Westview Nursing Home: Medication Gap on Admission - MO
The resident had been taking Depakote and Buspar at a prior facility. Both prescriptions came with the resident upon admission. Neither was dispensed.
Federal inspectors documented the lapse during a May 2025 survey. According to the inspection report, the resident went several weeks without either medication after arriving at the facility. During that stretch, the resident developed behaviors and a depressed mood that the resident connected directly to not receiving the drugs. The resident told staff the medications were missing.
Nothing happened.
The charge nurse on the admission, identified in the report as LPN A, said during an interview on June 3 that she had entered the physician orders the resident brought into the electronic medical record. She said she was not aware the resident was missing any medication orders, and that neither the resident nor the Social Services Director had reported anything missing to her. She also said the resident had not reported increased depression.
That account directly contradicts what the resident told inspectors.
The facility's Assistant Director of Nursing said LPN A was responsible for ensuring the admission paperwork, including the physician orders, were entered and followed. That responsibility, according to the ADON, sat with the charge nurse.
The Medical Director was more direct about what the gap meant clinically. In an interview on May 21, he said Buspar and Depakote should not be stopped abruptly. If a resident was taking both medications at another facility, he said, both should be continued upon admission. And if there was any question or discrepancy in the orders, he said he would have expected the nurse to call him to clarify.
No such call was made.
Depakote is an anticonvulsant also prescribed for mood stabilization and behavioral symptoms, particularly in residents with neurological or psychiatric conditions. Buspar is an anti-anxiety medication. Abrupt discontinuation of either can produce withdrawal effects and destabilize the conditions they were prescribed to manage. The resident's reported behaviors and depression during the gap are consistent with what clinicians would expect from an unplanned interruption of both drugs at once.
The inspection cited the deficiency under F0658, which covers professional standards of care. Inspectors classified the level of harm as minimal harm or potential for actual harm, and noted that few residents were affected.
What the report leaves unresolved is the distance between those two accounts, the resident's and the nurse's, and what it meant for the weeks in between. The resident noticed. The resident said something. And for whatever reason, the gap continued.
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 resident had been taking Depakote and Buspar at a prior facility.
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.