nursing Home is a small facility in Ralls County, a rural stretch of northeast Missouri. The May survey covered a range of care areas across 56 pages of inspection findings. This deficiency appeared on page 38.
The family member's statement to inspectors was brief but precise. She wasn't asking for anything extraordinary. She expected the facility to follow the resident's allergies. She expected the facility to follow the resident's preferences. She used the word "adhere."
Whether the facility had been doing that before the complaint, or for how long it had not, the inspection record doesn't say. What it says is that when inspectors looked into it, staff confirmed the items had been removed from the resident's diet not because a clinician recommended it, not because the resident asked to stop, but because the food wasn't being consumed and that consumption rate was affecting costs.
Nursing home residents with dietary restrictions tied to allergies or medical conditions depend on staff to maintain those accommodations consistently, not selectively. A gluten-free diet isn't something a resident can opt in and out of without consequence. Neither is whatever form of special milk was being requested, the inspection record doesn't specify the type, only that it was no longer being provided.
The facility's plan of correction was not included in the inspection findings. For information on how Westview Nursing Home intends to address the deficiency, CMS directs readers to contact the facility or the Missouri state survey agency directly.
The family member who spoke to inspectors said she expected the facility to adhere to her loved one's needs. Whether that expectation has since been met, the record doesn't say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Westview Nursing Home from 2025-05-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 5, 2026 · Our methodology
WESTVIEW NURSING HOME in CENTER, MO was cited for violations during a health inspection on May 21, 2025.
The deficiency was tagged at a level of minimal harm or potential for actual harm, affecting a small number of residents.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.