Cassville Health Care Center: Care Plan Failures - MO
The administrator said the new corporation was "basically starting from scratch with new staff."
Care plans are the documents nursing home staff rely on to know how to care for each resident, what assistance they need bathing, how to treat an open wound, how to manage a colostomy. Without current ones, aides go into rooms without a clear record of what a resident needs or what has changed. At Cassville Health Care Center, inspectors found that residents with open skin wounds and colostomies did not have care plans that addressed those conditions.
A Licensed Practical Nurse identified in the report as LPN F told inspectors that nurse aides relied on care plans when they had questions about a resident's care needs. She said the facility should ensure every care plan addressed open wounds and colostomy care, and that plans should be updated as needs changed. She was describing what the facility was supposed to be doing. She was not describing what it was doing.
A medication aide identified as CMT G added that care plans should also include something as basic as a resident's showering preferences and how much help they needed from staff. That information, too, was missing.
The administrator confirmed that quarterly care plan meetings, which residents and families can attend, were not happening as they should. He or she said a regional corporate person was expected to start working on care plans, but couldn't say whether any recent care plans had actually been completed.
That uncertainty, expressed by the person responsible for running the facility, is the clearest summary of what inspectors found.
The deficiency was cited at a level of minimal harm or potential for actual harm, meaning inspectors did not document that residents had already been injured as a result. But the gap between what was known about residents' conditions and what was written down and accessible to staff caring for them was real. A resident with a colostomy requires specific, consistent care. A resident with an open wound on their skin requires a documented treatment plan that staff can follow and update. When those plans don't exist or haven't been updated, the margin for error widens every shift.
The inspection was a complaint survey, meaning someone contacted regulators about conditions at the facility before inspectors arrived. The report does not identify who filed the complaint or what specifically prompted it.
What the report does show is a facility in the middle of a corporate transition that had not kept pace with its basic obligations to the people living there. New ownership, new staff, a regional corporate contact who hadn't yet started, and an administrator who described the situation as starting from scratch. None of that changes what residents with wounds and colostomies needed from the staff walking into their rooms each day.
The care plans that were supposed to guide that care weren't there.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Cassville Health Care Center from 2025-09-24 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: June 26, 2026 · Our methodology
CASSVILLE HEALTH CARE CENTER in CASSVILLE, MO was cited for violations during a health inspection on September 24, 2025.
Without current ones, aides go into rooms without a clear record of what a resident needs or what has changed.
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.