Westview Nursing Home: Immunization Tracking Failures - MO
The citation, recorded on the final page of a 56-page inspection report, identified the Director of Nursing and the Assistant Director of Nursing as the staff members accountable for monitoring resident vaccinations and logging them in the facility's electronic health records system. Neither had kept pace with what the CDC recommends.
The administrator did not dispute it.
Immunization tracking in a nursing home is not a complicated task. It is a matter of knowing which residents have received which vaccines, when, and which are overdue. The CDC publishes schedules. The electronic health record is there to hold the documentation. What inspectors found at Westview was that the system existed and the responsibility was assigned, and still the vaccinations had fallen out of date for some residents.
The violation was tagged under F0883, the federal citation covering immunization programs in long-term care. Inspectors assessed the level of harm as minimal harm or potential for actual harm, meaning no resident had been documented as suffering a direct consequence at the time of the inspection. Some residents were affected.
That phrase, "some residents," carries weight in a nursing home setting. Elderly residents in long-term care are among the most vulnerable to vaccine-preventable illness. Influenza, pneumococcal disease, COVID-19, and other infections move quickly through congregate settings. The gap between "no documented harm yet" and "an outbreak" can be short.
What the inspection report does not say is how long the tracking had lapsed, how many residents were affected, or which specific vaccines were missing. The administrator's statement to inspectors was brief: immunizations should be current per CDC guidelines, and the DON and ADON were the ones responsible for tracking and documenting them. That was the extent of what was captured on the page.
The brevity of the finding does not make it minor. A nursing home's immunization program depends entirely on someone doing the work of checking, scheduling, and recording. When the people assigned to that work fall behind, and no one catches it until a federal inspection, that is a supervision failure that runs above the DON and ADON both.
Westview Nursing Home sits in Center, Missouri, a small town in Ralls County. Facilities in rural communities often operate with lean administrative staffs, where a director of nursing may carry responsibilities that would be distributed across several people in a larger organization. That context does not excuse what inspectors found. It may explain how a tracking failure goes unnoticed long enough to show up in a federal citation.
The administrator's acknowledgment to inspectors was straightforward. There was no suggestion in the report of a disputed finding or a competing explanation. The immunizations were not current. The DON and ADON were responsible. The inspectors wrote it down and left.
For the residents whose vaccination records were incomplete as of May 21, the question of whether they received the vaccines they were owed, and when, is not answered anywhere in the inspection report.
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: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 9, 2026 · Our methodology
WESTVIEW NURSING HOME in CENTER, MO was cited for violations during a health inspection on May 21, 2025.
Neither had kept pace with what the CDC recommends.
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.